| Street | Bd. Bucuresti nr 15 | ||
| City/Town | Focsani | ||
| State/Province/Region | Vrancea | ||
| Zip/Postal Code | 620133 | ||
| Phone Number | 0730 098 312 | ||
| Country | Romania |
| Full Name | d-na. Tatiana Chivu | ||
| Gender | female | ||
| Birthday | 1997-11-21 | ||
| Social Security Number | 380-66-8223 |
| Credit card brand | American Express | ||
| Credit card number | 342442955500419 | ||
| Expire | 2027/9 | ||
| CVV | 676 |