| Street | 8991 Georgia 5 | ||
| City/Town | Douglasville | ||
| State/Province/Region | Georgia | ||
| Zip/Postal Code | 30134 | ||
| Phone Number | (770) 949-7030 | ||
| Country | United States |
| Full Name | Abdul Ortiz | ||
| Gender | male | ||
| Birthday | 1987-10-08 | ||
| Social Security Number | 575-99-7528 |
| Credit card brand | Visa | ||
| Credit card number | 4716443736480152 | ||
| Expire | 2029/8 | ||
| CVV | 428 |