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 | BAHIA SHRINE AMATEUR UNIT |
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| Attention | EDWARD W JOHNSON JR |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 7153 BALLARDSVILLE RD |
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| Po Box | |
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| Locality | SMITHFIELD |
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| County | Henry County |
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| State | KY - Kentucky |
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| Postal Code | 40068 |
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| Zip Location | 38°23'43.9"N 85°16'27.1"W |
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| Maidenhead | EM78ij |
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| FRN | 0003795952 |
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| Geo Region | 4 / KY |
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| Licensee ID/SGIN | L00286448 / 000 |
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| Callsign | KG4JRW |
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| Last Action Date | 2000-12-09 |
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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 | 2000-12-01 |
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| Fee Control Num | 0011248130800002 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2000-11-21 |
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| Payment Date | 2000-12-05 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | D - 2x3 |
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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 | D / 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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