Claim ID: 19597
Submitted: Dec-31-2018
Requested Processing: Photos required
Name: Kiasax
Email: flavianflavor@probbox.com
Company: google
Phone: 84962381798
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1977-10-10
Insured Address: Denver
Insured Telephone: 81812494545
Claimant Address: Denver
Claimant Telephone: 88898691969
Loss Location
USA
Local Authorities:
Loss Description: ventolin hfa 90 mcg inhaler
Handling Instructions: ventolin hfa 90 mcg inhaler