Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Henry County Radio Society Of Tennessee |
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| Attention | JEFFREY P GALLIMORE |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 225 E Chestnut St |
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| Po Box | |
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| Locality | Puryear |
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| County | Henry County |
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| State | TN - Tennessee |
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| Postal Code | 38251 |
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| Zip Location | 36°27'35.5"N 88°21'21.1"W |
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| Maidenhead | EM56tl |
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| FRN | 0011209715 |
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| Geo Region | 4 / TN |
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| Licensee ID/SGIN | L00889443 / 000 |
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| Callsign | KI4GGN |
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| Last Action Date | 2004-09-17 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | M - Manual |
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| App Status | G - Granted |
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| Entered Timestamp | 2004-09-02 |
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| Fee Control Num | 0408318130829006 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2004-08-30 |
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| Payment Date | 2004-09-02 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | B - 2x2 |
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| Licensee Class | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | W4JPG |
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| Trustee Name | GALLIMORE, JEFFREY P |
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| ULS Group / ULS Region | B / 4 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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