Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | HEADWATERS AMATEUR RADIO CLUB |
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| Attention | Roy F Heimel II |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 6 N East St |
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| Po Box | |
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| Locality | COUDERSPORT |
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| County | Potter County |
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| State | PA - Pennsylvania |
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| Postal Code | 16915 |
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| Zip Location | 41°46'31.6"N 77°58'15.3"W |
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| Maidenhead | FN11as |
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| FRN | 0001512748 |
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| Geo Region | 3 / PA |
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| Licensee ID/SGIN | L00222274 / 000 |
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| Callsign | KB3CCI |
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| Last Action Date | 2000-05-02 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | M - Manual |
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| App Status | G - Granted |
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| Entered Timestamp | 2000-04-20 |
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| Fee Control Num | 0004148130362010 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2000-04-13 |
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| Payment Date | 2000-04-21 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | A - 1x2, 2x1, 2x2 |
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| Licensee Class | |
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| New Seq Callsign | N |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | A / 3 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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