The URL can be used to link to this page

Home My WebLink About16-247CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-182b (3191 356-5040 (319)356-5497 FAX 1. Name (REQUIRED) IDENTIFICATION NO. I L9 �Z`C (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 2. Address (REQUIRED) 3. Contact Information (R 4a. Driver's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of passengers: T -Le L -D,4 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When wnat nappened to the char Circle one) Dismissed Deferred Suspended P a Gull Other Have you been arrested / charged with any traffic offenses in the last five years? Y Type of offense Where When P What happened to the charges Circle one) ismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Ai Where When 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please pYnvide thAtamgMr M DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATt ICERTRED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW You must apply for an individual Department of Criminal Investigation Report (form available upon request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 07/2016 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby certify th t hav,?�issued me by the Iowa Dep rt nt of Transportation a valid Driver's license number (; 6„ e � �_ J ( issued on ! 1- k -1(a expiring on IQ —,V:1 I understand that if I falsely nswer Any questions in this application, that this application may be denied. I agree that in making this application, I consent to allow agentsAr employees of the City of Iowa City, Iowa, in their discretion, to examine any and all records and documents relating to tis 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 ons of Title 5, C/kqpt9r-:�, gYthe City Code. (Needs to be signed in front of a Notary Public) STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by h 10- V cs Y OtL� lr R on this —7 day 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 Driver's license I CX/�3 & i , lamdf Signature of Police Chief orlWignee a42/a 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. Sign re of City Clerk or designee Approved application DCI report State certified driving record Website update Date E2 Ga,arnzMWBFFoceaPPL920i4s� eeooc 07/2016 Office Use Only <M a. Ga,arnzMWBFFoceaPPL920i4s� eeooc 07/2016 STATE OF i`OWA, Criminal History Recard Ch=eek OF Request Form p yru 'ro: Iowa Division of criminal Inver(igstion Support Operations Bureau, I" Floor 215 C. 7"' ,Street Des Mofucs, Iowa 50319 (515) 725-6066— (51S) 725-6080 25-6066—(5'19)725-6080 Fax I am reouestln¢ an Iowa Criminal Histnm, Aeenrd ("herle nn - DCI Account Number:_�/�� F (ii applicable) '�.. From:Ci4y of Iowa Cir, City CIerIPs Office ----- �^ -^- 410 ):. Washington street — - Iowa Citi,IA-'52240-- -' Phone: 319.356-5041 Fax: 319-356-5497 — -- Lost Name mandltory) _ First Name (mandate i Middle Npalite (reeoa,aend�a tJ fA 'CMA ( _ Date Of Bit -tit (mandmory) Gender (mandatery) Social Security Number commended) �V v 3I — g �VIale ®Female `�3 7;2 Waiver IInfornialigft: Without a signed waiver from the subject of the request, a complete criminal history record may not be releasable, per Code of Iowa, Chaptcr 692.2. For compie(e criminal history record information, as allowed bylaw, always obtain a waiver signs lure from like subject oft the uest, Wai11er,Rele0e:1herebygive permissioafor vie bovesagneaung0fridt WntlUUAniowacriminalhistory recordcheckwiththeDivision ofcriminal laresligt(iox (DCI). Any criminal hislorydate conte n,'m 0111 o mdniainc �I ey l ed as allowed by law. Iowa Criminal History Record Check Results (0C1.osen111y) As of—] 1-� 1-1 �__, a search of the provided name and date of birth revealed: ~U 1' ❑ No Iowa Critaainal History Record found with DCl h,� r' ®—' Iowa Criminal History Record attached, DO^— __# DCT initials` DGl-77 (08/25/10) Received Time Nov, 1, 2016 12:45PM Nlo.1221 WO v, 4. LU ID IU:4Lnin U I V 01 t,rIMIIaI inVeS41ga41on CHARGE NO- 01 IA STATUTE IA70O-1 ASSAULT ON PEACE OFFICER IOWA CRIMINAL HISTORY DCI DO70849O COURT DISPOSITION MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 COUNT NO- 01 IA STATUTE: IA7O8.7(4) DATE PRINTED - SRCR066636 CHARGE CLASS: MISDEMEANOR CONVICTION 2016/11/04 DCI:0O708490 SENTENCE TIME SERVED NAME: DAVIS,SRYANT L JAIL 3D 02 ARRESTED 20050116 RANDLE,GEMAYAL L AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 02 RANDLE,GEMAYAL RASHAUN