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 | SMITH, THEODORE M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | THEODORE M SMITH |
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| Street Address | 54662 4 ST RD 13 |
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| Po Box | |
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| Locality | MIDDLEBURY |
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| County | Elkhart County |
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| State | IN - Indiana |
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| Postal Code | 46540 |
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| Zip Location | 41°40'48.0"N 85°41'53.5"W |
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| Maidenhead | EN71dq |
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| FRN | 0014885339 |
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| Geo Region | 9 / IN |
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| Licensee ID/SGIN | L01137077 / 000 |
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| Callsign | K9SRI |
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| Last Action Date | 2016-03-30 |
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| Radio Service | HA - Amateur |
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| App Purpose | RO - Renewal Only |
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| App Source | M - Manual |
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| App Status | D - Dismissed |
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| Entered Timestamp | 2016-03-29 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Mon 2016-03-28 |
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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 | C - 1x3 |
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| Licensee Class | A - Advanced |
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| New Seq Callsign | |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | C / 9 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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