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 | Bertelsen, Douglas C |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Douglas C Bertelsen |
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| Street Address | 8853 NW GOSPEL RD |
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| Po Box | |
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| Locality | AMITY |
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| County | DeKalb County |
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| State | MO - Missouri |
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| Postal Code | 64422 |
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| Zip Location | 39°53'11.5"N 94°29'56.6"W |
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| Maidenhead | EM29sv |
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| FRN | 0021524731 |
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| Geo Region | 0 / MO |
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| Licensee ID/SGIN | L01746755 / 000 |
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| Callsign | KD0TRE |
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| Last Action Date | 2022-11-26 |
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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 | 2022-11-06 |
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| Fee Control Num | PGC3968627 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2022-11-07 |
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| Payment Date | 2022-11-07 |
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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 | G - General |
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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 | D / 10 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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