| Street | Portowa 15 | ||
| City/Town | Wladyslawowo | ||
| State/Province/Region | Wladyslawowo | ||
| Zip/Postal Code | 84-120 | ||
| Phone Number | 58 674 21 11 | ||
| Country | Poland |
| Full Name | Róża Wieczorek | ||
| Gender | female | ||
| Birthday | 1978-03-12 | ||
| Social Security Number | 02322074817 |
| Credit card brand | Voyager | ||
| Credit card number | 8699855587441771 | ||
| Expire | 2029/12 | ||
| CVV | 277 |