| Street | ул. Водопьянова, 17А | ||
| City/Town | городской округ Липецк | ||
| State/Province/Region | Липецкая область | ||
| Zip/Postal Code | 398000 | ||
| Phone Number | 8 (474) 251-90-90 | ||
| Country | Russia |
| Full Name | Елена Львовна Соболева | ||
| Gender | female | ||
| Birthday | 1991-08-02 | ||
| Social Security Number | 697893116060 |
| Credit card brand | American Express | ||
| Credit card number | 345003606683546 | ||
| Expire | 2031/5 | ||
| CVV | 977 |