Claim ID: 19894
Submitted: Jan-03-2019
Requested Processing: Photos required
Name: Samsax
Email: livsresan@probbox.com
Company: google
Phone: 85649649176
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-11-11
Insured Address: New York
Insured Telephone: 84862816362
Claimant Address: New York
Claimant Telephone: 83394413695
Loss Location
USA
Local Authorities:
Loss Description: 0 6 5 page 2 0 5 8 www 4 nixei.com www site
Handling Instructions: 0 6 5 page 2 0 5 8 www 4 nixei.com www site