HomeMy WebLinkAbout14-178d � a
CITY OF IOWA CITY
410 Fast Washington Street
Iowa City, Iowa 52240-1826
(319) 356-5040
(319) 356-5497 FAX
1. Name
Authorization Number 114— j
(Office Use Only)
Yellow Coo di2 1000L C1fy
. .�
Department
between
Middle
2. l0aiiling Address X7,1 p.� ;"l � g� a aW y��r a�� , . "
3. TeVephone: Home .............o�.�..7.."... 3 ,7- A� 66 Other:..................................................
4. Prior experience !in Iransporb"Won of passengers:
5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? _ -, 5 ., re 4 s/dac
When
6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five
years? dl 0
r
7. Have you been convicted of any traffic offenses in the last five years?
.T7pp..ot offeiriise
I
......................_._.........................._................_......._...................................... _............................:.^......L..r... ..4.1 A............._....._........................................................._........................t.,%._a_(...ix.M...d.t...E ,.....r.�. ., r..............................
8. IHas yourir duuwreft Iliiceiruse or clhiaaat'Ieasr's license been suspended or revoked in the last five years?
Where
RMI
9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s)
(OVER FOR REQUIRED SIGNATURE AND NOTARY)
r iwaeg 03(2014
I hereby certify that I have issued to me by the iowa Department of Transportation a valid Cha&.tur's license number
O A14 `Eppy 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 ail times with all of the provisions of Title 5, Chapter 2, of the City Code. (4Needs to be signed in front
of a Notary Public)
Signature of Applicant _ Date -,22
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.
STATE OF IOWA )
b
COUNTYOFJOHNSON )
p by
LE A . .,,, ?� .Gt.. r R„ . On this day of
re me o a v Public in
S. sc�� ed and sworn to b�� xauil'gC."i"4J"Ii
q 1 ccann srnon Number 221819 and for the State of Iowa
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 o sidofthe City of Iowa City (Title 5, Chapter 2, City Code).
7 ____ !
Sigriat re Po' a Chief 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.
<�
Signalar0of City Clerk, or de gnee _ L1ate .. __________
Taxi cab businesses are req red to provide Driver Identification cards. Cards must be 81/2" (width) and 5'/z"
(height) and prominently dis yed to all passengers.
Office Use Only
Approved application
DCI report
State certified driving record
Website update
derWMdrivbadgeapp2014.doc 03/2014
MV M !& ID^^ir M N iN i VVI
IIID w� I
V IIID I r iiiI� i
IMIre 131irIm "ku9fpllS:';'W 'it¶ (SIM) 5,12 -1121
FICY11i'd1x Q041, IClItCr Manes, lhirILMP1YV'u&'41parx, 5"15/1I�'9N,;r 1
MAX" 511 ti 239 0531'
Ceirtifled Absitract of Drii Record
Inquiry Dart=
8/22/2014
D1./ID
960AA9807(IA)
Customer #:
2228817
INamez
Blair, Rodney Dean
Class;
B
ID Status:
None
.Address:
602 FOX TRL
Audit Ifo
4223732
DLStatus-
VAL
Issue Dates
03/30/2010
CDL, use
VAL
City/state.
IOWA CITY, IA
Expiration oft�
03/05/2015
CDL Ceu't S'Ubm:
Excepted Interstate
522409209
IYndolrsenmaudhn
k
CIOI... IH Had Station:,
None
Mating Addressr
602 FOX TRL
Restrictions:
NONE
Restriction
None
Supplement:
Date of BMW
3/5/1966
Mating
IOWA CITY, IA
Sexr
M
/State:
522409209
History InfoIf artBDIN
Accidents - Accident involvement indicated does NOT mean the individual was at
fault or given a citation.
Inane: Blair„ Rodney Death DL/ID: 960AA9807
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 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 Office, and that I have been authorized by the Director of the Iowa Department
of'Transportation to 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 date:
%Y[ou'AIF'0"411,� e/22/20.14
ID ... If
w m u n.�� JdI'Y Gp
w i µim�O.T.
