Admin Client || Dee Karawadra

Created On May, 09 2023 11:00am ID #110 Back

Merchant (Business) DBA Name : Driftstone Pueblo Inc

Business Legal Name : Driftstone Pueblo Inc

Contact Name : Michael McCall

Contact Phone Number : 618-829-3158

Physical Address : 702 West Tower Rd

City : SAINT ELMO

State : IL

Country : USA

Zip : 62458

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type/>
  <irs_tax_id_no>37-1401564</irs_tax_id_no>
  <ownership_type/>
  <business_incorporated/>
  <business_description/>
  <mailing_address>702 West Tower Rd</mailing_address>
  <mailing_city>SAINT ELMO</mailing_city>
  <mailing_state>IL</mailing_state>
  <mailing_zip>62458</mailing_zip>
  <business_phone>618-829-3158</business_phone>
  <contact_first_name>Michael</contact_first_name>
  <contact_last_name>McCall</contact_last_name>
  <contact_phone>618-829-3158</contact_phone>
  <location_address>702 West Tower Rd</location_address>
  <location_city>SAINT ELMO</location_city>
  <location_state>IL</location_state>
  <location_zip>62458</location_zip>
  <avg_ticket_amount>1,000.00</avg_ticket_amount>
  <ave_month_volume>125,000.00</ave_month_volume>
  <bank_name>Midland Bank</bank_name>
  <bank_transit_number>081204540</bank_transit_number>
  <bank_dda_no>2000491103</bank_dda_no>
  <gross_vs_net/>
  <refund_policy>0</refund_policy>
  <owner1_first_name>Micheal</owner1_first_name>
  <owner1_last_name>Mcall</owner1_last_name>
  <owner1_home_address>1990 N 100 St</owner1_home_address>
  <owner1_home_city>vandalia</owner1_home_city>
  <owner1_home_state>Illinois </owner1_home_state>
  <owner1_home_zip>62471</owner1_home_zip>
  <owner1_home_phone>6183268814</owner1_home_phone>
  <owner1_title>Owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1972-05-17</owner1_dob>
  <owner1_social_securrity_no>355727271</owner1_social_securrity_no>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>M240-5447-2141</owner1_number>
  <owner1_expired>2026-05-17</owner1_expired>
  <owner1_issuer_state>Illonis </owner1_issuer_state>
  <owner1_issued_date>2022-07-09</owner1_issued_date>
  <beneficiary2_first_name>Micheal</beneficiary2_first_name>
  <beneficiary2_last_name>Mcall</beneficiary2_last_name>
  <beneficiary2_home_address>1990 N 100 St</beneficiary2_home_address>
  <beneficiary2_home_city>vandalia</beneficiary2_home_city>
  <beneficiary2_home_state>Illinois </beneficiary2_home_state>
  <beneficiary2_home_zip>62471</beneficiary2_home_zip>
  <beneficiary2_home_phone>6183268814</beneficiary2_home_phone>
  <beneficiary2_title>Owner</beneficiary2_title>
  <beneficiary2_ownership_perc>100</beneficiary2_ownership_perc>
  <beneficiary2_dob>1972-05-17</beneficiary2_dob>
  <beneficiary2_social_securrity_no>355727271</beneficiary2_social_securrity_no>
  <beneficiary2_form_of_id>Drivers License</beneficiary2_form_of_id>
  <beneficiary2_number>M240-5447-2141</beneficiary2_number>
  <beneficiary2_expired>2026-05-17</beneficiary2_expired>
  <beneficiary2_issuer_state>Illonis </beneficiary2_issuer_state>
  <beneficiary2_issued_date>2022-07-09</beneficiary2_issued_date>
</object>

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