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 | Sullivan County Emergency Services ACS Group |
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| Attention | Jason M Dickinson |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 6864 Route 220 |
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| Po Box | 157 |
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| Locality | Laporte |
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| County | Sullivan County |
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| State | PA - Pennsylvania |
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| Postal Code | 18626 |
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| Zip Location | 41°23'53.8"N 76°31'26.0"W |
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| Maidenhead | FN11rj |
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| FRN | 0022590582 |
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| Geo Region | 3 / PA |
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| Licensee ID/SGIN | L01778849 / 000 |
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| Callsign | KC3AJD |
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| Last Action Date | 2016-11-15 |
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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 | G - Granted |
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| Entered Timestamp | 2016-10-28 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2016-10-28 |
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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 | C - 1x3 |
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| Licensee Class | trustee: T - Technician |
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| New Seq Callsign | N |
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| Trustee Callsign | KC3CGP |
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| Trustee Name | Dickinson, Jason M |
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| ULS Group / ULS Region | C / 3 |
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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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