��q„ Nl
. III g .1111 uo
ie,NIu�$11�11, Office of Dnwer Services
Iowa Department o§Transporadon
IMaimm„ Blair, Rodney Dean DL/lD. 960AkA9807
07r22014a Div of Criminal Invest gat on (FA>)263827'No.6153 P. 112/002
".C`AT OF IOW
� d �
Criminal History accord Check
Request Form
DCC A,000u nt Waatm boaa
tV9'dpapBNseule)
'tae iavvm ra ASIOR om& Orpmo&N M tunwaatiaaeien ROME Aa -flaw Cain avrLowa �i
Support Operaainam Bureaup V Alar :P.O. fox 428
21d Z, 7" SfUrmal--
Daz m*eg' Iowa ,BD3 9 ltawa guy, u5 244
(515) 725a6e66 �...,... _.
___—__.liY)Z,dog�aar___ _______________,_ ____.__ ___� __. — 777.__�__
Main
Fare 13a�eyrod2
n
�C _ ala I�nai�--__
alver .fgforIM&aRlon g without a slgned WA Ivor traupxn the suabyent of plhe raaggesta a cam pmioto ortmWal h1swry recant may dat
he Manse Me, per Made Of Iowa„ Chapnter 6923, FOO cmaen tlete "I'RVeaap Ilaiataa°y reaaro A ntOranatioarea ay allowed by law, aiwaya
aal9r�� el�dN V N[a Awa gaasrAVssNeGN 8laraaa ®bene uaeu�CVma adt•®Ilatl ae �ngarep 6eq 16Yva'®tVrapaaup lhp0¢aey noaaed eBoeek wuN� dNe �Va�laVera yPCaNvaNesN
h6wial dan(DCD, AanYORMieAVhlaanryd0kw0raallavaae��!La Loa6mVn¢mimeYYaymei iamAYboMau lowedeylaw.. M_�,w•,..•.•w,w..r_.:•.u.
6l"od'raea° �Sl�anarraar�a:
w� 11 a ,t r r ck t coca on only)
a of,_®._M a searoh of the provided name and date of birth revealed:
�_.
El
No Iowa Criminal History Record Pound with DCL
Iowa Criminal History Record attaelxed, I30 3055
DC.I initids —
Received Time Jul. 29, 2014 4:50PM Na. 5823'
Jul.31. 2014 4:04PM D v of Crimina` Invest gation No.6153 P. 2
OCI:00316955
NAME: BLAIR,R01)
131AIR,RODUEY DRAW
DOE SEK RAC
19660::305 N W
ADDITIONAL
SC 9 WRIST
So UL ARM
IOWA CRIMINKL HISTORY DC.T. 00316955
FELONY CONVICTION FACE 1 OF 5
NATE PRINTED -
2014/07/31
HOT NOT EYE HAIR sma POR
601 278 NAR ERO M,ED IA
CCR RECORD ***
01 ARRESTED 19040401
AGENCY; IA0510200-
IOWA CITY PD
CHARGE NO- 01
IA STATUTE IA715-1-6
PLS USE FIN INSTR 2ND
TRK#s L25003001
COURT DISPOSITION
AGBNC`Ys IA05201SU
JOHNSON CO DIST COURT
COUNT NO- 01
IA STATUTE IA77.5-1-6
PLS USE FIN INSTR 2XV
CHARGE SS:STATUS VNKNOWN
TRK#: L25803001
SENTENCE
JAIL 11D
02 ARRESTED 19810530
AGENCY: IA0520200
IONA CITY PD
CHARGE NO- 01
IA STATUTE IA714_2-2
THEFT 2ND
TRK#: L2N003101
COURT DISPOSITION
AGENCYa IA052415J
JOHROOK CO DIST COURT
