The URL can be used to link to this page

Home My WebLink About15-299„III4 � '11��®lll CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX 1. Name (REQUIRED) IDENTIFICATION NO. � 3 (Office Use ply) APPLICATION FOR TAXICAB / 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 Middle tb .4 Last 2. Address (REQUIRED) _ / ( j 0 F Atuc s lit) 2 3. Contact Information (REQUIRED) Email IUMMt/ 41e Cell Phone: 337- ice/ (All written communication sent via email) 4a. Chauffeur's License expiration date (REQUIRED) b(o - -2-q — 2 is 1 �- b. Taxicab Business Name (REQUIRED)_ C/4 5 GG s✓i4 G 2� 5. Prior experience in transportation of passengers: - SI�� `f Gh �'�c S r nJ � Ucf /I DliurCS 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Vtf Type of offense Where When �n It -c-( tt, A5 SC> 6 ---VAS &/x.01 ft"i.,ao � J What happened to the charge? (Circle one) Convicted Dismissed eferre Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offense Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? /f/'+9 Type of offense Where When 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provTtlelhe 6rne(s) = i' DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIAVID YS ' DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE GkEF REVIEW You must apply for an individual Department of Criminal Investigation Report (form available upp� request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 02/2015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby certiffyy that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 72y`/�32 y0 issued on expiring on 4125'/ /4� . 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 provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant 4: Date /2 -/i --IJ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by —I(- c, , f) 1 r 2 1 r CX -�- on this day of WENDY S- MAYER Public in ai4h for 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 orwelfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). /� Expiration date of h uffeur's license & ?,q CJI t0 gnature ol Police Chie9or designee I 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. Signa of City Clerk or designee /a -//s /,( D Office Use Only Approved application w...a DCI report`° State certified driving record Website update _.. c.3 Cl.r AXIORIVBADGEAPPL92014amendedDOC 0312015 4:57AMCde Div of C;IminaI Investigation (Fnx)3tsasez,Noo.3723 P.r 1�A1oo2 STATE OF IOWA Criminal History Record Check Requests t iy .:sron a• To; Iowa Dlvlsion of Crlmlcnl Investigation Support Operations Bureau, I" Floor 215 L 7'b Street Des Molncs, iowa 50519 (515)725-6066 (515)725-6080 Fez I am rcaueatlna nn Inwa r..rlminnl Lri.mn A>nn.d r'k—lr..... s,•s'rn; ,I; DCI Account Number; 9967-F (ifoppllgobla) From; 'Yellow Cab of Towa City P.O. Box 42s Iowa City, TA. 52244 (319) 338-9777 Phone; Fax, (319)339-7302 Last Name (mando[o First Name Lmandaioryy MiddleNQWO (rccommcndad (DClaleOnly) As of Z - l a search of the provided name and date of bitch revealed; Date of Birth (mandmte ) Gender mnndamry •SOM&I•Security NuiuboP rcwmmondod ��/�f / �� t3lA7ate ❑Female `7 f2 ��-2�6 Walver Information; Without a signed waiver from the subject or the request, a eomplste prlminnl history record may not bo releasable, per Code of Iowa, Chapter 692,2. For complete arlmInAI hlotory record Information, as allowed by law, always obtain a wotvor sl nature from the subject ofthe ra uest. Waiver ReleaSe; I hereby glva pem lisloo ror the above requeming onlool to Cooduer M iowa criminal hialorymor4 ChCtk wllh the D1Vltion of Criminal Inverngmlon (DCI). Any erimiml hhmry dma concermap me Ihat IS mainitlned by the DCI May be relCUC4 AS e11oWe4 by law, i1'afile.