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 | QCWA Chapter 200 |
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| Attention | GARY A LILJEGREN |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | Red Water Lake |
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| Po Box | 1101 |
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| Locality | Hawthorn |
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| County | Alachua County |
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| State | FL - Florida |
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| Postal Code | 32640 |
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| Zip Location | 29°34'43.7"N 82°05'10.8"W |
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| Maidenhead | EL89wn |
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| FRN | 0013532312 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L01022165 / 000 |
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| Callsign | KI4KJM |
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| Last Action Date | 2005-09-13 |
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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 | 2005-08-26 |
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| Fee Control Num | 0508268994882464 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2005-08-26 |
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| Payment Date | 2005-08-30 |
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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 | W4GAL |
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| Trustee Name | LILJEGREN, GARY A |
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| ULS Group / ULS Region | C / 4 |
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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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