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Home My WebLink About14-136Authorization Number (Office Use Only) I VIII �'tat Pom w�I I IOWA CITY APPLICATION FORT IIOTO ED PEDICAB VEHICLE DRIVER (Police Department review must be made 410 East Washington Street between 8 a.m. to 3 p.., Monday—Friday.) Iowa City, Iowa 52240-1826 (319) 356-5040 p�i'I.�/6.�t.✓ (319) 356-5497 FAX I' First Middle ILast 1. Name m .m 2. Mailing Address /`P h i "• �6 o f °eg" r• i amb, 3. Fele hone: Home x Other: _____ -------------- � u— J 4. Prior exper enoe In transpor tion of passengers:. 1� r.V =__ W __� ? _ __ w m _ ------------ 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? ? nmg of offense Where When frZ ge )..:................................................................... ^ ............... .., ( / .............................. .... 1:. ..__ .............................._....... ... ! ......b............... 4 L 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? n.,j 7. Have you been convicted of any traffic offenses in the last five years? MM I 8. Has your drivel's license or chauffeurs license been suspended or revoked in the last five y rs?�® %r/ IM 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) • • • a *• s •- • ^ •I Ji Ill 1A • • sI lani;L014 (OVER FOR REQUIRED SIGNATURE AND NOTARY) rlvbadp 0312014 I hgr �y cer that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number lI '6 r; i- 14 . I understand that if I falselv answer anv 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 appl?cation, 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) Signature of Applicant �., e j 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. STATE OF IOWA ) COUNTY OF JOHNSON r..,� '..,... da of ";a -j IKFLt['K.TUTfLE /-,e f ,(^':'.� this Sucribd and or or to before me b as „ On t -C �sr r.�„r.n.ucuan hluriibpr72Notaryr Public In and for the State of Iowa 1 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). ........................................................................ Signatur 771,66 Chief or designeeDate 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. Sighat, o g City Clerk ordesignee 71 ate Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 %” (width) and 5 %1' (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update de&ka>divbedg9qpp2014.cca 03/2014 �;�ItJd� �� 9� 0111 Dar SMARTER f SD' PL.T I CU irwbv. DON !u.� 12if!uu.1' 4P1 f.OTk'&!er'.�Y.a"MriiC�'".W IPO BOX ,X2.04. 11e» UbicrM.,LA 306-9204 f'riOnfE 5q5 244-SW24 M* 532 1121 U 1`o'r 515:-??;9...'rt',17 vmUowedol.f.4w. Ciarttfled All!ksturact of DirIvilirig Ree oird Inquiry Dated 7/1/2014 DL/ID A- 683YY0685(IA) Customer V. 4989471 Namm Pearl, Andrew Asko Class: D ID Status. EXP Address. 621 S DODGE ST APT 8 Audit ON 8214746 DL Status: VAL Issue Date- 07/01/2014 CDL Statua- None Cllty/Stater IOWA CITY, IA Expiration 11/10/2015 CDL Cart None 522405401 Date, Statues Endoreernents-3 CDL Meal None Statue- Mailing Address- 621 S DODGE ST APT 8 Nostrictions- NONE Restriction None Date of Birdie: 11/10/1961 Supplarnent- Mailing City/Statm IOWA CITY, IA Sex® M 522405401 Clitatlllain hate C0111vitUaroun d�a11Ce� AC'O 02fA ,f2il'40 a .. , 9/J9 /220„ro . . ...... .. ..... `.A20 r„wccurreimrca ACD �-EN�planal 'Al2. Offl rest "ip°,,pr, RV active Emend o,,ClID lmspalan n9:iron revoked :02,124120V,5 0212412006 A:1,2 OW1 pest 1uefusall Pursuant to Iowa Code §321.10, I, Kim Snook, Director or 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: r elrfl/ a,. ,. Jul. 7. 2014 9:53AM Div of Criminal Investigation 'J°U r. I� t ry 1G. JJr rn Cr L dein U t U L U W a Lo L .'�, i (�) i (�f �, ill, �� ( ii ri I<I' Ilse nil 15r�iU�lul Checky it I , qr Support Opornt(ons Bureau, Ia Floor 219 9, 711, street 90319 6r66 0 CrITaImil PtM 4 L— 4t'.rQA' NNoY 36c18 P P.