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 | Bergeron, Timothy S |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Timothy S Bergeron |
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| Street Address | 133 Oak Mill Rd |
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| Po Box | |
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| Locality | Folsom |
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| County | Sacramento County |
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| State | CA - California |
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| Postal Code | 95630 |
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| Zip Location | 38°39'59.7"N 121°08'29.9"W |
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| Maidenhead | CM98kp |
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| FRN | 0025691213 |
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| Geo Region | 6 / CA |
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| Licensee ID/SGIN | L02035404 / 000 |
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| Callsign | KM6FDV |
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| Last Action Date | 2016-10-18 |
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| Radio Service | HA - Amateur |
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| App Purpose | AM - Amendment |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2016-09-28 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2016-09-28 |
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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 | T - Technician |
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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 / 6 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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