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 | The Brain Tank |
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| Attention | ANTHONY S PELLICCIO |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 197 Knight St |
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| Po Box | |
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| Locality | Providence |
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| County | Providence County |
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| State | RI - Rhode Island |
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| Postal Code | 02909 |
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| Zip Location | 41°49'16.3"N 71°27'12.2"W |
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| Maidenhead | FN41gt |
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| FRN | 0022111751 |
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| Geo Region | 1 / RI |
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| Licensee ID/SGIN | L01739788 / 000 |
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| Callsign | KB1YSX |
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| Last Action Date | 2012-12-07 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | M - Manual |
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| App Status | D - Dismissed |
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| Entered Timestamp | 2012-12-06 |
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| Fee Control Num | 1211099097812002 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2012-11-09 |
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| Payment Date | 2012-12-06 |
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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 | KD1S |
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| Trustee Name | PELLICCIO, ANTHONY S |
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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 | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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