HomeMy WebLinkAbout15-049A
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01'y OF IOWA, CITY
410 East Washington Street
Iow=a City. Iowa 52240-1826
(319) 356-5040
(319) 356-5497 FAX
I . rIIF1cA'n0N NO,
(Off re l.,lu,e R HI lfly)
APPLICATION f"(,t71 7 At(ICAB / IIG(HQ. TORIVIElD IPE''DICAE7 VEHICLE DRIt/fliitl~R'
(PoHNca Department Fev7evaa midst be awrada Ibetwmo-wen 8 ain't, to 3 p.rn,w 7ylonday... Friday(
1. Name
2. Address (I: 11111/11 IEIt l) h( p
3. u 9
7 unvuh lurinttr r 1 _j .,_ z
Contact Information r r I' (
emrcuiruuoruea lima
a. Chauffeurs
cense
fib. Taxicab 6usinless Name date rd J ° 14,
6, 5.
u Vg1VNr.4�k Illrl 'II'�V"aV 1e tl.^rilt'�!ltlu"al'"B rY� Da"1"^:rGeU'V, V"8"m. ull^ ,�;'..�,, (`^�
Cell Pll oine
Lard
6. Have you ever been arrested /charged with any misdemeanors and/or felonies in flIs State or elsryvmvhe m ? (° -
(YAaa rstrill''luwlp; Where When
What happened to the charge? (Circle one)
Convicted Dismissed Deferred Suspended Plead Guilty Other
7. Have you been arrested/ charged with any traffic offenses in the last five years?_ „Ar
”" -75
..yHtrp((„ft;Wlwse Gp.P'ng Vhlt
f V
What happened to the charge? (Circle one)
Convicted Dismissed Deferred Suspended plead Guilty Other
8. Has your driver's license or chauffeur's license been suspended olr revoked lin the hast five years? _ �
.. „n .............
1yf>".I.ff..p(g
9. Have you ever applied to be an Iowa City, taxi driver mi
i!6/here
LMhen
D81AR,'rMEiN 'r OF CR111MINAlL.. BI'yVli S?i "7GA"II"7f 11M (OCI) REgsTAwr AM) vi A'm 6.1ER'iil/rv7t"113
fl:UNw77VING RE'COFM MUST ACCONp PAIhNY "7"Hl.z AP7`n7..IfR,"A"B10N FOR POLICE CHIEF REVIEW
You tri ust aHapIy for part Hnd7 eluaN Department of Cirimr kml Ilnvestligation Report (ifoirnw ava7Mbile uupa irl Irequestf,
(SECOND IPAGIE FOR REQUIRED SIGNATURE AND il
a ii:''rL'rIII .A'ION FMk VAMCAB VO'RR^R..IIgtl DRIVER
Page,
I hereby oertlfy that N have i ued to me by the Iowa Dep
t issued on:3..:
falsely answer any questions in this application, that this app@
consent to allow agents or ernployaes of the City of Iowa Cil
documents relating to this pp anon, and N further agree that,
times with all of the prav' ions o Rule 5, CVtapter 7V the Cdty
Signature of
Ment pf Transporiatfo w a valid Chauffeur's license number'
"d �d expiring on _>Z 7 •- f . I understand that If I
iiion be denied. I agree that In making this application, I
Iowa, in their discretion, to examine any and all records and
authorization to be a taxicab driver Is granted, to comply at all
x1e. (Needs to be signed In frornt of a Notary IPublic)
STATE OF Y IOWA Ak
JOHNSON �IkA4ARgNhlkRtlk k AYAA'W kAYk tlk &:4 M&lk AM pkR N ilk htrtlkAR Ak M Mtlkmtlkk RM y11 tlk Ik &@#'B R rq A
COUNT
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on thisu da of
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I have reviewed
irrrRned thattRt ii
orweNfare rams
appilcatiorrn, DCII relport, and the Stlste cert6fled driving record of this applicarnt and have deter,,
119foTnuatRorn which woWd indicate that the ilsr;u,uaunee wrounRd be detrinnentail to the safety, health
'apf 6Nty of Iowa City (Title 5, Chapter 2„ City Code),
All :"I"t? IR APPROVAL IBY "ril"R@" CHY CLERK YOU AIRF AU R ITI I0IRV:: D TO DRIVE A TAUTICAlif IIN ICwA CU"y' IFOR NO
t OP.R::I "R"I RAIYf RINE YR !AR I::'IRORRt 'T'I IR" DATE R..M-1.R:?! D I TRw'It..OW.
