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 | ANDERSEN, JERRY L |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | JERRY L ANDERSEN |
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| Street Address | 133 Roberts Dr. |
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| Po Box | |
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| Locality | SAGINAW |
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| County | Tarrant County |
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| State | TX - Texas |
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| Postal Code | 76179 |
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| Zip Location | 32°54'35.7"N 97°26'03.4"W |
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| Maidenhead | EM12gv |
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| FRN | 0009253410 |
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| Geo Region | 5 / TX |
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| Licensee ID/SGIN | L00712328 / 000 |
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| Callsign | W4IQT |
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| Last Action Date | 2003-08-12 |
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| Radio Service | HV - Vanity |
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| App Purpose | AU - Administrative Update |
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| App Source | M - Manual |
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| App Status | G - Granted |
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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 2003-07-31 |
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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 | / |
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