rowid,Short_Form_Termination_Date,Short_Form_Date,Short_Form_Last_Name,Short_Form_First_Name,Registration_Number,Registration_Number_label,Registration_Date,Registrant_Name,Address_1,Address_2,City,State,Zip
32724,1967-10-13,1943-04-01,Shallna,Anthony O.,182,"Shallna, Anthony O.",1943-04-01,"Shallna, Anthony O.",395 West Broadway,Post Office Box 54,South Boston,MA,02127