Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Walton County Repeater Group |
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| Attention | Keith W Dougherty |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 484 Gin Milll Drive |
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| Po Box | |
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| Locality | Monroe |
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| County | Walton County |
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| State | GA - Georgia |
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| Postal Code | 30656 |
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| Zip Location | 33°51'43.7"N 83°42'58.2"W |
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| Maidenhead | EM83du |
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| FRN | 0025006479 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L01979857 / 000 |
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| Callsign | KM4OLD |
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| Last Action Date | 2015-11-17 |
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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 | 2015-10-29 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2015-10-29 |
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| Payment Date | |
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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 | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | AK4GA |
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| Trustee Name | Dougherty, Keith W |
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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 | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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