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Home My WebLink About16-017rcccccr CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX 1- Name (REQUIRED) _ 2. Address (REQUIRED) IDENTIFICATION NO, 1 —7 (Office Use Only) 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 First �G 3. Contact Information (REQUIRED) Email: -irk "a (All written comm 4a. Chauffeur's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED) ` -e-, 5 Prior experience in transportation of passengers: / OJL F� Cell Phone: d via email) ;�2-6(�-s-(-/- 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Where U -/I /t' Jit/&ii h When What happened to the charge? (Circle one) Convicted Dismissed Deferred SuspendedPleadGuiltyd Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offense 1.h What happened to the charge? (Circle one) Where When Convicted Dismissed Deferred SuspendedPlea Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type of offense Where When .,`fes_. 9. Have you ever applied to be an Iowa City taxi driver using a different If yes, please provide 9 � DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STAT€:CE-TIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW' You must apply for an individual Department of Criminal Investigation Report (form available u@i request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) r 02/2015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I her�b� certify that.1 have issued to me by the Iowa Depa men of Transportation a valid C uffeur's license number / / .) (off issued on ! / expiring on I understand that if I falsely answer any questions in this application, that this application may be denied. I agre aking 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 �Ji�i �� /.�� Date J STATE OF IOWA ) COUNTY OF JOHNSON 1 Su cr!bed and sworn to before me by / P (u�` c: �/ ��on this �.�% -/,4- _/ day of T_LEW. TUTTLE hg 221819 Notary Public in and for the State of Iowa 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 fz( ASignat re of Poli e esignee at,._ 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. Sign re of City Clerk or designee Office Use Only Approved application v DCI report _, r\3 State certified driving record Website update 4J W aenvrwuDRivenoceAPPL92014amended.DOC 03/2015 0.'.IUWADOT _ ' vtlRirrr:?tiSERiI.t` 1Ctf'1Ufii {;iII��— ettUNdi)Vi+ci[OCCiV Inquiry Date: 1/29/2016 Customer #: 546125 Office of Driver Services PO Box 5204 i Des homes. I.A 50306-92G4 Phone: 515 2445124 1 800-532-1121 k f2a_ 515-23,2-1837 www. awadot.guv Certified Abstract of Driving Record DL/ID #: Class: 775ZZ6656 (IA) D Name: Roling, Loyd Joseph Audit #: 9612406 Address: 2225 DILLONS FURROW RD Issue Date: 12/03/2015 CDL Permit NE Restrictions: ..08/10/2015 ID Status: None Expiration Date: 12/20/2018 City/State: SOLON, IA 523339776 Endorsements: 3 Mailing 2225 DILLONS FURROW RD Restrictions: Corrective Lenses Address: NE Restriction None Mailing SOLON, IA 523339776 Supplement: City/State: Date of Birth: 12/20/1951 Sex: M History Information Convictions CDL Permit Class: None CDL Permit Issue None Date: CDL Permit None Expiration Date: Count, CDL Permit None Endorsements: -Improper RegistrationLinn CDL Permit None Restrictions: ..08/10/2015 ID Status: None DL Status: VAL CDL Status: None COL Permit Status: ELG CDL Cert Status: None CDL Med Status: None Citation Date Conviction Date :LCD Explanation Count, JUR 12/08/2014 01/20/2015 -Improper RegistrationLinn IA 06/30/2015 ..08/10/2015 592 -.Speed Johnson 1A Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. vxci l mt sate Case Number 3= 08/17/2015 873731 '.IA Name: Roling, Loyd Joseph DL/ID: 775ZZ6656 Pursuant to Iowa Code §321.10, I, Kim Snook, Director of Office of Driver 5ervices, 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 Ankenyjowa this date: c� -'�tllC(f 14 �o@:• •®71y� 1/29/2016 �OWA z h D. 0. T a. •.. Off t r®aBB1114h - Iowa Departme tDof Driver eoflTransportation"' Name: Roling, Loyd Joseph DL/ID: 775ZZ6656 Jan, 28. 