| Street | 410 E 4th St | ||
| City/Town | Marysville | ||
| State/Province/Region | Ohio | ||
| Zip/Postal Code | 43040 | ||
| Phone Number | (937) 738-7096 | ||
| Country | United States |
| Full Name | Kurt Wiza | ||
| Gender | male | ||
| Birthday | 1974-10-28 | ||
| Social Security Number | 579-53-8924 |
| Credit card brand | Mastercard | ||
| Credit card number | 5442921467750685 | ||
| Expire | 2029/9 | ||
| CVV | 680 |