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 | NISSEN, KEITH C |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | KEITH C NISSEN |
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| Street Address | 18592 Wood Lake Blvd. |
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| Po Box | |
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| Locality | Fifty Lakes |
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| County | Crow Wing County |
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| State | MN - Minnesota |
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| Postal Code | 56448 |
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| Zip Location | 46°45'55.7"N 94°07'04.2"W |
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| Maidenhead | EN26ws |
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| FRN | 0016940603 |
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| Geo Region | 0 / MN |
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| Licensee ID/SGIN | L01325228 / 000 |
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| Callsign | K0MFK |
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| Last Action Date | 2007-09-21 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2007-09-20 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Thu 2007-09-20 |
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| Payment Date | |
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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 | G - General |
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| New Seq Callsign | |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | C / 10 |
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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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