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 | Blackburn, Clifford K |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Clifford K Blackburn |
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| Street Address | 1593 Hwy 30 W |
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| Po Box | |
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| Locality | Decatur |
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| County | Meigs County |
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| State | TN - Tennessee |
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| Postal Code | 37322 |
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| Zip Location | 35°30'07.1"N 84°49'30.3"W |
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| Maidenhead | EM75om |
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| FRN | 0022855266 |
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| Geo Region | 4 / TN |
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| Licensee ID/SGIN | L01802681 / 000 |
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| Callsign | KK4SRV |
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| Last Action Date | 2013-08-13 |
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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 | G - Granted |
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| Entered Timestamp | 2013-07-25 |
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| Fee Control Num | PGC2360557 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2013-07-25 |
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| Payment Date | 2013-07-25 |
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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 | T - Technician |
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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 / 4 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Grandparent |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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