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Home My WebLink About12-145lio I4� CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX 1. Name 2. Mailing 3. Telephi Authorization Number /a -/qs (Office Use On APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) 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 SSSjc DCufl'It/,= X19�n(g 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? W Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? ieS Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type of offense Where 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) derWte idrivbedg e9/2040 �i,(�0IZ I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeurs license number `19000 �,�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 wiR 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 �L mor �7% t-�� Date// STATE OF IOWA ) COUNTY OF JOHNSON ) M \ St S bscribed and sworn to before me by On this ( day of =T- 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). 'z_" ;F� 3i , Police ChigUr designee Date 2� - luq/7/ %— 3/' 11L City Clerk or designee 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. Office Use Only Approved application DCI report State certified driving record Website update derlJt Axi b.d,. p2010.d. vco iao I ]_ Ju1.20. 2012 1:44PM Div of Criminal Investigation oui.IL I.'r/1m (.i ry Vida pity u rvs(a of tlt STATE OF XOMIA ��•rr 'd �IIUWA�� Criminal History Check To; IowaDivisimofCriminaltrnvestigatlon Support Operations Bureau, I" Floor 219 X 7a' 5treet Aos Moines, Iowa 50319 (515) 725-6066 (515)725.6080 Fax I auireauestineanIowa Q'iminal I3istorvRecord Check on: N�o.L4813 PP. 2 DCIAccotrntNumber:�gct�.� � (if epplicabla) xrom: CITYOb'XOWACITYr QTY CUM's OrAVICE 410 B. WASHINGTON STREET IOWA. CITY IOWA, 52,240 Phone: 319-356-5041 Tax; 319-356-5491 Last Name (mnndeiory) Elrl�mvadotory Middle NalTle recommended} r;Cgq Date firth m dntor)) Gender LIftAdatory Social Security NtAMbeir (rccomnundcd) /of aro ElPemale C Waiverl'4fornutflonl Without a signed waiver from the subject of the request, a complete criminal history record may not be re)ensable, per Code oMwa, Chapter 692.2,1!O• cam tete Man 11121histDry recoM Information, as allowed bylaw, always obtalnawAversl nn(tirefromthesubectoftherequest. JYn1vgPRe1edSE; ThcrAy glvo lima eiouLorthe above re questing o8iclnl to conduct wt Iowa carman rtu(ory record clxckwilh tho Dlvlsion o[Crlminei Imesdgallon(M). Any ulminel Maury data conurnIng nie Eli o(is main(arned by the DDCCl nlAy bo rcicas0 as allowed bylaw. 11/rsipe, S¢gnrllur e: Ioowa Criminal History Record Cheep Results (beruso only) As of a search of flrc provided naine and date of bjrdr revealed: e. . ❑ No Iowa Criminal Hi.stoty )Record found with DCI • I LTA Iowa Criminal history Record attached, DCI # 72S-/,913 .Received Time77JU1. 17.1(2012 I:ylrM Ivo, y(o) Jul.20. 