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 | Clay Center Amateur Radio Club |
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| Attention | Marek J Kozubal |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 20 Newton St |
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| Po Box | |
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| Locality | Brookline |
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| County | Norfolk County |
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| State | MA - Massachusetts |
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| Postal Code | 02445 |
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| Zip Location | 42°19'31.7"N 71°08'06.2"W |
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| Maidenhead | FN42kh |
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| FRN | 0010944494 |
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| Geo Region | 1 / MA |
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| Licensee ID/SGIN | L00865446 / 000 |
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| Callsign | KB1SHH |
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| Last Action Date | 2009-05-12 |
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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 | 2009-04-24 |
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| Fee Control Num | 0904249097894824 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2009-04-24 |
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| Payment Date | 2009-04-25 |
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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 | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | KB1NCG |
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| Trustee Name | Kozubal, Marek J |
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| ULS Group / ULS Region | D / 1 |
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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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