Claim ID: 20246
Submitted: Jan-08-2019
Requested Processing: Photos required
Name: Samsax
Email: caramelo1@probbox.com
Company: google
Phone: 83187525547
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-10-12
Insured Address: New York
Insured Telephone: 86132281711
Claimant Address: New York
Claimant Telephone: 84136486634
Loss Location
USA
Local Authorities:
Loss Description: trazodone 100 mg tethratycline ciprofloxacin hcl 500 mg atarax 25 mg generic dutasteride
Handling Instructions: trazodone 100 mg tethratycline ciprofloxacin hcl 500 mg atarax 25 mg generic dutasteride