| Street | 8600 Sheridan Rd | ||
| City/Town | Kenosha | ||
| State/Province/Region | Wisconsin | ||
| Zip/Postal Code | 53143 | ||
| Phone Number | (262) 697-4500 | ||
| Country | United States |
| Full Name | Jackie Bode | ||
| Gender | female | ||
| Birthday | 1972-11-10 | ||
| Social Security Number | 478-43-9255 |
| Credit card brand | Discover | ||
| Credit card number | 6011349014740083 | ||
| Expire | 2029/10 | ||
| CVV | 201 |