| Street | 24 Rue de la Magdeleine | ||
| City/Town | Reims | ||
| State/Province/Region | Marne | ||
| Zip/Postal Code | 51100 | ||
| Phone Number | |||
| Country | France |
| Full Name | Henri Guerin | ||
| Gender | male | ||
| Birthday | 1979-10-24 | ||
| Social Security Number | 476-57-8398 |
| Credit card brand | JCB | ||
| Credit card number | 3560906540630005 | ||
| Expire | 2028/5 | ||
| CVV | 682 |