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 | West Fork Amateur Radio Club |
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| Attention | KEITH H BRIDWELL |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | |
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| Po Box | 1140 |
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| Locality | Bridgeport |
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| County | Wise County |
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| State | TX - Texas |
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| Postal Code | 76426 |
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| Zip Location | 33°09'57.7"N 97°50'42.4"W |
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| Maidenhead | EM13bd |
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| FRN | 0018050286 |
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| Geo Region | 5 / TX |
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| Licensee ID/SGIN | L01425406 / 000 |
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| Callsign | KE5WBO |
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| Last Action Date | 2016-08-27 |
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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 | D - Dismissed |
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| Entered Timestamp | 2016-08-09 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2016-08-09 |
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| Payment Date | |
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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 | WQ5A |
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| Trustee Name | Bridwell, Keith H |
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| ULS Group / ULS Region | D / 5 |
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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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