2016 12;24PM Div of Criminal Investigation Nc.6408 P. 1A iOWB 6Ity Clerk e]rrlao 319 35664®7 01/26/2016 17117 M3ea p,002/002 STATE OF IOWA } Criminal history Record Check Request Foran To: Iowa Divitiolr ofCrlminal Investigation Support Operations Bureau, I" Floor 215 R. 7"' Street Des Aloisles,Iowa 50319 (515)725-6066 (515) 725-6080 Fas 1 aln re uestin an lotvl L2ist�Narne (nla"dalcry) bate of Birt[t (roAir2o be llCi Account Number: _�o p Oroppllcablc From: City of Iowa Cit Cily Clertl's Orfoe 410 E. Washington Street Towa Cit , la $7240 Phare; 319-356.5041 _ P.as: 319-356-5497 Melnale (; r - rniallOW wilhout a signed waiver from the subject of the request, a complete criminal history record cony not per Code of Iowa, Ch" Pier 692.2. For complete criminal history record information, as a0owed by law, always r signature from the subject of the reouest WrrjV@!' 1t@I@dS@; I hereby give Pernlissian far the abode rn 1nves6gaue'l pct). Nq•crimi"al hinogdata concerning nye dial Waiver slgrtnhtre: ofntial to eOnduel an Iowa criminal history Mord check lyilh Iha DielSlon df Crlalillal 41cd by the DCl may be released as allowed by law. lova Criminal Histor Record Check Results As of —, a search of the provided name and date of birth revealed: ® No Iowa Criminal History Record found with DO cr Pc IDwa Criminal History Record attached, DCl L.. DC1lhilla L DCI -77 (48/25/10) Received Time Jan,26. 2016 4:05PM No.6114 Jan.28. 2016 12:24PM Div of Criminal Invesfigafion IOWA CRIMINAL HISTORY FELONY CONVICTION DCI:00292140 NAME: ROLING,LLOYD ROLING,LLOYD JOSEPH ROLING,LLOYD JOSPEH ROLING,LOYD JOSEPH ROLING,LDYD JOSPEH DOS SEX RAC HGT WGT 19501220 M W 501 215 19511220 19571220 ADDITIONAL IDENTIFIERS SC ABDOM CCH RECORD +++ DCI 00292148 PAGE 1 OF 8 DATE PRINTED - 2016/01/28 EYE HAIR Sm POB BLU GAY MED IA 01 ARRESTED 19520629 a AGENCY: IA0570000 LX9X CO SO CHARGE NO- O1 INTERF WITH OFF ACTS TRK#+ L2209D901 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- b1 TA STATUTE; INTERFERENCE WITH OFFICIAL ACTS CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22090901 GJ SENTENCE PLEAD GUILTY FINE $35 02 ARRESTED 19530301 AGENCY; IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUT$ IA123-46 PUBLIC INTOX TRK#: L22D91001 COURT DISPOSITION AGENCY; IA052015J JOHNSON CO DIST COURT COUNT 110- 01 IA STATUTE; IA123-45 PUB INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091001 SENTENCE FINE $25 03 ARRESTED 19531206 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE TA123-46 PUBLIC INTOX TRK#: L22091101 COURT DISPOSITION DISP EFF DAT 19520817 19020817 DISP EFF DAT 19830630 No. 6406 P 2/9 0 v� a GJ Jan.28. 2016 12:24PM Div of Criminal Investigation AGENCY: IAOS2015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-46 PUBLIC INTOX CHARGE CLASS; MISDEMEANOR CONVICTION TRK#: L22091101 SENTENCE PLEAD GUILTY FINE S27 04 ARRESTED 19840302 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-261 owl TRK#: L22091201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-261 Owl CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091201 SENTENCE JAIL 2D FINE $300 05 ARRESTED 19840420 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC INTOX TRK#: L22091301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-46 PUBLIC INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091301 SENTENCE PLEAD GUILTY FINE $33 06 ARRESTED 19840512 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA708-1-2-2 ASSAULT TRK#: L22091401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: DCI 00292148 PAGE 2 OF 6 DISP EFF DAT 19840419 19840419 DISP EPP DAT 19840003 19840603 DISP EPP DAT 19840531 19840531 No.640B P. 3/9 r; ian.28. 