HomeMy WebLinkAbout17-037� r ,
CITY OF IOWA CITY
410 East Washington Street
Iowa City, Iowa 5 2240-1 82 6
(319)356-5040
(319) 356-5497 FAX
IDENTIFICATION NO. t -7 —0 ,3 -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
1. Name (REQUIRED) V/+,vlIE-:;> "- og i 1?6--&-
2. Address (REQUIRED) i Sod E Z 100 cvl Wbfb,v� S j Cavi! CtjV _1�{ 5-2 Z +-/S
3. Contact Information (REQUIRED) Email: G'ti0YJRF�I/Vr�(TM✓YI ,co✓( Cell Phone: 3l c, -6.3 1 -1?, 40
(All written communication sent via email)
4a. Driver's License expiration date (REQUIRED) 3&//-7
b. Taxicab Business Name (REQUIRED) UC l knr j C 74 6
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? Jl
Type of offense Where When
0A1 C
L+7
Tlf�i'1 2AoD Je-* mors Ca 0 211 7 //W9
What happened to the charge? (Circle one)
Conic DismissedDeferred Suspended Plead Guilty Other
Have you been arrested / charged with any traffic offenses in the last five years? y675
Type of offense
Where
My 1=2
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? /V0
U
Type of offense
Where
When
9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(sj
NO -- " t .:
ry
DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE'CERTI IED- I
DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF#VIEW..','
You must apply for an individual Department of Criminal Investigation Report (form available upon request).
(SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY)
07/2016
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APPLICATION FOR TAXICAB VEHICLE DRIVER
Page 2
I here y certify that I h ve issued to me by the Iowa Department of Transportatio a /y�a�l�id Driver's license number
OZ �/-V i issued on (� expiring on 7�! / . I understand that if I
falsely answ r ny questions in this application, that this appllca ion 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 v Date
x»xxxx+xxrxrxrr+rr+x+++xw+xxxxxxxwxxw»wx»rrrrrr+rr+rr+»x»++xwxxxxxxwwxwxx»»wrrr+++++»+++w++x+ww++»xwxxx»wx»»rr»r+rrr++++»»»xxwxr
STATE OF IOWA )
COUNTY OF JOHNSON )
Subscribed and sworn to before me by aC_L---0 �. 1 "9,t94 on this Z day of
M-C,cc JA Coli. __j
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 2 12 -c: -y%
Hyl
Signature of Police Chief or designee
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.
Sigfiature of C ty Clerk or designee 0
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D to
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Office Use Only - > :,c
Approved application
DCI report
State certified driving record
Website update
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DeM/rMIDRNflADGEAPPL92014am mM .DOC 07/2016
Page 1 of 2
C410WADOT
SMARTER I SIMPLER I CUSTOMER DRIVEN vuww.iowadotgov
Office of Driver Services
PO Box 9204 1 fes Moines. IA 50306-9204
Phone: 515-244-91241 OOD-532-11211 Fax: 515-239-1837
www.iowadat.gov
History Information
Convictions
Citation Date
Conviction Date
Certified Abstract of Driving Record
Explanation
Inquiry
3/2/2017
DL/ID #:
802YY8791 (IA)
CDL Permit Class:
None
Date:
05/15/2015
S92
Speed
MO
Customer
1232200
Class:
D
CDL Permit Issue
None
#:
Date:
Name:
Figg, James Robert
Audit #:
9822086
CDL Permit
None
Expiration Date:
Address:
1308 E BLOOMINGTON
Issue Date:
03/01/2016
CDL Permit
None
ST
Endorsements:
Expiration
09/17/2017
CDL Permit
None
Date:
Restrictions:
City/State:
IOWA CIN, IA
Endorsements:
3
ID Status:
None
522453108
Mailing
1308 E BLOOMINGTON
Restrictions:
Corrective Lenses
DL Status:
VAL
Address:
ST
Restriction
None
CDL Status:
None
Mailing
IOWA CITY, IA
Supplement:
CDL Permit
ELG
City/State:
522453108
Status:
Date of
9/17/1976
CDL Cert Status:
None
Birth:
Sex:
M
CDL Med Status:
None
History Information
Convictions
Citation Date
Conviction Date
ACD
Explanation
County JUR
08/27/2013
09/13/2013
S92
Speed (10 mph & under in 35-55 mph zone)
Benton IA
04/20/2015
05/15/2015
S92
Speed
MO
Name: Figg, James Robert DL/ID: 802YY8791
Pursuant to Iowa Code §321.10, I, Melissa Spiegel, Director of Office of Driver Services, Iowa Department of-TCransportation, do
hereby certify that I am the custodian of the records held by the Office of Driver Services, that this is a. tryye and'accuratGG copy of
an official record currently in the custody of said office, and that I have been authorized by the Directorof,the Ilii' a Depahri5ent of
Transportation to so certify.