COUNT NO- 01
OPERATE MOTOR VEHICLE
W/OUT OWNER CONSENT
CHARGE CLASSe MISDEMEANOR CONVICTION
TRK#: L25603101
SENTMICE
PLEAD GUILTY
JAIL
72D
03 ARRESTED 19050625
AGENCY: IA0520200
IOWA CITY 713
CHARGE NO- 01
1'A STATUTE IA714-2.5
THEFT .s$TE D30
TRK + L25802201
COURT DISPOSITION
AGENCY: IA052015J
JOHNSON 00 DIST COURT
COUNT NO- 01
IA STATUTE IA714-2-5
THEFT SIR DEG
;er�
Jul.31. 2014 4:04PM Div of Criminal Investigat;on
DCI 00316955
PAGE 2 OF 5
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L25802201
SENTENCE DISP EFF DAT
PLEAD GUILTY 19050700
FINE $100 19650708
AGENC4a IA0520200 IOWA CITY PD
CHARGE NO- 01 IA STATUTE IA713-5
BURG 2ND DUO
TRK#: L25003301
COURT DISPOSITION
AGENCYs IA052015J JOHNSON 00 DIST COURT
COUNT NO- 01
THEFT 8TH
CHARGE CS3; MISDEMEANOR CONVICTION
TRK#: L25803301
RESTITUTION
SENTENCE
DISP Err DAT
PROBATION
lY
19851002
BUSPBNDED
90D
19051002
05 ARRESTED 19860320
AGENCY: IADS20200
IOWA CITY PD
CHARGE NO- 01
IA STATUTE IA71.4-2-2
THEFT 2ND DEG
TRK#: L25903401
COURT DISPOaZ'9:XON
AGENCY! IAO52015J
JOHNSON CO DIST COURT
COUNT NO- 01
IA STATUTE IA714-2-2
THEFT 2ND
CHARGE CLASS: FELONY
CONVICTION
TRK#: L25003401.
SENTENCE
DISP EFF DAT
PROBATION
5Y
19870129
CREDIT 22D
No. 6153 P. 3
Jul. 31. 2014 4:04PM Vv of Criminal Investigation
DOX 00316955
PAGE 3 OF 5
CHARGE CL 9s FELONY CONVICTION
TRK#e L25803501
RESTITUTION
SENTENCE DIED RFP DAT
PROBATION SY 19070129
AGENCYa U0520000
JOHNSON CO
SO
IA STATUTE IA714-2-2
CHARGE NO— 01
IA STATUTE
IA708-4
INMATE #: 803150
WILLFUL INJURY
IA STATUTE XA114.2•-4
THEFT 4TH
TRK: L25803601
COURT DISPOSITION
COURT DISPOSITION
JOHNSON CO DIST COURT
COUNT NO— 01
IA STATUTE IA714-2-2
AGENCY: IA052015J
JOHNSON CO
DIST COURT
CONVICTION
COUNT No- 01
SENTENCE
DISF EFF DAT
TERROR19
5Y 19870129
COURT DISPOSITION
CHARGE CLABS; FELONY
CONVICTION
COUNT NO— 02
IA STATUTE IA714.2-4
TRK#e L25803601
CHARGE CLABS: MISDEMEANOR CONVICTION
TRK#: L26603702
RESTITUTION
SENTENCE
DISP xVP DAT
SENTENCE
DISP XIFF DAT
CONCURRENT
N/CYCLE DOA
06/10/86
19870226
PROBATION
SY
19870226
AGRNCY: IA052015M
OAKDALE IMCC
CHARGE — 01
IA STATUTE IA714-2-2
THEFT 2ND
TRK#e L25003701
INMATE #: 803150
CHARGE - 02
IA STATUTE XA114.2•-4
THEFT 4TH
TRK#: L25803702
COURT DISPOSITION
AGENCY: IA052D15J
JOHNSON CO DIST COURT
COUNT NO— 01
IA STATUTE IA714-2-2
THEFT 2.
