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 | ELLSWORTH, BRIAN D |
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| Attention | Brian Ellsworth |
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| First Name / Middle Init / Last Name / Name Suffix | BRIAN D ELLSWORTH |
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| Street Address | 308 Kempville Hwy |
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| Po Box | |
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| Locality | Carthage |
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| County | Smith County |
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| State | TN - Tennessee |
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| Postal Code | 37030 |
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| Zip Location | 36°16'18.0"N 85°56'32.5"W |
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| Maidenhead | EM76ag |
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| FRN | 0013411566 |
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| Geo Region | 4 / TN |
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| Licensee ID/SGIN | L01012016 / 000 |
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| Callsign | KA1JY |
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| Last Action Date | 2015-12-04 |
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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 | 2015-11-14 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2015-11-16 |
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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 | 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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