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, GLENN R |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | GLENN R CLARK |
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| Street Address | 13011 FORTS LAKE RD |
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| Po Box | |
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| Locality | PASCAGOULA |
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| County | Jackson County |
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| State | MS - Mississippi |
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| Postal Code | 39581 |
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| Zip Location | 30°21'25.6"N 88°29'21.6"W |
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| Maidenhead | EM50si |
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| FRN | 0007492549 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L00554102 / 000 |
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| Callsign | KC5UWH |
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| Last Action Date | 2003-07-15 |
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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 | D - Dismissed |
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| Entered Timestamp | 2003-06-27 |
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| Fee Control Num | 0306278994885727 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2003-06-27 |
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| Payment Date | 2003-06-28 |
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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 | 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 | D / 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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