Loading...
HomeMy WebLinkAbout14-140410 East Washington Street Iowa City, Iowa 52240-1826 (3 19) 356-5040 (3 19) 356-5497 FAX Authorization Number I V-- ;V177 (Office Use Only) (PoliceDepartment review must be made between 8 a.m. to 3 p.m., Monday - Friday.) First WIddde 11 es'I: 1. Name ............�.b. :..t . ........................... r s C "r.�a�-a s ....... ...... ...... .......... 2. INiaflingAddress�_�. ud4,'_ ........ d=�..z v � � t 3. Telephone: Home ei5-5 2 .......... Other: 4. Iprdor experience in transpovdatdon of passengers: �tiad 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 03&p -- Type of offense Ie...... !t 1tlJ..... a�,f�n` Where When I farce you been axwrMcteat of operating a motor vehicle while under the influence of alcohol or drugs in the last five yeam?............._._-..... 7, Have you been convicted of any traffic offenses in the last five years? ,__________ Tyne of offense Where IF _ When SU "t" .... k tL " ..Q...... f T:,., r "te t 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? %.S Tyne of offense Where When 4..... �w:)mio(,� � u�N"�_�_�,�4'. .�."r�� a �; �� v...�, � /r;r.P,'^- � d a.',� � u"� r* 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) C1.4 VAINCIV40010r • , • •- • dmVwI1Jdvbeda 03/2014 I hereb4 cgrat I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number ;? -i G `�`% 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. (Needs to be signed in front of a Notary Public) e--.) Signature of Applicant >^ � [.)ate 2 2.... / .... 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 ) COUNTY OF JOHNSON ) r Subscribed and sworn to before me by On this e� � 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). Signat Police C V hief or designee _.. _........ -- D to 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. Signat&e of City Clerk or designee _d_ ____------ f CJaQr� Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8'/z" (width) and 5 %11 (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update c'arkk dddvbedgwpp2o14.d= 03/2014 IIII .0/06d20V.4 ':I:'UE 1.5� 34 IP.Rx VIII VIII 1111111 IIIIIIIII�IIIII M (�r 0.0 Iv'J�ppta eI� tq W f3''4�fini 00T 'sof��Iffllolity v.d�jhfall>?d! n� I0"'VWVW.10wadotgov SMARTER I SIMPLER I CUSTOMER DRIVEN Office of Driver Services PO Box 92041 Des Moines, IA 50306-9204 ;hone. 515-244-91241600-532 -1 121 1 pax: 515-2.39-1837 .krwadot.,gav 7/3/2014 Conners, D'andre 2625 INDIGO CI Melling City/Stats: IOWA CITY, IA 522406810 CertMed /Abstract of Driving fiareoourd DL/ID : 373AE8799(IA) Class: C Audit #; 6870759 issue Date: 04/17/2013 Expiration 08/22/2018 Date: ............ .... ... ........_...... ... ....... pA, Endorsements: NONE Restrictions: NONE Date of Birth: 8/221197B Sex: M History Information Citrtlon..Date, ....... ._.C...a.nrtka.o....n_ __D...aae ACD Explanation ana661W2.0,09I.0S O _. ...... ...,......_ ........... .1964 No In urance Cud P.iC3dOR0,2dYP1r4 '08,MI2/2009 ......... B20 ,0reoun9 WMkndPa r.,uspa:Irafed, De Customer S. 4696443 ID status: VAL DL Stature VAL CDL Staters: None CDL Cert None staters: ............ .... ... ........_...... ... ....... pA, COL Mad Status. None Restriction None Supplement: .. .. _ .. __..._ ..__... Of"enj.ey Re v aimd EM ryln+a .. Effective ..........trend _..._ .. --------- ----- ACD ..... ExplonatIon 14CCUrrenCe:Ii.R ;2dUR ru�ysended ...._ 12fQU91 f907 ._..... ..... ;ii.L/¢V8/A991:7�.. .... _. 'AP¢DT ......'P:nbrta.rfl ........... _...._ .........._ Habitual VPYia54oetnar .. ............ .... ... ........