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Home My WebLink About12-023III CITY OF IOWA CITY 410 East Washington Street Iowa City, -Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX 1. Name 2. Mailing Address _ 3. Telephone: Home S /" ! — S S . S Authorization Number APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday.) dl Other: /,)--�2-3 (Office Use Only) Last si, 4. Prior experience in transportation of passengers: C%a 1l 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 6. Have you bee convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years?� Z 7. Have you been convicted of any traffic offenses in the last five years? L11 When .e. y.,,.. . ...�F... ..'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(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) The re- port will be mailed to the individual making the request and needs to be reviewed by the Police Chief with this appli- cation. (OVER FOR REQUIRED SIGNATURE AND NOTARY) a�w�aammaa 09/2010 b-ereby it�Y� that I have tissued to me by the Iowa Department of Transportation a valid Chauffeurs license numbgr / Y�- / �9' / _ I understand that if I falsely answer anv questions in this aoolication. that this application may be denied. I understand that if I falsely answer any of the questions in this application, that this application will 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 a license is granted, to comply at all s 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��. Date STATE OF IOWA ) COUNTY OF JOHNSON ) (.�,�' s ribed and sworn to before me by —�1MaC-, DSC -V\- On this 2 � day of KELLIE TU K. TTLE otary Public in and for the State of Iowa My corpafJ,`/F,,-les I have reviewed this application, DCI report, and the State certified driving record of this applicant and have deter- mined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of residents of the City of Iowa City (Title 5, Chapter 2, City Code). :�4 4 Signature of Pdilic<ii f or designee o4,69,4J / . �A/ Sgnat re of City Clerk or designee Date / —.2 — /aZ. Date After Police Chief and City Clerk have approved authorized taxi driver names will be placed on the city website at icgov.org. Taxi cab businesses are required to provide Driver Identification cards. »»a»»»aa»aaaawaa»aww»www»w»wa»aaa»»aw»-e»»aa»aaa»a»aa»asaaa»aaaaa»aa.+aa»»wwewwaawaaw»a:waaawwaaaa.awww»aw»w»wwwwwaaw Office Use Only Approved application DCI report State certified driving record Website update derWtaxitl vbatlge 2010.tl 09/2010 Iowa Department of Transportation Office of Driver Services (Toll Free) 80(3-5324121 ILA PO Box 9209; Des Moines, iR 50306-92D4 515-249-1837 FAX: 515-239-1837 Inquiry Date: 1/24/2012 Name: Simpson, James Micheal Address: 429 SOUTHGATE AVE City/State: IOWA CITY, IA 522404401 Mailing Address: 429 SOUTHGATE AVE Mailing