Operators in L2, or more generally, Lp spaces, which are generated by differential expressions, have had extensive study. More recently some authors, in particular Krall [3; 4; 5; 6; 7], Kim [2], and Krall and Brown [8], have studied operators which are generated by a differential expression plus an additional term. This additional term is of the nature of a perturbation of the differential expression by an operator with finite dimensional range. However even if the basic operator is specifically of the form of a finite dimensional perturbation of a differential operator, this is not true of the adjoint, since the boundary conditions which arise on the adjoint are not appropriate to the adjoint of the differential operator alone.