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 | BURGHARDT, DOUGLAS M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | DOUGLAS M BURGHARDT |
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| Street Address | 179 HWY 83 |
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| Po Box | |
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| Locality | HARTFORD |
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| County | Washington County |
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| State | WI - Wisconsin |
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| Postal Code | 53027 |
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| Zip Location | 43°19'02.4"N 88°22'16.5"W |
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| Maidenhead | EN53th |
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| FRN | 0002678548 |
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| Geo Region | 9 / WI |
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| Licensee ID/SGIN | L00132942 / 000 |
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| Callsign | W9DMB |
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| Last Action Date | 2001-07-13 |
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| Radio Service | HV - Vanity |
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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 | 2001-06-24 |
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| Fee Control Num | 0106248994896867 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2001-06-25 |
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| Payment Date | 2001-06-26 |
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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 / 9 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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