H;C03122;C03122;;20250707;TA113262;;;;;Pittsburg;407 E Centennial Dr;;Pittsburg;KS;66762;;;;003
D;TCO3;;PR;1;Jerry DeGrusson;
D;40032M080;;PR;1;Jerry DeGrusson;
D;40032M075;;PR;1;Jerry DeGrusson;
D;COMP;;PR;No;;