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 | Provenzano Sr, Michael A |
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| Attention | Michael A Provenzano |
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| First Name / Middle Init / Last Name / Name Suffix | Michael A Provenzano Sr |
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| Street Address | 340 Idylwood Dr |
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| Po Box | |
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| Locality | Athens |
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| County | Clarke County |
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| State | GA - Georgia |
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| Postal Code | 30605 |
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| Zip Location | 33°54'21.3"N 83°19'24.9"W |
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| Maidenhead | EM83iv |
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| FRN | 0034374645 |
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| Geo Region | 4 / GA |
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| Licensee ID/SGIN | L02731721 / 000 |
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| Callsign | KQ4NAA |
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| Last Action Date | 2024-01-03 |
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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 | 2023-12-14 |
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| Fee Control Num | |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Thu 2023-12-14 |
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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 | 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 | D / 4 |
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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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