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 | THERIOT, VAN K |
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| Attention | VAN THERIOT |
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| First Name / Middle Init / Last Name / Name Suffix | VAN K THERIOT |
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| Street Address | 3176 ANDES |
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| Po Box | |
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| Locality | PT NECHES |
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| County | Jefferson County |
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| State | TX - Texas |
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| Postal Code | 77651 |
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| Zip Location | 29°59'09.5"N 93°57'21.0"W |
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| Maidenhead | EL39ax |
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| FRN | 0002454486 |
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| Geo Region | 5 / TX |
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| Licensee ID/SGIN | L00184209 / 000 |
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| Callsign | KB5FOW |
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| Last Action Date | 2000-05-19 |
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| Radio Service | HA - Amateur |
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| App Purpose | RM - Renewal/Modification |
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| App Source | M - Manual |
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| App Status | G - Granted |
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| Entered Timestamp | 2000-05-18 |
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| Fee Control Num | |
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| Orig Purpose | RM - Renewal/Modification |
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| Receipt Date | Mon 2000-05-08 |
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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 | D - 2x3 |
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| Licensee Class | A - Advanced |
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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 / 5 |
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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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