"I HII.e R': i1:::ll::'R c-1 I°aUIcii DATE WILL I&tATClFTI Ulf" CHAU.UI II:"U!iRtDRt S R..UCIININSE CaXPOIU^CUa' "I'"ION IF R...R: S x "II"I•I N AA "gpt:iAlht.
p taA �rP`wRy vdTmr�Ue� u lk cI d.�c
�Pgro&e
.
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Approved application
DCI report
State certified driving record _
Website update
I Wyk
6.HI WFOt%WrkdifP.lq' I:da EAPPrw:.tD WA mteixmYmdM0C
02/2015
Feb. 2l. 2015 1:51 PM
02/2W4VID AA;VV rAA
Vv of Criminal Investigation
ICY IOWANo. 1522 P. 5/9,
vs x000
$TATE OVIOWA, N"rl VRK
Criminal I-Wory Record Check i
'Request Form
TO faft DWas of CAlaftsR WaveWpOm
sgpp*gt v"MOVES Bu"1111, 1"Moor
210 OL I* it"M
love Moist@, lomm 6"IP
(Its) 726.0"
(616) VIS -6040 Fox
DC1
From
pham
#ORR
w3v"WY)
Ax Of a wach of the providod name and date of MR& mveallodM
D t%lo Iowa CrInsinal Higory Rowel found with DU
XoW4 CdWaallflalory Roodd inwhqW, VCro
DC1 Wdblo�.L. ....
Received Time Feb. 20. 2015 HAM No, 1392
FA,23., 2015 :51PM Div of CriminaInvestigat on
10WA. CRIMINAL HISTORY DC1 00434455
HISDOMMANOR CONVICTIONS ONLY PAGE A OF 4
DATE PRINTED -
2015%02/23
DC1':00434455
NAME a PXTTTT,DSKKI0 EDWARD
PETTIT,DRRAIR NUOUNK
DOE SEX RAC NGT NOT EYE HAIR sYe1 POD
19700922 m W 600 .175 HAS DRO PAR IA
ADiDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y
SC ABiDOM
SC CHEST
CCH RECORD
1 r�
AGSNCYe XA0160000
CEDAR CO SO
CHARGE NO. 01
IA STATUTE IA32IJ-2
s
TRK#; L41392601
COURT iDISPOSITION
AORNCYa ZA01601W
CEDAR CO DIST COURT
COUNT NO- 01
IA 9TATUTHi: IA321J-2
OWI
TRX#: L41392601
'RESTITUTION
SENTENCE
DEPERRFD allDGENENT
COURT COSTS
SA ZVAL
PROBATION
:ly
02 ARRESTED 1,9960729
AGRAVCYe IA0520100
CORALVSLLE PD
CHARGE NO- 01
IA STATUTE TA708-7(IA2)
UARASSRUNT IST / DOMESTIC ABUSE HARASSMENT
YC#; 019233801
C0tY9T DISPOSITION
AOENCY: IA0520156T
JOHNSON CO DIST COURT
COUNT NO- 01
IA STATUTR: IA709-7(2)
HARA90NRNT 3RD
CHARGEE. CLASS: MISDSKRAKOR CONVICTION
TRK#: 019233001
SENTENCE
PINE
$75
03 ARREPTEO 19970316
AOENCI°: IA0520100
CORALVILL9 PD
COAROW NO- 01
IA STATUTE IA321J-2
OWT 2
°TRK#: 025662101
COURT DISPOSITION
AGENCY: IA05201.5J
JOHNSON CO DIST COURT
COUNT NO- 01
SA STATUTE.: IA32IJ-2
Dmx 2RD
UI.SH2 EF`P DAT
/9920508
19920506
19920'509
DI.SP EYE DAT
19961121
No. 1522 P. 6/9
Feb.23.° 2015 1:52PM Vv of Crimina� Investigation
DCI 00434455
PAGE 2 OF 4
COURT CASE ID; 06521 OWCRO43979
CHARGE CLASS: MISDEMEANOR CONVICTION
TffiRKN? 02566210L
SENTENCE OXSP EPP DAT
JAIL 7O 19970706
FINE $750 19970708
