| Street | 576 Metacom Ave | ||
| City/Town | Bristol | ||
| State/Province/Region | Rhode Island | ||
| Zip/Postal Code | 02809 | ||
| Phone Number | (401) 253-8885 | ||
| Country | United States |
| Full Name | Douglas Halvorson | ||
| Gender | male | ||
| Birthday | 1992-09-15 | ||
| Social Security Number | 008-94-0031 |
| Credit card brand | Mastercard | ||
| Credit card number | 5512982816924251 | ||
| Expire | 2031/1 | ||
| CVV | 269 |