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 | Busenbark, Samuel J |
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| Attention | |
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| First Name / Middle Init / Last Name / Name Suffix | Samuel J Busenbark |
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| Street Address | 99 Pottersville Rd |
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| Po Box | |
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| Locality | Little Compton |
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| County | Newport County |
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| State | RI - Rhode Island |
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| Postal Code | 02837 |
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| Zip Location | 41°31'07.6"N 71°10'02.1"W |
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| Maidenhead | FN41jm |
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| FRN | 0032063737 |
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| Geo Region | 1 / RI |
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| Licensee ID/SGIN | L02539452 / 000 |
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| Callsign | KC1QWJ |
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| Last Action Date | 2022-05-19 |
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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 | 2022-05-18 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Wed 2022-05-18 |
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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 | A - 1x2, 2x1, 2x2 |
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| Licensee Class | E - Amateur Extra |
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| New Seq Callsign | Y |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | A / 1 |
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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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