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 | Fourtina, Patrice |
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| Attention | Patrice Fourtina |
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| First Name / Middle Init / Last Name / Name Suffix | Patrice Fourtina |
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| Street Address | 401 wagner street |
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| Po Box | 66 |
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| Locality | Duncombe |
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| County | Webster County |
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| State | IA - Iowa |
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| Postal Code | 50532 |
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| Zip Location | 42°27'37.2"N 94°00'02.7"W |
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| Maidenhead | EN22xl |
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| FRN | 0006951230 |
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| Geo Region | 0 / IA |
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| Licensee ID/SGIN | L00505596 / 000 |
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| Callsign | KG4SYI |
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| Last Action Date | 2020-05-08 |
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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 | 2020-04-20 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2020-04-20 |
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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 | G - General |
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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 / 10 |
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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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