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 | Lost Mountain Operators Club |
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| Attention | DAVID R SIDDALL |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 9700 Darlene Lane |
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| Po Box | |
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| Locality | Great Falls |
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| County | Fairfax County |
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| State | VA - Virginia |
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| Postal Code | 22066 |
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| Zip Location | 39°00'44.5"N 77°18'07.0"W |
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| Maidenhead | FM19ia |
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| FRN | 0014788467 |
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| Geo Region | 4 / VA |
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| Licensee ID/SGIN | L01128119 / 000 |
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| Callsign | KI4OCZ |
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| Last Action Date | 2006-04-07 |
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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 | 2006-03-18 |
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| Fee Control Num | 0603188994894814 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2006-03-20 |
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| Payment Date | 2006-03-21 |
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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 | K3ZJ |
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| Trustee Name | SIDDALL, DAVID R |
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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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