| Street | 5109 Laguna Blvd | ||
| City/Town | Elk Grove | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 95758 | ||
| Phone Number | (916) 683-2661 | ||
| Country | United States |
| Full Name | Green O'Conner | ||
| Gender | male | ||
| Birthday | 1978-01-30 | ||
| Social Security Number | 124-98-2957 |
| Credit card brand | American Express | ||
| Credit card number | 340145083826372 | ||
| Expire | 2027/4 | ||
| CVV | 704 |