| Street | 1125 SE Salem Ave | ||
| City/Town | Albany | ||
| State/Province/Region | Oregon | ||
| Zip/Postal Code | 97321 | ||
| Phone Number | (541) 928-1254 | ||
| Country | United States |
| Full Name | Miss Kelsie Fritsch | ||
| Gender | female | ||
| Birthday | 1971-05-01 | ||
| Social Security Number | 414-99-6401 |
| Credit card brand | American Express | ||
| Credit card number | 378102313941831 | ||
| Expire | 2031/1 | ||
| CVV | 969 |