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 | INDIAN RIVER COLONY CLUB ARC |
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| Attention | David R Self |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 1936 Freedom Dr |
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| Po Box | |
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| Locality | Melbourne |
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| County | Brevard County |
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| State | FL - Florida |
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| Postal Code | 32940 |
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| Zip Location | 28°12'09.2"N 80°48'05.0"W |
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| Maidenhead | EL98oe |
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| FRN | 0003797156 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L00273601 / 000 |
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| Callsign | KG4IWS |
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| Last Action Date | 2020-07-29 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2020-07-29 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2020-07-29 |
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| Payment Date | |
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| Is From Vec | · Y |
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| Is Trustee | |
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| Operator Group | D - 2x3 |
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| Licensee Class | trustee: E - Amateur Extra |
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| New Seq Callsign | |
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| Trustee Callsign | K8SSN |
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| Trustee Name | Self, David R |
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| ULS Group / ULS Region | D / 4 |
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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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