CHARGE CLAUSE FELONY
CONVICTION
TRK#i L25003701
SENTENCE
DISF EFF DAT
PROBATION
5Y 19870129
COURT DISPOSITION
ENCYn IAD52015J
JOHNSON CO DIST COURT
COUNT NO— 02
IA STATUTE IA714.2-4
THEFT 4TH
CHARGE CLABS: MISDEMEANOR CONVICTION
TRK#: L26603702
SENTENCE
DISP xVP DAT
No, 6153 P. 4
Jul.31, 2014 4:04PM Div of Criminal Invest gat -on
DCI 00316955
ME A OF '4
CONSECUTIVE SENTENCE WITH CT 01 19670129
JAIL 90D 19870129
COURT DKOPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 03
TERRORISM
CHARGE CLASS: FELONY CONVICTION
TRK#: L25803703
SENTENCB
DXSP EFF DAT
JAIL
5Y
19870226
CONCURRENT WITH CT 01 S 02
19870226
CUSTODY
AGENCY: IA05301SC ANAMOSA MENS REFTY
A
19870226
RELBASED BY COURT ORDER
CUSTODY
AGENCY: XA05301SC ANAMOSA MENS R$FTY
B
19670226
HIVED
TD ON COURT ORDER.
CUSTODY
AGENCYi IA0770150 ADULT PAROLE SVC
C
19600302
PAROLED
CUSTODY
A XA052015N OA ALE IMCC
D
19881208
PAROLE REVOKED
CUSTODY
AGENCY: IA0770150 ADULT PAROLE SVC
E
19890510
PAROLED
CUSTODY
AGENCYt IA0770150 ADULT PAROLE SVC
F
190.90831
DISCHARGED FROM CRIMINAL JUSTICE SYSTEM
09 ARRESTED 19881116
AGENCY: TA0520000 JOHNSON CO $0
CHARGE NO- 01 LA STATUTE IA906-1
PAROLE VIOLATION
TRK#t L25003001
.DIST «A
COUNT NO- 01 IA STATUTE 91.:.
PAROLE VIOLATION
CHARGE CIA98i FELONY CONVICTION
TAW L25803801
SENTENCE DISP EFF DAT
TO SERVE BAD 06/10/86 19900703
c
No, 6153 P. 5
Jul,31. 2014 4:04PM D v of Crim nal Investigation No -6153 P. 6
0 X1
CHARGE NO- 01
THEFT IST
80390
COUNTCOURT DXOPOSITION
. 01 IA STATUTE IA714-2-1
THEFT1
FELONYCHARGE CLASS: M
Tg%#; L25803901
Im
11 RECEIVED 15910913
AGENCYz 1
CHARGE M G
THEFT IST
0O
INMATE 0: 003150
AGENCY: . I :.. f ! 4CO DIST COURT
COUNT . 01 IA STATUTE ZA?14-2-1
THEFT IST
CHARGE CLASS8 FELONY CONVICTION
TRK#f 1,25004001
SENTENCE
JAIL 10Y
CUSTODY AGENCY: XA077015G ADULT PAROLE SVC
A 19940714
PAROLED
CUSTODY AGENCY. :IA0770150 ADULT PAROLE SVC
E 19960714
DISCHARGED PROM CRIMINAL JUSTICE SYSTEM
DC.'1 003/6955
PAGE .5 OF 5
DT„,SIS EPP DAT
1991.0912
AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD
MAINTAINED BY THE IOWADIVISION 1.F CRIMINAL INVESTIGATION,
IDENTIFICATION 18 A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON-I,hW
ENFORCERENT AGENCIES BY THE Del.
IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS
BASED O O FURNISHED. WE CANNOTCONFIRM O. DENY THATRECORD
COVERS THE SUBJECT OF .
DIVISION OF t.,