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
22767,1993-07-08,1991-02-05,Ice,Cody W.,4143,1988-05-18,"Wood, Randell K.",1736 East Sunshine,Suite 517,Springfield,MO,65804