In witness whereof, I have caused my signature and the seal of the Department to be set upon this dpGvmenti at ANTr+y Iowa
this date: - ;"'1 n y
IOWA •''.r{p��y, 3/2/2017
).0.. T J//�Gdsw/C
®8w4— Office of Driver Services
3/2/2017
. Feb,21. 2017 11:45AM Div of Criminal Investigation No.4156 P. 1
02/17/2017 08: 52 YeI low Cab of lova City (FAX)3193382708 P,002/003
STATE O ,.
l II A
Criminal HistoryReCheck
cord
Request Form
DCI Account Number; 9967-P•
Toe town Divle1011 of Criminal Investigation From:
Support Operations Bureau, I" Floor
215 E. 7" Street
Des Moines, Iowa 50319
(515)725-6066
—(5rii725606e0 F x —
Phone:
Fax:
Dates of Hirth (inudde:o 1 Gender (mandato So'c/lel SecuGrll Numbo rosammonded
/ �7 ! �.. L7Male ❑Female T��r (� �,�
Walver Inforntatlan: Without a signed walver from the subject of the regpest, a complete priminal hlstory record may not
be releasable, per Code of Iowa, Chapter 692.2. For complete criminal hlstory•recorO Information, as allowed by taw, always
Walver Release; I hereby AN pcnnlsslm tot the above rc aline m eonduel M laws crtminel Ms1Ory Mord OhoOa Qh rhe Dlrhloe of Crlminal
Inyutlaerioa (DCf). My criminal binary dare nccmina me rhar ' cd by ms DCI cony be reloetad a sllowee by Isw,
Walver5lgnafuree
auwa Lrlminar nistor Recolyd Check Results (Dci, use only)
As of -37\ 7-m `'� a search of the provided name and data of birth ravealodta
❑ No Iowa Criminal History Record found with DCI
, . r�
Iowa Criminal History Record attached, DCI
DCI initials!
DOM (08/25/10)
c.— ;,,.,r T;m. G.6 17 1A17 0•A9OM hlOPpp
feb.21. 2017 11:45AM Div of Criminal Investigation No.4156 P. 2
DCI:00496131
NAME: FIGG,JAMES ROBERT
FIGG,JAMIE
DOB SEK RAC
19760917 M W
IOWA CRIMINAL HISTORY DCI 00496131
MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2
DATE PRINTED -
2017/02/21
HGT WGT EYE HAIR SAN POB
511 145 BLU BRO MED IL
ADDITIONAL IDENTIFIERS
N
0
CCH RECORD •**
01 ARRESTED/TAKEN INTO CUSTODY 19950307
AGENCY: IA0520000
JOHNSON CO SO
CHARGE NO- 01
IA STATUTE IA714-2-2
THEFT 2ND
TRK#: 012978401
CHARGE NO- 02
IA STATUTE IA713-6B
-10-BURGLARY 3RD
W
TRK#: 012976402
n�
COURT DISPOSITION
AGENCY: IA052015J
JOHNSON CO DIST COURT
COUNT NO- 01
IA STATUTE:
THEFT 2ND
TRK#: 012978401 -
RESTITUTION
SENTENCE
DISP EFF AAT
DEFERRED JUDGEMENT
19950825
PROBATION
3Y
19950025
COURT DISPOSITION
AGENCY: IA052015J
JOHNSON CO DIST COURT
COUNT NO- 02
IA STATUTE:
BURGLARY 3RD
TRK#: 012978402
RESTITUTION
SENTENCE
D1SP EFF DAT
DEFERRED JUDGEMENT
19950825
PROBATION
3Y
19950825
CHARGES COMBINED
19950825
02 ARRESTED/TAKEN INTO CUSTODY 19980717
AGENCY: TA0520200
IOWA CITY PD
CHARGE NO- 01
IA STATUTE IA714-2(2)
THEFT 2ND -POSE STOLEN
PROPERTY
TRK#: 017978101
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
SENTENCE
DISP EFF DAT
N
0
J
rn
6 t
W
n�
Feb.21. 2017 11:46AM Div of Criminal Investigation No.4156 P. 3
DCI 00496131
PAGE 2 OF 2