2016 12: 24 PM Div of Criminal Investigation ASSAULT CAUSING BODILY INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091401 SENTENCE JAIL 3D PROBATION 1Y SUSPENDED 12D 07 ARRESTED 19841103 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 PUBLIC INTOX TRK#: L22091501 COURT DISPOSITION S AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE; PUBLIC INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#. L22091501 SENTENCE PLEAD GUILTY FINE $25 00 ARRESTED 19850219 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA708-2-3 ASSAULT TRK#: L22091601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA708-2-3 ASSAULT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091601 SENTENCE FINE $50 09 ARRESTED 19651004 AGENCY- IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-261 owl TRK#: L22091701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: TA321-281 Owl CHARGE CLASS; MISDEMEANOR CONVICTION DCI 00292148 PAGE 3 OF 0 OXSP 8FF DAT 19841015 19841015 19641015 DISP EFF DAT 19841103 19841103 DISP EFF DAT 19860206 No, 6408 P. 4/9 �.a - 1 'Ti x -a S c .? Jan,282016 12;240W Div of Criminal I n v e 5 1 i g a t i 0 n N0.6408 P. 5/9 PCI 00292148 PAGE 4 OF 8 TRK#: L22091701 SENTENCE DISP EFF DAT JAIL 7D 19860228 FINE $750 19060226 10 ARRESTED 19651210 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA123-46 PUB INTOX TRK#: L22091601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-46 PUH INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091801 SENTENCE DISP EFF DAT PLEAD GUILTY 19660508 FINE $75 19860508 11 ARRESTED 19660511 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- O1 IA STATUTE IA123-46 PUB INTOX IRK#: L22091901 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-46 PUB INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22091901 SENTENCE DISP EFF DAT PLEAD GUILTY 19860912 FINE $25 19860912 12 ARRESTED 19660615 c� AGENCY: IA0520100 CORALVILLE PD cr CHARGE NO- 01 IA STATUTE IA908-11 --- PROB VIOL TRK#: L22092001 COURT DISPOSITION: AGENCY: IA052015J JOHNSON CO DIST COURT._-' COUNT NO- 01 IA STATUTE: IA908-11 "...J PROB REVOKED CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22092001 SENTENCE DISP EFF DAT J 26. 2016 12�25PM Div of (iimioal Iovesilgatloo No. 640E DCI 00292148 PAGE 5 OF 8 TO SERVE CYCLE DOR 19660711 051264-12D JAIL 13 ARRESTED 19870604 IA STATUTE IA123-46 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- Dl IA STATUTE IA123-46 PUBLIC INTOX TRK#: L22092101 COURT DISPOSITION , AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE; IA123-46 PUBLIC INTOX CHARGE CLASS; MISDEMEANOR CONVICTION TRK#: L22092101 SENTENCE DISP EFF DA7' PLEAD GUILTY 19870702 FINE $20 19870702 14 ARRESTED 19870926 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC INTOX TRK#: L22092201 CHARGE NO- 02 IA STATUTE IA719-1 INTERS W -ACTS TRK#: L22092202 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-46 PUBLIC INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22092201 SENTENCE DISP EPF DAT PLEAD GUILTY 19070926 FINE $25 19070926 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA719-1 INTERF W-ACTS'_`"� c_ CHARGE CLASS: MISDEMEANOR CONVICTION `! '— TRK#: L22092202 tV _ �+ SENTENCE DISP EFF DAT <r PLEAD GUILTY 19870926 —� FINE $25 19870926 - - 15 ARRESTED 19871205 CJ AGENCY: IA0520200 IOWA CITY PD 11an.28, 2016 12:25PM Div of Criminal Investigation CHARGE NO- 01 IA STATUTE IA321J-2 OWI 3RD TRK#: L22092301 COURT DISPOSITION AGENCY: IA052015J JOHN$0N CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J-2 DWI 3RD CHARGE CLASS: FELONY CONVICTION TRK#: L22092301 SENTENCE