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Home My WebLink About15-045CITY O IOWA QTY 4nSB IEast Mfa¢shington Srtmet WmA CO.y, Iowa 52240-1!826 Q L' 2) 3S6-5040 (3 Al 9) 3.56,-549'7 FAX 1. Namel`rtli:�;dlfl�l`1:7) 2. Address (f;l c:j VI1,11 �_^.. ... w.(.:NTo):::)lHca... (Office N..)so Only) yAPPN..IICATION FOR T A,X11 AB / IMIGTORMPD PEDNDA,IS VEHICLE Il'DNtBW/ER (proNlce Department reAew must be made between 8 a.m., to 3 p.m., Monday — (Friday) MM 3. Contact Information (R1 "rllll 111'1' Email: ,>bfbb 'u' A A rubw 1. 'I� m,( ..... _„Gdellll IfrRuanuue. as Nb't) "'�f / I'rri ' +µ�"v";Ik,_. .1111. � ....m. (All w1fien ccmununi arson serllt AFlla C31Ynail) .. 4a. Chauffeur's License expiration date { r/rJi�'� b. Taxicab Business Name SIA ) z., �, � r0&,YOT',7G t9i'PV"VtiSnrnP. lMll 'NIk"atOV,re Ad111)rk'N.• p ��rr �i,+ 1111 d .. S. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? yp p(o(mse Wvluear _... WVhen ------ 8 bm � �re What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other i. Have you been arrested/ charged with any traffic offenses In the last five years?--, ........ _. 1111 ................_. r aao)'sff(¢t,We Where Vtl6nera en 1111__ _ 1111 What happened to the charge? (Circle one) -OonWmate6' Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last flora years? ).ttm¢ l R tt(('aMt) e, Where When 9. Have you ever applied to be an Iowa City taxi driver using a different name? if yes, please provide the name(s) PpU!PAR'rNWNSNkNT OF CUtN INCAII... NNAIN'::!S"N"IGAIC'NOIkN (II:UCQ REPORT /ANll:) ro"N4A"t"tl:::I CER—rlIFIED DIRi'3/UNNG NtINI'CORD MUST ACCOMPANY "rMS APPN_II6»KU'NO N FOR P0II...Nt:E CN•NiEF RIT"VIEW&f You must aalppN,y for aril Ii ndivNduall Department of CrliminW Investigation Repoift, (form available upon request), ( II';;C;, IMID PAGE FOR U'vII.".U.Ulllrtlll:lll':) SIGN/'4"II'U.UR,E AND IPW(h°f"ARY) � li':'M..ii; ATION if 'MI A�A Elt M11. �i VER Page tl the wa y . _ that I h ons is y issued on 05 ti'rr may be denied. Ing auffeur's license number oolnsent t slow entstor empth�s ao l cation, thatthisa pGc o y p ' g a 0 re r M"""" I understand that if I Department of Transportation a valid C h s expiring on r,„"3” R . Pp p agree that In making this application, I 9 Poyees of ttis City of Iowa City, Iowa, in their discretion, to examine any and all records and dooumenis relating to this applioation, and I further agree that, if authorization to be a taxicab driver is granted, to comply at all Ater of the City Code" (Needs fo be signed in front riff a Notary Public) Imes sonar all of the proseision � Title 9 Cha ... m J4 jCCA"I P Si nature rniA„ uioa nlnt� qua, w ID'aia,., ,../m ....., M Mk',A4h**h'R'bk'****t'*1VhAAN*d!MBµAk;kik"***hhAFAtrtl4M1ft'M'Ak1eWb4WMfiAAk#trAAkAk�gAE'ed:IMAk'kAk'vrlrtMMk&pMYxlll411Ab141hxllhYkJkh#AMYk9#J1'8k&AkAelx-0k µ'Mk'R'k#IYklkBdx"gkfi*:AJF A...M9WYt:MIkM'&h9tFm:ktlYpfYlkAk#4' STATE OF IOWA ) COUNTYOFJOHNSON ) oJn d A m �artin� nn to Ilar.tu�r . urre . u.by..... ii +a.mM i i A w" ",��t � a & .