Claim ID: 20273
Submitted: Jan-08-2019
Requested Processing: Photos required
Name: Nicksax
Email: rleopold1@probbox.com
Company: google
Phone: 87155416626
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1978-10-12
Insured Address: New York
Insured Telephone: 89831372424
Claimant Address: New York
Claimant Telephone: 86842768212
Loss Location
USA
Local Authorities:
Loss Description: tetracycline avodart atarax 25mg ciprofloxacin 500mg trazodone
Handling Instructions: tetracycline avodart atarax 25mg ciprofloxacin 500mg trazodone