Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | VAN FOSSEN, MAX A |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | MAX A VAN FOSSEN |
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| Street Address | 708 JOHNSON AVE |
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| Po Box | |
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| Locality | NEW LEXINGTON |
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| County | Perry County |
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| State | OH - Ohio |
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| Postal Code | 43764 |
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| Zip Location | 39°42'47.9"N 82°10'50.1"W |
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| Maidenhead | EM89vr |
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| FRN | 0003108248 |
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| Geo Region | 8 / OH |
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| Licensee ID/SGIN | L00129618 / 000 |
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| Callsign | KC8JBH |
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| Last Action Date | 2012-01-04 |
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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 | D - Dismissed |
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| Entered Timestamp | 2011-12-16 |
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| Fee Control Num | PGC2058943 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2011-12-16 |
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| Payment Date | 2011-12-19 |
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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 | G - General |
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| New Seq Callsign | N |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | D / 8 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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