Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
|---|
| Entity Type | L - Licensee or Assignee |
|---|
| Entity Name | Dougherty, Keith W |
|---|
| Attention | |
|---|
| First Name / Middle Init / Last Name / Name Suffix | Keith W Dougherty |
|---|
| Street Address | 484 Gin Mill Dr |
|---|
| Po Box | |
|---|
| Locality | Monroe |
|---|
| County | Walton County |
|---|
| State | GA - Georgia |
|---|
| Postal Code | 30656 |
|---|
| Zip Location | 33°51'43.7"N 83°42'58.2"W |
|---|
| Maidenhead | EM83du |
|---|
| FRN | 0016071151 |
|---|
| Geo Region | 4 / GA |
|---|
| Licensee ID/SGIN | L01243069 / 000 |
|---|
| Callsign | KI4TJJ |
|---|
| Last Action Date | 2007-09-07 |
|---|
| Radio Service | HA - Amateur |
|---|
| App Purpose | MD - Modification |
|---|
| App Source | I - Online |
|---|
| App Status | G - Granted |
|---|
| Entered Timestamp | 2007-08-19 |
|---|
| Fee Control Num | 0708198994890331 |
|---|
| Orig Purpose | MD - Modification |
|---|
| Receipt Date | Mon 2007-08-20 |
|---|
| Payment Date | 2007-08-21 |
|---|
| Is From Vec | |
|---|
| Is Trustee | |
|---|
| Operator Group | C - 1x3 |
|---|
| Licensee Class | G - General |
|---|
| New Seq Callsign | N |
|---|
| Trustee Callsign | |
|---|
| Trustee Name | |
|---|
| ULS Group / ULS Region | C / 4 |
|---|
| Prev Callsign / Prev Class | |
|---|
| Vanity Relationship | |
|---|
| Vanity Type | E - By List |
|---|
| Fee Exempt / Waiver | N / N |
|---|