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 | Sammis, Burt N |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Burt N Sammis |
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| Street Address | 175 Teal Lane Sweetlake |
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| Po Box | |
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| Locality | Bell City |
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| County | Cameron Parish |
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| State | LA - Louisiana |
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| Postal Code | 70630 |
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| Zip Location | 30°01'33.0"N 93°01'00.4"W |
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| Maidenhead | EM30la |
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| FRN | 0004736088 |
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| Geo Region | 5 / LA |
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| Licensee ID/SGIN | L00351295 / 000 |
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| Callsign | WA5QBX |
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| Last Action Date | 2003-03-14 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2003-03-14 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2003-03-14 |
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| Payment Date | |
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| Is From Vec | N · Y |
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| Is Trustee | |
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| Operator Group | D - 2x3 |
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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 | 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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