Claim ID: 19679
Submitted: Jan-01-2019
Requested Processing: Photos required
Name: Evasax
Email: lmdduke@probbox.com
Company: google
Phone: 82146513988
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1975-12-12
Insured Address: New York
Insured Telephone: 86597333568
Claimant Address: New York
Claimant Telephone: 82333761575
Loss Location
USA
Local Authorities:
Loss Description: tadalafil 20 mg
Handling Instructions: tadalafil 20 mg