City/State: IOWA CITY, IA 522404401 Sanctions Certified Abstract of Driving Record DL/ID #: 737YY1899 CIA) Customer #: 2586051 Class: D ID Status: None Audit #: 5613089 DL Status: VAL Issue Date: 11/04/2011 CDL Status: None Expiration Date: 09/14/2613 CDL Cert Status; None Endorsements: 3 CDL Med Status: None Restrictions: NONE Restriction None Date of Birth: 9/14/1963 Supplement: Sex: M History Information Type Effective End ACD Explanation occurrence JUR Jun Suspended 09/20/2011��}11/02/2011 y 51 'Non -Payment of Child Support JA JAI Name: Simpson, James Micheal DL/ID: 737YY1899 Pursuant to Iowa Code §321.10, 1, 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 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: >.•"""•: w/'4 1/24/2012 IOWA';;; �F>1kIVEH$ Office of Driver Services Iowa Department of Transportation Name: Simpson, James Micheal DL/ID: 737YY1899 „kA Summary of Rights 2185 S. Gilbert Street Iowa City, IA 52240 Hiring Manager: kmmiller@durhamschoolservices.com Account Name: National Express Corporation (Iowa City -3029) Date Request Submitted: 12/16/2011 11:41 AM Request Completion Date: 12/19/20115:07 AM Adjudication Status Set: 12/19/2011 6:23 AM Adjudication Pending Date: 12/19/20115:07 AM Applicant's Personal Information Page 3 of 8 customemewice@ilhireright.com James Michael Simpson DOB: USA Social Security Number: ***-**-1694 SSN Trace* Comments: Date Report Started: Subject Name: Addresses: JAMES M SIMPSON 707 5TH, CORALVILLF, IA 522412305 SS Trace/Credit Telephone Number: SSN: **"--**-1694 This address may be used for additional Court Records searches: Criminal Felony & Misdemeanor (Johnson) 1026 PENNSYLVANIA 3, DES MOINES, IA 503162887 This address may be used for additional Court Records searches: Criminal Felony & Misdemeanor (Polk) 8434 ALICE 35, CLIVE, IA 50325 Complete. - Data Found i Date Reported: 09/10 Date Reported: 03/02 Date Reported: 11/98 This address may be used for additional Court Records searches: Criminal Felony & Misdemeanor (Polk) 17191SETT, MUSCATINE, IA 527614632 Date Reported: 10/98 This address may be used for additional Court Records searches: Criminal Felony & Misdemeanor (Muscatine) PO BOX 457, HILLS, IA 522350457 Date Reported: 03/11 This address may be used for additional Court Records searches: Criminal Felony & Misdemeanor (Johnson) Consumer Statement * The Social Security Trace does not prove the validity of the social security number. Court Records 4 subrequests ;RA Summary of Rights Page 4 of 8 1. Criminal Felony & Misdemeanor (Variable Depth History) Complete - James Michael Simpson Court Record Found Address(es): Iowa City, Johnson County, IA, USA Hills, Johnson County, IA, USA Coralville, Johnson County, IA, USA Location Searched: Iowa City, Johnson County, IA Hills, Johnson County, IA Coralville, Johnson County, IA Time