| Street | ulitsa Lenina, 150 | ||
| City/Town | Кострома | ||
| State/Province/Region | Костромская область | ||
| Zip/Postal Code | 156007 | ||
| Phone Number | 8 (494) 255-07-81 | ||
| Country | Russia |
| Full Name | Селиверстова Софья Львовна | ||
| Gender | female | ||
| Birthday | 1976-08-31 | ||
| Social Security Number | 831047360349 |
| Credit card brand | JCB | ||
| Credit card number | 3528644570194805 | ||
| Expire | 2030/2 | ||
| CVV | 114 |