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 | NW GA PUBLIC HEALTH AMATEUR RADIO CLUB |
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| Attention | William E Dickert |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 1309 REDMOND RD NW |
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| Po Box | |
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| Locality | ROME |
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| County | Floyd County |
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| State | GA - Georgia |
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| Postal Code | 30165 |
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| Zip Location | 34°18'10.5"N 85°16'08.8"W |
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| Maidenhead | EM74ih |
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| FRN | 0020027157 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L01581656 / 000 |
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| Callsign | KJ4WJS |
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| Last Action Date | 2011-08-26 |
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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 | 2011-08-08 |
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| Fee Control Num | PGC1985866 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2011-08-08 |
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| Payment Date | 2011-08-11 |
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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 | KD4EKZ |
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| Trustee Name | Dickert, William E |
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| ULS Group / ULS Region | D / 4 |
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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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