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 | MOSS, JASON G R |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | JASON G R MOSS |
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| Street Address | 172 NEWBERRY AVENUE |
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| Po Box | |
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| Locality | LIBERTYVILLE |
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| County | Lake County |
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| State | IL - Illinois |
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| Postal Code | 60048 |
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| Zip Location | 42°17'43.5"N 87°57'02.2"W |
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| Maidenhead | EN62ah |
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| FRN | 0017260779 |
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| Geo Region | 9 / IL |
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| Licensee ID/SGIN | L01353312 / 000 |
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| Callsign | KB9ADC |
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| Last Action Date | 2016-12-16 |
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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 | 2016-11-26 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2016-11-28 |
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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 | D - 2x3 |
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| Licensee Class | N - Novice |
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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 | D / 9 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Grandparent |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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