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 | Bergen, Jacob J |
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| Attention | Jacob J Bergen |
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| First Name / Middle Init / Last Name / Name Suffix | Jacob J Bergen |
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| Street Address | 61 Giffin Ct |
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| Po Box | |
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| Locality | Colchester |
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| County | Chittenden County |
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| State | VT - Vermont |
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| Postal Code | 05446 |
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| Zip Location | 44°32'28.5"N 73°11'03.9"W |
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| Maidenhead | FN34jm |
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| FRN | 0018426882 |
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| Geo Region | 1 / VT |
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| Licensee ID/SGIN | L01459227 / 000 |
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| Callsign | KB1RRE |
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| Last Action Date | 2009-02-10 |
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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 | 2009-01-22 |
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| Fee Control Num | 0901229097897941 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2009-01-22 |
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| Payment Date | 2009-01-24 |
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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 | 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 | C / 1 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Parent |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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