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 | QCWA Peach State Chapter 49 |
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| Attention | Michael J Swiderski K4HBI |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 772 Camelot Way |
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| Po Box | |
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| Locality | Norcross |
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| County | Gwinnett County |
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| State | GA - Georgia |
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| Postal Code | 30071 |
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| Zip Location | 33°56'26.3"N 84°12'24.2"W |
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| Maidenhead | EM73vw |
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| FRN | 0001518570 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L00182793 / 000 |
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| Callsign | KG4GBD |
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| Last Action Date | 2001-02-09 |
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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 | 2001-01-30 |
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| Fee Control Num | 0101238130254002 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2001-01-22 |
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| Payment Date | 2001-01-31 |
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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 | Spouse |
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| Vanity Type | D - In Memoriam (Club) |
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| Fee Exempt / Waiver | N / N |
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