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Home My WebLink About15-274Authorization Number / 5 —7--7 q_ (CJffice Use Only) .- APPLICATION FOR TAXI I MOTORIZED PEDiCA9 VEHICLE DRIVER CITY OF IOWA CITY (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday.) 410 East Washington Street Iowa city, Iowa 52240-1926 Failure to camolete the "required" information Will result in denial ot'the epPlil atlon (319) 356-SO40 (319) 356-5497 FAX Frit pQfddle st/h- 1. Name (REQUIRED) cv(� 2. Mailing Address (REQUIRED) .u') 3. Contact Information (REQUIRED) Email: 4. Prior experience in transportation of passengers: �G ?'e�e, -f- 5. S Ls��- Cell Phone: -1/%;9G 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or Type of offense Wh 6. Have youcc klfleryonnvicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? �(, , /i/ Tvoe of Offense Where When 7. Have you been convicted of any traffic offenses In the last five years? of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 1 Tvoe of offense 9. Have you ever applied to be an Iowa City tab driver using a different name? If yes, please provide the name(s) DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATGYCERTIFJf'D DRIVING DRNG RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW .�„,„ You must apply for an Individual Department of Criminal Investigation Report (form avabbli upon request). kd (OVER FOR REQUIRED SIGNATURE AND NOTARY) OW2014 I here4y certify that I ave issued o me by the Iowa Department of Transportation a valid Chauffeurs license number 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 from of a Notary Public) Signature of Applicant 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 icgovorg. STATE OF IOWA ) COUNTY OF JOHNSON ) SOscdbed and sworn to before me by On this / }-i R 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). Signally of Poli hief or designee 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 tcgov.org. Signature of City Clerk or designee /- /.�/_. /S Date Taxicab businesses are required to provide Driver Identification cards. Cards must be 8 Y=" (width) and 6'Y2" (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update GWrWAXDRivenooewamma,M, dDW OW014 W 7ilVr ¢F^'U �g A ,{ do 5{yy« 01' f.HHCP. Df Lqt 52H1�Y1I PO Wx liow a nes f+ wNc, I& swim Hm Ptione sfr.7.44 -9124 X* z-tYr{9>ax.bvizw'107 'arNw:wtNwadal,gay Inquiry Daten I16mis Native Rollog, Loyd lowph Ad*c,co,. 2225 DILLONS FURROW RD NE City/Sdbe: SOLON, IA 523339776 NaN'mg Addrn 2225 DLLIIONS FURROW M NIS eNid"Ae City/Stats: SOLON, IA 523336"l76 rlamee Roliop, L l d Joseph DL./tDr 775ZZ6656 Certified Abstract of Driving Record DL./2D Sc 775ZZ6656 ([A) cYu6ower •t .546175 Dims; C so swtus: None Audit it 7433.189 DL stens, VA 3scue Deis: 03129/2Dl4 col, statusi Nate expiration Data: 3212D/2018 CD4 Cert adtra: None erMmaenentrc NONE CDL Ned StaWnr None R."rictieaN Cnnettna Lenses R.-ftI 6" Non? Dube of 8lrthc 12/20/1951 Supplarnam Saxu N History information CLEAR DKMNG RECORD ouMunt be lova Code F321. 