� this h s .. r day of K lrn =aund for I have reviewed this application, IDCII report, and the State certified driving record of this applicant and have dater• haired that there is no information which would indicate that the Issuance would be detrimental to the safety, health or welfare of residents of the City of Iowa City 5, Chapter 2, City Code). i irn toure Or o 4 MY or designee r�aina AFTE11 AlirPFtOVAi'... IBB' 1I" Flit` Clf'ry CLE -..RK a YOU ARIE', At9"IPiICIRMi':'lO TO 01FkIItYICr' A TA iCAII3 IN I10WA t;„ y FOR NO CJi$IE "I"RAIN ONE: YiiiiiAR F'RO11tii "U"l llE BATE i...lS"rFlli:l 131El OW. rII '.'.i Il-.. FEC`FlAYE i'.1A1I' WILL MA.lUH THE CHAN. FF'tiiiUi' 93 t..IICEN°SIE EXPIRATION ill::: LESS THAN A YEAR, Si nnatullm of Cly Clerk o g y rdesugnee rM1kbhlk##A4 Ar'Ak9:R4Rh'Ik#MYt llt4'A6'#NMWIMW IYkk4AtlkAq F^IYbYb-hM'AeRFvkYM&Mi4M1rtkllvNdehMk'IYRMAA'ix:1kM4#Akftti ryYl.^R'RAk #M N'Rk JtPklx#B dxklF'AFMvxFfevrvk:MBWgMflryµ:ypy6MpklYAMAhkM4A�p`vAtUrNIA#4h&hYe N'i-b.ikAhliY Office Use Oi nlly Approved application CCI report State certified driving record Website update r„rim±rawtawaive'saeacda�ntgtaxa�awmerla�a�re.orwc o2t2015 ✓sl uu"� DOT # �2 ` f w �, , „ �.,,pk Mee of Dr€ver Services € O Box 9M4.E'Des die b . m , R: 511306- F... : 5515-244.4124 ( 600-532-11211 FaX: M&M -183"1 Certified Abstract of Driving Recall Inquiry Date: 3/3/2015 DL/ID R: 237CC1516(IA) Customer X: 3385482 Name: Augustine, Shaun Andrew Class: D ID Status: None Address; 1729 LOWER OLD HIGHWAY 6 RD NW Audit •: 6927354 OL Stades: VAL Issue Date: 05/08/2013 CDL Korea: None City/Skate: OXFORD, IA 523229214 Expiration Date: D4/23/2018 CDL Cert BMWs: None Endorsements: 3 CDL Ned Status: None Mailing Address: 1729 LOWER OLD HIGHWAY 6 RD NW Reablctlons: Comeadve Lenses Restriction None Data of Birth: 4/23/1981 Supplement: Mailing Qty/State: OXFORD, IA 523229214 Sm:: w History Information Convictions iCplrstlrtrn Dmt.4n �CsinVia;dan aatrx ACD Name: Augustine, Shaun Andrew DL/D): 237CCIS16 pursuant to Iowa Code 4321.10, I, Kim Snook, Director of Office of Driver Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records had by the Office 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 authorized by the Director of the Iowa Deparnnent of Transportation M so certify. In witness whereof, I have caused my signature and the seal of the Department to be set upon this document, at Ankeny, Iowa this data: 3/3/2015 Office of Driver Services Iowa Department of Transportation Name: Augustine, Shaun Andrew DLIZO; 237CCIS16 Feb.21. 2015 9:35AM Div of Criminal Investigation b2/2U/ZU15 14:10 Y Ll STATE OF IOWA criminal orRecord im I� w RequestForm Tat IOWA r 'm1 Fs Support Operptiong Bureau, Id floor 215 L 16 Sliftel Des ititi room 50319 (513)72"M 1 Fax 4 DCI IoW o. 1304 P.