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 | Sheppard, Bert W |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Bert W Sheppard |
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| Street Address | 147 N Lakeshore Dr |
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| Po Box | |
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| Locality | Brookfield |
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| County | Fairfield County |
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| State | CT - Connecticut |
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| Postal Code | 06804 |
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| Zip Location | 41°28'13.4"N 73°23'41.1"W |
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| Maidenhead | FN31hl |
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| FRN | 0009712639 |
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| Geo Region | 1 / CT |
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| Licensee ID/SGIN | L00753731 / 000 |
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| Callsign | KD1WK |
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| Last Action Date | 2003-10-10 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2003-10-10 |
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| Fee Control Num | |
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| Orig Purpose | RO - Renewal Only |
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| Receipt Date | Fri 2003-10-10 |
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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 / 1 |
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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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