FINE $500 19990115
COURT COSTS RESTITUTION 150 DOLT, 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
rIN
spa
Charge
Charge:
Offense Date:
DPS Number:
Adjudication
Charge:
Adj.:
Adj.Judge:
Comments:
Sentence
Charge:
Sentence Date:
Appeal:
Facility Type:
Restitution:
Lic.Revoked:
Fine Amount:
Comment:
Sentence
Charge:
Sentence Date:
Appeal:
Facility Type:
Restitution:
Lic.Revoked:
714.2(2)
08/31/1997
0179781-01
Trial Caul Search
Description:
Arrest Date:
THEFT 2ND DEGREE - 1978 (FELD)
Against Type:
714.2(3) Description: THEFT 3RD DEGREE - 1978 (AGMS)
DNU-GUILTY Adj.Date: 11/24/1998
THOMAS, WILLIAM L
714.2(3)
01/15/1999
Y
N
714.2(3)
01/15/1999
1A
M,
Fine Amount: 500
Comment:
Sentence
tritps:tA w.imacaats.state.ia.us/ESAWehApprilMexFrm
Description:
Sentence:
Sen.Judge:
Attorney:
Drug:
DDS:
Duration:
Description:
Sentence:
Sen.Judge:
Attorney:
Drug:
DDS:
Duration:
THEFT 3RD DEGREE - 1978 (AGMS)
COMMUNITY SERVICE
ROBINSON, L VERN
Y
N Extradition: N
N flatterer: N
50 Hour(s)
f'
y"t0
THEFT 3RD DEGRI B = { 978 .�AGMC4 -
FINE ±i
ROBINSON, L VERN'- ^?
Y
N Extradition: N
N Batterer.
N
1/2
N
N
N
N
N
N
acarts.stale.ia.uslESAWeMpprilnrlexFrm 2J2
Trial Cart Search
Charge:
714.2(3)
Description:
THEFT 3RD DEGREE - 1978 (AGMS)
Sentence Date:
01/15/1999
Sentence:
PROBATION
Appeal:
SenJudge:
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 3RD DEGREE-1978(AGMS)
Sentence Date:
01/15/1999
Sentence:
PRISON
Appeal:
SenJudge:
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:
SenJudge:
ROBINSON, L VERN
Facility Type:
Attorney:
Y
Restitution:
Y
Drug:
N Extradition:
N
Lic.Revoked:
N
DDS:
N Batterer:,-.--,
6
Fine Amount:
Duration:
2 Year(s) a S >
ry
Comment:
'
tv
r..a
n�
N
N
N
N
N
N
acarts.stale.ia.uslESAWeMpprilnrlexFrm 2J2
Char2e
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: HBBS, KRISTIN L
Comments:
Sentence
Charge:
713.7
Description:
POSSESSION OF BURGLAR'S TOOLS - 1983 (AGMS)
Sentence Date:
03/29/1995
Sentence:
OTHER/MISCELLANEOUS
Appeal:
SenJudge:
HIBBS, KRISTIN L
Facility Type:
,
Attorney:
N
Restitution:
N
Drug:
N Extradition: N
Lic.Revoked:
N
DDS:
N Batterer:
Fine Amount:
N
Duration:
Comment:
MERGED INTO
FECR037607. CT IV
https://www.iowacourts.state.ia.us/ESAWebApp/TlndexFrm 1M
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,
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7C
N
.ham
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N
https://www.iowacourts.state.ia.us/ESAWebApp/TlndexFrm 1M
wool,
Trial Court Search
Charge
Charge: 718.6 Description: FALSE REPORT TO LAW ENFOR AUTH - 1978
Offense Date:
12/30/1994
Arrest Date:
Against Type:
DPS Number:
}
Adjudication
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:
Lic.Revoked:
N
DDS:
N Batterer:
Fine Amount:
Duration:
'
Comment:
r�
hps:/Avww.iowacotrts.state.ia.us/ESAWebA4#TlndoxFrm 9
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