| Street | Terawaki-1-5 Mizusawaku | ||
| City/Town | 奥州市 | ||
| State/Province/Region | 岩手県 | ||
| Zip/Postal Code | 0230801 | ||
| Phone Number | 0197-23-2313 | ||
| Country | Japan |
| Full Name | 加藤 陽子 | ||
| Gender | female | ||
| Birthday | 1974-12-16 | ||
| Social Security Number |
| Credit card brand | Discover | ||
| Credit card number | 6011988529261711 | ||
| Expire | 2028/12 | ||
| CVV | 228 |