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 | Madison County Amateur Radio Club |
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| Attention | JIMMIE D ANDERSON SR |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 123 NE Calabazilla Trail |
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| Po Box | |
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| Locality | Lee |
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| County | Madison County |
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| State | FL - Florida |
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| Postal Code | 32059 |
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| Zip Location | 30°23'05.8"N 83°15'21.5"W |
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| Maidenhead | EM80ij |
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| FRN | 0024241499 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L01917608 / 000 |
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| Callsign | KM4HLC |
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| Last Action Date | 2015-05-08 |
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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 | 2015-04-19 |
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| Fee Control Num | PGC2664374 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2015-04-20 |
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| Payment Date | 2015-04-20 |
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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 | |
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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 / 4 |
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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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