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Home My WebLink About16-046� r 1 CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1926 (3 19) 3S6-5040 (319) 356-5497 FAX 1. Name (REQUIRED) - IDENTIFICATION NO. _ 1 (.0 (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 Middle F Qin=) 2. Address (REQUIRED) « 4E- / n- C. �! 2i /rr S ? 7y5 3. Contact Information (REQUIRED) Email: C`oLIA P—A-C NL,- (, r'IM ( .zoo' Cell Phone: �ilc (All written communication sent via email) 4a. Chauffeur's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED)_ vE(.CLh( C / 5. Prior experience in transportation of passengers: 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Nn Where I vrrA et what happ-ehb'd t6 the Charge? (Circle one) f Convicted Dismissed Deferred Suspended Plead Guilty Have you been arrested / charged with any traffic offenses in the last five years? Type of offense &A - What charge? (Circle one) Convicted Dismissed Where r(AK 110141✓jti / Deferred us e When Other When ,vis,11I Plead Guilty Other _ S - 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? /Vro Type of offense Where When �3 crn 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the'v_name(s) DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIFIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW r- - You must apply for an individual Department of Criminal Investigation Report (form available upon,request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 02!2015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number y� 741 issued oni 6 b expiring on 31 to . I understand that if I falsely ans\Oee any questions in this application, that this app is tion may be denied. I agr 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 pro ns of Tit[ 5, pter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by frm w�� :Sr,`d q on this �_ day of I.2iQL�C.f_t ZOi U. V �l 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). iration date of Chauffe ' license J Signature of Police Chief or designee 1-0- Z017 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. Signatu f City Clerk or designee Date Office Use Only Approved application -• DCI report State certified driving record Website update - c -r Cl.lkrrAXIDRI BADGE PPL92014.m.nded.DOG 0312015 Iowa Department of Transportation Convictions j Citation Date Certified Abstract of Driving Record IACD inquiry Date: 2/24/2016 DL/ID #: 802YY8791 (IA) Customer #: 12327.00 Name: Figg, James Robert Class: C ID Status: None Address: 1308 E Audit #: 6332398 DL Status: VAL BLOOMINGTON ST zone n4,20/2015_05/1S/ 015 Issue Date: 09/26/2012 CDL Status: None City/State: ICWA CITY, IA Expiration Date: 09/17/2017 CDL Cert Status: None 522453108 Endorsements: NONE CDL Med Status: None Mailing Address: 1308 E Restrictions: Corrective Lenses Restriction None BLOOMINGTON ST Supplement: Date of Birth: 9/17/1976 Mailing IOWA CITY, IA Sex: M City/State: 522453108 History Information Convictions j Citation Date Conviction Date IACD Explanation T'County IUR 08/31,12011 - 09/15/2011 _ I 592_ 5 eed Polk ` IA 108/27;2013 09/13/2013 592 Speed (10 mph & Benton ]A under in 35-55 mph zone n4,20/2015_05/1S/ 015 S92 S eed MO Name: Figg, ;amen Robert DL/ID: 802YY8791 Pursuant to Iowa Code §32110, I, Kim Snook, Director of Office of Driver Services, 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 pfficiai record currently in the custody of said Office, and that I: have been authorized by the Director of the Iowa Department of Tra nspoh:aHon to so certify. In witness whereof, 1 have caused my signature and the seal of the Department to be set upon this d6cu'in,ent, at Ankeny.,. Iowa r this date: 'S�rfSitQygr 2/24/2016 - - I} a • - D. 0. T Ile t,Riui,A �� Office of Driver Services Iowa Department of Transporation 03/Mar, 2. 