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Home My WebLink About12-129�r'lll� �+•Ml�®Iq11 l.Y�— ■ CITY OF IOWA CITY 410 East Washington Street Iowa 9 2240-1826 61_1913-7//2 (3 19) 356-5497 FAX First 1. Name Authorization Number /9 --gay (Office Use Only) APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) Last 2. Mailing Address 1 1 C) ;.L V `! VC S' W I ex . 3. Telephone: Home C 31 q. 51-15 _-pi (76 Other: 31 C1 Cj 3 6 --� aG ,�;2 4. Prior experience in transportation of passengers: ✓5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When 6. Have you bnvicted of operating a motor vehicle while. under the influence of alcohol or drugs in the last five Type of Offenss Where When 7. Have you been convicted of any traffic offenses in the last I ve years? 4�1 Type of offense Where When V8. Has your driver's license or chauffeur's license been suspe ided 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 INVESTIGATIGN (DCI) REPORT AND STAT�FIFn DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR PEOLIC CHIEF REVIEW You must apply for an individual Department of Criminal In,testigation Report (form available upon request) The re- port will be mailed to the individual making the request and .seeds to be reviewed by the Police Chief with this appli- cation. (OVER FOR REQUIRED SIGt. ATURE AND NOTARY) clerWlaxidmbadg ��1� I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license Number �D :/ Y Y 3 /C ,'- 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_# STATE OF IOWA ) COUNTY OF JOHNSON ) f /� Subscribed and sworn to before me by 1�(-Mor'--� /PJM On this / day of KELLIE K. TUME emission Number 221819 mm;«„� P.ire. Notary Public in and for the State of Iowa .:. k#!**!*!***!i*14441f14}4k4M**3#*k!**1ii4444il1444!!}}}}t}444}***#kt*****k*3!!i*!#*%!**ki****iii*!%!!14!lH1441441444***k*k**MMki*!!i#1ii!!l14444 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). - ignatu(a of Police Chief or designee 71�Sign ure of City Clerk or design Date -��-/-2- Date NOT VALID UNTIL Police Chief and City Clerk have approved and authorized taxi driver names placed on the city website at icgov.org. Taxi cab businesses are required to provide Driver Identification cards. Y%Y#*R**f,'.F*f%**R*#*RY4*N4f########%%#*R*#**RYf#YYYfff#YY####R4#*#****RR*ffff*Rfff%flRR%RfifH4ff##ff#YYf#4##%%##Y##**RRR#RR*fRffif%fffff#4##### Office Use Only Approved application DCI report State certified driving record Website update der a.;dmbadgaapp2010Ob 09)2m Iowa Department of Transportation Office of Driver Services (Toll Free) OW -532-1121 PO Box 9204, Des Moines, IA 5030M204 515-244-9124 S . FAX: 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 7/10/2012 DL/ID #: 769YY3106 (IA) Customer #: 5026177 Name: Ball, Armond Douglas Class: C ID Status: VAL Address: 3620 IVY AVE SW Audit #: 5413517 DL Status: VAL .__ ;05/25/2004 ;S92 Issue Date: 08/03/2011 CDL Status: None City/State: TIFFIN, IA 523409360 Expiration Date: 03/26,12016 CDL Cert Status: None .. IA _. Barred Endorsements: NONE CDL Med Status: None Mailing Address: 1813 LOWR HWY 6 RD NW Restrictions: NONE Restriction None U01 LOT 17 Date of Birth: 3/26/1959 Supplement: ,.._.. . Suspended Mailing City/State: OXFORD, IA 523229259 Sex: M Non -Payment of Child Support History Information Convictions Citation Date Conviction Date ACD Explanation County 7UR '-,!1n72004 09/21/2004 'A20 Operating While Intoxicated 52 IA ._.._..... n�/U7/200.4 ... ..— .. .. 09/21/2004 � U01 Eluding _. _. _ -_. _ _.- - .....,...... __52 _ .. .. .. __ -.. 04/07/2004 .