| Street | 14402 Baltimore Ave | ||
| City/Town | Laurel | ||
| State/Province/Region | Maryland | ||
| Zip/Postal Code | 20707 | ||
| Phone Number | (301) 317-0058 | ||
| Country | United States |
| Full Name | Mr. Elliot Sipes | ||
| Gender | male | ||
| Birthday | 1976-01-05 | ||
| Social Security Number | 216-89-2982 |
| Credit card brand | Discover | ||
| Credit card number | 6011113278925818 | ||
| Expire | 2029/4 | ||
| CVV | 240 |