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 | Red Cross Providence |
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| Attention | Marian Juskuv |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 42 Poisson St |
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| Po Box | |
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| Locality | Cumberland |
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| County | Providence County |
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| State | RI - Rhode Island |
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| Postal Code | 02864 |
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| Zip Location | 41°58'02.9"N 71°25'14.1"W |
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| Maidenhead | FN41gx |
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| FRN | 0021445572 |
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| Geo Region | 1 / RI |
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| Licensee ID/SGIN | L01684871 / 000 |
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| Callsign | KB1WOM |
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| Last Action Date | 2012-01-26 |
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| Radio Service | HA - Amateur |
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| App Purpose | NE - New |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2012-01-26 |
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| Fee Control Num | |
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| Orig Purpose | NE - New |
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| Receipt Date | Thu 2012-01-26 |
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| Payment Date | |
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| Is From Vec | · Y |
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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 | |
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| Trustee Callsign | AA1VU |
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| Trustee Name | Juskuv MR., Marian |
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| ULS Group / ULS Region | D / 1 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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