_...... ... ....... pA, Barred '7Y1./1911998 !1 11119/2 0 00 VINO'.4 .. .. _ .. __..._ ..__... Of"enj.ey ...._........_ .......... ..___... .;uaspaunded i31d20d2012 '0:3/12./2012 IDSII. !Nc,r Payrnent of Child Suppot .YA, :fA iaw pursuant to Iowa Code §321.10, 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 reused my signature and the seal of the Department to be set upon this document, at Ankeny, Iowa this date: 7/3/2014 (420 t Qi a D 0. T.; f, N Bf' 1 Office of Driver -Services Iowa Department of'Transportation Jul. 7, 2014 4: 14PM ' Div of Criminal Investigation 7:q2.pjl. —A01"i F�ns Boyr-0- TO; i 515 7246000 No. 3.698 P. 2/6 SIPATP 01F I(YWA Cr" ffistox-Y'Reeard Cfitd,N�k m. Request Fol -m FAX' DCI A,ccountNwnber: u: ........... -as- 11 OPPHWAO) To; rowa Division of Crinnngi Investigation x Fir ayac VIL SU13port OPtrutguns Bureau, 0 Floor ......... . ........... IS.t, . . ......... ... ............... str�et . . . . . . . . ...... . ........ . . ........................................................ ............. ......... . ...................... Des Moirler, Iowa 50319 ...................... ....... . ... I ........... . . ..... (515) 725-6066 (516) 125-6090 ]FAX . ............................. ....... . ..................... . ........ ....... . ... . .................................... . . . .............. ZO ,31 . ..... '3L Phare; ......... . . ................. .................... i. KrnT'�y ar, r. LastNa m k?M . . . ................ ................au; . . ............. ....... ......... . .. --- ........... . .............. ................... . ...... M Birth .................. . .. - E,3 Fe�naie .. ................... ................. 7111P7111:M1:1 � :::�: ............ . . —j ........ . .............. 7 Z . ......... .. ......... ................. . . . ................ s�gnpd walmev� an, fl mub eirt orthe 7�,qjg�s�, - -.-= ..... . ............. ........... 1e0 relftsaWi� ppir CO die ar Iowa, Qlapter 6,9,z'2, For swmln�pu.g, , 1 hnftml hi tar (,oulphieft CriallylA hiffly.ary. record ruay �kof 7! Mi R. . q[jjajBvt pr Vae nrup,,,t ' M. V T ecord hT for rxrjLtjoqA as fljjovre� by Mw, nh��Ay? . . . .............. ............... facI Ux only) A.s of. -1.1-11 14 ...... .... . a Sv,,i a� ch of the ProvidDd name and date of brth revealed: fflstouI?A',Coq'dlfc.iunklj,4.th),,)c,,I, C. Iowa Criminal HistOrYRecord attached, DClfi Received Time Jun. 30. 2014 3;09PM No, 3225 Jul. 7. 2014 4:15PM D v of Criminal Investigation IOWA CRIMINAL VISTORY MISDEMEANOR CONVICTION9 ONLY DC11 -=52.2655 NAME NEKSOX, D "ANDRE NEWOON,D°A=Rln DER NEWSON, RAXDRE EZWnSOX,DANDRP1 DEE D00 SEX 15780822 M P; ADDITIONAL IDENTIFIERS TAT L ARM TAV.r Ir SlILD TA'T' RF ARM TAII UP, ARM 01 ARRESTER 19960427 DC1 00522655 PAQE a. OP 4 DATE PRINTED - 2014/07/03 BaT WOT EY13 HAIR &KK Poo 602 30.1 RRO PRO IRK TM PHOTO AVAILABLEe Y Cca RECORD **V AGENCY: IA0520000 ITCHNSOM cc so CHARGE NO- 01 IA STATUTE IA708-2-2 ASSAULT CAUSING INJURY TRK#a 025703801 ARIST VXT.3?: ADUE.,"K, ARRAXONMYNT CHARGE NO- 03 IA STATUTE IA321A-32 DRIVING UNDER SUSP TRK#. 025703803 ARST DISP- ADULT ARRAIGNMENT COURT DISPOSITION AGE'NCY IA052015J JOHNSON ro DIST C01JR7 COUNIT No 01 EA, SVV)A)'X)Z IA? 08 '2, ...4 SIMPLE AgSAULT' CHARGE CLhSSa MSORMEAMOR CONVICTION TRK#: 025703801 SENTENCE 001, 2D COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT VO- 03 XiL STATUTE IA321A-32 DRIVE w/SN6p CHARGE CLASS: MISDEMEANOR CONVICTION TRK#r 025703803 SENTENCE FINE $250 02 ARRESTED 19970323 AGENCY: IA0520200 IOWA CITY PD 0Mx(10 go- 01 TA STATUTE IA708-2(2) AF..1SAM.'T CAUTINV3 TN'TURy TRO028032101. COURT DISPOSITION AGENCY; IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708-2(2) A39ATXLT CAUSING IMaORY 13y"ST? EFF DAT "1..99610`10 D-�$p �Kv'F r..Vvl' 11956:1010 No, 3698 K 3/6 J u I , 7. 