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Home My WebLink About15-012Authorization Number p (Office Use Only) APPLICATION FOR TAXI / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday -- Friday.) 410 East Washington Street Iowa City, Iowa 52240-1826®lter"e i® cwi721.d'e 4/a uie'ed" 6gaf®r•BreaII'6an [�r6/9 rsq_�dp iay d�erial ®trtOra�nl®w�$®a>e� (319) 356-5040 (319) 356-5497 FAX First die st 1. Name (REQUIRED) 2. Mailing Address (REQUIRED) � g �� .r�ts ✓b r e� d� d� �i _V 3. Contact Information (REQUIRED) Email: ✓. p ® - s s1�e� r�a� �� Cell Phone: 4. Prior experience in transportation of passengers: i 6. Have you a convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? Where 7. Have you been convicted of any traffic offenses in the last five years? jos of offense Where When When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? _ Tvoe of offense 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) DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE.CERTIF(ED " rr DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW , „„,,.,„ P You must apply for an Individual Department of Criminal investigation Report (form available upon request). (OVER FOR REQUIRED SIGNATURE AND NOTARY) 09/2014 V hereby certify I have issued �o me by the Iowa Department of Transportation a valid Chauffeurs license number > m- as �'.0 �' �;;? . I understand that if I falsely answer any questions in this application, that this application may be denied. I understand that if I falsely answer any of the questions in this application, that this application will be denied. I agree that in making this application, I consent to allow agents or employees of the City of Iowa City, Iowa, in their discretion, to examine any and all records and documents relating to this application, and I further agree that, if a license is granted, to comply at all times with all of the provisions of Title 5, Chapter 2, of the City Code. (Meads to be signed in front of a Notary Public) Signature of ApplicantDates/ YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at lcgov.org. STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by On this r day of I have reviewed this application, DCI report, and the State certified driving record of this applicant and have deter- mined 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 (Title 5, Chapter 2, City Code). Signatp a of Poli hief or designee Date YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. J a�� So Ignature of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8'/:" (width) and 5'/:" (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update ClerkrrAXIDRIVBADGEAPPL92014anlended.DOC 09/2014 y ;Oju 1 OMM Ruling, Loyd Joseph Addile:nnu '001 E� �� " �'8 .9�Ci, �� ►W8d'6t4 »r....rh..-jev'411wol,", Gimitow SO He leading Address: 2225 DILLONS FURROW RD NE fel:) BOX SOM � FMG NUM", R gr= 92i m � Nim 515-744-01241MW S °M121 I FJX 5'65.;/x,1837 SOLON, IA 523.338776 Issue Data 03/29/2015 wwwkwadd gat Inquiry e&atee 1/62015 1 OMM Ruling, Loyd Joseph Addile:nnu 2225 DILL.ONS FURROW RD NE City/a: SOLON, IA 523338776 leading Address: 2225 DILLONS FURROW RD NE staffing CNV/ft, SOLON, IA 523.338776 DL/ID 41h 775ZZ6656 CIA) Consumer 91 .5467.25 iC98=2 C ID statusr None Audit Ma 79331H8 DL tuna VAL Issue Data 03/29/2015 IMIL SIatusr None Expiration DaN, 1220/2010 CDS Cart tissues, None Endorsamama, NONE CDL Med Statace None Resdoictionsa Corrective Lenses Restriction None DHW of Broth: 122017851 Supplement[ a=;; M b /.;6 Pursuant to Iowa Cade 9321.10, 1, Kim Snook, Director of Office of