�V/� N& lowa ClIndliat History found with )DCI Iowa Criminal history Record attached, DCIC_ UPJ l Initials Rece"ved Time Feb. 26, 9.015 2:05PM No. 1776 Feb.21. 2015 9.35AM Div of Criminal Invest gat -on IONA CRIMINAL HISTORY DCI 00598330 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2015/02/27 DCI:00598330 NAME: AUGUSTINH,SHAUN ANDREW AUGUSTINE,SHAWN ANDREW DOB SEX RAC NOT WGT EYE HAIR SXN POD 19810423 M W 600 160 GRN BRO EAR- MO ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y CCH RECORD *** 01 ARRESTED 19990525 AGENCY: IA0570100 CEDAR RAPIDS PD CHARGE NO- 01 IA STATUTE IA714-2(4) THEFT 4TH DEGREE TRK#: 500350201 COURT DISPOSITION AGENCY: LA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE; IA714-2-4 THEFT 4TH DEGREE CHARGE CLASS: NON CONVICTION TRK#: 500350201 SENTENCE DISP RF? DAT PLEAD GUILTY 19990826 DEFERRED JUDGEMENT 19990826 COURT COSTS 19990826 DISCHARGED FROM 20000324 DEFERRED JUDGEMENT 02 ARRESTED 19990707 AGENCY: IA0520400 IOWA CITY UNIV SEC PD CHARGE NO- 01 IA STATUTE IA124-401(5) POSSESSION SCHEDULE I CONTROLLD SUBSTANCE•MARIJUANA TRK#: 016526701 COURT DISPOSITION AGENCY; IADS2015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE CHARGE CLASS: MISDEMEANOR CONVICTION MRK#.: 016526701 SENTENCE FINE 4250 COURT COSTS 03 ARRESTED 20090715 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 02 IA STATUTE IA708.2A(2)(2) DOMESTIC ABUSE ASSAULT WITHOUT INTENT CAUSING INJURY TRK#: 1A0079M02 COURT DISPOSITION AGENCY: IA052GIST JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA708.2A(2)(B) No.1304 P. 2/3 Feb.27. 2015 9:35AM Div of Criminal Investigation DCT 00598330 PAGE 2 OF 2 DOMESTIC ABUSR ASSAULT CAUSE INJURY/MENTAL ILLNESS COURT CASE ID: 06521 SRCX087749 CHARGE CLASS: MISDEMEANOR CONVICTION ' TRK#: 1A0079M02 SENTENCE SUBSTANCE ABUSE EVALUATION DEFERRED JUDGEMENT SENTENCE 20311202 DISP EFP DAT SUSPENDED JAIL S8D 20100203 JAIL 90D 20100203 FINE $315 20100203 PROBATION 1Y 20100203 04 ARRESTED 20100730 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- O1 IA STATUTE IA724.26-2 RECEIVE/TRANSPORT/POSESS FIREARM FELON - 1990 TRK#: 1A009VAOI COURT DISPOSITION AGENCY: IA052DISJ JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA724,26(2)(A) DOMINION/CONTROL OF FIREARM/OFF WEAPON BY DON ABUSE OFFEND COURT CASE ID: 06521 FPCR091533 CHARGE CLASS: NON CONVICTION TRK#: 1A009VA01 SENTENCE DISP EFP DAT DEFERRED JUDGEMENT $750 CIVIL PENALTY, $750 20311202 CIVIL PENALTY SUSPENDED PROBATION 3Y 20111202 COMMUNITY SERVICE SOH 20111202 DISCHARGED FROM 20150115 DEFERRED JUDGEMENT AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIPICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW ENFORCEMENT AGENCIES BY THE DC1. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION No. 1304 P. 3/3