__ ;05/25/2004 ;S92 Speed 52 IA� Sanctions TypeEffective 7/10/2012 End ACD Expianatirsn .___ _ _ _ _ _ _ Occurrence ]UR _ .r 3UR Revoked .09/21/2004 =09/19/2010 A20 ;Operating While In _ _?IA _ .. - Suspended -'lo/14/2004 04/15/2005 D51 ,Non Payment of Child ... Support _ _ __ _ -.. _ _. IA_ Suspended 11/02/2004 01/31/2005 IDV Violation of Probation .... - . _ . 'A ., _- -_ ., - 11 .. IA _. Barred _.... .._... .. €11/04/2004 _ X11/02/2009. �W01 Offender _ ,IA ,. _ .. _. .. IA Revoked 111/04/2004 111/04/2005 -- U01 ,;Habitual 'Eluding _. _ IA _.... , IA QA ,.._.. . Suspended ._ .. =11/24/2004 ;01/24/2005 D51 Non -Payment of Child Support _ ,. ,. .. IA ........ Suspended _ 12L./24/2004 x02/18/2011 D53 Non -Payment of Iowa Fine_ _, _IA _. _.. °01/20/2009 D51 _ 'D53 ._ Non Payment of Child Support ._ 'IA IA _Sus_pended_ Suspended __,01/10/2009 ;O1/08/2010 02/18/2011 'Non-Paymen[of Iowa Fine Name: Ball, Armond Douglas DL/ID: 769YY3106 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: .' ::•'•'v:;l'/'4 7/10/2012 IOWA D.O.T.' iS yF ••••••' g,= Office of Driver Services „` IMt,= Iowa Department of Transportation Jul.17. 2012 4:31PMDiv of Criminal Investigation da 1. IL. LU IL IL. VJI It1 �Ity t.I C I K Vl t UI tuna l.11}1 �:d:•' i' STATE�.'.'IOWA .XYZ ,,tt�� •• _e'' e nlN% C Criminal History Record Check �uvm Request Form To: Iowa Division of Criminal Investigation Support Operattons Bureau, P Bloor 2151;. 7°i Street Des Moines, Iowa 50319 (515) 725-6066 (515)725 -GOOD Fax T am vennestinsr an Towa. Criminal Histniv Record Check on: NNoU..L41o30 PP. 13/12 DC1 AccollncN'trtnbef; `tea ` F (fPopplice6le) Frain; CXTY OI• XO'WA CITY CITY CL1 RIGS OF1tXCE 4X0 ID. 'WASIKINNGTON STRLET IOWA CITY IOWA 52240 Phone; 919-356-6041 Fox; 319-356-5491 Last Name (mandatory) First Name (inanaaror9) middle NAMe fecommonded) Iowa Iowa Criminal Histonr Record Clxeck Results.<sclurFonly) CT)oLA-S Date ofB111h(mendotoy) Gender mandatory Social Secuu�rl Ntimbor (recommended 3 a ale ��emale I� Ka 6M )ntbel In(oYnlalion: Without a signed waiver from the subject of the request, n complete criminal history record ntay not be releasable, por Code ollotva, Chapter 692.2. For complete crimtnalbfstory record information, as allowed bylaw, always obtaintva(versl naf4refrotnthe subject ofthere uost. )' ailleP.Rdte0e; 1 heroby Shea ptnuh,lon for die above mqumting official to conduct wl lows criminal history record check wish rheDivislon oECriminal lnvestlgadon(M). Anycdinhialhlstoydata conoemingmethat Ismaiii'mainedbytho/DCimayybbbooorilcas/edasallomdbylaw. WatverSlgtrafufe: _ �'iilyll�P/(�a�l�-�"'�/ Received TimeTM.12.0012 12:06PM No.9508 ti Iowa Iowa Criminal Histonr Record Clxeck Results.<sclurFonly) C -- As of 7— 1-7` , a search of tho provided name and date of birth revealed: in -o , 0 No Iowa Criminal history Record found with ACI % N to 1 Iowa Criminal History Record attached, DCI # 3 G Received TimeTM.12.0012 12:06PM No.9508 Jul.17. 2012 4:31PM Div of Criminal Investigation ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y Sc UR ARM CCH RECORD ;xr O1 ARRESTED 19B80B14 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA236-12 ASSAULT/CAUSE INJURY/ DOMESTIC TRK#: L13900201 COURT DISPOSITION AGENCY: IA052015J .JOHNSON•CO DIST COURT COUNT NO- 01 IA STATUTE IA236-12 ASSAULT/ CAUSE INJURY/DOMESTIC CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L23900201 SUBSTANCE ABUSE EVALUATION SENTENCE JAIL 45D PROBATION lY SUSPENDED 30D CREDIT W/TIME SERVED 12H 02 ARRESTED 19890114 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA236-12 ASSAULT/CAUSE INJURY/DOMOSTIC TRK#: