| Street | 4101 Wilder Rd | ||
| City/Town | Bay City | ||
| State/Province/Region | Michigan | ||
| Zip/Postal Code | 48706 | ||
| Phone Number | (989) 686-6666 | ||
| Country | United States |
| Full Name | Mr. Ken Herzog | ||
| Gender | male | ||
| Birthday | 1979-10-27 | ||
| Social Security Number | 426-99-0803 |
| Credit card brand | American Express | ||
| Credit card number | 349165110086098 | ||
| Expire | 2027/3 | ||
| CVV | 357 |