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 | Derbas, Rita |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Rita Derbas |
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| Street Address | 1200 Mira Mar Ave. Apt 829 |
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| Po Box | |
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| Locality | Medford |
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| County | Jackson County |
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| State | OR - Oregon |
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| Postal Code | 97504 |
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| Zip Location | 42°19'40.9"N 122°47'55.2"W |
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| Maidenhead | CN82oh |
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| FRN | 0018043778 |
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| Geo Region | 7 / OR |
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| Licensee ID/SGIN | L01424783 / 000 |
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| Callsign | KI6SSQ |
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| Last Action Date | 2018-03-28 |
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| Radio Service | HA - Amateur |
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| App Purpose | AU - Administrative Update |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2018-03-27 |
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| Fee Control Num | |
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| Orig Purpose | |
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| Receipt Date | Tue 2018-03-27 |
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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 | E - Amateur Extra |
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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 / 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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