10, L kIm Snook, Director of Office of D Twr SeMces, lows Department of Transportation, do hereby certify aun I run the custodian of the records held by the Odke of Driver Services, that this k a true and acWmbe copy of an official record currently In the custody or said office, and that I have been authorised by the Director of the Iowa Department of mportW=m m certify. in whness whereof, -I have carped my 99natere and the sad or the Department to hese[ ubbn this document, at Ankeny, fawa this date; Name: Roo p, Loyd .Ioaaph M/LD. 775226656 �n•6 1/6/2015 .D D Q. T •.. •• ••• low. DfDriverntoSmims no 1PW8 DCIIi(DRQnC Pf TYarKparflllWn .Jan.12. 2015. 2,12PN Div of Criminal Investigation aan. y. iv,6 wiir1 Lily Lierk - Lily of Iowa City STATEOIFlsil 1�;'r f fIWiI•;i, i� - I- 11�:r J'e.! 'r''i. I,. 1 Request 1 :n t: i .a Tot Towa Dividon o¢CrlminallluvaMptlon Support 0peratl6ao bureau, r'Floor 215 E. 70 Street )Des Molaes, Tows 50319 I(i515)1123-6066 Gi15) 775.6000 FAY 7 am s•rrnrneHn o an Tnttan C'S•imiml T-Tistm+v Y2.eo�rn C.%nck fEAY. No. 7630 P. 1/10 No. 5530 P. 1 DCIAcoountNuntber: Y0 —)'—V 6l(applicebb) Froms City Qflewa Cfity City Clerk's 010ce _414 L Washhr ore btreot phone! 319-:156.50911, i?au: 319-;356.5497 ---- ,Lad$ NAMC 6mudera First No .0rrory5 I Middle NaDnez awl', )Dat$ of Bitot r r,aiiroryD ---- Ga1Yde> rv,eedsrer 30t1a1 SecYIY i Nt1 abbot _ rrcaumrnd lmade U$emale Waaivel"ri 01"m Y1. Without a signed waiver Rear tho anld'aot ofiho rsyuest, a complefe er•)arinal history record maynot be releasahlh, per Code of down, Chapter 033, For —etlujiLO Minimal history record intormatiori, as allowed bylaw, always obtain a waiver a otare frorn the sub sot of tho r® asst }�°a'liVBi",k�CPL7dS°8� ldcrobysNro pemnise7mn fnrthe ebevc regn�iimy, eTctat to a,nduarap deW4 eahrd�Y Grsrarrrewcd nlicn� wlrb the iliViaCen otCrinihcel lekoailaldon(YrrJ[]. Argy apmTncR blcrowdwa cont'.an'd'aaatm ln,eiacsiuxd tyr7xs niey ba rot as eltovrtd 4y`ta,W� 1=2.'-�,.�• dYnlvcr,S°f$nnlaswes,_- T`"-. -_"' l.,�J ._ F Aa of __ k \ V4- I V fa seaecla of the provided name and. date of birth revealed: IVa Iowa. CxiDaaiwg Hiatury, Record foond wifltlDCl EP I...CiimaraalI iatorydt,eccrdattaclted,flC1# agAIL M DO initials Received Tiip-Ja%.erg9-1015—!2;17PM-No. 8436 ---- - ..-IPClitaoonly) I r.r Jao,12, 2015 2:12PM Vv of Criminal Investigation IOWA CRIMINAL HISTORY FELONY CONVICTION DCI.002 927,$ 8 NAMRt ROLING,LLOYD ROLING,LLOYD JOSEPH ROLIKS,LLQYD J00E11 ROLING,LOYD JOSEPH ROLINO,LOYD JOSPEH DOH SEX RAC HUT. WGT &YE 19501220 M W 601 215 BLU 19511220 1957122D ADDITIONAL 'IDENTIF'I'ERS Sr ABDOM CCA RECORD a -- DCI 00292148 PAGE I OB 9 DATE PRINTED - 2015/01/12 RAIR SFro POS ORY MED IA 01 ARRESTED 19620629 AGENCYe IA0570000 LINK CO SO CHARGE NO- O1 INTHR6 WITH 0" ACTS TRX#: L22090901 COURT bISPOSITION A0WCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IKTERFRRENCB WITH OFFICIAL ACTS CHARGE CLASSf MISDEMEANOR CONVICTION TRICK; L22090901 SENTENCE PLEAD GUILTY FINE $35 02 ARRESTED 19830301 AGENCYc ZA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC TNTOX TAR#: L220910DI COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- D1 IA STATUTE IAI23-46 PUB INTOE CHARGE CLASS: MISD$MRANOR CONVICTION TRE.