Driver Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records held by the Office of Driver Services, that this is a true and accurate copy of an official record currently in the custody of said mice, and that I have been authorized by the Director of the Iowa Department of Transportation to m certlfy. In wimoe's whereat,"I have caused my 5:9rature and the sad of the Department to beset uybn MIs document, at Ankeny, Iowa this date: p7ggggp�,��ppAA 1/6/2015 •tltl4JKYP'ltlo i � .b ,... — Office of Driver Services Iowa Department of Ramparts- San N&nnuo Ropng, Lava Joseph OLANte: 775ZZ6656 Jan. 12. 2015. 2;12Pt Div of Criminal Investigation No. 1830 P. 1/10 ddR.., 1 y, z05 IL:tlrl blit' blerk '• wly of Iowa Uity No. 5530 P. 2 STATE OF IOWA t,o ll l i;i, i i r' I r �� ' t d, 1 0 ( f, i' i �a� Ile':, q� 11 Tot lowal)[vision O' �.�, llon r , O , r ti , i, _ o , 2,15 X. p Street lit Dee Moines, row& 50319 (915) 725-6066 (516) 126-6080 Foil 4.Iaeok oar Fro®eaa MtAhw^ao o:Gdya CRY darkly y&. as 410&WaudfuAN1tmau�kreat Ite'sa%aa Q;p ��0 Photon 3y0-356.5091, Faze R9-3,0f4U'y Male LiFeynale Wardyer 9'fd1ormaayd6raa Without an mgnsd wa war born aw eaubpot of mo reales, a eoacalallefe rdh ninalR fadsfory rer..oau1 doW, not be ra',kwwn9slea por Code or lowve, chaptar 601% Fuag eosiin allaao orlav nal ld afoay roeord GvuforsaaoflloAj as ®yaowv'ed by law, always obtain an aiversignoturs from the eanl0.feef of the reaaauest i��Y��68",Ale�d;�Po"�e f Cucc�tlay,�IWe yadmei�a3�rn �ara�e ad�wa rrpgoya�C�n'oy;i aur6aaNrad le aarwduc$ eaM fpr�'B, wttarei�'r @aGnxaay�lra%ac+N ad'xewk wyHP�7 uta a71WtmV¢oe se.PtCrom�iiru6 bawasaarauahnf dO ffi�y � e eMgkogdfimgffincl'a0uaeeedWyAay'on "daafawakyFffix Iowa criminjIl f1 �.... ll d. "It (pctuaoonly) „ AS of �, � � w �. "� . �,Go ��rArcda uwff thou yoaaawvl�°u�ad to�nar cn. advafa� aoff dro'Na�da xood�a�a " . Nofowa, CHWzW 1-ddaatry Recod°ad found wilhMI a Iowa Onroanal Fl:iafonrylkecond aaffa chv d, DCS Received Tlmo"Jan, D;, `201°i 12 PPM—No, 64 Jan,12. 2015 2:12PM D v of Criminal Investigation ROLING,LLOYD JOSEPH ROLING.L )rD JOSPEH ROLIKG®LOVD JOSEPH ROL,I1R;'LOYD JOSPEH DOB 3E:RRAC HGT NOT EY77 19501220 N W 601 215 IsLU 19511220 19571220 ALBDITIONAF, I DENTI'FIERS 7C AEDOM ' 4 k 01 ARRESTED 19820629 M �f TMIR SEN POR GRY MED IA AGENCY: IA0570000 LINK CO SO CHARGE NO— 01 INT URF WITH OPS" ACTS TAW 1.22090.90.7. COURT bISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO— 01 INTERFERENCE WITH OFFICIAL ACTS CHARGE CSSw MISDEMEANOR CONVICTION TRK#: L22090901 SENTENCE PLEAD GUILTY FINE $:1.5 02 ARRESTED 198.3030.7. .AGENCYa XA0.9201,00 CORALVILLE PD CHARGE NO-- 01 XA, STATUTE' XXI23 -46 PUBLIC INTOX TRK#: L22091001 COURT DISPOSITION AGENCYe IA06201.5J JOHNSON CO DIST COURT COUNT NO— 01 IA STATUTE IA123-96 PUB INTOX CHARGE CLASS: MISPPMRANOR CONVICTION TRK#: L22091001 SENTENCE+ EINE 825 0.3 ARRHOTBD 1.9031,206 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO— 01 IA STATUTE IA12:3-46 PUBLIC INTOX TRK#: L22091101 DISP EFF DAT 19820017 19820817 DISP EFF DAT :190206.30 No. 7830 P. 2/10 Jan.12, 2015 2:13PM D of Criminal Investigation w COURT DISPOSITION AGENCY: XA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123-46 PUBLIC MOX CHAROE S^ MISDEMEANOX CONVICTION TRK#: L22091101 SENTENCE :O1SSP EFF DAT PLEAD GUILTY 19840419 FXNE $29 19840419 'i�',�akT.it7cTy AGENCYA IA0520200 IowA CITY PD SO CHARGE - 01 IA STATUTE :IA32:1.®201 IA123-36 owl TRK#: L22091201 COURT DISPOSITION AGENCY; . IA052015J JOHNSON CO DIST COURT DIST COURT COUNT NO- 01 %:.A.sTATUTE IA321-281 XA123-45 owx CHARGE CLASS: MISDEMEANOR CONVICTION CONVICTION -.