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 | Sample, Jason J |
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| Attention | Jason Sample |
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| First Name / Middle Init / Last Name / Name Suffix | Jason J Sample |
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| Street Address | 10 West Parish Lane |
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| Po Box | |
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| Locality | Merrimac |
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| County | Essex County |
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| State | MA - Massachusetts |
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| Postal Code | 01860 |
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| Zip Location | 42°50'19.0"N 71°00'43.2"W |
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| Maidenhead | FN42lu |
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| FRN | 0017083015 |
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| Geo Region | 1 / MA |
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| Licensee ID/SGIN | L01337639 / 000 |
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| Callsign | KB1PQB |
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| Last Action Date | 2017-05-26 |
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| Radio Service | HA - Amateur |
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| App Purpose | DU - Duplicate License |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2017-05-25 |
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| Fee Control Num | |
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| Orig Purpose | DU - Duplicate License |
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| Receipt Date | Thu 2017-05-25 |
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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 | G - General |
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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 | D / 1 |
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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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