Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | I.G.R. |
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| Attention | THOMAS V BLACKBURN JR |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | |
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| Po Box | 351 |
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| Locality | Cloverdale |
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| County | Putnam County |
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| State | IN - Indiana |
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| Postal Code | 46120 |
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| Zip Location | 39°30'41.1"N 86°47'20.8"W |
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| Maidenhead | EM69om |
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| FRN | 0016137432 |
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| Geo Region | 9 / IN |
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| Licensee ID/SGIN | L01249064 / 000 |
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| Callsign | KC9KWR |
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| Last Action Date | 2009-12-05 |
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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 | D - Dismissed |
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| Entered Timestamp | 2009-11-16 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2009-11-16 |
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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 | D - 2x3 |
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| Licensee Class | |
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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 | D / 9 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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