Claim ID: 20284
Submitted: Jan-09-2019
Requested Processing: Photos required
Name: Evasax
Email: jimmynewsom@probbox.com
Company: google
Phone: 81281524211
Their Claim No.:
Insured:
Policy No.:
Date of Loss: 1980-11-10
Insured Address: New York
Insured Telephone: 84481183293
Claimant Address: New York
Claimant Telephone: 85892627866
Loss Location
USA
Local Authorities:
Loss Description: avodart 0.5 mg
Handling Instructions: avodart 0.5 mg