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 | Fortner, Samuel E |
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| Attention | Samuel Fortner |
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| First Name / Middle Init / Last Name / Name Suffix | Samuel E Fortner |
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| Street Address | 7668 Oak Flat Lane |
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| Po Box | |
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| Locality | Snow Camp |
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| County | Alamance County |
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| State | NC - North Carolina |
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| Postal Code | 27349 |
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| Zip Location | 35°54'04.7"N 79°24'57.8"W |
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| Maidenhead | FM05hv |
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| FRN | 0035832781 |
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| Geo Region | 4 / NC |
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| Licensee ID/SGIN | L02834572 / 000 |
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| Callsign | KQ4UXK |
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| Last Action Date | 2025-06-06 |
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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 | 2025-05-18 |
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| Fee Control Num | PGC4912813 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2025-05-19 |
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| Payment Date | 2025-05-19 |
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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 | E - Amateur Extra |
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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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