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 | NJ Public Health Amateur Radio Club |
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| Attention | Glenn S Bukowski |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | Somerset Medical Cntr 110 Rehill Ave |
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| Po Box | |
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| Locality | Somerville |
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| County | Somerset County |
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| State | NJ - New Jersey |
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| Postal Code | 08876 |
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| Zip Location | 40°35'22.4"N 74°41'07.5"W |
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| Maidenhead | FN20po |
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| FRN | 0019865948 |
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| Geo Region | 2 / NJ |
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| Licensee ID/SGIN | L01571346 / 000 |
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| Callsign | KC2YOG |
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| Last Action Date | 2010-11-16 |
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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 | 2010-10-28 |
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| Fee Control Num | PGC1860356 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2010-10-28 |
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| Payment Date | 2010-10-29 |
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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: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | AC2BH |
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| Trustee Name | Bukowski, Glenn S |
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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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