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
35078,1958-11-02,1958-04-29,Borkovec,"Jerome A. , Sr.",1137,1958-04-29,Bork Tour & Travel Service,6636 Cermak Road,,Berwyn,IL,