| Street | 17 Rue du Grand Moulin | ||
| City/Town | Bergerac | ||
| State/Province/Region | Dordogne | ||
| Zip/Postal Code | 24100 | ||
| Phone Number | 05 53 57 96 70 | ||
| Country | France |
| Full Name | Jacqueline Dupont | ||
| Gender | female | ||
| Birthday | 1973-03-23 | ||
| Social Security Number | 533-68-2485 |
| Credit card brand | American Express | ||
| Credit card number | 375943094090865 | ||
| Expire | 2030/8 | ||
| CVV | 001 |