PROBATION lY 19970706
SUSP D$D 53D 19970709
8/27/96 -CONTEMPT -10 DAYS
JAIL
04 ARRBSTBO 20000912
AGENCY: IA0520000
aCHNSON CO SO
C GE4NO- 01
IA STATUTE IA236-1
ASLT CAUSING INJURY
DOMESTIC ABUSE 2ND
TRK#= 100016301
COURT DISFOSITXQM
AGENCY" IA052015J
JOHNS CO 'DIST COURT
COUNT NO- 01
IA STATUTE: XA?08.2A(3HB)
FOMBSTIC ABUB4 ABOAULT - 2ND OFFENSE - AG
CHARGE CLASS: MISDEMEANOR CONVICTION
TRIC#+ 100016301
SENTENCE
DISP EFF DAT
JAIL
I@OD
20010124
FINE
$500
20010124
PROBATION
2Y
20010124
SUSPENDED
170D
20010124
500 OF EINE SUSP
05 ARRESTED 20030606
AGENCY: IA0400000
IOWA CO SO
CHANGE NO- 01
IA STATUTE IA321-561
DRIVING WHILE BARRED
TRK#: 033753001
COUNT SOIOPOSXTXDJ
AGENCyt IA040015J
IOWA CO DIST COURT
COUNT NO- 01
IA STATUTEi IA321,.561,
DRIVING WHILD BARRED
HABITUAL OFFENDER .- 1970
COURT CASE XD; 06491
AGCR007517
CHARGE, CLASS: MISDEMEANOR CONVICTX0W
TRK#: 033753001
SENTENCE
DI.9P 'FFF DAT
JAIL
SD
20020301
5 SYS .7L/CRD TM
SERV®/&,SC,CC 8, Cr ADD ATTY
FEE
FINE 20020301
No. 1522 P. 1/9
FeL 23. 2015 1;52PM Div of Criminal Investigation
06 ARRESTED 20011027
AGENCY: KA0520000 JOHNSON CO Sb.
CHARGE NO- 01 1A STATUTE IA321-560
DRXVXNG WHILE BARRED
TSd6C# : 100300601
COURT DISPOSITION
AGENCYIA052015J JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTES IA321.561
DRIVING WHILE BARRED RAUXTUAL OFF NN - 1976
COURT CASE 10: 06521 PECRO60306
CHANGE CLASS; MXSDXMEAMOR CONVICTION
TRiC# : 100300601
SENTENCE
JAIL 60D
PINE 65DD
PROBATION 1Y
SUSPENDED 450
07 ARRESTED 20061006
AGENCY: IA0520000 JOHNSON CO SO
CHARGE NO- 01 IA STATUTE IA'700.2A
00108TIC ABUSE ASSAULT
IRK#: 101940501
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTE: IA708.2A(2)(A)
DOMESTIC ABUSE ASSAULT
COURT CASE XO: 06521 SMSM06691D
CHARGE°C LASSi MISDEMEANOR CONVICTION
TAK# : 1019985D1
SENTENCE
JAIL 30D
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 02 IA STATUTES IA664A.7(4)
VIOLATION OF NO CONTACT OR PROTECTIVE ORDER
COURT CASE .Iii: 06521 SKSM066930
CHARGE CLASS: MISDEMEANOR CONVICTION
TRW 101996502
SENTENCE
JAIL 7D
05 AiRISTR D 20000526
AGRNCYX IA0520200 IOWA CITY SO
CHARGE NO- 01 IA STATUTE rA124.4011(S)
POSSESSION OF A CONTROLLED SUBSTANCE
TRK#: IA0049VOI
COURT DISPOSITION
AGENCY: 7.35052015`7 JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTE: IA124.401(5)
OCI 0043445.5
PAOZ 3 OF 4
LISP EE°P IDAT
20080711
No.1522 P. 8/9
Feb.23: 2015 1:52PM Div of Criminal Investigation
POSSESSION OF A CONTROLLED SUBSTANCE
