| Street | 1505 Kansas Ave | ||
| City/Town | Lorain | ||
| State/Province/Region | Ohio | ||
| Zip/Postal Code | 44052 | ||
| Phone Number | (866) 424-1233 | ||
| Country | United States |
| Full Name | Laverna Hills | ||
| Gender | male | ||
| Birthday | 1974-01-13 | ||
| Social Security Number | 221-13-3549 |
| Credit card brand | JCB | ||
| Credit card number | 3540147979057536 | ||
| Expire | 2027/7 | ||
| CVV | 351 |