Claim ID: 19971
Submitted: Jan-04-2019
Requested Processing: Photos required
Name: Ivysax
Email: bill1950@probbox.com
Company: google
Phone: 87845541648
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1979-10-12
Insured Address: San Jose
Insured Telephone: 81865572598
Claimant Address: San Jose
Claimant Telephone: 85669688335
Loss Location
USA
Local Authorities:
Loss Description: cipro 250 atarax 50 mg of trazodone generic avodart tetracycline 500mg
Handling Instructions: cipro 250 atarax 50 mg of trazodone generic avodart tetracycline 500mg