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 | MID ATLANTIC ISLAND CREW |
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| Attention | JAY F CHAMBERLAIN |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 27 FOX RUN LANE |
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| Po Box | |
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| Locality | FREDERICKSBURG |
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| County | Stafford County |
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| State | VA - Virginia |
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| Postal Code | 22405 |
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| Zip Location | 38°18'49.0"N 77°24'14.1"W |
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| Maidenhead | FM18hh |
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| FRN | 0001511856 |
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| Geo Region | 4 / VA |
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| Licensee ID/SGIN | L00239434 / 000 |
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| Callsign | KG4HSK |
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| Last Action Date | 2000-06-06 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2000-05-17 |
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| Fee Control Num | 0005178994882567 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2000-05-17 |
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| Payment Date | 2000-05-17 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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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 | C / 4 |
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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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