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 | Gilliam Sr, Dan S |
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| Attention | Dr. Dan S. Gilliam, Sr |
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| First Name / Middle Init / Last Name / Name Suffix | Dan S Gilliam Sr |
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| Street Address | 6761 Westpoint Stevens Road |
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| Po Box | |
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| Locality | Drakes Branch |
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| County | Charlotte County |
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| State | VA - Virginia |
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| Postal Code | 239372724 |
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| Zip Location | 36°56'42.5"N 78°30'45.0"W |
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| Maidenhead | FM06rw |
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| FRN | 0003275468 |
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| Geo Region | 4 / VA |
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| Licensee ID/SGIN | L00165999 / 000 |
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| Callsign | KE4PDO |
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| Last Action Date | 2004-05-21 |
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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 | D - Dismissed |
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| Entered Timestamp | 2004-05-02 |
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| Fee Control Num | 0405038994890399 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2004-05-03 |
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| Payment Date | 2004-05-04 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | D - 2x3 |
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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 | D / 4 |
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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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