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 | GERRIT J BRUINS |
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| First Name / Middle Init / Last Name / Name Suffix | Gerrit J Bruins |
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| Street Address | 202 SW OAKRIDGE DRIVE |
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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 | 34984 |
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| Zip Location | 27°14'56.4"N 80°19'50.0"W |
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| Maidenhead | EL97uf |
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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 | 2002-06-28 |
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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 | G - Granted |
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| Entered Timestamp | 2002-06-14 |
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| Fee Control Num | 0206118130581016 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2002-06-10 |
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| Payment Date | 2002-06-15 |
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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 | 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 | C / 4 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Uncle |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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