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Home My WebLink About12-0635. 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? �V-c5 Type of offense Where When F. t/. C, r So. C d, t�y��jXzs 6. Have you b en convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where When zy"Papn - _Tc b a7 /u 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? At) 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) derwraxidrivbadg 09/2010 Authorization Number /,; — &'J r _ 1 (Office Use Only) r� III 7► CITY OF IOWA CITY APPLICATION FOR TAXI DRIVER (Police Department review must be made 41 0 Fast Washington Street between 8 a.m. to 3 p.m., Monday - Friday.) Iowa City, Iowa 52240-1826 (319) 3S6-5040 (319) 356-5497 FAX ��]] �o+liFirst Middle Last !l 1. Name /+5 /ti01,10U e✓< 2. Mailing Address Qo{vs--z - octa Grt,f 4-1- 3. Telephone: Home I R a 3 L SG07 Other: 4. Prior experience in transportation of passengers: of S ( TB it r- 5. 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? �V-c5 Type of offense Where When F. t/. C, r So. C d, t�y��jXzs 6. Have you b en convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where When zy"Papn - _Tc b a7 /u 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? At) 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) derwraxidrivbadg 09/2010 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number / 'I 9 Ar- 7111 . I understand that if I falsely answer any questions in this application, 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 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 Date -as -/7- !f flNNNfY##N#444#4###fR#flRllfflflflNlflNNlNflNNffNfflf fNNf11ff1R1fflMNl4f INRNfNNRIRRIR#NNNR4ff#NN4fR1##R1e#*RNRb#R#R#N STATE OF IOWA ) COUNTY OF JOHNSON Subscribed and sworn to before me by ��or s tiyr\mow e��\� On this ��}~ day of Public in and 't 131 m flff}*****##4#**##}f}}i#ffi}}ff}}fi#fNRNRfiff#Rf}RR}}#f}RR}1f#1fRR}NflflNfflNlffiffifflff}lfffifNff}f}iffiflf}iii#t#lfNffiff4iff}fff#Nii 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). Signa ure of Police @Xief or designee Signatu'te of City Clerk or designee Date -�9-/19� 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. ######f#ff#f#f#ffNfffffffN#Nfff#Nf##ff#f#N###f##f##f####f##f#N####4#ff###f###NNIfNNfffffRfN#Nff ffffHlfffffNff!!ff lffffffffflffRNf Office Use Only Approved application DCI report State certified driving record Website update cieWta iddv adgea,2010 d« 09/2010 Iowa Department of Transportation I , Office of Dfiver Services (Toll Free) OM -532-1121 PO Box 9204, Des Moines, IA 50305-9204 515-287 FAX: 515-239-1837 Inquiry Date: 2/22/2012 Name: Levell, Adonis Harlow Address: 2710 WAYNE AVE City/State: IOWA CITY, IA 522402527 Mailing Address: 2710 WAYNE AVE Mailing City/State: IOWA CITY, IA 522402527 Convictions Certified Abstract of Driving Record DL/ID #: 149AC7111 (IA) Customer #: 4343789 Class: D ID Status: None Audit #: 1521285 DL Status: VAL Issue Date: 09/21/2007 CDL Status: None Expiration Date: 10/01/2012 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Restrictions: Commercial Instruction Restriction CDL Instruction Permit Permit, Corrective Lenses Supplement: Expires 3/21/2008 Date of Birth: 10/1/1950 Sex: M History Information Citation Date Conviction Date ACD Explanation County 7UR 05/29/201_0106/27/2010 B61 Violation of itccident Requirements 'S2 'IA __. 05/29/2010 ._ _ ... .06/27/2010 _ ..... ;N82'Improper Backing ...3 _.. _ �. 'S2 fIA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number 7UR ......._... .. ......... _.._. _.... ... ... _ . _. .... ._. __. ._..._ ..r. .__.... . _..- 04/29/2009 505840 ,. - IA 05/29/2010 :576158 jIA Name: Lovell, Adonis Harlow DL/ID: 149AC7111 Pursuant to Iowa Code §321.10, 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 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: ?"••'••%X''4 2/22/2012 IOWA '*°; D.O.T.' pF Office of Driver Services �R....... Iowa Department of Transportation Name: Levell, Adonis Harlow DL/ID: 149AC7111 Feb. 28. 2012 9:49AM Div of Criminal Investigation tNo.5636 IP, r2/3 0 STATX OV IOWA� •Irrnur� r 1'nJ 1 C Ilj �ld�1 ':n 1'.. W !, • Record ( ,Y. k�!:, �••: tip¢ To: Yo�valliy7rlonbfCrhnfn9l]hyasttgat(on Support op oeaflon8 7apronu, lal pToor 213E, 7'hStreet besXgrues,7otya 50319 (315)-I;w-Sa6d (QQ 79--6060 )FAA Cheok DCL AcoountDlUmber: o _ � • (IPaP➢IteA�fo) hYoMl OTRP OF IOWA CITY . CITY =RR'S Oxuag (30 R UA S7iT 7M'nN aM IOIJA 017Y I= 52g4O Bhonb; 319:356--5047 payl 314_349_5497 F�I Lev e I 1 0 740;1 JDra�c+o�Dirth(In9odelerr) QehdoY(m¢ndalnl) 80o101soot,4�ly�'Mbex-kcorpmoga i95o L� of So k(Male C7 emaTo '17f G -3 ?.P l r)!yG'P.Yf1J'a miiowWi(hautasfgaeriiypiVel'iron,tIt leotorthe1'er(ue9t,aComplot0cpjrp(npfhiefaryreeordmay7log horbletrsah1orCodeo£YoCyq,CLlpptor69z�.kror arJmfn(77hJstolyrecord1nPormgllon,p6a1lolyeAbyIaI,a1Woy� YI'(LLrVBi'.�B%B!�}"BI jllCfebyg(Vep¢rinfss/bnforlhon6oVa lbgees6ngo111oiAlfo mndue{871%fYlorimfnalll/s(etyreeurdef�erY�yilh lfteDtislnit OfL4imiml inrosilsadon(pCp. Aryorlm(on0lfsto7ydomboneamingltletRnCll7notnlatrtadbirlholl ,aly6/toRatodaYnllowad6ytaw WpiyerSignalure; .C.G.i � , // vA wM4LIVrwN i4.4LLJ 4l/A y .y�vryl/.G 44 •4.k4 V.n. AOdd rlA I.rq 00 wo only) A.s of ARa aaarch o thaproVfdad namo aid nate o hiithxoveplod: ra No astory Record foliad with DCT yowa criminsI Iato>:y Reco,d areachtd, Dox # 3v07 S bCTuaSbinls AL1 I ' .. I Received Time5lFeb, 22. 2012 3:43PM No. Feb -28, 2012 9:49AM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00300745 FELONY CONVICTION PAGE 1 OF 1 DATE PRINTED- DCI:00300745 2012/02/20 NAME: LEVBLL,ADONIS HARLOW DOB SEX RAC HGT WGT EYE HAIR SKN POB 19501001 M W 512 250 BLU BRO MED IA ADDITIONAL IDENTIFIERS SC L FGR CCH RECORD *** 01 ARRESTED 19830222 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE XA715-6 FLS USE F117 INSTR TRK#: L23390301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA715-6 FALSE USE OF FINANCIAL INSTRUMENT CHARGE CLASS: FELONY CONVICTION TRKB: L23398301 SENTENCE DISP EFF DAT PLEAD GUILTY 19830022 IYA1L SY 19630822 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 il No.5636 P. 3/3