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 | PETKIEWICZ, DENNIS W |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | DENNIS W PETKIEWICZ |
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| Street Address | 11791 102 AVE N |
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| Po Box | |
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| Locality | SEMINOLE |
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| County | |
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| State | FL - Florida |
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| Postal Code | 34648 |
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| Zip Location | |
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| Maidenhead | |
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| FRN | 0015312309 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L01175134 / 000 |
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| Callsign | N4ADX |
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| Last Action Date | 2016-06-22 |
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| Radio Service | HV - Vanity |
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| App Purpose | RO - Renewal Only |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2016-06-22 |
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| Fee Control Num | |
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| Orig Purpose | RO - Renewal Only |
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| Receipt Date | Wed 2016-06-22 |
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| Payment Date | |
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| Is From Vec | N · Y |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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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 | C / 4 |
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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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