| Street | 850 Valley Ridge Blvd #112 | ||
| City/Town | Lewisville | ||
| State/Province/Region | Texas | ||
| Zip/Postal Code | 75077 | ||
| Phone Number | (972) 436-1325 | ||
| Country | United States |
| Full Name | Prof. Lavern Renner IV | ||
| Gender | male | ||
| Birthday | 1984-11-14 | ||
| Social Security Number | 264-99-9069 |
| Credit card brand | EnRoute | ||
| Credit card number | 2149653374826257 | ||
| Expire | 2027/7 | ||
| CVV | 364 |