| Street | Rynek Staromiejski 12 | ||
| City/Town | Torun | ||
| State/Province/Region | Torun | ||
| Zip/Postal Code | 87-100 | ||
| Phone Number | 52 621 12 05 | ||
| Country | Poland |
| Full Name | mgr Apolonia Kowalska | ||
| Gender | female | ||
| Birthday | 1976-03-03 | ||
| Social Security Number | 73050112452 |
| Credit card brand | JCB | ||
| Credit card number | 3556675043952259 | ||
| Expire | 2031/8 | ||
| CVV | 926 |