| Street | 7130 S Lewis Ave | ||
| City/Town | Tulsa | ||
| State/Province/Region | Oklahoma | ||
| Zip/Postal Code | 74136 | ||
| Phone Number | (918) 493-7700 | ||
| Country | United States |
| Full Name | Etha Bayer | ||
| Gender | female | ||
| Birthday | 1981-06-02 | ||
| Social Security Number | 357-08-8287 |
| Credit card brand | Diners Club | ||
| Credit card number | 3014173505227481 | ||
| Expire | 2027/12 | ||
| CVV | 463 |