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 | Headley, Kenneth S |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Kenneth S Headley |
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| Street Address | |
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| Po Box | 1991 |
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| Locality | Interlachen |
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| County | Putnam County |
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| State | FL - Florida |
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| Postal Code | 32148 |
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| Zip Location | 29°37'01.2"N 81°53'01.3"W |
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| Maidenhead | EL99bo |
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| FRN | 0014138523 |
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| Geo Region | 4 / FL |
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| Licensee ID/SGIN | L01073225 / 000 |
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| Callsign | KI4MDQ |
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| Last Action Date | 2006-01-10 |
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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 | 2005-10-20 |
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| Fee Control Num | 0510208994883526 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2005-10-20 |
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| Payment Date | 2005-10-21 |
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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 | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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