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 | COULTIS, DAVID M |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | DAVID M COULTIS |
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| Street Address | 3214 SW WESTWOOD DR |
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| Po Box | |
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| Locality | TOPEKA |
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| County | Shawnee County |
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| State | KS - Kansas |
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| Postal Code | 66614 |
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| Zip Location | 39°00'37.3"N 95°51'08.9"W |
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| Maidenhead | EM29ba |
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| FRN | 0007146087 |
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| Geo Region | 0 / KS |
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| Licensee ID/SGIN | L00523574 / 000 |
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| Callsign | KE0EBK |
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| Last Action Date | 2016-11-22 |
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| Radio Service | HA - Amateur |
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| App Purpose | WD - Withdrawal of Application |
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| App Source | I - Online |
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| App Status | W - Withdrawn |
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| Entered Timestamp | 2016-11-21 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2016-11-21 |
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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 | |
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| Licensee Class | |
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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 | / |
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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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