| Street | Rua Antônio Miranda - Entroncamento | ||
| City/Town | Imperatriz | ||
| State/Province/Region | Maranhão | ||
| Zip/Postal Code | 65903-250 | ||
| Phone Number | (99) 3525-4475 | ||
| Country | Brazil |
| Full Name | Srta. Clara Matias | ||
| Gender | female | ||
| Birthday | 1977-04-12 | ||
| Social Security Number | 34958072179 |
| Credit card brand | Diners Club | ||
| Credit card number | 3642932842901151 | ||
| Expire | 2031/6 | ||
| CVV | 151 |