Claim ID: 20203
Submitted: Jan-07-2019
Requested Processing: Photos required
Name: Jasonsax
Email: angelam315@probbox.com
Company: google
Phone: 88174764972
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1977-11-11
Insured Address: New York
Insured Telephone: 84931963445
Claimant Address: New York
Claimant Telephone: 88639199457
Loss Location
USA
Local Authorities:
Loss Description: ciprofloxacin atarax for sleep 50 mg of trazodone tetracycline 500 mg avodart 0.5 mg
Handling Instructions: ciprofloxacin atarax for sleep 50 mg of trazodone tetracycline 500 mg avodart 0.5 mg