| Street | 1250 E Main St | ||
| City/Town | Carbondale | ||
| State/Province/Region | Illinois | ||
| Zip/Postal Code | 62901 | ||
| Phone Number | (618) 549-7581 | ||
| Country | United States |
| Full Name | Cristopher Zieme III | ||
| Gender | male | ||
| Birthday | 1987-08-10 | ||
| Social Security Number | 229-99-7826 |
| Credit card brand | EnRoute | ||
| Credit card number | 2014950940118603 | ||
| Expire | 2027/12 | ||
| CVV | 419 |