| Street | 4870 NW 183 St | ||
| City/Town | Carol City | ||
| State/Province/Region | Florida | ||
| Zip/Postal Code | 33055 | ||
| Phone Number | (305) 628-4798 | ||
| Country | United States |
| Full Name | Domenic Effertz | ||
| Gender | male | ||
| Birthday | 1987-07-20 | ||
| Social Security Number | 430-99-0512 |
| Credit card brand | American Express | ||
| Credit card number | 376645172702902 | ||
| Expire | 2029/2 | ||
| CVV | 335 |