THEFT 2ND DOB SEX RAC MGT WGT EYE HAIR SKN ,FOB 19810921 M B 601 185 BRO BLK DRK IL 19511021 AGENCY: IA052O15J JOHNSON CO DIST COURT 19021031 IA STATUTE: IA715A.6(2)-C UNAUTHROIZED USE OF CREDIT CARD C 81,000 ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101404902 SC FHU RESTITUTION SENTENCE SC HEAD FINE $500 COURT DISPOSITION CCH RECORD 3** O1 ARRESTED 20031003 AGENCY: IA052O200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA70O-1 ASSAULT ON PEACE OFFICER TRK#: 100970401 �c COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA7O8.7(4) HARASSMENT / 3RD DEGREE - 1989 COURT CASE ID: 06521 SRCR066636 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100970401 SENTENCE TIME SERVED 3D JAIL 3D 02 ARRESTED 20050116 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 02 IA STATUTE IA714,2 THEFT 2ND TRK#: 101404902 CHARGE NO- 03 IA STATUTE IA715A.0 CREDIT CARD FORGERY/JOINT/CRIMINAL TRK#: 101404903 COURT DISPOSITION AGENCY: IA052O15J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA715A.6(2)-C UNAUTHROIZED USE OF CREDIT CARD C 81,000 COURT CASE ID: 06521 PECRO7O822 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101404902 RESTITUTION SENTENCE FINE $500 COURT DISPOSITION AGENCY: DISP EFF DAT 20040116 20040116 DISP EPP DAT 20050908 INV, UO LJ f, C/ J m �c ....- No V. 4. ZUIb IU;42HIVI U i v 0r � r i m i n a i invesyigaiion rvo.uou I I Jj IA052015J COUNT NO- 03 JOHNSON CO DIST COURT IA STATUTE: IA714.2(3) THEFT 3RD DEGREE - 1978 COURT CASE ID; 06521 PECR070822 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101404903 SENTENCE FINE $500 DCI 00708490 PAGE 2 OF 2 DISP EFF DAT 20050908 03 ARRESTED 20090321 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE TRK#: IA006EXOI COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 06521 SRCR0B6579 CHARGE CLASS: NON CONVICTION TRK#: IA006EX01 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT $315 CIVIL PENALTY, CLEAN 20090730 UA W/IN 10 DAYS AND/AS ORDERED PROBATION lY 20090730 UNSUPERVISED PROBATION TO DCS DISCHARGED FROM 20100727 DEFERRED JUDGEMENT 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. c� IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS '::lz i --i ~� BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD 3'v __.y COVERS THE SUBJECT OF YOUR INQUIRY. J DIVISION OF CRIMINAL INVESTIGATION -"r rz c� I! C 10WADOT SMARTER I SIMPLER I CUSTOMER DRIVENwww iowadot.gov Office of Driver Services PO Box 9204 1 Des Moines, IA 503069204 Phone: 515-244-9124 1 8OD-532-1121 1 Fax: 515-239-1837 www.iowadot_gov Certified Abstract of Driving Record Inquiry Date: 11/1/2016 DL/ID #: 434AA6769 (IA) CDL Permit Class: None Customer #: 1385335 Class: D CDL Permit Issue None 35/23/2012 ,06/26/2012 B64 No Insurance Card Date: IA Name: Randle, Gemayal Rashaun Audit #: 1404766 CDL Permit, None Expiration Date: Address: 2551 HOLIDAY RD APT I4 Issue Date: 11/01/2016 CDL Permit - None Endorsements: Expiration Date: 10/31/2021 CDL Permit None Restrictions: City/State: CORALVILLE, IA 522412790 Endorsements: 3 ID Status: VAL Mailing 2551 HOLIDAY RD APT 14 Restrictions: NONE DL Status: VAL Address: Restriction None CDL Status: None Mailing CORALVILLE, IA 522412790 Supplement: CDL Permit Status: ELG City/State: Date of Birth: 10/31/1982 CDL Cert Status: None Sex: M CDL Med Status: None History Information Convictions Page 1 of 2 Citation Date Conviction Date ACD Explanation County JUR 95/23/201206/26/2012 Suspended _ S92 Speed �Polk IA 35/23/2012 ,06/26/2012 B64 No Insurance Card Polk IA 01/07/2015 04/08/2015 ID72 fail to Have Vehicle Under Control Johnson IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 02/18/2008 427259 IA 01/07/2015 1838487 IA Sanctions Type Effective End ACD Explanation OccurrenceJUR JUR Suspended 107/17/201208/16/2012 'D51 Non -Payment of Child Support ,IA '�? iA IA Name: Randle, Gemayal Rashaun DL/ID: 434AA6769 - Pursuant to Iowa Code 4321.10, I, Melissa Spiegel, Director of Office of Driver Services, Iowa Department of Ttansportetjon, 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 6ilcial 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 (7xUfy. In witness whereof, I have caused my signature and the seal of the Department to be set upon this document, at Ankeny, Iowa this date: _.!nIrrii4e. 11/1/2016 Name: Randle, Gemayal Rashaun DL/ID: 434AA6769 11/1/20116 Office of Driver Services Iowa Department of Transportation Yage L 012 11/1/2016