| Street | 1700 4th St SE | ||
| City/Town | Mason City | ||
| State/Province/Region | Iowa | ||
| Zip/Postal Code | 50401 | ||
| Phone Number | (641) 421-4436 | ||
| Country | United States |
| Full Name | Jocelyn Effertz | ||
| Gender | male | ||
| Birthday | 1980-12-24 | ||
| Social Security Number | 002-11-1284 |
| Credit card brand | EnRoute | ||
| Credit card number | 2014255314657842 | ||
| Expire | 2028/12 | ||
| CVV | 745 |