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
30305,1977-09-23,1976-04-19,Papo,Madeleine Blanche,2684,"Papo, Madeleine Blanche",1976-04-19,"Papo, Madeleine Blanche",19345 Bush Road,,Chelsea,MI,48118