| Street | 1735 Ellington Rd | ||
| City/Town | South Windsor | ||
| State/Province/Region | Connecticut | ||
| Zip/Postal Code | 06074 | ||
| Phone Number | (860) 644-7788 | ||
| Country | United States |
| Full Name | Ms. Brigitte Daniel | ||
| Gender | female | ||
| Birthday | 1995-03-23 | ||
| Social Security Number | 549-99-8498 |
| Credit card brand | Diners Club | ||
| Credit card number | 3827220156238346 | ||
| Expire | 2030/6 | ||
| CVV | 492 |