| Street | Iwanosaku-753 Funehikimachi Sasayama |
| City/Town | 田村市 |
| State/Province/Region | 福島県 |
| Zip/Postal Code | 963-4312 |
| Phone Number | 0247-82-5230 |
| Country | Japan |
| Latitude | 37.443679 |
| Longitude | 140.535167 |
| Full Name | 近藤 美加子 |
| Gender | female |
| Birthday | 1976-02-05 |
| Social Security Number |
| Credit card brand | EnRoute |
| Credit card number | 2149113043795847 |
| Expire | 2030/2 |
| CVV | 325 |