rowid,Short_Form_Termination_Date,Short_Form_Date,Short_Form_Last_Name,Short_Form_First_Name,Registration_Number,Registration_Date,Registrant_Name,Address_1,Address_2,City,State,Zip
15626,1989-05-03,1988-09-15,Dub,Larry,4176,1988-09-13,"Becker, Brett G.",Midwood Station,Post Office Box 425,Brooklyn,NY,11230