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 | CHRISBENS, SAM C |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | SAM C CHRISBENS |
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| Street Address | 1344 COUNTY RD 512 |
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| Po Box | |
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| Locality | DIVIDE |
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| County | Teller County |
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| State | CO - Colorado |
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| Postal Code | 80814 |
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| Zip Location | 38°57'34.7"N 105°11'39.6"W |
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| Maidenhead | DM78jx |
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| FRN | 0008542581 |
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| Geo Region | 0 / CO |
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| Licensee ID/SGIN | L00648050 / 000 |
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| Callsign | KC0PHA |
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| Last Action Date | 2003-05-17 |
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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 | G - Granted |
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| Entered Timestamp | 2003-05-05 |
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| Fee Control Num | 0304288130189015 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2003-04-28 |
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| Payment Date | 2003-05-06 |
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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 | 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 | C / 10 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | A - Former Holder |
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| Fee Exempt / Waiver | N / N |
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