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 | JEFFERY, JACK A |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | JACK A JEFFERY |
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| Street Address | 12530 LAKE COVENTRY DR |
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| Po Box | |
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| Locality | BEALETON |
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| County | Fauquier County |
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| State | VA - Virginia |
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| Postal Code | 22712 |
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| Zip Location | 38°33'50.4"N 77°45'26.1"W |
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| Maidenhead | FM18cn |
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| FRN | 0002620474 |
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| Geo Region | 4 / VA |
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| Licensee ID/SGIN | L00174381 / 000 |
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| Callsign | KB4CG |
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| Last Action Date | 2002-12-24 |
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| Radio Service | HA - Amateur |
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| App Purpose | RM - Renewal/Modification |
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| App Source | I - Online |
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| App Status | D - Dismissed |
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| Entered Timestamp | 2002-12-21 |
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| Fee Control Num | |
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| Orig Purpose | RM - Renewal/Modification |
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| Receipt Date | Mon 2002-12-23 |
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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 | B - 2x2 |
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| Licensee Class | E - Amateur Extra |
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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 | B / 4 |
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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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