| Street | 4828 Bridgeport Way W | ||
| City/Town | University Place | ||
| State/Province/Region | Washington | ||
| Zip/Postal Code | 98467 | ||
| Phone Number | (253) 564-7428 | ||
| Country | United States |
| Full Name | Urban Durgan | ||
| Gender | male | ||
| Birthday | 2000-06-03 | ||
| Social Security Number | 424-65-5625 |
| Credit card brand | JCB | ||
| Credit card number | 3546612792450196 | ||
| Expire | 2027/11 | ||
| CVV | 056 |