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DATE:
Aug. 16, 2013, 7:40 a.m.
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Full Name : Christine Mann
Date of Birth : Sep/21/1949
Mother's Maiden Name : Sewell
Social Security Number : 228/70/1067
Home Phone Number : 208-699-5984
Adress Line 1 : 3021 Lake Forest Dr
Adress Line 2 :
City : Hayden Lake
State : ID
Zip Code : 83835
Contry : United States
Payment Type : Visa
Debit or credit card number : 5184450029051343
Expiration date : 10 / 14
Card Verification Number : 162
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