| Street | Avenida Nossa Senhora de Fátima, 1867 | ||
| City/Town | Teresina | ||
| State/Province/Region | Piauí | ||
| Zip/Postal Code | 64049-410 | ||
| Phone Number | (86) 3303-6080 | ||
| Country | Brazil |
| Full Name | Srta. Thalissa Micaela Ferreira Neto | ||
| Gender | female | ||
| Birthday | 1970-10-21 | ||
| Social Security Number | 82647013969 |
| Credit card brand | American Express | ||
| Credit card number | 375700564598003 | ||
| Expire | 2030/10 | ||
| CVV | 876 |