| Street | 301 W 17th St | ||
| City/Town | Bloomington | ||
| State/Province/Region | Indiana | ||
| Zip/Postal Code | 47404 | ||
| Phone Number | (812) 330-0000 | ||
| Country | United States |
| Full Name | Daniela Huels | ||
| Gender | female | ||
| Birthday | 1975-12-26 | ||
| Social Security Number | 361-08-0665 |
| Credit card brand | JCB | ||
| Credit card number | 3578406191999882 | ||
| Expire | 2029/11 | ||
| CVV | 415 |