Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Bruins, Gerrit J |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Gerrit J Bruins |
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| Street Address | 25 SE San Mairino Way |
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| Po Box | |
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| Locality | Port St Lucie |
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| County | St. Lucie County |
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| State | FL - Florida |
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| Postal Code | 34952 |
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| Zip Location | 27°17'46.1"N 80°17'57.5"W |
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| Maidenhead | EL97uh |
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| FRN | 0003092947 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L00166936 / 000 |
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| Callsign | AF4WD |
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| Last Action Date | 2000-12-05 |
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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 | D - Dismissed |
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| Entered Timestamp | 2000-11-21 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2000-11-16 |
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| Payment Date | |
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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 | E - Amateur Extra |
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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 / 4 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Nephew |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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