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 | Bereza, Leo M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Leo M Bereza |
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| Street Address | 2381 Sunset Ave Apt 312 |
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| Po Box | |
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| Locality | Lake Worth |
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| County | Palm Beach County |
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| State | FL - Florida |
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| Postal Code | 33461 |
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| Zip Location | 26°37'13.5"N 80°05'26.5"W |
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| Maidenhead | EL96wo |
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| FRN | 0014721708 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L01122562 / 000 |
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| Callsign | KI4NUM |
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| Last Action Date | 2006-04-11 |
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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 | 2006-03-22 |
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| Fee Control Num | 0603228994895626 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2006-03-22 |
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| Payment Date | 2006-03-23 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | D - 2x3 |
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| Licensee Class | T - Technician |
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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 | D / 4 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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