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Home My WebLink About15-197�r 1 rlll� � � rtylyl®o�� ra.at._ CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX 1. Name (REQUIRED) IDENTIFICATION NO. (O ice Us Only) APPLICATION FOR TAXICAB I MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday– Friday) Failure to complete the "required" information will result in denial of the application Est Middle 6Lmr' Last 2. Address (REQUIRED) `IL -x 7�--tcfwq C +f :T -r4 S2ZL1� / 3. Contact Information (REQUIRED) Email:T( Y�Jf /lartn;n�(/�a^ Y-.h� e0y Cell Phone: (All written communication sent via email) 4a. Chauffeur's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED) Mcirc 0 , 5 5. Prior experience in transportation of passengers: for pkr(C 5 Owl,) `�,e 11, CcZ h _ 610 ark) (off 5 incl 2Dn`j 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? rS �JdIIC Iq � e.r What hapRrbpenec 7. Have you been TVpe of offense Where 1 When IIQt)Svb4-j,jc -1✓zt .00zs 4"-1_ -.ten:. 1, -r i_. TA ZOO $ ✓ q fvnna .1 y �ectc�f are? : 2.Op t� the chiecle one) 3 onvicte j Dismissed Deferred Suspended Plead Other rrested charged with any traffic offenses in the last five years?< neaj t� Where U 1 .1 a 30,s pe- d C What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended i fP1ead awi y When '�✓ 12 Za I ( / d 2t?) 9 -,V, Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? t>, u� Type of offense i� Where When O�f�nc)rc 5,5 per, ,.hnscrt Cc 2D (Z 9 Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the Eye(s) DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE G6RTIFI D CliF♦ DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE E%W You must apply for an individual Department of Criminal Investigation Report (form O (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY)' - w ry 02/2015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby certify that I have issued to me by the Iowa Department of Transportation vali Chauffeur's license number 239 CC 330 issued on yj expiring on 0 I I understand that if I falsely answer any questions in this application, that this application may 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 authorization to be a taxicab driver is granted, to comply at all times with all of the provisio s of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant 40a Date I , 2 STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworry to before me by MAYER on this I day of the State of I have reviewed this application, DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Chauffeur's license (Dt ll r'1 201 12 Signature I e Chief or designee (0.�1� Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. Signature of City Clerk or designee Office Use Only Approved application DCI report State certified driving record Website update Date ciertrtwaDRrvenoceAPare2oi4amended.Doc 0312015 hJ w r\� ciertrtwaDRrvenoceAPare2oi4amended.Doc 0312015 JiUWADOT' SMARTE? 19MPLU I CSI i"t MEP, DRIVEN 5 inviowedot.gov Office of Driver services PO &ox 9204 ? De5 Monies, es, IA 5{1306-92604 Prove, 515-244-912418ilfl-LxR24t21 I Fay. 515-239-1897 AWA'lcwado;_gl Certified Abstract of Driving Record Inquiry Date: 9/3/2015 DL/ID #: 239CC3308 (IA) CDL Permit Class: None Customer #: 306926 «. j Class: D CDL Permit Issue Date: None Name: Manning, Robert lames Audit #: 7877357 CDL Permit Expiration None 0@:..... ,B/y 4� IOWA 9/3/2015 -^-I C'7 a Date: Address: 468 PETERSON ST Issue Date: 03/13/2014 CDL Permit None 4iiiBp �� _ Off ceof Drivers Endorsements: ZA Iowa Departmenttofof Transportation Expiration Date: 01/17/2016 CDL Permit None Restrictions: City/State: IOWA CITY, IA 522455147 Endorsements: 3 ID Status: VAL Mailing 468 PETERSON 5T Restrictions: NONE DL Status: VAL Address: Restriction None CDL Status: ELG Mailing IOWA CITU, [A 522455147 Supplement: CDL Permit Status: ELG City/State: Date of Birth: 1/17/1981 COL Cert Status: None Sex: M CDL Mad Status: None CDL Downgrades TD.: i7f'rective _... End ACD assuing JUR gratle 04/22/2014 ]A.. _... History Information Convictions C9taVcn Less Conviction Date ACD Hxpletw ion Countyai3R.. 105/21/2011 09/13/2011 E54 'fail to Dim Headlights Johnson IA 06/17/2011 09/13/2011 M34 Following Too Close Johnson IA 107/30/2011 09/12/2011 S92 Speed :Jasper IA 09/01/2014 _ 10/09/2014 .S92 Speed Johnson 'IA 10/13/2014 41/19/2014 592 Speed Johnson IA Sanctions 7gpe EIectee End ALD Expl-:nation occur.