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 | BLUM, JAY I |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | JAY I BLUM |
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| Street Address | 138 Riverview Drive |
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| Po Box | |
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| Locality | Marshall |
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| County | Dane County |
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| State | WI - Wisconsin |
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| Postal Code | 53559 |
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| Zip Location | 43°09'56.1"N 89°04'54.8"W |
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| Maidenhead | EN53ld |
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| FRN | 0010393643 |
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| Geo Region | 9 / WI |
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| Licensee ID/SGIN | L00814223 / 000 |
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| Callsign | AD4UQ |
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| Last Action Date | 2004-02-20 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2004-02-19 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Thu 2004-02-19 |
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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 | |
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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 | |
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| Fee Exempt / Waiver | N / N |
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