L13900301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE YA236.12(2B) DOMESTIC ASSAULT/ REP. 708.2(2) - 1989 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L13900301 SENTENCE SUSPENDED JAIL 45D JAIL 4ED PROBATION lY COUNSELING CREDIT W/TIME SERVED 17D REVOKED DISP EFF DAT 19890504 19890504 19890504 19890504 19890504 No.4130 P. 4/12 IOWA CRIMINAL HISTORY DCI 00236125 FELONY CONVICTION PAGE 1 OF 9 DATE PRINTED - 2012/07/17 DCI:00236125 NAME: BALL,ARMOND DOUGLAS BALL,DOUG BALL,DOUG ARMOND BALL,DOUGLAS DOB SEX RAC HOT WOT EYE HAIR SKN POB 19590325 M W 507 172 BRO BRO MED IA 19590326 ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y Sc UR ARM CCH RECORD ;xr O1 ARRESTED 19B80B14 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA236-12 ASSAULT/CAUSE INJURY/ DOMESTIC TRK#: L13900201 COURT DISPOSITION AGENCY: IA052015J .JOHNSON•CO DIST COURT COUNT NO- 01 IA STATUTE IA236-12 ASSAULT/ CAUSE INJURY/DOMESTIC CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L23900201 SUBSTANCE ABUSE EVALUATION SENTENCE JAIL 45D PROBATION lY SUSPENDED 30D CREDIT W/TIME SERVED 12H 02 ARRESTED 19890114 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA236-12 ASSAULT/CAUSE INJURY/DOMOSTIC TRK#: L13900301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE YA236.12(2B) DOMESTIC ASSAULT/ REP. 708.2(2) - 1989 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L13900301 SENTENCE SUSPENDED JAIL 45D JAIL 4ED PROBATION lY COUNSELING CREDIT W/TIME SERVED 17D REVOKED DISP EFF DAT 19890504 19890504 19890504 19890504 19890504 No.4130 P. 4/12 Ju 1. 11. 2012 4:31PM Div of Criminal Investigation DCI 00236125 PAGE 2 OF 9 03 ARRESTED 19900908 AGENCY; IAOS20000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-21 CHARGE NO- 01 IA STATUTE IA321J-2 owl COURT DISPOSITION TRK#: L13900401 AGENCY: IA052015J JOHNSON CO DIST COURT COURT DISPOSITION DRIVING UNDER REVOKED AGENCY: IAOS2015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J-2 SENTENCE owl PINE $250 19910626 CHARGE CLASS: MISDEMEANOR CONVICTION DISP EFF DAT TRK#: L13900401 19910626 PROBATION 2Y SENTENCE SUSPENDED 300D DISP EPP DAT JAIL 2D 19901228 FINE $500 19901228 CREDIT W/TIME SERVED 11H 19901228 SURCHARGE $100 19901228 04 ARRESTED 19910304 AGENCY: IA052DI00 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA321J-21 DRIVE UNDER/REVOCATION TRK#: L13900501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J-21 DRIVING UNDER REVOKED . CHARGE CLASS; MISDEMEANOR CONVICTION TRK#: L13900501 SENTENCE DISP EFF DAT PINE $250 19910626 SURCHRGE DISP EFF DAT $50 19910626 05 ARRESTED 1.9930406 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA236-12 ASSAULT CAUSING INJURY DOMESTIC TRK#: 004076001 COURT DISPOSITION AGENCY: ZA052015LT JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA236-12 ASSAULT CAUSING INJURY -DOMESTIC COURT CASE ID: SRCR032487 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 004876001 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT JAIL 360D 19931029 PROBATION 2Y 19931029 SUSPENDED 300D 19931029 No.4130 P. 5/12 Jul,11. 