| Street | 1836 E 64th St | ||
| City/Town | Anderson | ||
| State/Province/Region | Indiana | ||
| Zip/Postal Code | 46013 | ||
| Phone Number | (765) 641-9980 | ||
| Country | United States |
| Full Name | Miss Ophelia Kohler Jr. | ||
| Gender | female | ||
| Birthday | 1982-02-14 | ||
| Social Security Number | 257-99-5065 |
| Credit card brand | Voyager | ||
| Credit card number | 8699738472342587 | ||
| Expire | 2028/11 | ||
| CVV | 085 |