| Street | 5801 Sunrise Hwy | ||
| City/Town | Holbrook | ||
| State/Province/Region | New York | ||
| Zip/Postal Code | 11741 | ||
| Phone Number | (631) 563-8697 | ||
| Country | United States |
| Full Name | Mr. Manuela Upton | ||
| Gender | male | ||
| Birthday | 1971-02-15 | ||
| Social Security Number | 504-45-3517 |
| Credit card brand | American Express | ||
| Credit card number | 345661106286977 | ||
| Expire | 2027/9 | ||
| CVV | 046 |