2012 4:31PM Div of Criminal Investigation DCI 00236125 PAGE 3 OF 9 RATTERER'S )EDU $ROG 19950511 REVOKED 300D 19950511 JAIL 06 ARRESTED 19950313 AGENCY: IA0640100 MARSHALLTOWN PD CHARGE NO- 01 TA STATUTE IA708-11 STALKING TRK#: 016278401 COURT DISPOSITION AGENCY: IA064015J MARSHALL CO DIST COURT COUNT NO- 01 IA STATUTE IA70B-11-3-C STALKING COURT CASE ID: SRCR033140 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#{ : 016270401 SENTENCE DISP EFF DAT PLEAD.GUILTY 19951017 JAIL 100D 19951017 FINE $500 19951017 07 ARRESTED 19960329 AGENCY: TA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA32IJ-2 OWI 2ND TRK#: 013296701 CHARGE NO- 02 IA STATUTE 1A124-401 POSE SCH II -COCAINE TRK#: 013295702 COURT D15FOSITXON AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J-2 owl 2ND COURT CASE ID: OWCRO40955 CHARGE CLASS: MISDEMEANOR CONVICTION TRIO: 013296701 SENTENCE DISP EFF DAT JAIL 10D 19960911 FINE $750 19960911 COURT DISPOSITION AGENCY: IA052015LT JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124-401(3) POSS SCH TY COCAINE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 013296702 SENTENCE DISP EFF DAT No.4130 P. 6/12 Ju1.17. 2012 4;31PM Div of Criminal Investi;ation PCI 00236125 PAGE 4 OF 9 FINE $250 19960911 08 ARRESTED 19960527 IA STATUTE IA321J-2 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 03 IA STATUTE IA719-1 INTERFERE WITH OFFICIAL ACTS CAUSING INJURY TRK#: 025651603 AGENCY: IA052015J JOHNSON CO DIST COURT COURT DISPOSITION COUNT NO- 01 IA STATUTE IA321J-2 AGENCY: IA052015J JOHNSON CO DIST COURT COUNT N0= 03 IA STATUTE IA708-3 OWCRO46007 ASSAULT UPON A PEACE OFFICER CONVICTION COURT CASE ID: FECR041756 TRK#: 034931201 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 025651603 SENTENCE DISP EFF DAT JAIL 30D 19970214 FINE $250 19970214 COURT COSTS 19970214 PROBATION 2Y 19970214 SUSPENDED 23D 19970214 SURCHARGE $75 19970214 09 ARRESTED 19971101 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI 3RD TRK#: 034931201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J-2 OWI 3RD COURT CASE ID: 06521 OWCRO46007 CHARGE CLASS: FELONY CONVICTION TRK#: 034931201 LICENSE REVOKED SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT JAIL 60D 19960317 CONCURRENT W/AGCR052560 FINE $2500 19980317 CONTEMPT/2 D JAIL 19990510 COURT COSTS 19991021 CREDIT W/TIME SERVED 138D 19991021 REVOKED 2Y 19991021 10 ARRESTED 19971101 A AGENCY: No.4130 P. 7/12 Jul.11. 2012 4:32PM Div of Criminal Investigation PCI 0023G125 PAGE 5 OF 9 IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA70B-2A-3B ASSAULT CAUSE INJURY/DOMESTIC TRK#: 037277501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE YA700-2A-3-2 ASSAULT C/BODILY INJURY DOMESTIC CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 037277501 SENTENCE DISP EPP DAT PROBATION 2Y 19960317 SUSPENDED 2Y 19980317 BATTERERIS EDU FROG 19980317 COURT DISPOSITION AGENCY: IA092015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE IA708.2A(3)(B) DOMESTIC ABUSE ASSAULT - 2ND OFFENSE COURT CASE ID: 06521 OWCR046007 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 037277503 SENTENCE DISP EFF DAT JAIL 2Y 19980317 PINE $500 19980317 PROBATION 730D 19980317 SUSPENDED 2Y 19960317 11 ARRESTED 19981222 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321-561 DRIVING WHILE BARRED TRK#: 031206201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321-561 DRIVING WHILE, BARRED CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 031206201' SENTENCE FINE $1000 COURT COSTS SURCHARGE $300 12 AHR$STED 19990804 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA708-2A ASSAULT CAUSE INJURY/ DOMESTIC ABUSE TRK#: 006752701 COURT DISPOSITION DISP EFF DAT 19990126 19990126 19990126 No.4130 P. 8/12 Jul.17. 