Completed: 12/16/2011 01:58 PM Verified by: OA -23058 Case Nbr.: 06521 FECR095367 (JOHNSON) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON, JAMES MICHAEL Count: 1 Severity: Felony Offense 05-20-2011 Disp. Date: Date: Offense: THEFT 2ND DEGREE - Class D Disposition: Pending - Sentence: Next Court Date 02/10/2012 Case Nbr.: 06521 NTA0090147 (JOHNSON) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON, JAMES MICHAEL Count: 1 Severity: Misdemeanor Offense 10-22-2011 1 Disp. 11-17-2011 Date: Date: Offense: DRIVING WHILE LICENSE DENIED SUSPENDE4,CANCELLED OR REVOKED - Sfmp0-1 iSdemeanor Disposition: ,Dismissed Sentencer Case Nbr.: 06521 SRCR094577 (JOHNSON) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON, JAMES MICHAEL Count: 1 Severity: Misdemeanor Offensa 06-12-2.011 Disp. Date: Date: Offense: POSSESSION OF A CONTROLLED SUBSTANCE - Serious Misdemeanor Disposition: Pending Sentencr,:: Next Court Date 01/13/2012 2. Criminal Felony & Misdemeanor (Variable Depth History) Complete - James Michael Simpson Court Record Found Address(es): Jasper County, IA, USA Summary of Rights Page 5 of 8 i Location Searched: Jasper County, IA Time Completed: 12/19/2011 05:07 AM Verified by: QA -9678 Case Nbr.: 05501 SMAC007990 (JASPER) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON. JAMES MICHAEL Count: 1 Severity: Misdemeanor Offense 12-22-2005 Disp. 02-21-2006 Date: Date: Offense: OBSTRUCTION OF EMERGENCY COMMUNICATIONS - Simple Misdemeanor Disposition: Guilty Sentence: Cost & Fines, Jail 2 days Case Nbr.: 05501 SRCR011903 (JASPER) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON, JAMES MICHAEL Count: 1 Severity: Misdemeanor Offense 12-22-2005 Disp. 02-01-2006 Date: Date: Offense: DOMESTIC ABUSE ASSAULT WITH/OUT INTENT CAUSING INJURY - Serious Misdemeanor Disposition: Dismissed Sentence: Case Nbr.: 05501 NTNW032190 (JASPER) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON, JAMES MICHAEL Count: 1 Offense 06-16-2003 Date: Offense: DRIVING WHILE LICENSE DENIED,SUSPENDED,CANCELLED OR REVOKED - Simple Misdemeanor Disposition: Guilty Sentence: Cost & Fines 3. Criminal Felony & Misdemeanor (Variable Depth History) James Michael Simpson Address(es): Muscatine, Muscatine County, IA, USA Location Searched: Muscatine, Muscatine County, IA Time Completed: 12116/201101:57 PM Verified by: QA -434 Severity: Misdemeanor Disp. 07-31-2003 Date: Complete - No Court Record Found 4. Criminal Felony & Misdemeanor (Variable Depth History) Complete - Court ;RA Summary of Rights J James Michael Simpson Address(es): Clive, Polk County, IA, USA Des Moines, Polk County, IA, USA Polk County, IA, USA Location Searched: Clive, Polk County, IA Des Moines, Polk County, IA Polk County, IA Time Completed: 12/16/2011 01:58 PM Verified by: QA -23058 Page 6 of 8 Record Found Case Nbr.: 05771 AGCR122498 (POLK) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON, JAMES MICHAEL Count: 1 Offense 02-02-1998 Severity: Misdemeanor Date: Disp. 04-16-1998 Offense: DRIVING WHILE BARRED HABITUAL OFFENDER - Date: Aggravated Misdemeanor Disposition: Guilty Sentence: Suspended Jail 45 days , Probation 6 Months , Cost &Fines Case Nbr.: 05771 0WOM036567 (POLK) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON, JAMES MICHAEL Count: 1 Offense 10-14-1993 Severity: Misdemeanor Date: Disp. 01-14-1994 Offense: OPERATING VEHICLE WHILE INTOXICATED Date: (OPERATING WHILE INTOXICATED) / IST OFFENSE SERIOUS MISDEMEANOR - Disposition: Guilty Sentence: Probation 1 Year, Suspened 1 year, Cost & Fines ,Communit;I Service 70 hours Case Nbr.: 05771 SRCR079149 (POLK) Court Name: Comments: Confirmation: Name, Date Of Birth. Name on file: SIMPSON, JAMES MICHAEL Count: 1 Offense 03-21-1994 Severity: Misdemeanor Date: Disp. 10-24-1994 Date: Offense: DRIVING WHILE LICENSE DENIED OR REVOKED Serious Misdemeanor - Disposition: Guilty Sentence: Cost & Fines Results: National Sex Offender Registry Not in Registry 1 JKA Summary of Rights Widescreen Plus National Criminal Search XJurisdictions Searched: AK ANCHORAGE PD, AK AOC, AK SOR, AL AOC, AL CRIME STOPPERS, AL DOC, AL FUGITIVES, AL SOR, AR AOC, AR DOC, AR SOR, AU SOR, AZ AOC, AZ DOC, AZ DOC WANTED PERSONS, AZ MARICOPA, AZ MOHAVE, AZ PIMA, AZ SOR, CA ALAMEDA, CA BUTTE, CA CONTRA COSTA, CA DOC WANTED PERSONS, CA FRESNO, CA INDIO, CA LAPD, CA LOS ANGELES, CA MARIN, CA NEVADA, CA ORANGE, CA RIVERSIDE, CA SACRAMENTO, CA SAN BERNADINO, CA SAN BERNARDINO, CA SAN DIEGO, CA SAN LUIS OBISPO, CA SAN MATEO, CA SANTA BARBARA, CA SANTA CLARA, CA SANTA CRUZ, CA SISKIYOU SUPERIOR, CA SOR, CA SUPERIOR, CA VENTURA, CO BOI MOST WANTED, CO DENVER, CO DOC, CO DOC WANTED PERSONS, CO SOR, CT AOC, CT DOC, CT DOC WANTED PERSONS, CT SOR, CT TRAFFIC, DC DOC, DC MOST WANTED, DC SOR, DE DOC, DE SOR, FL ALACHUA, FL AOC, FL BAY, FL BREVARD, FL BROWARD, FL CHARLOTTE, FL DADE, FL DOC, FL DUVAL, FL FT. LAUDERDALE PD, FL HERNANDO, FL HIGHLAND, FL HILLSBOROUGH, FL INDIAN RIVER, FL JACKSONVILLE FUGITIVES, FL LEE, FL LEON, FL MANATEE, FL MARION, FL MIAMI-DADE, FL MONROE, FL OKALOOSA, FL ORANGE, FL OSCEOLA, FL PALM BEACH, FL PASCO, FL PINELLAS, FL SARASOTA, FL SEMINOLE, FL SOR, FL SUWANNEE, FL TAMPA PD MOST WANTED, FL VOLUSIA, GA ATLANTA POLICE, GA BOI, GA COBB, GA DECATUR, GA DOC, GA PAP, GA SOR, GU SOR, HI AOC, HI CJIS, HI DOC, HI HONOLULU CRIME STOPPERS, HI SOR, IA AOC, IA DOC, IA DOC PRO, IA SOR, ID DOC, ID SOR, IL COOK, IL DOC, IL MCLEAN, IL PEORIA, IL SANGAMON, IL SOR, IL STATE POLICE WANTED PERSONS, IN AOC, IN DOC, IN MOST WANTED, IN SOR, KS DOC, KS JOHNSON, KS MOST WANTED, KS SEDGWICK, KS SOR, KY DOC, KY FAYETTE, KY LEXINGTON, KY SOR, KY STATE POLICE, LA BATON ROUGE CRIME STOPPERS, LA DOC, LA