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 | POLZIEN, TERRY D |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | TERRY D POLZIEN |
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| Street Address | HC 70 BOX 204B |
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| Po Box | |
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| Locality | ARDMORE |
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| County | Carter County |
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| State | OK - Oklahoma |
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| Postal Code | 73401 |
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| Zip Location | 34°12'11.8"N 97°06'55.9"W |
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| Maidenhead | EM14ke |
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| FRN | 0005644281 |
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| Geo Region | 5 / OK |
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| Licensee ID/SGIN | L00392907 / 000 |
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| Callsign | KD5OMQ |
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| Last Action Date | 2001-09-14 |
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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 | 2001-08-27 |
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| Fee Control Num | 0108278994882462 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2001-08-27 |
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| Payment Date | 2001-08-28 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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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 | C / 5 |
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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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