2012 1:44PM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 0072561.3 FELONY CONVICTION PAGE 1 OF 2 DATE PRINTED - 2012/07/20 DCI:00725613 NAME: MCCAUGHEY, BRADLEY 14CCAUGHEY, BRADLEY SHANE DOB SEX RAC HOT WGT EYE HAIR SKN POB 19860619 M W 506 125 HAZ BRO FAR CA ADDITIONAL IDENTIFIERS TAT ABDOM TAT L WRS TAT L WRST TAT R WRS TAT R WRST 01 ARRESTED 20060705 PHOTO AVAILABLE: Y CCH RECORD *** AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 03 IA STATUTE IA124.401(1D) POSS CONTROLLED SUBSTANCE I WITH INTENT TRK#: 101909803 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(1)(D)-F CONTROLLED SUBSTANCE VIOL. COURT CASE ID: 06521 PBCR079460 CHARGE CLASS: FELONY CONVICTION TRK#: 101909001 LICENSE REVOKED SENTENCE DISP EFF DAT PROBATION EXTENDED lY 20091009 PROBATION EXTENDED TO 05/07/2011. RESIDENTIAL FACILITY 365D 20091009 RESIDE AT HOPE HOUSE. PROBATION EXTENDED 2Y 20101014 UNTIL 5-25-2012 FINE $750 20110701 PRISON 5Y 20110701 REVOKED DL REVOKED FOR A PERIOD OF 20110701 180 DAYS. COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE IA124.401(1)(D)-P CONTROLLED SUBSTANCE VIOL. COURT CASE IP: 06521 FECR076460 TRK#: 101909803 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT $750 CIVIL PENALTY 20070525 PROBATION 3Y 20070525 No. 4813 P. 3 Jul.20. 2012 1:45PM Div of Criminal Investigation DCI 00725613 PAGE 2 OF 2 CUSTODY AGENCY: IA07701SO ADULT PAROLE SVC A 20110920 DISCHARGED END OF SENTENCE 02 ARRESTED 20080321 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- O1 IA STATUTE IA124.401(5)A POSSESSION OF A CONTROLLED SUBSTANCE -MARIJUANA 2ND OFF TRK#: IA003PBOI COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 SRCRO62778 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: IA003PBOI SENTENCE FINE $100 DISP EPF AAT 20080703 AN ARREST WITHOUT DISPOSITION IS NOT AN .INDICATION OF GUILT. THIS R$CORD 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 I No. 4813 P. 4 prtat5cn ment of Trans51524911amp c 24 Pooffice 13 of Drive SA 543€E6 -92D4 FAX-- 5A5-239-1837 P4 6DX.92fJ4. Des crines. IV Certified Abstract of Driving Record 8596661 ry Date: 7/11/2012 McCaughey, Bradley Shane 209 HOLIDAY RD APT 313 ass: CORALVILLE, IA 522411134 ._.lite: DL/ID #: 199CCO330 GA) Class: C 6013145 Audit #: Issue Date: 05/30/2012 iDate: 06/19/2017 Expiration Endorsements: NONE Ing Address: 209 HOLIDAY RD APT 313 Restrictions: Date of Birth: ling City/State: CORALVILLE, IA 522411134 Sex: NONE 6/19/1986 M History Information customer #• 7/u/zolz IOWA VAL ID Status: �_- VAL DL Status: Iowa Department CDL Status: None CDL Cert Status: None CDL Med Status: None None Restriction Supplement: county nvictions i52 ACD EttPlanation ... ...._... _... '""�" '.Drug/Drug Related Conviction Conviction Dater ,A33 ration Dae ....-- 07/01/2011 citation. ..�--- iven a ?/14/2006 can the individual was at fault or IUR Accident involvement indicated does NO Mean ccidents - IA Case Number .. tccident Data )6/07/2012 3UR Occurrence .................._ IIA sanCtlOnS IIA �- ExPlanation..............___"_.�..___,w,._,�»..._.,...-. ACD ......... - ^el,t...,...:io End Related Conviction Revoked JUn Transportation, do hereby certify that I am Name: McCaughey, Bradley Shane DL/ID: 199CC0330 of an official record currently in the custody of I, Kim Snook, Director of Office of Driver Services, Iowa curate co too sorcertlfY• the Director of the Iowa Department of Transp Pursuant to lowa Code §321.10, the Office of Driver Services, that this is a true and accurate cop Iowa this date: the custodian of the records held by on this document, at Ankeny, said office, and that I have been authorized by Department to be set up In witness whereof, I have caused my signature and the seal of the i.�!htrOi��+y 7/u/zolz IOWA 1.0. T.; & �_- Office of Driver services ortation of Transp f OflIYE�g Iowa Department Name: McCaughey, Bradley Shane DL/ID: 199CC0330