| Street | 1400 NW College Way | ||
| City/Town | Bend | ||
| State/Province/Region | Oregon | ||
| Zip/Postal Code | 97701 | ||
| Phone Number | (541) 388-4489 | ||
| Country | United States |
| Full Name | Miss Blanche Veum Sr. | ||
| Gender | female | ||
| Birthday | 1977-04-17 | ||
| Social Security Number | 037-74-1168 |
| Credit card brand | Discover | ||
| Credit card number | 6011162291752451 | ||
| Expire | 2027/10 | ||
| CVV | 092 |