� 2/7 U. AC] Account Number. 0;)' '" F ........ (frapplieable) a°orn;m.."h3.............................................. h.9 f2errlea Of fi es A18 -E-Wad, D1ue,R _ 1ava 0%... A 5r440 Yhane: 31.?) -„956.5041 ...................................................... .......................... _______........................ Fsat; 91.9-556-5497 Ckm&3(J LI'Vem ale Middle vRlRTMec° la~g�'�s^�ar�d1rpRR. '11r"haquaannK; a vlgunenl'araaereq° lfq^clrna R1rce rawrlrlu'+e1 ok1'211aar !rae�uaa3el, � �oaua�le(e i:aartaaGun'a4 gntivfimu',� a aaurau u1 ttarce� gaeR bo YCIV S AWO, per COU of NOW0, C hapt.AT X92.2. AvuaaG'r'gzca�lgr hal lolnlon°,y record lugl'Ran°uuafl=, ov aallowed by N% always olBlalRa_au^nl�eR^,RR,leaiaduvaRkma�aehww7�pa.Pea:(aualRhwu'aaaup69aR. ° "aMRyer. a'.n��''&:;4gaapu:.gaq�ggovra,pclrumq�smfrcuRaaPn�aPrt�wrDadwr��rrapnue�nlluu,;nwfilvo =OM Aramloft a!PitemiuWMaa¢oirYTwwrdchboCwM hIihooD?I'WonrOnew:aAxur�hM aanvYzwR"u,�an. uuraxn l�5�k�° al�n;q+»rkaxnaunaV Rniisamugraia6m xa�rnmemo0ua,�mnm ltX'i�wv. 6smmaiinu'aariQid ku,)'B(A'U rU�,7 uri9N+,HbC KCNCaA6�a9f m8&aorcrr„a Rr)°laW�w. ........ cord Check Results off......... _.................................... n seta dt of the provideD ttnnR .e and, alale of birth trimc @cRl: El No J)Ovm Ckl's,Aa.inal 111story Record,Flowid with DCT l:oma.C1iniinal'MslcuyItecordaHaclaed,DOT. ��*.. ..: .. IN Received TimeNu1. 1..02014 12:34PM No, 3815 (nCrM:o only) °r ,Jul, 7. 2014 9:83AM Div d Cr�mina" Investigation 9)CX d00465966 NAME a PEARL,ANDREW ASTRO SARGENT,ANDREW V.PG: B zx RAC 19611110 M W ADDITIONAL IDENTIFIERS IOWA, CRINT:NAL .HISTORY' NON CONVISrt"'I'.ION DCI 00465966 PAGE 1 OF 2 DATE PRINTED-. 201.4/07/07 HOT 670T EYE HAIR BEN .510 220 BLU SRO PHOTO AVAILA4.RI.Xs Y CCH RECORD www 01 ARRESTED 19930722 AGENCY; 1ADS70100 CEDAR RAPIDS PD CHARGE NO... 01 Ida STATUTE IX71.2....5 R'ECXL ESUS USE OF EXPLOSIVES TRK#: 008738601 COURT DISPOSITION AGVNCC: X1057015J LINN CO DIST COURT COUNT NO- 01 3:X0. TSTA"f.'UTE I. A'7::V.2_5 RECKL900 USE OF EXPLOSIVES COURT CASE ID: SR3.5664 CHARGE CSSe NON CONVICTION TRK#: 008738601 SENTENCE DEFERRED JUDGEMENT COURT COSTS 9RODATxON 2Y COMKOXITY SERVICE 50T.T DISCHARGED FROM DEFERRED JUDGEMENT AGENCYN I'A0520200 :IOWA. CXTUT PD CHARGE NO- 01 XA STATUTE T.A321J.2 OPERATING WHILE INTOXICATED TRK#: 101437301 COURT DISPOSITION AGRNCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE XA321J.2(A) DEER VEH WN INT (OWI) / IST OFFRNSE COURT CASE ID: 06521 OWCR071502 CHARGE CLASS: NON CONVICTION TRK)(: 101437301 DRUNK DRIVING SCHOOL SUBSTANCE ABUSE EVALUATION SENTENCE DEFERRED JUDGEMENT PRONATI 365D DISCHARGED FROM nXFMIR D JUDGEMENT 03 A9R920 TED 2013.0831 IN DISP EFV DAT 1994.0103 19940103 19940103 19940103 19951223 No. 3618 P, 3/7 DISK? EFS' C.).'FAT kk,nEhm DATE 200507:1.3 200601.13 20050713 20060719 Jul, 7. 2014 9:53AM Fv of Cr,m nal Investigation No, 3618 P. 4/7 DCI 00465966 PAGE 2 OF 2 hv=cy� 1A0520200 �IORA CITY PD CHARGE NO- 01 IA STATUTE IA708.2A(2)(C). DOM99TIC ABUSE ASSAULT 1INTENT Olt DISPLAYS A WEAPON TRK#! IAOOCM401 couw.p DISPOEITION AGENCYii EA052015U JOHNSON CO DIST COURT COUNT NO- 01 1A STNrUTE IA708.2A(2) (B) DOMESTIC USE ASSAULT CAUSE BODILY INJURY/MENTAL ILLUR...96 COURT CASE ID: 06521 ACCR095364 CHARGE CLASS: NON CONVICTION TRM IAOOCM401 SENTENCE D1.9P EFF DAT DEFERRED :nTDOSMRNT 20220403 FINE $315 20120403 PROBATION ly 20120403 DISCHARGED FROM 20130228 DEFERRED JUDGEMENT AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVUTIGATXON, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY RE RELEASED TO NON -LAW ENFORCEMENT AGENCIES EY THE DCI. • EASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJRCT OF YOUR INQUIRY, DIVISION OF CRIMINAL INVESTIGATION I