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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.,