| Tip Asigurare | Carte Verde |
| Contractant Nume | Puica Andrei |
| Contractant Cod Fiscal | 0992805484225 |
| Contractant Telefon | 069936464 |
| Contractant Email | ur.liam@purg_amag |
| Prima de Asigurare MDL | 4255.00 |
| IP Client | 83.220.236.93 |
| Valuta Online | MDL |
| Nr. de referinta polita de Asigurare | RefR.CAE-002780943 |
| Inceputul asigurarii | 01.07.2020 |
| RR Number | 017809634282 |
| Data Livrarii | 26.06.2020 |
| Date aditionale |
Tel.: 022 78 38 00