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 | BERGMARK, DONALD G |
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| Attention | DONALD G BERGMARK |
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| First Name / Middle Init / Last Name / Name Suffix | DONALD G BERGMARK |
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| Street Address | 764 N LUKEVILLE DR |
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| Po Box | |
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| Locality | GREEN VALLEY |
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| County | Pima County |
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| State | AZ - Arizona |
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| Postal Code | 85614 |
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| Zip Location | 31°48'51.5"N 110°55'09.8"W |
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| Maidenhead | DM41mt |
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| FRN | 0002685329 |
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| Geo Region | 7 / AZ |
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| Licensee ID/SGIN | L00237559 / 000 |
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| Callsign | W9NGA |
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| Last Action Date | 2018-04-03 |
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| Radio Service | HA - Amateur |
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| App Purpose | AU - Administrative Update |
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| App Source | M - Manual |
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| App Status | G - Granted |
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| Entered Timestamp | 2018-04-03 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Mon 2018-04-02 |
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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 | E - Amateur Extra |
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| New Seq Callsign | |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | C / 7 |
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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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