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 | Bergholdt, Bradley W |
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| Attention | Brad Bergholdt |
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| First Name / Middle Init / Last Name / Name Suffix | Bradley W Bergholdt |
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| Street Address | 70 braemoor dr. |
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| Po Box | 95060 |
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| Locality | santa cruz |
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| County | Santa Cruz County |
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| State | CA - California |
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| Postal Code | 95060 |
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| Zip Location | 37°02'11.3"N 122°07'18.3"W |
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| Maidenhead | CM87wa |
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| FRN | 0028295665 |
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| Geo Region | 6 / CA |
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| Licensee ID/SGIN | L02248637 / 000 |
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| Callsign | KL4UZ |
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| Last Action Date | 2019-03-26 |
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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 | 2019-03-08 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2019-03-08 |
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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 | 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 | C / 6 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Parent |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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