-Sfgnature:��J iuw1u i—rimistnl nlsiory necorll l�neCKicesuirs (DClaleOnly) As of Z - l a search of the provided name and date of bitch revealed; P- No Iowa Criminal History Record found with DCI --5 c i + Iowa Criminal History Record attached, DCI # '1 �C7 �lJ� z $ ` -s' DCT initials ca DCI -77 (OS125/10) Reeelved T4 e )ac, 10 2015 2 : I I P M No.3021 Dec:11 2015 9:51AM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00438354 MISDRKBANOR CONVICTIONS ONLY PAGE 1 OF 3 DATE PRINTED - 2015/12/11 DCI:OD438304 NAME: WILLIAMS,TROY NICHOLAS WILLIAMS,TROY NICKOLES DOB SEX RAC HGT WGT EYE HAIR SKN POB 19660629 M B 507 165 HRO BLK AR ADDITIONAL IDENTIFIERS CCH RECORD '" 01 ARRESTED 19920425 �' cr AGENCY: IA0570000 LINN CO SO CHARGE NO- 01 IA STATUTE IA204-401-1 DELIVER CONTROLLED SUBSTANCE TRK#: L41618601 COURT DISPOSITION c,7 AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: CONSPIRACY TRK#: L41BI8601 RESTITUTION SENTENCE PLEAD GUILTY DEFERRED JUDGEMENT COURT COSTS PROBATION 3Y 02 ARRESTED 20001105 AGENCY: IAOS70200 MARION PD CHARGE NO- 01 IA STATUTE IA321J-2-2-A OWI IST OFFENSE TRK#: 500906801 COURT DISPOSITION AGENCY: TA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTEi IA321J-2 OWI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 500906801 SENTENCE PLEAD GUILTY COMPLETE SUBS ABUSE TREAT JAIL 2D FINE $1000 COURT COSTS 03 ARRESTED 20020406 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124-401-5 POS9 CONTRL SUBS I TRK#: 100510101 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT DISP EFF DAT 19930416 19930416 19930416 19930416 DISP EFF DAT 20010215 20010215 20010215 20010215 No, 3723 P. 2/4 �' cr rJ t;l c,7 Dec.11, 2015 9:57AM Div of Criminal Invesfigah on No. 3723 P. 3A DCI 00438384 PAGE 2 OF 3 COUNT NO- 01 IA STATUTE: IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 SRCRO61816 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#' 100518101 SENTENCE DISP EFF DAT FINE $250 20020619 04 ARRESTED 20070617 AGENCY: IA0570000 LINN CO SO CHARGE NO^ of IA STATUTE IA708.2A(2)(A) DOMESTIC ABUSE ASSAULT TRK#: 5AO02NFOl COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: IA706.2A(2)(A) DOMESTIC ABUSE ASSAULT COURT CASE TD: 06571 SMSM073654 CHARGE CLASS: NON CONVICTION TRK#: 5AO02UF01 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT lY 20070925 PROBATION lY 20070925 DISCHARGED FROM 20090713 DEFERRED JUDGEMENT 05 ARRESTED 20091228 AGENCY: IAOS70100 CEDAR RAPIDS PD CHARGE NO- 01 IA STATUTE IA708.2A(2)(A) DOMESTIC ABUSE ASSAULT TRK#: 5AO06GJOI COURT DISPOSITION ra AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: IA706.2A(2)(A) DOMESTIC ABUSE ASSAULTr'--=. COURT CASE ID: 06571 SRCRO86510 Cil h -. CHARGE CLASS: MISDEMEANOR .CINVZCTION �'j 1•- .y TRK#: 5A008GJ01 _ SENTENCE DISP EFF DAT _ TIME SERVED 20100208 G7 JAIL 2D 20100208 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW ENFORCEMENT AGENCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS Jj Dac.11. 2015 9:57AM Div of CrlminaI Investigah on No. 3723 P. 4/4 EASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR NENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAI. INVESTIGATION c:n cn :s CIowa Department of Transportation Mhce 01 E)fln+er 5ennces (toll F r€ e) 8,)G 1111121 PO Bok 9244. Des MdRes, in 503969204 51st, 244...1828 FeV( 51t, 233 1831 Convictions Citation Date Certified Abstract of Driving Record ACD Inquiry Date: 12/10/2015 DL/ID #: 724YY3240 (IA) Customer #: 4295695 Name: Williams, Troy Class: D ID Status: EXP Suspended, Denied, Nickoles Address: 1630 F AVE NW APT Audit #: 8483328 DL Status: VAL Driving While 2 IA Suspended, Denied, Issue Date: 09/26/2014 CDL Status: None City/State: CEDAR RAPIDS, IA Expiration Date: 06/29/2016 CDL Cert Status: None 524052365 Endorsements: 31 CDL Med Status: None Mailing Address: 1630 F AVE NW APT Restrictions: NONE Restriction None 2 Supplement: Date of Birth: 6/29/1968 Mailing CEDAR RAPIDS, IA Sex: M City/State: 524052365 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 03/10/2009 06/29/2009 620 Driving While Linn IA Suspended, Denied, Cancelled Revoked 12/26/2010 12/27/2010 B20 Driving While Linn IA Suspended, Denied, Cancelled Revoked Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 10/28/2007 399511 IA - 4" CI"r Name: Williams, Troy Nickoles DL/ID: 724YY3240 Pursuant to Iowa Code §321.10, 1, Kim Snook, Director of Office of Driver Services, Iowa Department of 17insportation, do W 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 he set upon this document, at Ankeny, Iowa this date: 12/10/7015 IOWA Office of Driver Services Iowa Department of Transporation Name: Williams, Troy Nickoles DWID: 724YY3240