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 | Burback, Sandra V |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Sandra V Burback |
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| Street Address | 6157 E Ingram St |
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| Po Box | |
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| Locality | Mesa |
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| County | Maricopa County |
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| State | AZ - Arizona |
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| Postal Code | 85205 |
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| Zip Location | 33°25'56.7"N 111°43'06.6"W |
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| Maidenhead | DM43dk |
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| FRN | 0024793861 |
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| Geo Region | 7 / AZ |
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| Licensee ID/SGIN | L01962098 / 000 |
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| Callsign | KG7VHG |
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| Last Action Date | 2017-11-10 |
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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 | 2017-10-22 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2017-10-23 |
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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 | T - Technician |
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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 / 7 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | In-law |
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| Vanity Type | B - Relative of Deceased |
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| Fee Exempt / Waiver | N / N |
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