#; L22091001 SENTENCk FINE $25 D3 ARRESTED 19031206 AGENCY, IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC INTO% TRK#x L22091101 DISP EFF DAT 19820817 19820817 DISP EPP DAT 19830630 No, 7830 P. 2/10 r,.r� Jan.12. 2015 2:13PM D v of Criminal Investigation No. 1830 P, 3/10 DCI 00292148 PAGE 2 OF 9 COURT DISPOSITION AGENCY: XA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123-46 PUBLIC XXTOK CHARD$ CLASS: MISDEMEANOR CONVICTION TR'K#: L22091101 SENTENCE DISF EFF PAT PLEAD GUILTY 19840418 FINE $27 19040419 04 ARRESTED 19040302 AGENCY: IA0520200 IONA CITY PD CHARGE NO- 01 IA STATUTE IA321.-201 OWI TRK#; L22091201 COURT DISPOSXTION AGENCY: . IA052015J JOHNSON CO DIST COURT CO(7NT NO- 01 IA STATUTE IA3i7.1-287. owx CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091201 SENTENCE DISP EPP DAT JAIL 21) 18040803 PINE $300 7.9040803 05 ARR98TED 19840420 AGENCY: XA0520000 JOHNSON CO 50 CHARGE 90- 01 IA STATUTE TA123-46 PUBLIC INTOX TRK#: I.22091.301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE XA123-44 ]PUBLIC INTO$ CHARGE CLASS: MISDEMEANOR CONVXCTION- TRK#t L22091301 SENTENCE DI$'P EFF DAT "... PLEAD GUILTY 19840531 '- PINE $33 19840531 - 06 ARRBSTND 19840512 ... AGENCY: IA0520100 CORALVILLE PD ` CHARGE NO- 01 IA STATUTE W08-1-2-2 ASSAULT TRK#: L22091401 COUNT DISPOSITION AGENCY: IAOS2015J JOHNSON CO DIST COURT COUNT NO- 01 -Jae.12. 2015 2:13PM Div of Cr,urinal Invest;gation DCI 00292140 PAQ,E 3 OF 9 ASSAULT CAUSING BODILY' I14MY CHARGE CLA66: M159EMFPMOR CONVICTION TRIG#: L22091401 SENTENCR DISP EFF DAT JAXL .3D 19841015 PROBATION lY 19841015 SUSPENDED 12D 19041015 07 ARRDSTED 19941103 CORALVILLE PD AGENCYe IADS20100 CORALVILLE PD CHARGE NO- OX PUBLIC INTO% TRK#: L22091501 COURT DISPOSITION JOHNSON CO DIST COURT AGENCY: IAO52015J JOHNSON CO DIST COURT COUNT NO- 01 PUBLIC 32fTOX TAK#+ L22091601 CHARGE CLASSt MISDEMEANOR CONVICTION Tk%#: L22091501 DISE 8FF DAT SENTENCE DISP EFF DAT PLEAD GUILTY 19841103 FINE 025 19841103 06 ARRESTED 19050219 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA700-2-3 ASSAULT TRK#: L22091601 COURT DISPOSITION AGENCY: IA052015i JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE 1A700-2-3 AS6AOLT CHARGE CLASS: MISDEMEANOR CONVICTION TAK#+ L22091601 a RNTPIME DISE 8FF DAT FINE $50 19860206 09 ARRESTED 19051004 AGENCY: IN0520200 CHARGE NO- Ol ONI TRK#: L22091701 COURT DISPOSITION AGENCYe IA052015J COUNT NO- 01 OWI IOWA CITY PD IA STATUTE IA:321.-201 JOHNSON CO DIST COURT IA STATUTE IA321-281 No.7830 P. 4/10 Jan.12. 