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 | South Beach Psych Center |
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| Attention | Peter D Shiffman |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 777 Seaview Ave - Bldg 10 |
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| Po Box | |
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| Locality | Staten Island |
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| County | Richmond County |
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| State | NY - New York |
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| Postal Code | 10305 |
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| Zip Location | 40°35'47.6"N 74°04'32.8"W |
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| Maidenhead | FN20xo |
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| FRN | 0016508053 |
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| Geo Region | 2 / NY |
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| Licensee ID/SGIN | L01286137 / 000 |
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| Callsign | KC2RPI |
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| Last Action Date | 2007-07-31 |
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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 | 2007-07-13 |
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| Fee Control Num | 0707138994882864 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2007-07-13 |
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| Payment Date | 2007-07-14 |
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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: G - General |
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| New Seq Callsign | N |
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| Trustee Callsign | KC2OUF |
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| Trustee Name | Shiffman, Peter D |
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| ULS Group / ULS Region | C / 2 |
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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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