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 | Mathis, Jeremy A |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Jeremy A Mathis |
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| Street Address | 20895 SAWYER RD |
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| Po Box | |
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| Locality | SHADY COVE |
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| County | Jackson County |
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| State | OR - Oregon |
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| Postal Code | 97539 |
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| Zip Location | 42°34'35.1"N 122°47'10.4"W |
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| Maidenhead | CN82on |
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| FRN | 0002050557 |
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| Geo Region | 7 / OR |
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| Licensee ID/SGIN | L00213338 / 000 |
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| Callsign | KD7IBG |
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| Last Action Date | 2004-03-27 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2004-03-09 |
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| Fee Control Num | 0403098994896120 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2004-03-09 |
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| Payment Date | 2004-03-10 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | A - 1x2, 2x1, 2x2 |
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| Licensee Class | E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | A / 7 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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