| Street | Rynek 5 | ||
| City/Town | Mikolow | ||
| State/Province/Region | Mikolow | ||
| Zip/Postal Code | 43-190 | ||
| Phone Number | 42 613 91 00 | ||
| Country | Poland |
| Full Name | mgr mgr Tymoteusz Konieczny | ||
| Gender | male | ||
| Birthday | 1992-05-17 | ||
| Social Security Number | 10212914165 |
| Credit card brand | Mastercard | ||
| Credit card number | 5567197212449258 | ||
| Expire | 2031/10 | ||
| CVV | 534 |