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 | POLK, JASON L |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | JASON L POLK |
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| Street Address | 5432 PARSONS RD |
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| Po Box | |
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| Locality | TERRY |
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| County | Hinds County |
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| State | MS - Mississippi |
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| Postal Code | 39170 |
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| Zip Location | 32°06'42.4"N 90°19'50.4"W |
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| Maidenhead | EM42uc |
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| FRN | 0003908993 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L00270472 / 000 |
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| Callsign | KD5LAK |
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| Last Action Date | 2000-09-13 |
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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 | D - Dismissed |
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| Entered Timestamp | 2000-09-12 |
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| Fee Control Num | 0009068130074001 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2000-09-05 |
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| Payment Date | 2000-09-13 |
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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 / 5 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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