Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
|---|
| Entity Type | L - Licensee or Assignee |
|---|
| Entity Name | Bergstrom, Barbara G |
|---|
| Attention | |
|---|
| First Name / Middle Init / Last Name / Name Suffix | Barbara G Bergstrom |
|---|
| Street Address | 16886 97th Way N |
|---|
| Po Box | |
|---|
| Locality | Jupiter |
|---|
| County | Palm Beach County |
|---|
| State | FL - Florida |
|---|
| Postal Code | 33478 |
|---|
| Zip Location | 26°56'06.3"N 80°14'45.9"W |
|---|
| Maidenhead | EL96vw |
|---|
| FRN | 0020675336 |
|---|
| Geo Region | 4 / FL |
|---|
| Licensee ID/SGIN | L01623635 / 000 |
|---|
| Callsign | KK4ATH |
|---|
| Last Action Date | 2011-04-02 |
|---|
| Radio Service | HA - Amateur |
|---|
| App Purpose | MD - Modification |
|---|
| App Source | I - Online |
|---|
| App Status | D - Dismissed |
|---|
| Entered Timestamp | 2011-03-15 |
|---|
| Fee Control Num | PGC1919974 |
|---|
| Orig Purpose | MD - Modification |
|---|
| Receipt Date | Tue 2011-03-15 |
|---|
| Payment Date | 2011-03-16 |
|---|
| Is From Vec | |
|---|
| Is Trustee | |
|---|
| Operator Group | D - 2x3 |
|---|
| Licensee Class | T - Technician |
|---|
| New Seq Callsign | N |
|---|
| Trustee Callsign | |
|---|
| Trustee Name | |
|---|
| ULS Group / ULS Region | D / 4 |
|---|
| Prev Callsign / Prev Class | |
|---|
| Vanity Relationship | |
|---|
| Vanity Type | E - By List |
|---|
| Fee Exempt / Waiver | N / N |
|---|