«n_rce JL4' )UK Suspentled 03/08/2012 .06/04/2012 W01 habitual Violator -IA dA Name: Manning, Robert James DL/ID: 239CC3308 Pursuant to Iowa Code §321.10, 1, Kim Snook, Director of Office of Driver Services, Iowa Department of Transportation, do hereby certify that 1 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 l'ransportatlon 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, ry low0 a�this da[.y «. j a pt6lClf "'i�V L') 0@:..... ,B/y 4� IOWA 9/3/2015 -^-I C'7 a 4iiiBp �� _ Off ceof Drivers ZA Iowa Departmenttofof Transportation n2 Aug. 25. 2015, 9 40AM Div of Criminal Investigation liar Tow'No'6295 P. I/3 STATE OF IOWA Criminal History Record Check Request Form To: lows Dlvislon of Crlminal lnvesligation Support operations Bureau, 1e Floor 715 L 71h Street Des Moloes, Iowa 50319 (515)725-6066 (515)7Z5-6080 Fat Mcknnir\ DCI Account Number; 4383 -FC (If appnable) From: Marco's Taxl 116 Stevens pr. Iowa Ct , la 52240 Phone: (319)337-S294 Y_ Fax: (319)351-8294 11fi Date 01 Dirtmenana I ---- ^� �^ f / d 1 6 t Malo ❑Female JJ �O l Waiver X t?jf0rMpjA .o Withoat o signed waiver from the sobjeet oitbo requests a COMPlote "'nilual bislory record may out be releasable, per Code of fowa, Chaptdr 693.2, For ca le a criminal history record InforMotlon, as allowed by law, always obtains waWer s1¢nentre from thesub set of lho raguest. Waiver Mew: I hereby give permisdon for the above rcqumint oaialel to 00nOud an lows "'Min" hnioly rocas check with d,e Division arCH"Unal inwstlrprlon(M).Ant'eshnifWhlaaryJeneonumtn3nio"tIt ndplJnodbytVwbClmsybor*64 001owtdeylaw. Waiver Signafare: oWaCriminal HistoryRecor Cheek Resul (D4tUSC only) u, As of �1— «, a search of the provided name and date of birth revee:; U�%.; t'TJ P t 7 l ❑ No Iowa Criminal IIisWty Record found with DCI _Q` [} , '"-- eE1:. i 3Fl Met Iowa Criminal History Record attached. DCI # CIO DCI initials ��_ R� DOM (08/25/10) Received Time Aug. 24, 2015 12:15PM Nlla, 6222 Aug.25, 2M 9:40AM Div of Criminal lnveshi ation � 5 IOWA CRIMINAL HISTORY DCI 00.709211 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED— DCI :00709211 201$/00/25 NAME: MANNING,ROBERT JAMES DOB SEX RAC HOT WGT EYE HAIR SKN POB 1981D117 M W 511 210 BLU BRO FAR IL ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y SC CHIN CCH RECORD •t• 01 ARRESTED 20031011 AGENCY: IA0570000 LINN CO SO CHARGE NO— 01 IA STATUTE IA710-9(3) HARBORING A RUNAWAY TRK#: 502270101 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO— 01 IA STATUTE: IA726.6(1) CHILD ENDANGERMENT DEFINED COURT CASE ID: 06571 AOCRO53015 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 502270101 RESTITUTION SENTENCE SUSPENDED JAIL 90D JAIL 900 VINE $500 SUSPENDED FINE $500 PROBATION 2Y 02 ARRESTED 20080209 AGENCY: IA0160100 TIPTON PD DISP EFF DAT 20040304 20040304 20040304 20040304 20040304 CHARGE NO— 01 IA STATUTE IA708.2A(2)(A) DOMESTIC ABUSE ASSAULT TRK#: 081249401 CHARGE NO- 03 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA TRK#: 081249403 COURT DISPOSITION AGENCY: IA016015J CEDAR CO DIST COURT COUNT NO— 01 IA STATUTE: IA708.2(6) ASSAULT COURT CASE ID: 07161 SMCR020324 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#c 081249401 SENTENCE JAIL 2D FINE $65 COURT DISPOSITION AGENCY; IA0IGO15J CEDAR CO DIST COURT COUNT NO— DISP EFF DAT 20060501 20080501 No6295 P. 2/3 o_ �� .l cn Fn p d -<17 - i -r, s fry JQ O W n,� Au g. 25, 2015 9 4 1 A M Div of Criminal InvestigatloA DCI 00709211 PAGE 2 OF 2 O1 IA STATUTE: XA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 07161 SMCR020330 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#+ 081249403 SENTENCE DISP EFF DAT FINE $200 20080424 03 ARRESTED 200OD411 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124.,401(5) POBOESBION OF A CONTROLLED SUBSTANCE TRK#: 1AD03WW0I COURT DISPOSITION AGENCY: TA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 06521 SRCROB3044 CHARGE CLASS: MISDEMEANOR CONVICTION SENTENCE DISP JEFF DAT TRK#: 1A003WW01 TIME SERVED 30D 20100305 LICENSE REVOKED JAIL 3DD 20100305 SENTENCE DISP EFF DAT TIME SERVED 30D 20100305 JAIL 30D 20100305 FINE $315 20100305 COURT DISPOSITION IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW E: ;: "" AGENCY: IA052015T JOHNSON CO DIST COURT ENFORCEMENT AGENCIES BY THE DCS. COUNT NO- 02 IA STATUTE: IA123.91(3A) IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS No. 6295 P. 3/3 ALCH. CHAPTER 123 VIO/2ND OFF - 1983 COURT CASE ID: 06521 SRCROB3044 CHARGE CLASS: MISDEMEANOR CONVICTION TRH#: 1AD03WW02 SENTENCE DISP JEFF DAT TIME SERVED 30D 20100305 JAIL 3DD 20100305 FINE $315 20100305 c AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT, THIS RECORD;',_..-, cn c/7 ,.•. �.,I MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW E: ;: "" I+•�• ENFORCEMENT AGENCIES BY THE DCS. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS 31 pt^•p � °�I BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD`, COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION