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 | O'Sullivan, Jerry P |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Jerry P O'Sullivan |
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| Street Address | 620 Hamlin Dr |
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| Po Box | |
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| Locality | Canyonville |
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| County | Douglas County |
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| State | OR - Oregon |
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| Postal Code | 97417 |
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| Zip Location | 42°56'51.6"N 123°13'50.5"W |
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| Maidenhead | CN82jw |
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| FRN | 0027096395 |
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| Geo Region | 7 / OR |
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| Licensee ID/SGIN | L02151793 / 000 |
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| Callsign | KI7TAK |
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| Last Action Date | 2017-12-21 |
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| Radio Service | HA - Amateur |
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| App Purpose | NE - New |
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| App Source | B - Batch |
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| App Status | G - Granted |
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| Entered Timestamp | 2017-12-21 |
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| Fee Control Num | |
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| Orig Purpose | NE - New |
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| Receipt Date | Thu 2017-12-21 |
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| Payment Date | |
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| Is From Vec | · Y |
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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 | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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