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 | BURGESS, MARK D |
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| Attention | Mark Burgess |
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| First Name / Middle Init / Last Name / Name Suffix | MARK D BURGESS |
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| Street Address | 11 FREEMONT ST |
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| Po Box | |
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| Locality | MACHIAS |
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| County | Washington County |
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| State | ME - Maine |
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| Postal Code | 04654 |
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| Zip Location | 44°45'25.7"N 67°32'23.6"W |
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| Maidenhead | FN64fs |
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| FRN | 0005212907 |
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| Geo Region | 1 / ME |
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| Licensee ID/SGIN | L00362322 / 000 |
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| Callsign | N1JZV |
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| Last Action Date | 2006-07-28 |
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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 | 2006-07-10 |
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| Fee Control Num | 0607108994898529 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2006-07-10 |
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| Payment Date | 2006-07-11 |
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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 / 1 |
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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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