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 | CHAMPAGNE, TED A |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | TED A CHAMPAGNE |
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| Street Address | 1822 STATE HWY 345 |
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| Po Box | |
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| Locality | MADRID |
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| County | St. Lawrence County |
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| State | NY - New York |
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| Postal Code | 136603239 |
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| Zip Location | 44°46'25.9"N 75°09'39.4"W |
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| Maidenhead | FN24ks |
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| FRN | 0003145182 |
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| Geo Region | 2 / NY |
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| Licensee ID/SGIN | L00183563 / 000 |
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| Callsign | N4TW |
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| Last Action Date | 2004-05-20 |
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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 | 2004-05-19 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Wed 2004-05-19 |
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| Payment Date | |
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| Is From Vec | |
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| Is Trustee | Y |
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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 | |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | A / 2 |
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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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