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 | PENDERGRAST, DWAYNE L |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | DWAYNE L PENDERGRAST |
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| Street Address | 2643 BLACKBURN CT |
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| Po Box | |
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| Locality | GRANITE FALLS |
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| County | Caldwell County |
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| State | NC - North Carolina |
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| Postal Code | 28630 |
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| Zip Location | 35°49'55.1"N 81°25'12.6"W |
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| Maidenhead | EM95gt |
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| FRN | 0004429114 |
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| Geo Region | 4 / NC |
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| Licensee ID/SGIN | L00334508 / 000 |
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| Callsign | KG4MGT |
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| Last Action Date | 2004-07-17 |
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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 | 2004-06-29 |
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| Fee Control Num | 0406298994885037 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2004-06-29 |
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| Payment Date | 2004-06-30 |
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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 | T - Technician |
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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 / 4 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Nephew |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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