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 | Boy Scout Troop 104 Madison Wisconsin |
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| Attention | Steven C Brist |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 4210 Wanetah Trail |
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| Po Box | |
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| Locality | Madison |
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| County | Dane County |
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| State | WI - Wisconsin |
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| Postal Code | 53711 |
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| Zip Location | 43°00'40.6"N 89°24'33.5"W |
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| Maidenhead | EN53ha |
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| FRN | 0020698296 |
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| Geo Region | 9 / WI |
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| Licensee ID/SGIN | L01625209 / 000 |
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| Callsign | KC9TVF |
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| Last Action Date | 2011-04-09 |
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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 | 2011-03-22 |
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| Fee Control Num | PGC1922986 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2011-03-22 |
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| Payment Date | 2011-03-23 |
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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 | AB9RR |
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| Trustee Name | Brist, Steven C |
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| ULS Group / ULS Region | D / 9 |
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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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