COURT CASE ID: 06521 SRCR053530
CHARGE CLASS: MISDEMEAROP, CONVICTION
TtKM: 1A0049VOI
LTCEN$E REVOKED
SENTENCE DISP EFF DAT
JAIL 2D 20080820
DL REi 180 DAYS
FINE $315 20080820
09 ARRESTED 20090520 A
AGENCY; IA0520500 NORTH LIBERTY PD
CHARGE NO- 01 IA .STATUTE IA708.?(2)
HARASSMENT / 1ST GEN. - 1909
TRKM: 1A0049W01
f l,,, .3y. *,,
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTR; IA708.7(2)
HARASSMENT / 137 DEO. - 1909
COURT CASE ID^ 06521 AOCR002336
CHARGE CLASS: MISDEMEANOR, CONVICTION
TRK#; 1A0049W01
SENTENCE DISP EPP DAT
FINE $625 20091017
SUSPEN09D PRISON 2Y 2008101.7
PROBATION 2Y 20081017
SUPERVISED PROBATION W/
DCS.
PRISON 2'Y 20081017
AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF BUILT, THIS X
MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF
IDENTIFICATIONBE RELEASED TO NON�LAW
ENFORCEMENT AGENCIES BY THE DCI.
IN THE ASSUNCE OF FINGERPRINTS FOX POSITIVE IDENTIFICATION THIS RECORS :�:,q
BASED ON INFORMhTXON1 FURNISH8D, WE CANNOT CONFIRM OR DENY THAT THE RECORD
COVERS THE SUi OF YOUR INQUIRY,
DIVISION OF CRIMINAL INVESTIGATION
No -1522 P. 9/9
0041
gIOWA �DOT wanwedotpov
SMARTER 4 SIMPLER ICU .MMER
Inquiry Daze:
2/25/2015
DL/ID as
S56YY0404 (u)
Customer ffi:
3588195
Names
Pettit, Dennis Edward
class:
D
ID Startma
None.
Address;. "
2824 TRIPLE CROWN LN UNIT I
Audit 3.
7895115
DL a
VAL
Maus Dazm
03/18/2014
Cos. Status:
None
City/
IOWA CITY. IA 522407234
Emirwo. Date:
09/22/2018
Cos. Cut Swum
None
Endorsements:
31.
CDL NIS Startuss
None
MalOnD
2824 TRIPLE CROWN LN UNIT 1
cdons:
NONE
Restriction
None
Dow of Births
9/22/1970
Supplements
Nailing c1ty/Sams:
IOWA CITY, U 522407237
%kna.
M
R17MT
l
History Information
tJinwift:tion Dorm AL;AD
End 8Aq'.�ID E41Piamnakaun DwArrrerace AZAR
OSX7dfX200 3A:E3 ilgrauONAIAuw¢u IltM.iamrM tiomv+ollvareanw PA
Name: Paint, Dennis Edward BVID: 556YY0404
MM
JUR
Pursuant m Iowa Code §321.10, 1, mm Snook Director of Office of Drhw Services, Tows Deparbvent of Tmnsportatian, do hereby ostify that I am the mstodian of the records held by the Ogee
of Driver Services, that this Is a true and accurate copy of an official record currently in the custody of said office, and that I have been authortmal by the Director of the Iowa Department of
Transportation to so onNty.
In witness whereof. I have caused my signature and the seal sties 00pstmant to be set upon this doo mart, at Ankeny, Iowa this date:
2/25/2015
office of Driver Services
Iowa Department of Transportation