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 | SOUTHERLAND, LORRAINE M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | LORRAINE M SOUTHERLAND |
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| Street Address | 3282 INEZ DRIVE |
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| Po Box | |
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| Locality | SNELLVILLE |
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| County | Gwinnett County |
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| State | GA - Georgia |
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| Postal Code | 300784128 |
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| Zip Location | 33°51'39.7"N 84°01'04.8"W |
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| Maidenhead | EM73xu |
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| FRN | 0003161155 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L00211726 / 000 |
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| Callsign | WA4BRH |
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| Last Action Date | 2003-08-12 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | M - Manual |
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| App Status | D - Dismissed |
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| Entered Timestamp | 2003-08-11 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Thu 2003-08-07 |
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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 | |
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| Licensee Class | |
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| New Seq Callsign | |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | / |
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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 | Y / N |
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