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 | Matusiak, Robert M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Robert M Matusiak |
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| Street Address | 1060 S Us Hwy 1 Space 113 |
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| Po Box | |
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| Locality | Vero Beach |
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| County | Indian River County |
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| State | FL - Florida |
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| Postal Code | 32962 |
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| Zip Location | 27°35'27.8"N 80°23'00.3"W |
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| Maidenhead | EL97to |
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| FRN | 0018584342 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L01473807 / 000 |
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| Callsign | AF6QH |
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| Last Action Date | 2012-02-04 |
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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 | G - Granted |
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| Entered Timestamp | 2012-01-17 |
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| Fee Control Num | PGC2071425 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2012-01-17 |
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| Payment Date | 2012-01-20 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | B - 2x2 |
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| Licensee Class | E - Amateur Extra |
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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 | B / 4 |
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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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