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 | DERKSEN, GARY J |
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| Attention | GARY L DERKSEN |
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| First Name / Middle Init / Last Name / Name Suffix | GARY J DERKSEN |
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| Street Address | 7 ETHAN PLACE |
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| Po Box | |
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| Locality | PALM COAST |
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| County | Flagler County |
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| State | FL - Florida |
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| Postal Code | 32164 |
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| Zip Location | 29°29'15.7"N 81°12'34.9"W |
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| Maidenhead | EL99jl |
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| FRN | 0006100309 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L00448740 / 000 |
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| Callsign | AA3BS |
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| Last Action Date | 2002-07-20 |
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| Radio Service | HA - Amateur |
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| App Purpose | RM - Renewal/Modification |
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| App Source | M - Manual |
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| App Status | G - Granted |
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| Entered Timestamp | 2002-07-18 |
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| Fee Control Num | |
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| Orig Purpose | RM - Renewal/Modification |
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| Receipt Date | Mon 2002-07-01 |
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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 | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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