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Home My WebLink About12-068Authorization Number 31113 AS�c CITY OF IOWA CITY APPLICATION FOR TAXI DRIVER (Police Department review must be made 41 0 East Washington Street between 8 a.m. to 3 p.m., Monday - Friday.) Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX - 1. Name 2. Mailing Address !3-b t (Office Use Only) 3. Telephone: Home -�3 1 'I " („,, S `-f " - �4 S rj0 Other: 4. Prior experience in transportation of passengers: '� J x YZ& rr j -S 11 e-1 J INS c' er(a 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? SGe 4rrm,n/,1 Tvpeofoffense Pab).G.zn40x Where G'3-07When /i,s��r.� I ' "1 a✓oI V� i-_-� 6. Have you been convicted of operating a motor vehicle years? Ns Tvpe of Offense under the influence of alcohol or drugs in the last five Where 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where When When l 8. Has your driver's license or chauffeurs license been suspended or revoked in the last five years? 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) GerkltaxitlrivGatlg 09/2010 I her ' ertify that I have issued to me by the Iowa Department of Transportation a valid Chauffeurs license number �� V/' S'7 9 . I understand that if I falsely answer any questions in this application, that this application melt' Ke 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 _': Dat �e 3 ' / STATE OF IOWA ) COUNTY OF JOHNSON ) Q Subscribed and sworn to before me by res? On this ZA day of P lic in and for the Sta I6� wai -1 (ty 444t444}#*Nit#*#*1t,M44#itt#N#4**}N#t#*4##*#N*Hf#ttt#44it4ttN4411i#44#N4Y#4ii44t4N#N#i41444Nit#ti#44##4#4#44YY41Nt44YHt#444#f i4N#4} 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). is Si—g7nat a of Pql c ief or designee Date Slign&ufe of City Clerk or designee 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 #++H##NtRNNR1f Nffii++i#++RN###f#ff f f RRf 1Rf 1ff 1ffiNf 11NNfiffNN#+iiff Nif1N+NNNIfN#ii4fffYYfiffN+iflNfMf4N+N##+++++f##+##H Office Use Only Approved application DCI report State certified driving record Website update ci�,dnwed�W2010.d. 09/2010 V State of Iowa Division of Criminal Investigation t} 215E7`"St Des Moines IA 50319 Ph. 515-725-6066 Fax 515-725-6080 Iowa Criminal History Record Check Walk -In Request r Your name Address i L Al City/State/Zip Phone# Requesting an Iowa criminal history record check on: Fill in all shaded areas. Last Name Apenido ( datory) First Name Primer Nombre (mandatory) Middle Name Segundo Nombre (recommended) pfxol 10 Date of Birth Fecha Nacimiento (mandatory) Gender Genem (mandatory) Social Security Number (recommended) U5 ale []Female 17 10> SS Waiver SI nature irma (If the request is on yourself, please sign. If the request is on someone else, write N/A.) OCL USE ONLY Results As of Q a name and date of birth check revealed: []No record found Record attached, DCI # 4 /9_ 13 DCI initials Receipt Number of requests x $15.00 per last name = Total amount $ 15-00 Method of payment: cash ❑money order ❑check # []MasterCard or Visa Cardholder's name Last 4 digits of MC or Visa DCI initials Credit Card Number # Exp. Date IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY DCI:00616318 NAME: PREMLEY,NICHOLAS KYLE PRESLEY,NICHOLAS KYNE PRESSLEY,NICHOLAS KYNE DOB SEX RAC HGT WGT 19831230 M W 511 160 ADDITIONAL IDENTIFIERS SC R KNEE TAT L ARM TAT L WRST CCH RECORD *** EYE HAIR BRO BLK O1 ARRESTED 20040210 AGENCY: IA0S20400 IOWA CITY UNIV SEC PD CHARGE NO- 01 IA STATUTE IA124.401.5 POSSESSION CONTROLLED SUBSTANCE SCH I TRK#: 101081601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 SRCR067779 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101081601 SENTENCE FINE $100 DCI 00616318 PAGE 1 OF 2 DATE PRINTED - 2012/02/29 SKN POB IA DISP EFF DAT 20040526 02 ARRESTED 20050421 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124.401(5) POSSESSION OF SCHEDULE I CONTROLLED SUBSTANCE 2ND OFFENSE TRK#: 101505901 CHARGE NO- 02 IA STATUTE IA716.5 CRIMINAL MISCHIEF 3RD DEGREE TRK#: 101505902 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA716.6(1) CRIMINAL MISCHIEF 4TH DEGREE COURT CASE ID: 06521 AGCR072218 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101505901 RESTITUTION SENTENCE DISP EFF DAT SUSPENDED JAIL 30D 20050713 JAIL 30D 20050713 FINE $250 20050713 PROBATION lY 20050713 DCI 00616318 PAGE 2 OF 2 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 AGCR072218 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101505902 SENTENCE DISP EFF DAT FINE $100 20050713 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 it Iowa Department of Transportation Office of Driver Services (Toll Free) 8OB-532-1121 PO Box 9204, Des Moines, 1A 50306-9204 515-244-9124 FAX: 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 3/1/2012 DL/ID #: 432YY0579 (IA) Customer #: 4710517 Name: Pressley, Nicholas Kyne Class: D ID Status: VAL Address: 18 EROBI LN Audit #: 4651052 DL Status: VAL Cancelled, Revoked 52IA Issue Date: 09/03/2010 CDL Status: None City/State: IOWA CITY, IA Expiration 12/30/2015 CDL Cert None FM42 522403012 Date: 52 Status: 03/01/2011 04/12/2011 S92 Endorsements: 3 CDL Med None 10/29/2011 11/29/2011 !M14 Fail to Obey Traffic Slgn/Signal Status: 52 Mailing Address: 18 EROBI LN Restrictions: NONE Restriction None Date of Birth: 12/30/1983 Supplement: ACD Explanation Mailing City/State: IOWA CITY, IA Sex: M Suspended 105/09/2003 106/16/2010 522403012 _ _ Fine IA IA Suspended History Information Convictions Citation Date Conviction Date ACD Explanation County OUR 12/17/2002 02/02/2_003 i No Insurance Card 57 IA , 06/14/2004 07/08/2004 'B20 Driving While Suspended, Denied, Cancelled, Revoked 52IA 06/14/2004 F/08/2004 _ ,B51 No Driver's License 52 IA 02/19/2011 03/02/2011 FM42 ,Improper Lane (changing lanes) 52 IA , 03/01/2011 04/12/2011 S92 ,Speed 52 'IA ' 10/29/2011 11/29/2011 !M14 Fail to Obey Traffic Slgn/Signal 52 IA Sanctions Type Effective End_ ACD Explanation Occurrence_ IUR IUR Suspended 105/09/2003 106/16/2010 `D53 =Non -Payment of Iowa _ _ Fine IA IA Suspended .01/25/2005 106/16/2010 D53 Non -Payment of Iowa Fine IA ;IA , Suspended ,02/25/2005 £06/16/2010 ,D53 'Non -Payment of Iowa Fine IA dA Name: Pressley, Nicholas Kyne DL/ID: 432YY0579 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: A,�%k ENICIf SP '' F: IOWA :?i 3/1/2012 Office of Driver Services Iowa Department of Transportation Name: Pressley, Nicholas Kyne DL/ID: 432YY0579