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 | BLOOM, DAVID |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | DAVID BLOOM |
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| Street Address | 21 DODGE RD |
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| Po Box | |
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| Locality | HYDE PARK |
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| County | Suffolk County |
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| State | MA - Massachusetts |
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| Postal Code | 02136 |
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| Zip Location | 42°15'18.3"N 71°07'45.2"W |
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| Maidenhead | FN42kg |
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| FRN | 0013239637 |
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| Geo Region | 1 / MA |
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| Licensee ID/SGIN | L01004059 / 000 |
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| Callsign | W1MRM |
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| Last Action Date | 2005-04-15 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | M - Manual |
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| App Status | G - Granted |
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| Entered Timestamp | 2005-04-14 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Mon 2005-04-11 |
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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 | C - 1x3 |
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| Licensee Class | G - General |
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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 | C / 1 |
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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 | Y / N |
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