| Street | Polevsko 152 | ||
| City/Town | Polevsko | ||
| State/Province/Region | Liberec | ||
| Zip/Postal Code | 471 16 | ||
| Phone Number | 604 375 303 | ||
| Country | Czech Republic |
| Full Name | Ing. Kristýna Slavíková | ||
| Gender | female | ||
| Birthday | 1981-05-30 | ||
| Social Security Number | 537-26-0606 |
| Credit card brand | Diners Club | ||
| Credit card number | 3037253033123080 | ||
| Expire | 2028/4 | ||
| CVV | 036 |