| Street | 1214 NW 6th St | ||
| City/Town | Grants Pass | ||
| State/Province/Region | Oregon | ||
| Zip/Postal Code | 97526 | ||
| Phone Number | (541) 479-3412 | ||
| Country | United States |
| Full Name | Lisa Stanton | ||
| Gender | female | ||
| Birthday | 2000-10-19 | ||
| Social Security Number | 580-41-6163 |
| Credit card brand | JCB | ||
| Credit card number | 3501035981386414 | ||
| Expire | 2031/7 | ||
| CVV | 904 |