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 | Mid West DX Club |
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| Attention | TERRIE L HAZEKAMP |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 107 Thompson St |
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| Po Box | |
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| Locality | Allegan |
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| County | Allegan County |
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| State | MI - Michigan |
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| Postal Code | 49010 |
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| Zip Location | 42°31'59.9"N 85°52'29.2"W |
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| Maidenhead | EN72bm |
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| FRN | 0022051452 |
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| Geo Region | 8 / MI |
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| Licensee ID/SGIN | L01734721 / 000 |
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| Callsign | KD8TCP |
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| Last Action Date | 2012-10-27 |
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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 | 2012-10-09 |
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| Fee Control Num | PGC2213052 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2012-10-09 |
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| Payment Date | 2012-10-09 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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| Licensee Class | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | W8CJQ |
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| Trustee Name | HAZEKAMP, TERRIE L |
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| ULS Group / ULS Region | C / 8 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Child |
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| Vanity Type | D - In Memoriam (Club) |
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| Fee Exempt / Waiver | N / N |
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