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 | Goltz, Jeffrey R |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Jeffrey R Goltz |
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| Street Address | 7465 Blue Creek S Dr |
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| Po Box | |
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| Locality | Indianapolis |
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| County | Marion County |
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| State | IN - Indiana |
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| Postal Code | 46256 |
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| Zip Location | 39°54'30.2"N 86°00'47.3"W |
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| Maidenhead | EM69xv |
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| FRN | 0004105276 |
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| Geo Region | 9 / IN |
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| Licensee ID/SGIN | L00291614 / 000 |
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| Callsign | KB9YEY |
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| Last Action Date | 2005-06-07 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2005-06-07 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2005-06-07 |
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| Payment Date | |
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| Is From Vec | N · Y |
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| Is Trustee | |
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| Operator Group | A - 1x2, 2x1, 2x2 |
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| Licensee Class | E - Amateur Extra |
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| New Seq Callsign | Y |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | A / 9 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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