| Street | 1763 Orange Ave | ||
| City/Town | Costa Mesa | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 92627 | ||
| Phone Number | (949) 287-5715 | ||
| Country | United States |
| Full Name | Mrs. Princess Champlin | ||
| Gender | female | ||
| Birthday | 1982-03-16 | ||
| Social Security Number | 626-85-1989 |
| Credit card brand | American Express | ||
| Credit card number | 341182502268711 | ||
| Expire | 2028/12 | ||
| CVV | 808 |