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
25265,2015-07-31,2013-05-03,Cardona,Carlos Enrique,6167,"Valladares, Fernando",2013-05-03,"Valladares, Fernando",490 Travirst Drive,,Costa Mesa,CA,92626