20161 9,59AMCab DIV of 0r iml nal Invest lgat on (FAX)319338A'8]11 P'..'02/002 STATE OF IOWA Criminal HistoryRecord Request, e Tot Iowa Division or Criminal Inva,llgatlon Support Operations Bureau, P Floor 213 Z. 7h Street Des Molnea, Iowa $0319 (515) 725.9066 (515) 725-6080 Fax I atn reeuestintr an In WA i'.rlenlnal r4laen,,. D...,..d r^g...t. . DCI Account Number: ,9967-h (Irrpvllwble) >:roml _ Yellow Cab of Iowa City P.O. Hux 428 Iowa City, Ya. 54,244 (319) 338-9777 Phonet Fax: (919) 339-7302 LastNamo mandola _— (DCI e,■only) II fretName(monddo )' Middle Name rocommcndcd As of F2.4 ('o a search of the provided name and date of birth revoalod:- I - Date of Birth mgtduorp) Gan,dde�err�mandelo 'SA lled,6ecuri Number rammmended QQ Iowa Criminal History Record attached, DCI LEW_ �i J 7b LldMale ❑irerasle Y7 %�'Y—e7T %� Waiver Information. Without a signed waiver from the subject of the mcipost, a oomplgt6 grlminal history record may not bs.releasable, per Code of Io19a, Chapter 692.2. For eamnlate arlminel history record Information, no allowed by law, always obtain a waiver signature from tate subject of the request, Waiver Release, ibersby give in Iil in theshowroqucalln2ottICIA] 1oconduoanfowl criminal hillorymordaheokwllhthe Division orcriminai lave,tliladon (DCI). Any criminal h1vory del, emin mete by rare DCt may he mlcesed m allowed by fawn Waiver Signature: iVrrII 1.1 11111 11 21 1 F31N1VFV MCI:VFU 1..1AC13K^A(VA'U10 _— (DCI e,■only) As of F2.4 ('o a search of the provided name and date of birth revoalod:- I - ❑ No Iowa Criminal History Record found with DCI QQ Iowa Criminal History Record attached, DCI LEW_ DCI initials_—h LJ I)CI-77 (08125110) Received Time Mar, 1, 2016 3:26PM No.8643 Mar. 2. 2016 10,00AM Div of Criminal I n v e s t l g a t 1 o n No. 8711 P. 2 IOWA CRIMINAL HISTORY DCI 00496131 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- 2016/03/02 DCI:00496131 NAME: FIGG,JAMES ROBERT FIGG,JANIE DOB SEX RAC MGT WGT EYE HAIR SKN POB 19760917 M W 511 145 BLU BRO MED IL ADDITIONAL IDENTIFIERS CCH RECORD +** 01 ARRESTED 19950307 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01. IA STATUTE IA714-2-2 THEFT 2ND TRK#: 012978401 CHARGE NO- 02 TA STATUTE IA713-68 -10-BURGLARY 3RD TRK#: 012978402 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: THEFT 2ND TRK#: 012978401 RESTITUTION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19950825 PROBATION 3Y 19950825 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: BURGLARY 3RD TRK#: 012978402 RESTITUTION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19950625 PROBATION 3Y 19950825 CHARGES COMBINED 19950825 02 ARRESTED 19980717 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE 1A714-2(2) .-..� THEFT 2ND -POSE STOLEN PROPERTY e� -' TRK#a 017918101' -"- COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT ._ COUNT NO- 01 IA STATUTE: IA 714-2-3/1-4 _ THEFT THIRD CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 017978101 C_?1 SENTENCE DISP EFF DAT Mar. 2. 