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 | HAZEN, MARK E |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | MARK E HAZEN |
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| Street Address | 1391 ASHBORO CIR SE |
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| Po Box | |
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| Locality | PALM BAY |
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| County | Brevard County |
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| State | FL - Florida |
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| Postal Code | 32909 |
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| Zip Location | 27°55'09.3"N 80°38'39.2"W |
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| Maidenhead | EL97qw |
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| FRN | 0009655614 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L00748543 / 000 |
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| Callsign | KM4EI |
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| Last Action Date | 2003-09-30 |
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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 | 2003-09-29 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Mon 2003-09-29 |
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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 | B - 2x2 |
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| Licensee Class | A - Advanced |
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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 | B / 4 |
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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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