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 | POLK, THERESA M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | THERESA M POLK |
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| Street Address | 73141 HWY 41 |
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| Po Box | |
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| Locality | PEARL RIVER |
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| County | St. Tammany Parish |
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| State | LA - Louisiana |
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| Postal Code | 70452 |
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| Zip Location | 30°25'15.1"N 89°47'57.2"W |
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| Maidenhead | EM50ck |
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| FRN | 0002525491 |
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| Geo Region | 5 / LA |
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| Licensee ID/SGIN | L00242251 / 000 |
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| Callsign | N5UYW |
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| Last Action Date | 2003-09-18 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2003-09-17 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Wed 2003-09-17 |
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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 | C - 1x3 |
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| Licensee Class | E - Amateur Extra |
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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 | C / 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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