2012 4:32PM Div of Criminal Investigation AGENCY: IA052018J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708-2A(4) ASSAULT WITH INJURY/DOMESTIC COURT CASE ID: AOCRO52960 CHARGE CLASS: FELONY CONVICTION TRIC#: 006752701 SENTENCE _ JAIL SY FINE $750 SUSPENDED/IF COMPLETE BATTERER'S EDV PROD COURT COSTS CREDIT W/TIME SERVED 78D 13 RECEIVED 19991022 AGENCY: IA052015M OAKDALE IMCC CHARGE NO- 01 TA STATUTE IA705-2A(4) DOMESTIC ABUSE ASSAULT CAUSING INJURY TRX#: L13900601 INMATE #: 063125 CHARGE NO- 02 IA STATUTE IA708-2A(3B) DOMESTIC ABUSE CAUSING INJURY TRK#: L13900602 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708-2A(4) DOMESTIC ABUSE ASSAULT CAUSING INJURY CHARGE CLASS: FELONY CONVICTION TRK#: L13900601 SENTENCE JAIL 5Y COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA706-2A(3B) DOMESTIC ABUSE ASSAULT CAUSING INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L13900602 SENTENCE JAIL 2Y CONCURRENT W/CT 01 CUSTODY AGENCY: IA077015G ADULT PAROLE SVC A 20010910 PAROLED CUSTODY AGENCY: IA0770150 ADULT PAROLE SVC B 20011212 DISCHARGED FROM CRIMINAL JUSTICE SYSTEM 14 ARRESTED 20040409 DCI 00236125 PAGE 6 OF 9 DISP EFF DAT 19991021 19991021 19991021 19991021 DISP EFF DAT 19991022 DISP EFF DAT 19991022 19991022 No.4130 P. 9/12 Jul.17. 2012 4:32PM Div of Criminal Investigation No.4130 P. 10/12 nCI 00236125 PAGE 7 OF 9 AGENCY: IA0520000 JOHNSON CO SO RESIDENTIAL FACILITY CHARGE NO- 01 IA STATUTE IA321.7.2 OPERATING VIRILE INTOXICATED 3RD AIM SUB. TRK#: 101138501 COURT DISPOSITION CHARGE NO- 03 IA STATUTE IA321.279 ELUDING IA STATUTE IA321.279(1) TRK#: 101138503 COURT CASE ID: 06521 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(C) OPER VEH WH INT (OWI) / 3RD OFFENSE COURT CASE ID: 06521 OWCRO68379 CHARGE CLASS: FELONY CONVICTION TRK#: 101136501 LICENSE REVOKED SENTENCE DISP EFF DAT RESIDENTIAL FACILITY 90D 20040921 PINE $2500 20040921 PRISON SY 20040921 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE IA321.279(1) ELUDING COURT CASE ID: 06521 OWCRO68379 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101136503 SENTENCE DISP EFF DAT JAIL 365D 20040921 FINE $250 20040921 15 ARRESTED 20040912 AGENCY: IA0520500 NORTH LIBERTY PD CHARGE NO- 01 IA STATUTE IA70B.2A DOMESTIC ASSAULT ENHANCED TRK#: 101293101 COURT DISPOSITION AGENCY: . IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708.2A(3)(B) DOMESTIC ABUSE ASSAULT - 2ND OFFENSE COURT CASE ID: 06521 SRCROG9965 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101293101 RESTITUTION SENTENCE DISP EFF DAT TIME SERVED 90D 20041210 JAIL 90D 20041210 FINE $500 20041210 16 RECEIVED 20040922 Jul.17. 2012 4:32PM Div of Criminal Investigation DCI 00236125 PAGE 8 OF 9 AGENCY: IAD52015M OAKDALE IMCC CHARGE NO- 01 IA STATUTE IA321J.2(C) OWI -3RD TRK#: C00974701 INMATE #: 063125 CHARGE NO- 02 IA STATUTE IA321.279(1) 13LUDXNG TRK#: C00974702 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(C) OPER VPH WH INT (OWX) / 3RD OFFENSE CHARGE CLASS: FELONY CONVICTION TRK#: C00974701 SENTENCE DISP EVF DAT PRISON 5Y 20040922 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT 140- 02 IA STATUTE IA321.279(1) ELUDING CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: C00974702 SENTENCE DISP EFF DAT CONSECDTIVE SENTENCE W/CT 01 20040922 PRISON 365D 20040922 CUSTODY AGENCY: XA077015G ADULT PAROLE SVC A 20050802 PAROLED CUSTODY AGENCY: IA0770150 ADULT PAROLE SVC B 20070429 DISCHARGED 17 ARRESTED 20060716 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA700.7(4) HARASSMENT / 3RD DEG. - 1989 TRK#: IA004NO01 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708,7(4) HARASSMENT / 30 DEG. - 1989 COURT CASE ID: 06521 SMSM073351 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1A004ND01 SENTENCE DISP EFF DAT TYME SERVED 2D 20080722 JAIL 2D 20080722 No, 4130 P. 11/12 Jul.17. 2012 4:32PM Div of Criminal Investigation No.4130 P. 12/12 DCI 00226125 PAGE 9 OF 9 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