| Street | 20 Main St | ||
| City/Town | Melrose | ||
| State/Province/Region | Massachusetts | ||
| Zip/Postal Code | 02176 | ||
| Phone Number | (781) 662-5472 | ||
| Country | United States |
| Full Name | Mr. Garland Jast Jr. | ||
| Gender | male | ||
| Birthday | 1972-09-29 | ||
| Social Security Number | 266-99-5223 |
| Credit card brand | American Express | ||
| Credit card number | 346473489288912 | ||
| Expire | 2031/11 | ||
| CVV | 970 |