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 | BLAYLOCK, JEREMY A |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | JEREMY A BLAYLOCK |
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| Street Address | 702 COUNTY ROAD 343 |
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| Po Box | 249 |
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| Locality | GLEN |
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| County | Alcorn County |
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| State | MS - Mississippi |
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| Postal Code | 38846 |
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| Zip Location | 34°51'06.2"N 88°23'07.4"W |
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| Maidenhead | EM54tu |
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| FRN | 0012077897 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L00936638 / 000 |
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| Callsign | KE4RXB |
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| Last Action Date | 2016-11-04 |
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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 | G - Granted |
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| Entered Timestamp | 2016-10-15 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2016-10-17 |
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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 | 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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