Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Magnolia Regional Hospital Amateur Radio Club |
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| Attention | Bruce A Beene |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 611 Alcorn Drive |
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| Po Box | |
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| Locality | Corinth |
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| County | Alcorn County |
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| State | MS - Mississippi |
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| Postal Code | 38834 |
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| Zip Location | 34°55'01.6"N 88°34'18.4"W |
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| Maidenhead | EM54rw |
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| FRN | 0027727874 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L02203160 / 000 |
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| Callsign | KI5BAI |
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| Last Action Date | 2018-09-05 |
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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 | G - Granted |
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| Entered Timestamp | 2018-08-16 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2018-08-16 |
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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 | C - 1x3 |
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| Licensee Class | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | W5OA |
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| Trustee Name | Beene, Bruce A |
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| ULS Group / ULS Region | C / 5 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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