| Street | 11966 Business Park Blvd N | ||
| City/Town | Champlin | ||
| State/Province/Region | Minnesota | ||
| Zip/Postal Code | 55316 | ||
| Phone Number | (612) 316-0500 | ||
| Country | United States |
| Full Name | Chanel Cormier | ||
| Gender | female | ||
| Birthday | 1980-12-13 | ||
| Social Security Number | 431-99-9598 |
| Credit card brand | Discover | ||
| Credit card number | 6011862962856560 | ||
| Expire | 2031/10 | ||
| CVV | 983 |