- TRK#: L22091201 SENTENCE DISP NPP DAT JAIL 2D 19940003 PINE $300 19040003 05 ARRRSTED 19840420 No, 1830 P. 3/10 AGENCY: XA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA123-36 PUBLIC I OX TRK#® 'L22092302. COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE XA123-45 PUBLIC INTOX CHARGE CLASS: MISDEMEANOR CONVICTION -.- TRK#r L22091301 ,SENTENCE Y.)1$'P EFF DA"11" PLEAD GUXLTY 19840531 FINE $33 19840531 06 ARRESTED 19640512 AGENCY: IA0520100 CORALVILLE PD ' CHARGE NO... 01, IA STATUTE XA708-1-2-2 ASSAULT TRK#: L22091401 COURT DISPOSITION AGENCY; XA092015J JOHNSON CO DIST COURT COUNT NO- 01 Jan, 12. 2015 2:13PM Div of Criminal Invest'gation DCI 00292140 PAGE 3 OF 9 ASSAULT CAUSING BODILY INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091401 SHMNCE DISP E�FF DAT JAIL .3D 1.4641015 PROBATION 1Y 19541015 SUSPENDED 12D 19041015 TJEEFJM�r AGENCYi lA0S20100 CORALVILLE PD CHARGE NO- 01 PUBLIC INTOX TRK#: L22091501 COURT DISPOSITION AGENCY& IA052015J JOHNSON CO DIST COURT COUNT NO- 01 PUBLIC 121TOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091501 SENTENCE DISP EFF DAT PLEAD GUILTY 19841103 FINE 625 19041103 08 AkRXSTED 19050219 AGENCY; IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA700-2-3 ASSAULT TRK#: L22091601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA700-2-3 ASSAULT CHARGE CLASS2 MISDEMEANOR CONVICTION TRK#t L22091601 SENTENCE UISp 9!PF DAT FINE $50 19860205 09 ARRESTED 19051004 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE '.A.&h,321^• ^•n]. owl TRK#: L22091701 COURT DISPOSITION AGENCY: IA052015,1 JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321-201 Owl No.7830 P. 4/10 Jan,12, 2015 2:13PM Div of Criminal Investigation CHARGE CLASS: MISDEMEANOR CONVICTION TRIC#: L22091701 SENTENCE :TAIL 7D FINE $750 10 ARR98TED 195.51210 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 XA STATUTE IA123-46 PUB INTOX TRK#: L220918DI COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO— 01 IA STATUTE IA123-46 PUD 10TOX CHAAGE CLASS; MISDEMEANOR CONVICTION TRW L22091801 SENTENCE PLEAD GUILTY FINE $75 11 ARRESTED 19860611 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA123-46 PUB INTOX TRK'#: L22091901 COURT DISPOSITION AGENCY:: I.kAO520:11,5J JOHNSON CO DIST COURT COUNT NO— 01. :IA STA.. ,R IA123..46 PUB :110T.OX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091901 SENTENCE PLEAD GUILTY FINE $25 12 ARRESTED 19860615 AGENCY: XA05201QO CORALVILLE PD CHAROD NO— 01 IA. STATUTE IA908-11 PROD VIOL TRX#e L22092001 COURT DISPOSITION A013MCY: IA052015J JOHNSON CO DIST COURT COUNT NO— 01 IA STATUTE IA900-11 PROD REVOKED CHARGE CLASS: MISDEMEANOR CONVICTION DCI 00292148 PAGE 4 OF 9 DXSP EFF DAT /9860228 19860228 DISP EFF DAT 19860508 19860508 Pio, 7830 P. 5/10 Jan.12. 2015 M PM Div of Criminal Investigation TRK#: L22092001 SENTENCE DI°,aV EFF DAT TO 89RVX CYCLE DOA/90607/1 051294-12D JAIL AGENCY: IA0520200 ZONA CITY PD CHARGE NO- 01 IA STATUTE fi.Al'23 46 PUBLIC IMx TRK#r L22092ZOI COURT DISPOSITION AGENCY: IA0520i5J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123-46 PUBLIC INTOX Ci GE CLASSi MISDEMEANOR CONVICTION TRK#; L22092301 SENTENCE DISP EPP DAT PLEAD GUILTY 19070702 FINE $20 19070702 14 ARRESTED 19870926 No. 1830 P. 6/10 AGENCY, 1AGS20200 IOWA CITY PD, CHARGE NO- 01 11M STATUTE IA123-46 PUBLIC INTOx TRK$: L22092201 CHARGE NO- 02 XX STATUTE IA719-1 IWERF std -ACTS TRK#E X@22092202 COURT DISPOOITION AGENCY: XA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE :SA1.23...46 PUBLIC INTOX ; ,,. .... CHARGE CLASS: MISDEMEANOR CONVICTION TRK#. L22092201 SENTENCE LNzqP nw-pq, D,pnT , PLEAD GUILTY 19870926 ..... FINE $25 19670926 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA"819-1 INTERF W -ACTS CHARGE CLASS; MXSDgMEANOR CONVICTION TRK#a L22092202 SENTENCE DISP EIRP DAT PLEAD GUILTY 19870926 Jan. 12. 