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 | Provencher, Kim A |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Kim A Provencher |
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| Street Address | 287 Lake Rd |
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| Po Box | |
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| Locality | Dayville |
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| County | Windham County |
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| State | CT - Connecticut |
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| Postal Code | 06241 |
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| Zip Location | 41°51'14.0"N 71°50'50.5"W |
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| Maidenhead | FN41bu |
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| FRN | 0017574278 |
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| Geo Region | 1 / CT |
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| Licensee ID/SGIN | L01381644 / 000 |
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| Callsign | KB1DFB |
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| Last Action Date | 2010-11-16 |
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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 | 2010-10-28 |
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| Fee Control Num | PGC1860658 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2010-10-28 |
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| Payment Date | 2010-10-29 |
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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 | E - Amateur Extra |
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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 / 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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