| Street | 1110 Fort Worth Hwy | ||
| City/Town | Weatherford | ||
| State/Province/Region | Texas | ||
| Zip/Postal Code | 76086 | ||
| Phone Number | (817) 599-3800 | ||
| Country | United States |
| Full Name | Domenic Wiegand III | ||
| Gender | male | ||
| Birthday | 1974-05-10 | ||
| Social Security Number | 206-84-8478 |
| Credit card brand | American Express | ||
| Credit card number | 345939139926540 | ||
| Expire | 2031/7 | ||
| CVV | 810 |