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 20786,1966-06-30,1964-12-01,Hazel,"Willard , Jr.",1636,1963-06-06,"Patton, Blow, Verrill, Brand & Boggs","1200 - 17th Street, N.W.",,Washington,DC,20036