HomeMy WebLinkAbout15-059CITY OF IOWA CIT
410 East Washington Street
Iowa City, Iowa 52240-1826
(3 19) 356-5040
(399) 356-5497 FAX
1. Name (R11::;;QU.i11T: „',i'(,U
2.. Address(((:iEQUf11It1::D)
S. Contact Information (IR
IDBq-nFICA"NON NO.
(Offilc* Use Orally)
APPII_IICA'TUON FOR °T'AXICAB I MOTORIZED PIEDIC l DRIVER
(Police (Department revtow must he unade (between 8 a..m.. U) 3 Ip••umo.,Monday .- Friday)
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4a. Clhaufferuu's Il -license exp'Imafiolnl da
5, 1 experience lieu t�ralnsportat'ioln of passengen:a„
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S. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State +air dsewhve?
mm,
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What happened to the charge? (Circle one)
Convicted Dismissed Deferred Suspended Plead Guilty Other
7. Have you been arrested / charged with any traffic offenses in the last five years?
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What happened to the charge? (Circle one) �°'"
Convicted Dismissed Deferred Suslraended frllaf,a Zip Other
.............n......,. . .....................................................
B. II 9 as your drivers Iliirc elnse om c:hau9ffew's (license Ilxe:en suspended or (revolted In the (last five years? ..........::�:............_......................................
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9. 1 lave you ever alpplllied to the an Ilowa City tx)x( dniveir uusiing a d'if'fememl nDal me? if yens, tlho umarnue(s)..:�
DPPAfkif110MLN"I° OF CIIvlIlUBINAIL IINVESTIGATION (Dt"xnp REPORT AND STATE CIE( `HF1,ISD
DIgIVING RECORD IVIun ACCOMPANY "I'lll APPM,ICXHON FOR POUCIE CHIIEF REVUEW
You must apply for an iindivlduuall Department of Cirlimuiinall Ilnuvesdgatton III (form avallablIe upon request),
(SIEE.CONIC.I PAE'UllSi e!01R IIMt':?QU.ulll'ME11) SIIGH4X1"U„UIIl AND I
0212015
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Signature ofApplicant Utail:a, Aa,„ M9j,
STATE OF IOWA )
COUNTYOFJOHNSON )
Subscribed and sworn to before me by (�a„� j,,xn C2, „,, g j .:E j. ` on this � ±,,,' ,.,.,.,. day of
Public In and Wir ffie
Signature caF Chief or designee
gym^
1
[)ate
AFTER APPROVAL BY "II"B•Uf_ CITY CLERK YOU ARE AUTHORIZED D TO IDIRME A "II"AMCAB BIM IIOWA CB"117 FOR IWC
MORIP3 THAM ONE lYB-AIR II"IMf. M '11"B•IIIL (DATE II_IIS"IrED IBIELOW„
THE I<" FFiEarlVE DA"f"F. P1tYBI...B_ MAtl,TCH 'V'HE CHAUFFEUR'S 11-iCil.:114SF i"XPIRA"gTONW IF B...IFSS "q" 4AN A YEAR.
natui b of (pi G.Ia rYR or designee
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Office Use Only
Approved application
DCI report
State certified driving record
Website update
r,�JWT'AMDRI EACrrEAPPI.92694a v-%d.i)6C 0212016
Mar, 10. 2015 11:21AM Div of Criminal investigation No. 2100 P.
1
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Mar,10. 2015 11:21AM Div of Criminal Invest gat on
IOWA CRIMINAL HISTORY
MISDEMEANOR CONVICTIONS ONLY I 00059559
PACE & OF 1
TE PRINTED-
DCI:00659559
2015/03/10
NAME: C TER'LEROY ONELL
DOD SEX RAC MGT NOT EYE HAIR
SKN POD
19070317 M E 510 160 ROD BLK
DRK IL
ADDITIONAL IDENTIFIERS PHOTO AVAILABLE;
Y
TAT R SULD
CCH RECORD wrw
01 ARRESTED 20090305
AG CY: IA0520100 CORALVIbLE PD
CHARGE NO- 01 IA STATUTE IA124.401(5)
POSSESSION OF A CONTROLLED SUBSTANCE
TRK#e LAGOGA001
CHARGE MO- 02 iA STATUTE IA7i9.3
PREVERT APPREHENSION/ OBSTRUCT PROSECUTION
TRK: 1A006A002
COURT DTOPORITION
AGENCY: IA052015J JOHNSON CO DISI COURT
COUNT NO- 01 IA STATUTE: IA719.3.a)A
INTERFERENCE N/OFFICIAL ACTS
COURT CASE ID: 06521 AUCROB6364
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: IA006A001
SENTENCE
DISP OFF DAT
FI $2 50
20110406
COURT DISPOSITION
AGENCY: IA05201SU JOHNSON CO DIST COURT
COUNT NO- 02 IA STATUTE: rA124.401(g)
POSSESSION OF A CONTROLLED SUBSTANCE
COURT CASE Ib: 06521 AGCROB6364
CHARGE CLASS: MISDEMEANOR CONVICTION
TRrAs IA006AO02
LICENSE REVOKED
SENTENCE
DISP EFF DAT
TIME SERVED 14D
20110406
JAIL 14D
20110406
AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD
MAINTAINED BY THE IOWA DIVISION yt,
CRIMINAL INVESTIGATION, K
IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW
ENFORCEMENT AGENCIES BY THE OCI.
IN THE ARSWCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION
RECORD IS
BASED ON INFORMATION FURNISHED. WE CANNOT THE ORD
COVERS THE SUBJECT OF YOUR INQUIRY,
*IVISION OF CRIMINAL INVESTIGATION
r
No. 2100 P. 2
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4I" a'a°fi'klu�llmfled Abstract IIIid Driving Record
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Issue DaN,m
09!27/2614
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IOWA CITY, `i, 9.A
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03/17/2017
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3/17/2987
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53281.86
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N1111r,"ttaw Caller, 4.a;a OVUM iSFAdD3343
Pursuant '0 lonvp caoa §32L' 10' 1, rim Snook, Mrector of Office of Dnver Sen fica TowS I)epartqke[jt of
Transportatfon, do
hs'fPby cevufY that t arra the rvltldil,, ofthe re,ords h,9d bythe OffiCe Of Dvive.9 SPYOces, that this W a true and a=rate copy of
an affldW Ye=d curnimMy kn themstudy OTald Of and that I have been aultillo"120 by the Director of the, lawa E)epadtment
c9,1b%memEbeVon Lo so redtfy,
In w1mew whereof, I have caused MY Signature and the Seal of the Department to be set upon this document, at Ankeny, Iowa
this date.
ihjcpffl
14
lowva Department of TrwwpweUn
W&MO., C'--eder, Le Roy Onen OLIEW, 187A033 r 3