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 | Vic Clark Chapter 91 QCWA |
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| Attention | RAY C H JOHNSON |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 615 Kearney Ct |
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| Po Box | |
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| Locality | Vienna |
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| County | Fairfax County |
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| State | VA - Virginia |
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| Postal Code | 22180 |
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| Zip Location | 38°53'43.6"N 77°15'22.1"W |
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| Maidenhead | FM18iv |
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| FRN | 0008071581 |
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| Geo Region | 4 / VA |
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| Licensee ID/SGIN | L00606210 / 000 |
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| Callsign | KG4WJS |
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| Last Action Date | 2003-01-22 |
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| Radio Service | HA - Amateur |
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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 | 2003-01-02 |
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| Fee Control Num | 0301028994890959 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2003-01-02 |
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| Payment Date | 2003-01-03 |
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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 | |
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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 | Child |
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| Vanity Type | D - In Memoriam (Club) |
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| Fee Exempt / Waiver | N / N |
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