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 | Blank, Terry R |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Terry R Blank |
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| Street Address | 501 St Rt 13 |
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| Po Box | |
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| Locality | Marissa |
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| County | St. Clair County |
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| State | IL - Illinois |
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| Postal Code | 62257 |
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| Zip Location | 38°17'05.5"N 89°43'43.4"W |
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| Maidenhead | EM58dg |
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| FRN | 0004850947 |
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| Geo Region | 9 / IL |
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| Licensee ID/SGIN | L00306048 / 000 |
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| Callsign | KB9YOA |
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| Last Action Date | 2004-06-11 |
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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 | 2004-05-22 |
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| Fee Control Num | 0405228994895530 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2004-05-24 |
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| Payment Date | 2004-05-25 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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| Licensee Class | G - General |
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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 | C / 9 |
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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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