| Street | 3 Chome-970-1 Onukimachi | ||
| City/Town | 延岡市 | ||
| State/Province/Region | 宮崎県 | ||
| Zip/Postal Code | 882-0833 | ||
| Phone Number | 0982-21-0211 | ||
| Country | Japan |
| Full Name | 宮沢 里佳 | ||
| Gender | female | ||
| Birthday | 1999-08-04 | ||
| Social Security Number |
| Credit card brand | American Express | ||
| Credit card number | 347136232975122 | ||
| Expire | 2030/5 | ||
| CVV | 340 |