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 | WOODMEN CAMP |
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| Attention | MARK H CASE SR |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 657 WOODMEN CAMP TRAIL |
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| Po Box | |
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| Locality | RANDLEMAN |
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| County | Randolph County |
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| State | NC - North Carolina |
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| Postal Code | 27317 |
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| Zip Location | 35°50'26.7"N 79°48'09.0"W |
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| Maidenhead | FM05cu |
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| FRN | 0012403747 |
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| Geo Region | 4 / NC |
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| Licensee ID/SGIN | L00958131 / 000 |
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| Callsign | KI4IGV |
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| Last Action Date | 2005-01-19 |
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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 | 2004-12-29 |
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| Fee Control Num | 0412298994898958 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2004-12-29 |
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| Payment Date | 2004-12-30 |
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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 | trustee: T - Technician |
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| New Seq Callsign | N |
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| Trustee Callsign | KI4IDI |
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| Trustee Name | CASE SR, MARK H |
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| ULS Group / ULS Region | C / 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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