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 | GROOTEMAAT Mrs, PHYLLIS N |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | PHYLLIS N GROOTEMAAT Mrs |
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| Street Address | 272 MONTEREY DRIVE |
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| Po Box | |
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| Locality | NAPLES |
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| County | Collier County |
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| State | FL - Florida |
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| Postal Code | 34119 |
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| Zip Location | 26°16'09.7"N 81°42'46.9"W |
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| Maidenhead | EL96dg |
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| FRN | 0002721660 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L00205878 / 000 |
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| Callsign | KD4ZIY |
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| Last Action Date | 2003-01-10 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2003-01-10 |
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| Fee Control Num | |
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| Orig Purpose | RO - Renewal Only |
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| Receipt Date | Fri 2003-01-10 |
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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 | D - 2x3 |
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| Licensee Class | A - Advanced |
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| New Seq Callsign | |
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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 | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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