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 | Puckett, Marty R |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Marty R Puckett |
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| Street Address | 9462 W Pocket Hollow Road |
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| Po Box | |
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| Locality | Gosport |
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| County | Owen County |
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| State | IN - Indiana |
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| Postal Code | 47433 |
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| Zip Location | 39°21'20.8"N 86°38'29.6"W |
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| Maidenhead | EM69qi |
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| FRN | 0022000566 |
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| Geo Region | 9 / IN |
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| Licensee ID/SGIN | L01730509 / 000 |
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| Callsign | KC9WNA |
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| Last Action Date | 2012-10-10 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | M - Manual |
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| App Status | G - Granted |
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| Entered Timestamp | 2012-09-28 |
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| Fee Control Num | 1209199097811001 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2012-09-19 |
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| Payment Date | 2012-09-28 |
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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 | N |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | C / 9 |
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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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