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 | COLLIS, JIMMY N |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | JIMMY N COLLIS |
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| Street Address | 100 COLLIS RESTAURANT RD NE |
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| Po Box | |
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| Locality | EATONTON |
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| County | Putnam County |
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| State | GA - Georgia |
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| Postal Code | 31024 |
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| Zip Location | 33°19'15.3"N 83°22'31.8"W |
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| Maidenhead | EM83hh |
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| FRN | 0010782738 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L00303691 / 000 |
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| Callsign | KS4OT |
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| Last Action Date | 2013-03-22 |
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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 | 2013-03-04 |
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| Fee Control Num | PGC2288021 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2013-03-04 |
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| Payment Date | 2013-03-04 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | B - 2x2 |
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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 | B / 4 |
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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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