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 | HOOSIER LAKES RADIO CLUB |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 4391 N 300 W |
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| Po Box | |
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| Locality | WARSAW |
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| County | Kosciusko County |
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| State | IN - Indiana |
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| Postal Code | 46580 |
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| Zip Location | 41°12'49.8"N 85°52'10.4"W |
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| Maidenhead | EN71bf |
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| FRN | 0009997388 |
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| Geo Region | 9 / IN |
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| Licensee ID/SGIN | L00798364 / 000 |
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| Callsign | KB9PHO |
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| Last Action Date | 2004-03-23 |
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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 | 2004-03-04 |
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| Fee Control Num | 0403048994894937 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2004-03-04 |
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| Payment Date | 2004-03-05 |
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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 | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | K9GV |
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| Trustee Name | VAN DE WATER, GEORGE C |
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| ULS Group / ULS Region | C / 9 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Spouse |
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| Vanity Type | D - In Memoriam (Club) |
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| Fee Exempt / Waiver | N / N |
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