2016 10;D0AM Div of Criminal Investlgah on PCI 00496131 PAGE 2 OF 2 FINE $500 19990115 COURT COSTS RESTITUTION 150 DOLL SC 50 19990115 HRS COMM SVC PROBATION 2Y 19990115 SUSPENDED 2Y 19990115 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 BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION )wl No. 8711 P. 3 3/412016 Charge Charge: 713.7 Offense Date: 12/30/1994 DPS Number: Adjudication Trial Court Search Description: POSSESSION OF BURGLAR'S TOOLS - 1983 (AGMS) Arrest Date: Against Type: Charge: 713.7 Description: POSSESSION OF BURGLAR'S TOOLS - 1983 (AGMS) Adj.: DNU-SUSTAINED Adj.Date: 03/29/1995 Adj.Judge: HIBBS, KRISTIN L Comments: Sentence Charge: 713.7 Description: POSSESSION OF BURGLAR'S TOOLS - 1983 (AGMS) Sentence Date: 03/29/1995 Sentence: OTHER/MISCELLANEOUS Appeal: Sen.Judge: HIBBS, KRISTIN L Facility Type: Attorney: N Restitution: N Drug: N Extradition: N Lic.Revoked: N DDS: N Batterer: Fine Amount: Duration: Comment: MERGED INTO FECR037607, CT IV r� https:/Av .ImaGo is.state.ia.m/ESAWebAppJilridexFrm 1/1 https:/Av .ImaGo is.state.ia.m/ESAWebAppJilridexFrm 1/1 31412016 Charge Trial Court Search Charge: 714.2(2) Description: THEFT 2ND DEGREE - 1978 (FELD) Offense Date: 08/31/1997 Arrest Date: Against Type: DPS Number: 0179781-01 Adjudication Charge: 714.2(3) Description: THEFT 3RD DEGREE- 1978 (AGMS) Adj.: DNU-GUILTY Adj-Date: 11/24/1998 Adj.Judge: THOMAS, WILLIAM L Comments: Sentence Charge: 714.2(3) Description: THEFT 3RD DEGREE - 1978 (AGMS) Sentence Date: 01/15/1999 Sentence: COMMUNITY SERVICE Appeal: Sendudge: ROBINSON, L VERN Facility Type: Attorney: Y Restitution: Y Drug: N Extradition: N Lic.Revoked: N DDS: N Batterer: N Fine Amount: Duration: 50 Houtfs) Comment: Sentence Charge: 714.2(3) Description: THEFT 3RD DEGREE-1978(AGMS) Sentence Date: 01/15/1999 Sentence: FINE Appeal: Sen.Judge: w ROBINSON, L VERN Facility Type: Attorney: Y Restitution: Y Drug: N Extradition. — N Lic.Revoked: N DDS: N Barterer:_ :' N - �tt Fine Amount: 500 Duration: Comment: Sentence hVs:/lwww.imacourts.state.ia.us/ESAW ehApptTlydexFrm 112 3!4/2016 Trial Court Search Charge: 714.2(3) Description: THEFT 3RD DEGREE - 1978 (AGMS) Sentence Date: 01/15/1999 Sentence: PROBATION Appeal: Sen -Judge: ROBINSON, L VERN Facility Type: Attorney: Y Restitution: Y Drug: N Extradition: Lic.Revoked: N DDS: N Batterer: Fine Amount: Duration: 730 Day(s) Comment_ Sentence Charge: 714.2(3) Description: THEFT 3RDDEGREE - 1978 (AGMS) Sentence Date: 01/15/1999 Sentence: PRISON Appeal: Sen.Judge: ROBINSON, L VERN Facility Type: P Attorney: Y Restitution: Y Drug: N Extradition: Lic.Revoked: N DDS: N Batterer: Fine Amount: Duration: 2 Years) Comment: Sentence Charge: 714.2(3) Description: THEFT 3RD DEGREE - 1978 (AGMS) Sentence Date: 01/15/1999 Sentence: SUSPENDED PRISON Appeal: Sen.Judge: ROBINSON, L VERN Facility Type: Attorney: Y Restitution: Y Drug: N Extradition: Lic.Revoked: N DDS: N Batterer: Fine Amount: Duration: 2 Year(s) Comment: N N N N Ihl 191 https:/Mv w.imacourts.state.ia.us/ESAWehWiridexFrm yz 3i4rZ016 Charge Charge: 718.6 Offense Date: 12/30/1994 DPS Number: Adjudication Trial Court Search Description: FALSE REPORT TO LAW ENFOR AUTH - 1978 (SMMS) Arrest Date: Against Type: Charge: 718.6 Description: FALSE REPORT TO LAW ENFOR AUTH - 1978 (SMMS) Adj.: DNU-GUILTY Adj.Date: 12/30/1994 Adj.Judge: LEWIS, SYLVIA A Comments: Sentence Charge: 718.6 Description: FALSE REPORT TO LAW ENFOR AUTH-1978 (SMMS) Sentence Date: 12/30/1994 Sentence: FINE Appeal: Sen.Judge: LEWIS, SYLVIA A Facility Type: Attorney: N Restitution: N Drug: N Extradition: N Lic.Revoked: N DDS: N Batterer: Fine Amount: Duration: Comment: https:tlwww.iowwc ts.state,ia.Lts/ESAVVehN)p/TiridexFrm 1!1