SUSPENDED JAIL 2141) JAIL 270D FINE $750 PROBATION 2Y DRIVER'S LIC. REVOKED6Y 16 ARRESTED 19680225 AGENCY: IA0520200 IOWA CITY PO CHARGE NO- O1 IA STATUTE IA714-1 THEFT 4TH TRK#: L22092401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE; IA714-1 THEFT 5TH CHARGE CLASS. MISDEMEANOR CONVICTION TRK#: L22092401 SENTENCE PLEAD GUILTY JAIL 2D 17 ARRESTED 19880611 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA123-46 PUB INTX TRK#: L22092501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-46 PUB INTO% CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22092501 SENTENCE PLEAD GUILTY FINE $100 18 ARRESTED 19880911 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- O1 IA STATUTE IA714-2-4 DCI 00292148 PAGE 6 OF B DISP EFF DAT 19600525 19860525 19880525 19860525 19860525 DISP EFF DAT 19880525 19880525 DISP EFF DAT 19880721 19880721 No.64U8 F. 7%9 0 c» iia a z <.i Jao.28, 2016 12;25PM Div of Criminal Investigation Na 6408 P. 8/9 DCI 00292148 PAGE 7 OF 0 THEFT 4TH IOWA CITY PD TRK#: L22092601 COURT DISPOSITION CHARGE NO- 01 AGENCY; IA052015J JOHNSON CO DI5T COURT COUNT NO- 01 IA STATUTE- IA714-2-4 THEFT 4TH CHARGE CLASS- MISDEMEANOR CONVICTION TRK#: L22092601 SENTENCE DISP EPP DAT FINE $150 19890123 SURCHARGE 19 ARRESTED 19881124 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA123--46 PUB INTOX TRK#: L22092701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE; IA123-46 PUB INTOX CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L22092701 SENTENCE DISP EPP DAT PLEAD GUILTY 19890126 FINE $25 19890126 SURCHARGE COURT COSTS 19890126 20 ARRESTED 19581222 AGENCY: TA0520200 IOWA CITY PD CHARD@ NO- O1 IA STATUTE IA123-46 PUB INTOX TRK#: 1,22092801 CHARGE NO- 02• IA STATUTE IA716-5 CRIM MISCH 3RD TRK#: L22092602 COURT DISPOSITION ti AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-91 �. •'i PUB TNTOX 2ND CHARGE CLASS: MISDEMEANOR CONVICTION - TRK#: L22092901 $ SENTENCE DISP EPP DAT JAIL 2D 19890616 CREDIT W/TIME SERVED 8H 19890616 _ COURT DISPOSITION AGENCY: TAOS2015J JOHNSON CO DIST COURT Jan, 28, 2016.12:21)PM Div of Criminal lnvestigatlon No. 6408 P. 9/9 DCI 00292148 PAGE 0 OF a COUNT NO- 02 IA STATUTE: IA716-6 CRIMINAL MISCHIEF 3RD CHARGE CLASS. MISDEMEANOR CONVICTION TRK#: L22092002 TRK#: 100913701 SENTENCE COURT DISPOSITION DISP EFF DAT JAIL 2D 19890616 CREDIT W/TIME SERVED BH 19090616 21 ARRESTED 19950218 HARASSMENT / IST DEG, - 1989 AGENCY: IA0530000 JONES CO SO CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC INTOX TRK#: 100913701 TRK#: 014015901 SENTENCE DISP EFF DAT COURT DIBPOSITION JAIL 10D 20040514 AGENCY: IA053015J JONES CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-46 PUBLIC INTOX AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD. CHARGE CLASS: MISDEMEANOR CONVICTION MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF C"%-- TRK#: 014015901 IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAN SENTENCE DISP EFF DAT FINE $50 19950219 22 ARRESTFD 20030723 AGENCY: IAD520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA700.7(12)A(1) HARASNENT IST TRK#: 100913701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE. IA700.7(2) HARASSMENT / IST DEG, - 1989 COURT CASE ID: 06521 AGCR066000 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100913701 SENTENCE DISP EFF DAT JAIL 10D 20040514 FINE $500 20040514 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD. s MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF C"%-- _ rv) IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAN �D`�' ENFORCEMENT AGENCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS-"="--=: — P� J BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD.--" �,,� COVERS THE SUBJECT OF YOUR INQUIRY, r DIVISION OF CRIMINAL INVESTIGATION