Claim ID: 19598
Submitted: Dec-31-2018
Requested Processing: Photos required
Name: Evasax
Email: norleyc@probbox.com
Company: google
Phone: 86385391995
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1976-12-12
Insured Address: New York
Insured Telephone: 82827547628
Claimant Address: New York
Claimant Telephone: 89577358334
Loss Location
USA
Local Authorities:
Loss Description: fluoxetine 10 mg
Handling Instructions: fluoxetine 10 mg