| Street | 1145 W Valencia Mesa Dr | ||
| City/Town | Fullerton | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 92833 | ||
| Phone Number | (714) 879-8070 | ||
| Country | United States |
| Full Name | Sammy Breitenberg | ||
| Gender | male | ||
| Birthday | 1971-05-19 | ||
| Social Security Number | 530-99-3229 |
| Credit card brand | JCB | ||
| Credit card number | 3540682570729166 | ||
| Expire | 2029/11 | ||
| CVV | 254 |