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 | Larsen, Scott D |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Scott D Larsen |
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| Street Address | 4225 I-20 Frontage Rd Apt C-7 |
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| Po Box | |
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| Locality | Vicksburg |
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| County | Warren County |
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| State | MS - Mississippi |
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| Postal Code | 39183 |
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| Zip Location | 32°26'31.6"N 90°48'33.4"W |
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| Maidenhead | EM42ok |
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| FRN | 0027947605 |
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| Geo Region | 5 / MS |
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| Licensee ID/SGIN | L02225156 / 000 |
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| Callsign | KI5CHD |
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| Last Action Date | 2018-12-07 |
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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 | 2018-11-18 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2018-11-19 |
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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 | 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 | C / 5 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | E - By List |
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| Fee Exempt / Waiver | N / N |
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