| Street | Otsu-1940-2 Otsu | ||
| City/Town | 高知市 | ||
| State/Province/Region | 高知県 | ||
| Zip/Postal Code | 780-8571 | ||
| Phone Number | 088-866-5775 | ||
| Country | Japan |
| Full Name | 中津川 里佳 | ||
| Gender | female | ||
| Birthday | 1971-12-06 | ||
| Social Security Number |
| Credit card brand | Discover | ||
| Credit card number | 6011547784233615 | ||
| Expire | 2028/1 | ||
| CVV | 621 |