| Street | 5 Rue de la Tambourine | ||
| City/Town | Saint-Dizier | ||
| State/Province/Region | Haute-Marne | ||
| Zip/Postal Code | 52100 | ||
| Phone Number | 03 25 05 71 78 | ||
| Country | France |
| Full Name | René Perez | ||
| Gender | male | ||
| Birthday | 1973-07-04 | ||
| Social Security Number | 422-14-1841 |
| Credit card brand | Diners Club | ||
| Credit card number | 3665367055603578 | ||
| Expire | 2030/4 | ||
| CVV | 371 |