2014 4: 15PM Div of C r ro i n a � Investigation CHARGE CLAS8� MISDEMEANQ9. CONVICTION IRK#: 029032101 RESTITUTION SENTENCE' JAIL 7D FINE $250 COURT COSTS PAY SURCHO 03 AAAESTEn 19981020 AGENCY! IA0520200 IOWA CITY TO CHARGE RO- 01 IA STATUTE IA123-47 POSSESSION OF ALCOHOL UNDER AGE AND OFFENSE TRK#; 044569601 COURT DISPOSITION AGENCY: IA0520151T JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123-47 POSSESSION ALCOHOL UNDER LEGAL AGE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 044569601 SEFOT)Emcjm PUZAD GUILTY PAY SOR0110 FINE $100 COURT COSTS 04 ARRESTED 19991129 AGENCY; IA0520200 IOWA CITY RD CHARGE No- 01 IA STATUTE IA713-5(2) E U.R=ARY 2ND Dr.rO TRK#: 04458020:1. COURT DISPOSITION AGENCY IA052015,T JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA716-7 TRESPASS CHARGE CLASS, MISDEMEANOR CONVICTION TRK#; 044S00201 SENTENCE PLEAD GUILTY JAIL ID 05, ARRESTED 199903.0 AGENCY:- IAU520200 :IOWA CITY PD CqhRGR No- 01 1% SlWry.)TE IA124-4.01 POSS999ION SCHNDULN I NARXaUAMk TRK#% 045098101 COURT DISPOSITION AGENCY: EA0520150 JOHNSON CO DIST COURT DCI 00522655 PAGE z OF 4 DISP EFF DAT 19980312 19980312 19980212 DIST RIT DAT 1qqq1.u2 19981.202 19981202 lqo. 3698 P. 4/6 Jul. T 2014 4:15PM Div o( Criminal Tnvestigat on DC 1 005226$5 PAOF 3 OF 4 COUNT go- 01 TIL STATUTE IA124-204(4) POSSOSSX09 GCI'tlT ("TIARGE CLASSR MISDEMEANOR COWICTION TRR#x 045098101. SENTENCE DISP EFF CAT FINE $250 19950602 COURT COSTS D1,11C REVOKED 180 DAYS 19990602 05 ARA39TED 20000521 AGENCY: 1AGE20200 10TIA CITY PD CHARGE NO- 01 IA STATUTE IA708-1 ASSAULT C,/INJURY TRK#z 040260201 COURT DISPOSITION Ar3:F.,NCY. IA052015ff JOHNSON CO DIST COURT COUNT NO 0.1 IA STATUTE I.A706.2(2) ASSAULT NO INTENT OF IffTURY - 1978 CHARGE CLASSz MISDEMEANOR CONVICTION TRK#; 040260201 SEWTxxM DISP EPP DAT kTAIL 2 D 20001201 FINE $2SO 20001201 07 ARRESTED 20001201 AGENCY: IA0520100 CORALVILLE PID CHARGE NO- 01 IA STATUTE IA714-1-6 THEFT. 4TH TXK#: 100095301 COURT, DIOPOSMON 0 AGENCY: 2A052015,7 JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA714.2(4) THEFT 4TH bgag= - 1978 COURT CASE I'D: 06521 S.RCRO56765 CHARGE CLASS: MISDEMEANOR CONVICTION TRM 100095301 R8STITUTXOM SENTENCE DISP EPP DA!r TIME SERVED SO 20030430 JAIL 5D 20030430 FINE $300 20030430 08 ARRES"PED 20091 BOB AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO- 01 TA STATUTE IA322-218 DRIVING W91L9 LXCgXS9 ))9NX9D,SUSP,CAMC9LLSD OR REVOKED TRK#z NK000PA01 No,3698 P. 5/6 J I,i 1, 7. 2014 4: 16PM Div of Crim nal Invest gal on DO I 00522655 PAO�,' 4, OF 4 COURT D:t3FO9ITl09 AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE IA321 218 DRIVING WXTLZ LICENSE DKff.IED,5USP,CA4rPLLH.D OR RN7uxED COURT CASE ID; 06.921 NTA0007183 I'RK#1YK000PA01 SENTENC8 FINE $250 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF QUILT- THIS RECORD MAINTXINFD BY THE IOWA DIVISION OF CRIMINAL INVFSTIQX.P.ION, KKTRfi;AU 01.' XOENTIFICATIGN IS A PUBLIC RECORD BUT CAN OMY 22 RELEASED TO NON -LAW ENFORCEMENT AGENCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE XbRNTIFICATION THIS RECORD XS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THN RrCORly COVERS THE SUBJECT OF YOUR INQUIRY, DIVISION OF CRIMINAL INVESTIGATION m No. 3698 P. 6/6