2015 2:13PM Div of Criminal Invest+gat;on DCT 00292148 PAGE 4 OF 3 CHARGE CLASS: MISDEMEANOR CONVICTION TRK##: L22091701 SENTENCE DISP EFF DAT JAIL ID 19660228 FINE $750 19860228 16 ARRg8T8D 190s1210 No. 7830 P. 5/10 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 XA STATUTE IA123-" PUB INTOX TRK#: L220916DI COURT DISPOSITION AGENCY: IAD52015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123-46 PDB INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091001 SENTENCE DISP EFF DAT PL'RAD GUILTY 19660508 PINE ,75 19860508 11 ARRESTED 19960511 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA123-46 PUB INTOX TRK#: L22091901 COURT DISPOSITION AGENCY: IA0520153 JOIWSQN 00 DIST COURT COUNT NO- 01 IA STATUTX IA123-46 PUS INTOX ..... CHARGE CLASS: MISDEMEANOR CONVICTION - TRK#: L22091901 .'.Y.... SENTENCE D168 EFF DAT.. PLEAD GUILTY 19860912 PINE $25 1.9860912 :.." 12 ARRRSTED 19860615 AGENCY: XA05201QC CORALVILLE PD CRARGIE NO- 01 IA. STATUTE IA906-11 PROD VIOL TRK#s L22092001 COURT DTOPOSITIO14 AGENCY: IA062015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA900-11 pROH REVOM CHARGE CLASS: MISDEMEANOR CONVICTION Jan, !2. 2015 2:13PM Div of Criminal Investigation No.7630 P. 6/10 DCI 00292148 PAGE 5 OS 9 TRKV; L22092001 SENTENCE DISP EFF DAT TO SERVE CYCLE DOA 19860717. 051284-120 JAIL 13 ARRESTED 19870604 AGENCY: IA0520200 XOWA CITY PD CHARGE NO- 01 IA STATUTE I:Al2:1-46 PUBLIC IMX TRK#i L22002ZOI COURT DISPOSITION TRW L22092201 AGENCYi IA0520151T JOHNSON CO DIOT COURT COUNT 140- 01 IA STATUTE IA123-46 PUBLIC INTOX INTERF W -ACTS CHARGE CLASS: MISORMEANOR CONVICTION TRKS: L22092101 Ti L22092202 SENTENCE DISP Epp DAT PLEAD GUILTY 19070702 FINE $20 19070702 14 ARRESTED 19870926 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 ],A STATUTE IA123-46 PUBLIC INTOX TRW L22092201 CHARGE NO- 02 xA STATUTE IA719-1 INTERF W -ACTS Ti L22092202 COURT DISP081TION AGENCY: LA0520153 JOHNSON CO DIST COURT COUNT NO- 01 IA STATUIX IA1,23-46 PUBLIC TNTOX CHARGE CLASS: MISDEMEANOR CONVICTION ,. TRK#: L22092201 SENTENCE DISP RFPDAT PLEAD GUILTY 19870926 FINE $25 19870926 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 Ln STATUTE IA71,9-1. INTRP31 W -ACTS CHARGE CLASS: MI814EMEANOR CONVICTION' TRK#: 122092202 SENTENCE DISP EFF DAT PLEAD GUILTY 19870926 Jan.12 2015 2:13PM Div of Criminal Investigat on UCS 00292148 PAOX 6 OF 9 FINE .N25 19870926 15 ARRESTED 19871205 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 Owl 3 RD TRW L21092301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT CHARGE 140- 01 COUNT NO- 01 IA STATUTE IA321,I-2 ONi 3RD COURT DISPOSITION CHARGE CLASS: FELONY CONVICTION JONNSON CO DIST COURT TRK'#: L22092301 IA STAT(YID 'IA123-46 PUS INTOX SENTENCE CHARGE CLASS: MISDEMEANOR CONVICTION DISK KPP DAT 9USPENDED JAIL 21,40 19080525 JAIL 2708 19880525 PINE $750 19880525 PROBATION 2Y r 19850525 DRIVER'S LIC. REVOKE65Y 19880525 16 ARRNSTRD 19880225 AGENCY: IA0520200 IOWA CITY PO CHARGE NO- 01 IA STATUTE IA714-1 THEFT 4TH TRK#: L22092401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA714-1 THEFT STH CHARGE CLASS: MISDEMEANOR CONVICTION TRKO: L22092401 SENTENCE DISP EFF DAT PLEAD GUILTY 19880525 JAIL 2D 19000525 17 ARRNOTND 19080611 AGENCY: IA0520000 JOHNSON CO SO CHARGE 140- 01 IA STATUTE IA128-46 PUD INT% TRO: L220925DI COURT DISPOSITION AGENCY: IA0520151T JONNSON CO DIST COURT COUNT NO- 01 IA STAT(YID 'IA123-46 PUS INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1,22092501 No. 7830 P. 7/10 t_. Jan.12. 