Claim ID: 19630
Submitted: Dec-31-2018
Requested Processing: Photos required
Name: Kiasax
Email: thomashollowaty@probbox.com
Company: google
Phone: 85555656229
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1979-10-11
Insured Address: Denver
Insured Telephone: 89649872954
Claimant Address: Denver
Claimant Telephone: 81838863889
Loss Location
USA
Local Authorities:
Loss Description: ventolin hfa 90 mcg inhaler
Handling Instructions: ventolin hfa 90 mcg inhaler