| Street | 1201A N Main St | ||
| City/Town | Crown Point | ||
| State/Province/Region | Indiana | ||
| Zip/Postal Code | 46307 | ||
| Phone Number | (219) 663-8044 | ||
| Country | United States |
| Full Name | Tyrique West | ||
| Gender | male | ||
| Birthday | 1970-03-29 | ||
| Social Security Number | 389-33-3310 |
| Credit card brand | JCB | ||
| Credit card number | 3526339395913982 | ||
| Expire | 2029/9 | ||
| CVV | 056 |