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 | Med - Wireless Society Of Bay Pines |
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| Attention | David P Johnson MD |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | |
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| Po Box | 743 |
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| Locality | Bay Pines |
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| County | Pinellas County |
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| State | FL - Florida |
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| Postal Code | 33744 |
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| Zip Location | 27°48'26.2"N 82°46'23.0"W |
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| Maidenhead | EL87ot |
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| FRN | 0013331830 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L01005442 / 000 |
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| Callsign | KI4JSW |
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| Last Action Date | 2005-05-07 |
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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 | 2005-04-19 |
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| Fee Control Num | 0504198994887052 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2005-04-19 |
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| Payment Date | 2005-04-20 |
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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 | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | W4YD |
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| Trustee Name | Johnson, David P |
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| ULS Group / ULS Region | A / 4 |
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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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