2015 2:13PM Div of Criminal Investigat'on FINE $25 15 ARRESTED 19071205 AGENCY6 IA0520200 IOWA CITY FD CHARGE NO- 01 IA STATUTE XA321J-2 OWL 3RD TRW L22092301 COURT DLSPOSLTION AGENCY IA052015J JOHNSON CO DIST COURT COUNT - 01 IA STATIWE IA321,1-2 OWI 3RD CHARGE CLASS: FELONY CONVICTION TRK#: L22092301 SENTENCE SUSPENDED .TAIL 214'D JAIL 210D BINE 7750 PROBATION 2'Y i DRIVER°S LIC, REVOKE66Y AGENCY: XA0520200 IOWA CITY PEI CHARGE NO- 01 X% STATUTE XA714-1 THEFT 4TH TRKf#. L22092401 COURT DISPOSITION AGENCY: IA0520ISJ JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA714-1 THEFT 5TH CHARGE CLASS: MISDEMEANOR CONVICTION TRKO: L22092401 SENTENCE PLEAD GUILTY JAIL 2D 1 AR'RRSTED 190006I.1 AGENCY= IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA123-46 PUH ;%'NT°R TRO: L22092501 COURT D:IBPOSXTXON AGP:NCY: X..A0520I&T JOHNSON CO DIST COURT COUNT NO- 01 IA STATUT LA12.3-46 PUB INTOX CHARGE SS: MISDEMEANOR CONVICTION TRK#= L2209250.1 DCI 00292140 PAOX 6 OF 9 19B70926 No.1830 P. 1/10 Jan.12. 2015 2:13PM Div of Criminal Investigation SENTENCE PLEAD GUILTY FINE $.7.00 18 ARRESTED 19000911 AGENCYi IA0520200 IOWA CITY PD CHARGE NO- 01 1A STATUTE YA.714-2-4 THEFT 4TH TRM L22092601 COURT DISPOSITION AGENCYe XA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA714-2-4 THEFT 4TX CHARGE CLASS: MYSDEMEANOR CONVICTION TRK#: L22092601 SENTENCE SINE $X50 SURCHARGE AGENCY: XA0520200 IOWA CITY PD CHARGE NO- 01 '1A STATUTE .IA123 46 PIPS INTOX TRK#: L22092701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123-46 PUS INTOX CHARGE CLASS; MISD)ENZWOR CONVICTION TRK#; L22092701 SENTENCE PLEAD GUILTY FINE $tri P:wU&M(i ,"EARG1E COURT COSTS IOWA CITY PD XA STATUTE IA123...46 U':A, STATUTE IA716...5 J'OaNSON CO .DIST COURT DIS'P Epp DAT 19090123 190901..26 No, 7830 P. 8/10 Jan.12, 2013 2:13PM D v of Criminal Investigation COUNT NO- 01 IA STATUTE IA123-91 PUB INTOX 2ND CRANGA CLASS! MISDEMEANOR CONVICTION TRK#: L22092001 SENTENCE JAIL 211 CREDIT W/TIME SERVED SR COURT DISPOSITION AO2sNCYA IA0520ISJ JO SON CO DIST COURT COUNT NO- 02 IA STATUTE IA716,6 CRIMINAL MISCHIEF 3RD CHARGE CLASS: MISDEMEANOR CONVICTION TRK#{: L22092602 SENTENCE JAIL 2D CREDIT W/TXMA SERVED On � } i AGENCY: IA0530000 JONES co s0 CHARGE NO- 04 Lk STATUTE XA123-46 PUBLIC INTOX TRKN: 014015901 COURT D'ISPOSIVION AGENCY: IA053019J JONES CO DIST COURT COUNT NO- 01 IA STATUTE IA123-46 PUBLIC INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 014015901 SENTENCE FINE $50 (DISP EPP PAT 19890616 19890616 DISP RFF DAT 190906/6 198.90616 22 ARRESTED 20030723 AGRNCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA708.1(12)A(1) HARA099ST ;IST TRK#: 100913701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA700.7(2) HARASSMENT / IST DEG., - 1.989 COURT CAPE :%D: 0652.1. AGOR066008 CHARGE CLASSa IMXW)EMEANO'R CONVICTION TRIC#: 100913701 SENTENCE JAIS:, 1 Ob DISP EPP DAT 20040514 k 7830 P. 9/10 Jan, 12, 2015 2:1PM Div of Criminal Investigat on FINE $500 20040514 ENFORCEMENTAN ARREST WITHOUT DISPOSITION IS HOT AN INDICATXON OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATIO14 IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON-LhW G 1 IN THE ABSENCE Or FINGERPRINTS PDX POSITIVE IDENTIFICATION BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF Mr No, 1830 P. 10/10