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Home My WebLink About12-098rIII� CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX Authorization Number \11IL — `\ (� APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday.) (Office Use Only) First Middle Last 1. Name G J l v c rdi,. a d/�PO c 2 t yr / 2. Mailing Address 6 S- 5,P 0/ 1 � e� G C �i y 1 4 3. Telephone: Home AP 3 /2/ Y) / jkO Other: 4. Prior experience in transportation of passengers: Z- A Avio o,�o 0-, ZI f a—, J cy P71 NW viS9 7-, 43S7ad /r>"I �s �� l/a-iosr Boa/7�0"41 afto5 5. Have you ever been convicted of any isdemeanor and/or felonies in this State or elsewhere?� C Type of offense Where When tS c A16h f 4 t--JL- 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? 4/0 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? v I' 5 Tvoe of offense Where When 8. Has your drivers license or chauffeur's license been suspended or revoked in the last five years? 'y P 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) Nn 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) der widrvoadg 09/2010 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number ;�' & � kX 91 F-4 . 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) r�oo Signature of Applicant L Date 510 711A N*RIRNNRlNY4!lIFNYNlY*1N*NYF*FN**+NNYN#NiY#4aYlfflINNYN*F4FFFFY#aN#Ntf!!#1111111f4N#YY#Y3F#Nf#1111ffi1fa*a1tNNY*HYFNNN STATE OF IOWA ) COUNTY OF JOHNSON ) �rribed and sworn to before me by 1\6 C X10 (P S r /Ye—eSZ C,*� . On this � day of lrxu -7 1� / /J KELLIE K. Thg 771 Notary Public in and for the State of Iowa My Com issio Ires mw R*RNfi#}RRR1f#4i}R44Nfi4fi4i#}RY#fi4}t#4###4#441i* *YR R*RR***RNfi4##4444i*#t#*ttRR**R*Nf#RR#1#i}4Nt441t*t**R*#*RR}RRRN44#44}44t4*#t*#i*##*t#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). Signatu o oli a hief or designee srJ Signat of City Clerk or designee Date 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. +N+*k#+N++a+aN+aaNN+N+NxaaaNaa+NNN+NNN+++++++1t##l+aaNaN+t#t+NNNN+NN##1Yaaa++N++++N+NNN#*#ala*+1+##++'#aN+NaaNaaa4N Office Use Only Approved application DCI report State certified driving record Website update de�daaaM2010.d 09/2010 Apr, 10. 2012 4:16PM Div of Criminal Investi;ation No.0482 P. 2/5 nFr, U. tVlt I:vyrlvl LIly'.lerK - f lty of lows t.Ity No. 11b) P. L `EgQOErPIjD[jµ . yr:li:ro! A `.S TATR i I♦ I l,l , i q y n oA fjY A y .� Hyl 1 brAminal.0storykeenird Check RequegIt Forml/nitlny AC,tAocovatNumber;oaa- (fePPlfceh 0)— To. .CONAbfvfstonotCrfmfnAlYnvestlgatfots k5tolns r.7_ry OV JTOVA, = SupportOpernitonyl;uro>luriet loon CITX OMK`S 01?FXO$ 215E,7r�3ireoi _[1s) -R TJAS7PPPdCJr017 ahangT Dov1�loMes,ro�va 60319 (519j7a9.6a66 TOIWA CITY TOWAA 52?40 (515)79.-6060 NA)t Pitone7 S7g�R�,ti_Sn41 Tam rognest(ng pn IoWa Criminal •HiStorV Rdoord Check on; 'PreIP52Ph ��lo�gs ��w�,�' ��,Ps Da$eof$1Ytk(rnnndero A GteutTer mntlGeto 5oofnlSeolrr! lfli)1ri�7eT.(rcmromcndaf 03ilAsle C�T+emals waiv,1i;jJymaeloyle,WithoutassgnedwAfverikofntbosu6fantoithoregpest,ncomplotoorira[nAlhistoryrecordnmynot bel'ofap8pblc,porCodaofYolpArchapter692,.2Ytvrto 'OrtRl(nAI1119toryrCCordlnfoYhSgtloh,a9altowdd SiAyS Affrnys ohtafh a watm-OffRAf oro fl on1 tho-sub joct olthe rogtw; L WILt�V2i Ii2CeleYBriherAyarvoPermbgOITArlhoatoveregumIfngoalolelfvMANIMfoTvaolfmtnnlbWaryw6rdch(*jyilhthe Djy''fonof0,6!nol TnroyltgallonQJCp. Myortmhlelhttlorydatpoprtumfn 11 14 hglhel7plmay6orohwrAnselfoHcdhyf4w, t .KV YY /4 VdAe14111yJ. 3Wnt�GV.Yb 1wLti UA U. �uOl%F<!�l,tJ.7ULEa°J . (Dc) usv only As of O a aearch Of thoprOVIefed name and deco of bk&xevealed. J� No Xbvia c4 incl Timor/ Record found with bCT r Xot4aCzimjnall�•IscasyRecoydattavltad�pC,z' # 5�7g1�% --'= _� �-� bCZ ap[tiei9� leceived �imeVApr. 6. 2012 1:OBPM No. 3755' Apr -10- 2012 4:16PM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00577514 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 3 DATE PRINTED - 2012/04/10 DCI:00577814 NAME: DREESZEN, NICHOLAS EDWARD JAMES DREESZEN, NICHOLAS EDWARD -JAMES DREEZEN,NICHOLAS EDWARD JAMES DOB SEX RAC HGT WGT EYE HAIR SKN POB 19800803 M W 601 195 BRO 1390 MED IA ADDITIONAL IDENTIFIERS TAT CHEST CCH RECORD +** 01 ARRESTED 19900626 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA124-401-5 POSS SCH I MARIJUANA TRK#: 042124601 ARST DISP: ADULT ARRAIGNMENT CHARGE NO- 02 IA STATUTE IA124-401-5 POS$ SCH I MARIJUANA TRK#: 042124602 ARST DISP: ADULT ARRAIGNMENT COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124-401(5) POSE CONTR SUBS SCH I-MARIJ CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 042124601 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19901020 COURT COSTS 19951020 PROBATION lY 19951020 REVOKED PROB RVKD-3D JAIL;S250 19991005 FINE;DL RVKD COURT DISPOSITION , AGENCY: IAOS2015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124-401(5) POS$ CONTR SUBS SCH I-MARIJ CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 042124602 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19981020 PROBATION lY 19951020 REVOKED PROB RVKD-31) 0AIL;$250 19991000 FINE;DL RVKD COURT DISPOSITION AGENCY: IA05201SJ JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE IA714-2(5) THEFT STH DEG CHARGE CLASS: MISDEMEANOR CONVICTION No.0482 P. 3/5 Apr.10. 2012 4:16PM Div of Criminal Investigation No.0482 P. 4/5 TRK#: 042124603 SENTENCE FINE 02 ARRESTED 26000517 AGENCY: IA0520200 CHARGE NO- 01 DEL BCH I TRK#: 040232501 CHARGE NO- 02 DEL BCH I TRK#: 040232502 CHARGE NO- 03 DEL BCH I TRK#: 040232503 $50 IOWA CITY PD IA STATUTE IA124-401 IA STATUTE IA124-401 IA STATUTE IA124-401 DCI 00577814 PAGE 2 OF 3 DISP EFF DAT 19981020 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(1)(B) CONTROLLED SUBSTANCE VIOL. COURT CASE ID: 06521 PECROSS290 CHARGE CLASS: NON CONVICTION TRK#: 040232501 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20001201 PROBATION 3Y 20001201 CREDIT W/TIME SERVED SA EVAL 20001201 DISCHARGED FROM DISCHARGE/EXPUNGE 20021025 DEFERRED JUDGEMENT COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE - OR CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 040232502 SENTENCE DISP EPF DAT JAIL 30D 20001201 FINE $500 20001201 CREDIT W/TIME SERVED 01112001 NUNC PRO TUNC 20001201 48DRS CREDIT COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE IA124.401(1)(D)-A CONTROLLED SUBSTANCE VIOL. COURT CASE ID: 06521 FECROSS390 CHARGE CLASS: NON CONVICTION TRK#: 040232503 Apr.10. 2012 4:16PM Div of Criminal Investigation SENTENCE DEFERRED JUDGEMENT PROBATION 3Y CREDIT W/TIME SERVED SA EVAL DISCHARGED FROM DISCHARGR/EXPUNGE DEFERRED kTUDGEMENT 03 ARRESTED 20040815 AGENCY: IA0570100 CHARGE NO- 01 POSS CONTRL SUB TRK#: 502693501 COURT DISPOSITION CEDAR RAPIDS PD IA STATUTE IA124.401 (5) AGENCY; XA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 06571 SRCR057468 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 502693501 LICENSE REVOKED SENTENCE TIME SERVED 12H FINE $250 JAIL 3D DCI 00577814 PAGE 3 OF 3 DISP EFF DAT 20001201 20001201 20001201 20021025 DISP EFF DAT 20041104 20041104 20041203 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 �1 No. 0482 P. 5/5 Iowa Department of Transportation Office of Driver SerAces (TOO -Fain) .00U332--1529 - PO BDIIWK DBS [attunes, >A 503QCr92lkt 555-244-9924 FAX: 595-2394837 Inquiry Date: 2/22/2012 Name: Dreeszen, Nicholas Edward Expiration Date: 08/03/2017 James Address: 965 SPRING RIDGE DR City/state: IOWA CITY, IA 522465822 Mailing Address: 965 SPRING RIDGE DR Mailing City/State: IOWA CITY, IA 522465822 Convictions Certified Abstract of Driving Record DL/ID D: 706MI56 (IA) Class: C Audit &: 5815288 Issue Date: 02/22/2012 Expiration Date: 08/03/2017 Endorsements: NONE Restrictions: Corrective Lenses Dale of Birth: 8/3/1980 Sex: M History Information Customer S: 3897499 ID Status: None DL Status•. VAL CDL Status: None CDL cert Status: None CDL Med Status: None Restriction None Supplement: 57 iIA Citation Date Conviction Date ACD Explanation County 3UR 01/11/2005 -(F(ill/26/2005 1020 IDriving While Suspended, Denle_d, Cancelled, Revoked 57 jIA 01/22/2009 j04/13/2OD9 ;592 Speed 57 iIA 01/22/2009 304/13/2009B20 IA ;Driving While Suspended, Denied, Cancelled, Revoked 457 'IA 's Sanctions Type Effective End ACD Explanation Occurrence 3UR 3UR Revoked 06/15/2005 112/12/2005 iB75 Driving While Suspended, Dented, Cancelled, Revoked 'IA IA Suspended e01/17/2009 403/19/2009 iD53 ;Fail to Satisfy Non -Iowa Citation - R e1A Suspended 111/26/2009 104/20/2011 D53 Non -Payment of Iowa Fine? IA 3IA Name: Dreeszen, Nicholas Edward James DL/ID: 70MB156 Pursuant to Iowa Code §321.10, I, Kim Snook, Director of Office of Driver Services, Iowa Department of Transportation, do hereby certify that 1 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: -""'• ... i 2/22%2012 IOWA . 10. r ...... Jam- L Office of Driver Services �' Iowa Department of Transportation