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 | WILLIS, CLARENE M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | CLARENE M WILLIS |
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| Street Address | 2930 BRIARWOOD ST. |
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| Po Box | |
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| Locality | BUNNELL |
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| County | Flagler County |
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| State | FL - Florida |
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| Postal Code | 32110 |
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| Zip Location | 29°25'43.7"N 81°20'21.2"W |
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| Maidenhead | EL99hk |
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| FRN | 0002868263 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L00135027 / 000 |
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| Callsign | KD4EYX |
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| Last Action Date | 1999-10-26 |
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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 | 1999-09-08 |
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| Fee Control Num | 9908138130804012 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 1999-08-11 |
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| Payment Date | 1999-09-10 |
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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 | 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 | D / 4 |
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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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