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 | INTERNATIONAL AMATEURS IN MEDICINE |
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| Attention | ENRIQUE A MARTINEZ |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 1051 SPRUCE ST #112 |
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| Po Box | |
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| Locality | TERRE HAUTE |
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| County | Vigo County |
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| State | IN - Indiana |
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| Postal Code | 47807 |
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| Zip Location | 39°28'22.6"N 87°24'12.3"W |
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| Maidenhead | EM69hl |
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| FRN | 0010938389 |
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| Geo Region | 9 / IN |
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| Licensee ID/SGIN | L00864855 / 000 |
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| Callsign | KC9GCG |
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| Last Action Date | 2004-06-05 |
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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 | 2004-05-18 |
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| Fee Control Num | 0405248994525010 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2004-05-18 |
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| Payment Date | 2004-05-26 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | B - 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 | B / 9 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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