| Street | 61 Rue de Geneve | ||
| City/Town | Saint-Brieuc | ||
| State/Province/Region | Côtes-d'Armor | ||
| Zip/Postal Code | 22000 | ||
| Phone Number | 02 96 33 16 97 | ||
| Country | France |
| Full Name | Thierry-Richard De Sousa | ||
| Gender | male | ||
| Birthday | 1982-08-16 | ||
| Social Security Number | 261-89-6739 |
| Credit card brand | American Express | ||
| Credit card number | 343625581983368 | ||
| Expire | 2029/12 | ||
| CVV | 750 |