| Street | 2223 Louisiana St | ||
| City/Town | Lawrence | ||
| State/Province/Region | Kansas | ||
| Zip/Postal Code | 66046 | ||
| Phone Number | (785) 838-3100 | ||
| Country | United States |
| Full Name | Camylle Kozey | ||
| Gender | female | ||
| Birthday | 1980-10-10 | ||
| Social Security Number | 414-99-4330 |
| Credit card brand | Unionpay | ||
| Credit card number | 6225815156489723 | ||
| Expire | 2030/10 | ||
| CVV | 964 |