Claim ID: 19770
Submitted: Jan-02-2019
Requested Processing: Photos required
Name: Samsax
Email: mrsleff1985@probbox.com
Company: google
Phone: 86786372828
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1976-11-11
Insured Address: New York
Insured Telephone: 82752889264
Claimant Address: New York
Claimant Telephone: 87245844289
Loss Location
USA
Local Authorities:
Loss Description: 6 6 site home 0 0 here www 2 4 8 home 8 page home
Handling Instructions: 6 6 site home 0 0 here www 2 4 8 home 8 page home