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 29301,1973-09-07,1973-03-14,Jurrist,Charles,2412,1973-03-14,"Dewey, Ballantine, Bushby, Palmer & Wood",140 Broadway,,New York,NY,10005