| Street | 212 W Southmore Ave | ||
| City/Town | Pasadena | ||
| State/Province/Region | Texas | ||
| Zip/Postal Code | 77502 | ||
| Phone Number | (713) 475-5915 | ||
| Country | United States |
| Full Name | Verna Medhurst | ||
| Gender | female | ||
| Birthday | 1983-06-14 | ||
| Social Security Number | 356-08-4163 |
| Credit card brand | JCB | ||
| Credit card number | 3531687205244128 | ||
| Expire | 2030/6 | ||
| CVV | 699 |