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Home My WebLink About17-026� r 1 �i�r®dJ 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. 1 % —6 Z6;� (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 Ar\2 Middle i Last C_en 2. Address (REQUIRED) aN31 w hisp¢r( Q fAe%dow ►0f. '%.q C,ty To. sd lqo 3. Contact Information (REQUIRED) Email: Yc,6o•(-n+ Cell Phone: yjji (All written communication sent via email) 4a. Driver's License expiration date (REQUIRED) -7 / 30 / 101 b. Taxicab Business Name (REQUIRED) Yz 110 Cab o -To w4 G; f 5. Prior experience in transportation of passengers: 3 iy S • w;+k ge-00Lw Cab oar 4wq C"4y y 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State orelsewfiere?- V e5 Type of offense Where <- l 5t4 1 k ;n T4frrr son Covnfy J tows ``tq9=3. I a, (7wi 1`� Lee CC,Sowa 144 What happened to the charge? (Circle one) nvict Dismissed eferred Suspended Plead Guilty Other M� 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offense11 Where When 2 CQ1'a 17,6nnSO1\ (,aVrt'� /2 / o4 /1o191 G�ilo��nv fao Close 90 An3.Cour}� What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guil Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? , N O Type of offense Where 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIFIED 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 hereby cert that1 have issued to me by the Iowa Department of Transportation a valid Driver's license number 'Ito `f e. t. issued on Ila9P01V expiring on 07 /3o/A 019 . 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 �isrw.Q. / `z1� �, Date Dd�l$�17 1 STATE OF IOWA ) COUNTY OF JOHNSON ) cribed and sworn to before me by + i n� Lo 1 ) e _ on this day of 17 �k LLL 4 KELLIE K. FRUEHUNG — 221819NotarV Public in and for 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 Driver's license ' c>vw��_ Signature of Police Chief or designee l !�1 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. V Sign re f City Clerl or desig ee Office Use Only Approved application DCI report State certified driving record Website update �e OwkTA%IDRNRADGEAPPL92014e ded DOC 07=16 Iowa Department of Transportation iE Otfide of DFiv a se/vif I [Toll Ffee) ODO-532-1121 PO Sax 9204, Des Maims, [A 50304.9244 515-244-9124 FAX: 515.239.1$37 Convictions Citation Date Certified Abstract of Driving Record ACD Inquiry Date: 2/2/2017 DL/ID #: 769YY8261 (IA) Customer #: 331290 Name: Loney, Lorne Linn Class: D ID Status: None Address: 2432 WHISPERING Audit #: 7743048 DL Status: VAL MEADOW DR Issue Date: 01/29/2014 CDL Status: None City/State: IOWA CITY, IA Expiration Date: 07/30/2019 CDL Cert Status: None 522406805 Endorsements: 3 CDL Med Status: None Mailing Address: 2432 WHISPERING Restrictions: Corrective Lenses Restriction None MEADOW DR Supplement: Date of Birth: 7/30/1967 Mailing IOWA CITY, IA Sex: M City/State: 522406805 History Information Convictions Citation Date Conviction Date ACD Ex Ianatlon Count JUR 12/09/2014 01/19/2015 B64 No Insurance Card Johnson IA 12/0 /2014 01/19/2015 M34 I Following Too Close Johnson IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number ]UR 112109/2014 832671 IA Name: Loney, Lorne Linn DL/ID: 769YY8261 Pursuant to Iowa Code §321.10, I, Melissa Spiegel, 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 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 Ankeny, Iowa this date: IOWA D. 0. T. Name: Loney, Lorne Linn DL/ID: 769YY8261 2/2/2017 tl- up"4720 f 56 40 / Office of Driver Services Iowa Department of Transporation Feb. 7. 