DOC PAR, LA SOR, LA ST TAMMANY, MA ARREST, MA DOC, MA MOST WANTED, MA SOR, MD AOC, MD BALTIMORE FELONS, MD DOC, MD MOST WANTED, MD SOR, ME DOC, ME SOR, MI DOC, MI MACOMB, MI SOR, MI STATE POLICE, MI THIRTEENTH CIRCUIT, MI WAYNE,-MN DOC, MN DPS, MN SOR, MN ST PAUL POLICE, MO AOC, MO DOC, MO SOR, MO ST LOUIS MOST WANTED, MS DOC, MS DPS, MS HARRISON, MS HINDS, MS PAP, MS SOR, MT DOC, MT SOR, NC AOC, NC DOC, NC MOST WANTED, NC SOR, ND AOC, ND DOC, ND SOR, NE DOC, NE SOR, NH DOC, NH SOR, NJ AOC, NJ DOC, NJ SOR, NJ STATE POLICE, NM AOC, NM BERNALILLO, NM DOC, NM SOR, NV AG INVESTIGATIONS, NV CLARK JUSTICE COURTS, NV DOC, NV DPS, NV LAS VEGAS POLICE, NV MOST WANTED, NV SOR, NY DOC, NY NY STATE MOST WANTED, NY NYC MOST WANTED, NY SOR, OH AKRON AKRON, OH ALLEN, OH ALLEN LIMA, OH ASHTABULA, OH ATHENS, OH AUGLAIZE, OH BELMONT, OH BROWN, OH BROWN TRAFFIC, OH BUTLER, OH BUTLER FAIRFIELD, OH BUTLER MIDDLETOWN, OH CHAMPAIGN, OH CLARK COMMON PLEAS, OH CLARK MUNI, OH CLERMONT, OH CLINTON, OH COLUMBIANA, OH COLUMBUS MOST WANTED, OH COSHOCTON, OH CUYAHOGA BEDFORD, OH CUYAHOGA BEREA, OH CUYAHOGA EUCLID, OH CUYAHOGA GARFIELD HEIGHTS, OH CUYAHOGA PARMA, OH CUYAHOGA ROCKY RIVER, OH CUYAHOGA SHAKER HEIGHTS, OH DELAWARE, OH DOC,'OH EAST CLEVELAND EAST CLEVELAND, OH ERIE VERMILION MUNI, OH ERIE VERMILLION, OH FRANKLIN, OH FRANKLIN MUNI, OH FULTON, OH GALLIA GALLIPOLIS, OH GEAUGA CHARDON, OH GEAUGA CHARDON MUNI, OH GREENE, OH GREENE XENIA MUNI, OH GUERNSEY CAMBRI`DGE MUNI, OH HAMILTON, OH HANCOCK, OH HARDIN, OH HIGHLAND HILLSBORO, OH KNOX COMMON PLEAS, OH KNOX MOUNT VERNON, OH LAKE, OH LAKE MENTOR, OH LAKE PAINESVILLE, OH LAWRENCE LAWRENCE, OH LAWRENCE MUNI, OH LICKING, OH LORAIN AVON LAKE, OH LORAIN ELYRIA, OH LORAIN LORAIN, OH LORAIN MUNI, OH LORAIN OBERLIN, OH LUCAS MAUNEE, OH LUCAS SYLVANIA, OH MAHONING, OH MEDINA, OH MEDINA MUNI, OH MONTGOMERY, OH MONTGOMERY DAYTON, OH MONTGOMERY HUBER HEIGHTS, OH MONTGOMERY KETTERING, OH MONTGOMERY MUNI, OH MONTGOMERY NEW LEBANON, OH MONTGOMERY VANDALIA, OH MUSKINGUM MUNI, OH OTTAWA MUNI, OH PORTAGE, OH PREBLE EATON, OH PUTNAM, OH RICHLAND, OH RICHLAND MANSFIELD, OH ROSS CHILLICOTHE, OH SANDUSKY, OH SENECA TIFFIN, OH SHELBY SHELBY, OH SHELBY SIDNEY, OH SOR, OH STARK, OH STARK ALLIANCE, OH STARK CANTON, OH STARK COMMON PLEAS, OH STARK MASSILLON, OH SUMMIT, OH SUMMIT AKRON, OH SUMMIT BARBERTON, OH SUMMIT CUYAHOGN FALLS, OH SYLVANIA SYLVANIA, OH TRUMBULL, OH TRUMBULL NEWTON FALLS, OH TUSCARAWAS, OH Page 7 of 8 -1 xvignts WARREN, OH WARREN FELONY, OH WARREN LEBANON, OH WARREN MASON, OH WARREN MISD, OH WASHINGTON MARIETTA, OH WAYNE, OH WOOD, OH WOOD BOWLING GREEN, OK ADAIR, OK AOC, OK ATOKA, OK BEAVER, OK BECKHAM, OK BLAINE, OK BRYAN, OK CADDO, OK CARTER, OK CHEROKEE, OK COTTON, OK CRAIG, OK CREEK BRISTOW, OK CREEK DRUMRIGHT, OK CREEK SAPULPA, OK CUSTER, OK DELAWARE, OK