| Street | 218 Market Square | ||
| City/Town | Newington | ||
| State/Province/Region | Connecticut | ||
| Zip/Postal Code | 06111 | ||
| Phone Number | (860) 666-3322 | ||
| Country | United States |
| Full Name | Jermaine Koepp | ||
| Gender | female | ||
| Birthday | 1978-02-02 | ||
| Social Security Number | 243-99-0472 |
| Credit card brand | EnRoute | ||
| Credit card number | 2014924743314750 | ||
| Expire | 2029/8 | ||
| CVV | 075 |