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 | CLARK, TERESA M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | TERESA M CLARK |
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| Street Address | 5628 Parkview Lane |
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| Po Box | |
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| Locality | Everett |
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| County | Snohomish County |
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| State | WA - Washington |
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| Postal Code | 98203 |
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| Zip Location | 47°56'43.9"N 122°13'51.9"W |
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| Maidenhead | CN87vw |
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| FRN | 0008531444 |
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| Geo Region | 7 / WA |
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| Licensee ID/SGIN | L00647120 / 000 |
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| Callsign | KE4ZIC |
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| Last Action Date | 2003-03-04 |
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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 | 2003-03-01 |
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| Fee Control Num | |
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| Orig Purpose | RM - Renewal/Modification |
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| Receipt Date | Mon 2003-03-03 |
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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 | 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 | D / 7 |
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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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