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 | BLOOM, TERI R |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | TERI R BLOOM |
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| Street Address | 6942 Ginwood Cove |
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| Po Box | 392 |
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| Locality | Walls |
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| County | DeSoto County |
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| State | MS - Mississippi |
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| Postal Code | 38680 |
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| Zip Location | 34°57'06.0"N 90°08'46.1"W |
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| Maidenhead | EM44ww |
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| FRN | 0019370063 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L01535238 / 000 |
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| Callsign | W6TRB |
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| Last Action Date | 2015-02-20 |
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| Radio Service | HV - Vanity |
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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 | 2015-01-31 |
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| Fee Control Num | PGA2630951 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2015-02-02 |
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| Payment Date | 2015-02-02 |
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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 | 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 | C / 5 |
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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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