| Street | 1618 Williams Hwy | ||
| City/Town | Grants Pass | ||
| State/Province/Region | Oregon | ||
| Zip/Postal Code | 97527 | ||
| Phone Number | (541) 474-6626 | ||
| Country | United States |
| Full Name | Miss Kacie Schmeler IV | ||
| Gender | female | ||
| Birthday | 1984-03-25 | ||
| Social Security Number | 523-99-3031 |
| Credit card brand | Discover | ||
| Credit card number | 6011010962274000 | ||
| Expire | 2031/1 | ||
| CVV | 523 |