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 | Clark, Mark A |
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| Attention | MARK CLARK |
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| First Name / Middle Init / Last Name / Name Suffix | Mark A Clark |
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| Street Address | 238 Marina Circle |
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| Po Box | |
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| Locality | Jackson |
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| County | Butts County |
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| State | GA - Georgia |
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| Postal Code | 30233 |
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| Zip Location | 33°17'31.8"N 83°58'10.4"W |
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| Maidenhead | EM83ah |
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| FRN | 0008448557 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L00639740 / 000 |
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| Callsign | KW4VB |
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| Last Action Date | 2016-10-12 |
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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 | 2016-09-22 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2016-09-22 |
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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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