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 | Pine Belt DX Association |
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| Attention | CHARLES A CLARK |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 4025 Craft Ln |
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| Po Box | |
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| Locality | Laurel |
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| County | Jones County |
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| State | MS - Mississippi |
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| Postal Code | 394401268 |
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| Zip Location | 31°41'35.6"N 89°08'50.1"W |
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| Maidenhead | EM51kq |
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| FRN | 0012500385 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L00964605 / 000 |
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| Callsign | KE5DND |
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| Last Action Date | 2005-02-08 |
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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 | 2005-01-21 |
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| Fee Control Num | 0501218994884750 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Fri 2005-01-21 |
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| Payment Date | 2005-01-22 |
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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: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | N5PA |
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| Trustee Name | CLARK, CHARLES A |
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| ULS Group / ULS Region | C / 5 |
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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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