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
35900,2005-11-15,2005-11-15,Fargo,Michelle,5512,2002-08-01,Mullen,36 Essex Street,,Wenham,MA,01984