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 | Fair Lawn RACES |
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| Attention | David Gotlib |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 8-01 Fair Lawn Avenue |
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| Po Box | |
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| Locality | Fair Lawn |
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| County | Bergen County |
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| State | NJ - New Jersey |
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| Postal Code | 07410 |
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| Zip Location | 40°56'09.0"N 74°07'03.0"W |
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| Maidenhead | FN20ww |
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| FRN | 0027718667 |
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| Geo Region | 2 / NJ |
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| Licensee ID/SGIN | L02202386 / 000 |
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| Callsign | KD2QFQ |
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| Last Action Date | 2018-08-24 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | M - Manual |
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| App Status | G - Granted |
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| Entered Timestamp | 2018-08-07 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2018-08-06 |
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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: G - General |
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| New Seq Callsign | N |
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| Trustee Callsign | KD2MOB |
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| Trustee Name | Gotlib, David |
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| ULS Group / ULS Region | D / 2 |
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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 | Y / N |
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