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 | VAN DOORN, DAVID L |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | DAVID L VAN DOORN |
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| Street Address | 5922 ROLLING HILLS DR |
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| Po Box | |
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| Locality | FORT WAYNE |
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| County | Allen County |
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| State | IN - Indiana |
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| Postal Code | 46804 |
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| Zip Location | 41°03'10.5"N 85°14'29.9"W |
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| Maidenhead | EN71jb |
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| FRN | 0010521466 |
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| Geo Region | 9 / IN |
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| Licensee ID/SGIN | L00826077 / 000 |
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| Callsign | KA9FQN |
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| Last Action Date | 2004-03-26 |
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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 | 2004-03-08 |
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| Fee Control Num | 0403088994895668 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2004-03-08 |
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| Payment Date | 2004-03-09 |
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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 | N - Novice |
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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 | C / 9 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | A - Former Holder |
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| Fee Exempt / Waiver | N / N |
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