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
12181,2016-03-31,1978-03-14,Hastings,Jay D.,2867,"Hastings, Jay Donald",1978-03-14,"Hastings, Jay Donald",1676 Parkview Drive N.E.,,Bainbridge Island,WA,98110-2349