2017 4:33PM Div of Criminal Investigation No.3148 02/02/2017 09:56Yel low Cab of Iowa City (FAX)3183302708 STAT9 OF IOWA Iti,10sa 1 .� ord Check " Form \ Tot IOWA Million of Criminal investigation Support operations Bureau, I" Floor 218 T1, 7'b Street Des Moller, Iowa 5019 725-6080 Fax 1 am raquestine an Iowa Criminal History Record rhnntr nn, P. 1/3 P.002/002 DCT Account Numbar; . 9967-.F ' (Iteppllcable) From: _ Yellow Cab ofIowa City p.0. Box 428 'Iowa Clty, IA. 52244 1'honet (319) 338-9771 Fax: (319) 339-7302 Last Name (n,andet Blrst Name mmdalo MiddleN me reoommei dee) Date of Birth (maleate 1 Gondar maleate 'Social 3ecuri Number mcommenda ❑I+eraale yg!- $K• S 3 9 I •- .....„ 'IV V,..,1{{,p..o ,nntoul a 51gnvu waiver from Ina subject of the request, a compigte griminal history record may no be releasable, per Code of-A...—iown, Chapter 692.2. For complaig criminal history -record Information, as allowed by law, always _- Wgiper.11eleaSat I horeby give petmlellon for Ne above ral Invatlgodon(Do*. Any odminel hinary dell cenortning mo that Waivar Signature, olaehl io eanduu an Iowa ertminel hblory record check will, the Dlvlrlon oredmind ilneed by NWl may be uleued u allowed by law. (acl we only) As of a somb of the provided name and date of bird, revealed: I Iv ' ❑ No Iowa Criminal History Record found with ACT -t) L�19� Iowa Criminal History Record attached, DCI #14 ACI 1niUals��„�• DCl-77 (08/25/10) A I r• r, n nnll IA n/A1, M 4lnl ,Feb. 7. 2017 4:33PM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00452732 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2017/02/07 DCI:00452732 NAME: LONEY,LONNE LINN LONEY,LONNIE LINN DOB SEK RAC HGT WGT EYE HAIR SKN POB 19670730 M W 510 210 HA% ELK MED IA ADDITIONAL IDENTIFIERS STALKING CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L43189302 SENTENCE FINE CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 19921229 AGENCY: IAO510000 JEFFERSON CO SO CHARGE NO- 01 IA STATUTE IA716-4 CRIMINAL MISCHIEF 2ND DEGREE TRK#; L43189301 AGENCY: IA0560000 CHARGE NO- 02 IA STATUTE IA708-11 .STALKING IA STATUTE TRK#: L43189302 OWI IST COURT DISPOSITION AGENCY: IA051015J JEFFERSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA716-5 CRIMINAL MISCHIEF 5TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L43189301 COURT SENTENCE IA STATUTE: JAIL 15D COURT COSTS 3 1/2 CREDIT SERVED/MITTIMUS FOR 11 1/2 DAYS PROBATION 1Y SUSPENDED 15D COURT DISPOSITION AGENCY: IA051015J JEFFERSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA708-11 STALKING CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L43189302 SENTENCE FINE $50 15 RESTITUTION/25 DOLL COSTS 02 ARREBTED/TAKEN INTO CUSTODY 19971115 AGENCY: IA0560000 LEE CO SO CHARGE NO- 01 IA STATUTE IA32IJ-2 OWI IST TRK#: 013637401 COURT DISPOSITION AGENCY: IAD5601511 LEE CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J-2 DISP EFF DAT 19930318 19930318 19930318 19930318 DISP EFF DAT 19930422 No. 3148 P. 2/3 Feb. 7. 2017 4:34PM Div of Criminal Investigation No.3148 P. 3/3 OWI TRK#: 013637401 SENTENCE PLEAD GUILTY DEFERRED JUDGEMENT COURT COSTS PROBATION DCI 00452732 PAGE 2 OF 2 DISP EFF DAT DDSISUB ABUSE EVAL AND TRMT 19980203 19980203 19980203 1Y 19980203 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 POR 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 Cv