DISTRICT, OK DOC, OK DOC MOST WANTED, OK DOC VOR, OK DPS, OK GARVIN, OK HASKELL, OK HUGHES, OK JEFFERSON, OK KAY BLACKWELL, OK KAY NEWKIRK, OK KAY PONCA CITY, OK KINGFISHER, OK LATIMER, OK LEFLORE, OK LINCOLN, OK MAJOR, OK MARSHALL, OK MAYES, OK MCCLAIN, OK MCCURTAIN, OK MCINTOSH, OK MURRAY, OK MUSKOGEE, OK NOBLE, OK NOWATA, OK OKFUSKEE, OK OSAGE, OK OTTAWA, OK PAWNEE, OK PITTSBURGH, OK PONTOTOC, OK POTTAWATAMIE, OK SEMINOLE WEWOKq OK SEQUOYAH, OK SOR, OK STEPHENS, TEXAS, OK TULSA MOST WANTED, OK WAGGONER, OK WASHINGTONOK , OK WASHITA, OK WOODS, OR AOC, OR DOC, OR SOR, PA AOC PA AOC CP, PA AOC SUP, PA CRIME STOPPERS, PA DOC, PA PITTSBURGH MOST WANTED, PA SOR, PA STATE POLICE, PA TRAFFIC, PR SOR, RI AOC, RI DOC, RI SOR, RI STATE POLICE, SC AIKEN CIRCUIT, SC AIKEN SUMMARY, SC DOC, SC DORCHESTER CIRCUIT, SC DORCHESTER SUMMARY, SC FLORENCE CIRCUIT, SC GEORGETOWN CIRCUIT, SC GEORGETOWN SUMMARY, SC GREENVILLE, SC MOST WANTED, SC PAP, SC PICKENS CIRCUIT, SC PICKENS SUMMARY, SC SOR, SC YORK, SD DOC, SD SOR, TN AOC, TN AOC SUP, TN DAVIDSON, TN DOC, A HAMILTON, TN METHAMPHETAMINE, TN NASHVILLE, TN NASHVILLE POLICE, TNTN RUTHERFORD, TN SOR, TX ATTORNEY GENERAL, TX BEXAR, TX BRAZORIA, TX BURNET, TX CAMERON, TX CHAMBERS, TX COLLIN, TX DALLAS, TX DENTON, TX DOC, TX DPS, TX EL PASO, TX FORT BEND, TX FRANKLIN, TX GALVESTON, TX GREGG, TX HARRIS, TX JEFFERSON, TX JOHNSON, TX MIDLAND, TX MONTGOMERY, TX MOST WANTED, TX ORANGE, TX POTTER, TX ROCKWALL, TX SMITH, TX SOR, TX TRAVIS, TX VICTORIA, TX WALLER, TX WILLIAMSON, US AIR FORCE OSI, US ATF, US CUSTOMS SERVICE, US DEA, US FBI MOST WANTED, US MARSHALS SERVICE, US NAVAL CIS, US POSTAL SERVICE, US SECRET SERVICE, US STATE DEPARTMENT, UT AOC, UT DOC, UT SOR, VA AOC, VA DOC, VA FAIRFAX, VA SOR, VA STATE POLICE, VA TRAFFIC, VT DOC, VT MARSHALS SERVICE, VT SOR, WA AOC, Wq CLJ, WA DOC, WA FIELD DIVISION, WA SOR, WI AOC, L DOC, IC SOR, WV DOC, WV STATE POLICE, WY SOR, BCI, GDB MOST WANTED, INTERPOL, OFWI FICE OF FOREIGN ASSETS CONTROL (OFAC), ROC MOST WANTED, T.H.U.G.S., TBI MOST WANTED Results: Page 8 of 8 Completed 1 "Complete" indicates that this request has been processed to conclusion. Please review the report details in their entirety to evaluate any potential discrepancies or records related to this request. All times listed in Pacific - USA timezone LEGAL NOTES: The information provided herein Is a consumer report as defined In the federal Fair Credit Reporting Act I15 USC 1681 et.seq.l It contains confidential Information on the individual named. It Is submitted subject to the express conditions contained in your Subscriber named individureRight al or empl ymentbpromotione used lereassignmlent or re retention as aon employee). . Purposes per use of a content of this report and final vedficafion of the named Individual's identity is your sole responsibility.