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
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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
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....
_. '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
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Cr"
ffistox-Y'Reeard Cfitd,N�k
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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 . ............................. ....... . ..................... . ........ ....... . ... . .................................... . . . ..............
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Phare;
......... .
. ................. ....................
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LastNa m k?M . . . ................ ................au; . . ............. ....... ......... . .. --- ........... . .............. ................... . ......
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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