rowid,Short_Form_Termination_Date,Short_Form_Date,Short_Form_Last_Name,Short_Form_First_Name,Registration_Number,Registration_Number_label,Registration_Date,Registrant_Name,Address_1,Address_2,City,State,Zip 37862,1971-12-07,1964-06-15,Camacho,Hector,1759,"Segarra, Michael A.",1964-06-15,"Segarra, Michael A.",804 Avenue Ponce de Leon,,Miramar,FL,00907 37863,1971-12-07,1964-06-15,Cervera,Raquel Los Angeles,1759,"Segarra, Michael A.",1964-06-15,"Segarra, Michael A.",804 Avenue Ponce de Leon,,Miramar,FL,00907 37864,1971-12-07,1964-06-15,Domenech,Humberto Manuel,1759,"Segarra, Michael A.",1964-06-15,"Segarra, Michael A.",804 Avenue Ponce de Leon,,Miramar,FL,00907 37865,1971-12-07,1971-12-07,Segarra,Michael A.,1759,"Segarra, Michael A.",1964-06-15,"Segarra, Michael A.",804 Avenue Ponce de Leon,,Miramar,FL,00907