| Street | 107 N Court St | ||
| City/Town | Florence | ||
| State/Province/Region | Alabama | ||
| Zip/Postal Code | 35630 | ||
| Phone Number | (256) 718-1002 | ||
| Country | United States |
| Full Name | Miss Jacquelyn Casper | ||
| Gender | female | ||
| Birthday | 1973-08-09 | ||
| Social Security Number | 578-53-4133 |
| Credit card brand | American Express | ||
| Credit card number | 373717000136646 | ||
| Expire | 2031/6 | ||
| CVV | 807 |