2015 2.13PM Div of Criminal Investigation S PNTURCS PLEAD GUILTY FINE $1,00 1S ARRESTED 19000911 AGENCYi IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-4 THEFT 4TH TRO: L22092601 COURT DISPOSITION AGENCY: IA032015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA714-2-4 THEFT 4TM CHARGE CLASS; VISDLMEANOR CONVICTION TRK#: L22092601 SENTENCE FINE 4150 SURCHARGE 19 ARMT90 19061124 AGENCY; SAOS20200 IOWA CITY PD CHARGE NO- 01 IA STATUTE .IA12:3-.46 PUB INTOX TM: L22092701 COURT DISPO9ITION AGENCY, IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123-46 PUD INTOX CHARGE CLASS; MISDEMI'ANOR CONVICTION TRK#: L22092701 SENTENCE PLEAD GUILTY FINE $25 SURCHARGE COURT COSTS 20 AXURST8D 1.9081222 AGENCY: IAOS20200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA123-46 DUB INTOE TRK#: L22092801 CHARGE NO- 02 In STATUTE. IA716-5 CRIH M19CH 3RD TRK#: L22092002 COURT DISPOSITION AG$'NCY: IA05201.SJ JOHNSON CO DIST COURT DCX 00292140 PAGE 7 OF 9 DYSP EFF DAT 19000921 19080721 DISP FEFP DAT 19890123 DISP EFF DAT 19590126 19590126 198901,.36 Na. 7830 P. 8/10 Jan. 12. 2015 2:13PM D.v of Criminal Investigation COUNT NO- 01 IA STATUTE IA123-91 PUD INTOX 2ND IA STATUTE IA123-46 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22092801 TRKN: 014015901 SENTENCE COURT DISPOSITION JAIL 213 CREDIT W/TIME SERVED SR COURT DISPOSITION PUBLIC INTOX A0ENCY4 IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE 14716,6 CRIMINAL MISCHIEF 3RD CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22092802 $50 SENTENCE lob 20040514 JAIL 20 CREDIT W/TIME SERVED 8R 21 ARRE6TBD 19950210 AGENCYi IAD530000 JONES CO SO CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC INTOX TRKN: 014015901 COURT DISPOSITION AGENCY: IA053015J JONES CO DIST COU&T COUNT NO- 01 IA STATUTE IA123-46 PUBLIC INTOX - 1909 CHARGE CLASS, MISDEMEANOR CONVICTION TRK#: 014015901 CHARGE CLASS: MISDEMEANOR CONVICTION SENTENCE )FINE $50 22 ARRESTED 20030723 DCI 00292145 PAGE D OF 9 DISP EFF DAT 19890616 19690616 DISP EFF DAT 19090616 198.90616 DISP EFF bAT 19950219 AGENCY: IA052D200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA705.7(12)A(1) HARASMRNT IST TRK#: 100913701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE 14700.7(2) HARASSMENT / IST DEG. - 1909 COURT CARR ID: 06521, AGCR,066000 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100913701 SENTENCE DISP EPP DAT JAIL lob 20040514 No. 7830 P, 9/10 Jan. 12. 2015 2;"3PM 0�v of Criminal Investogat on DCT 00292148 PAGE 9 OF 9 FINE $500 20040514 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL IMSTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY RR RELEASED TO NON -LAW )WORCEMENT AGRNCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS POR POSITIVE IDENTIBICATION THIS RECORD IS BASED ON INFORMATION FURNISHED. WS CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION Wm No.1830 P. 10/10