Claim ID: 20107
Submitted: Jan-06-2019
Requested Processing: Photos required
Name: kimup
Email: m.montis@yandex.com
Company: google
Phone: 88323657624
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-11-12
Insured Address: Nuuk
Insured Telephone: 86578582716
Claimant Address: Nuuk
Claimant Telephone: 85612998197
Loss Location
usa
Local Authorities:
Loss Description: KISS tour http://pearls-and-polka-dots.tumblr.com
Handling Instructions: KISS tour http://pearls-and-polka-dots.tumblr.com