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Home My WebLink About12-248� r it l sl 10 not cmzcrh m� CITY OF IOWA CITY 410 East Washington Street Iowa Cit Iowa 52240-1826 �c,,72r (3 19) 35 7 FAX 2. 4. Authorization Number l .;i - .7 S (Office Use Only) APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday.) 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 6. Have you been convicted of years? a motor vehicle while under the influence of alcohol or drugs in the last five Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Q <'n Type of offense Where When -sa-0 a '- 71 ( L' -' - C,+r')�-_� /l m C' g� I -rf? 8. Has your driver's license or chauffeur's 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) denUtmidrjM dg 09/2012 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number . 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 doc pent relating to this application, and I further agree that, if a license is granted, to comply at all times with all of the provisio s of 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) v Signature of STATE OF IOWA ) COUNTY OF JOHNSON ) 20121— STATE 0121— Subscribed and sworn to before me by 1e11Vl?/o x6arml On this =Z day of Nota Public in and for the State of Iowa 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 re of PKl Chief or designee YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. Signbture of City Clerk or designee Taxi cab businesses are required to provide Driver Identification cards. Office Use Only Approved application DCI report State certified driving record Website update /O -/7-/�)_ Date d�201a. 09/2012 Iowa Department of Transportation i 0 Office of Driver Services (Toll Free) 800-532-1121 PO Box 9204, Des Moines, IA 50306-9204 515-244-9124 FAX: 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 10/17/2012 DL/ID #: 937AA4655(IA) Customer #: 4162728 Name: Howard Hendje, Class: D ID Status: None 04/25/2012 Alemeta Henrietta B64 No Insurance Card 52 IA Address: 209 HOLIDAY RD APT Audit #: 5125763 DL Status: VAL 111 Issue Date: 04/01/2011 CDL Status: None City/State: CORALVILLE, IA Expiration 06/25/2015 CDL Cert None 522411132 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 209 HOLIDAY RD APT Restrictions: NONE Restriction None 111 Date of Birth: 6/25/1956 Supplement: Mailing City/State: CORALVILLE, IA Sex: F 522411132 History Information Convictions Citation Date Conviction Date ACD Explanation County 3UR 10/14/2011 11/08/2011 S92 Speed 52 IA 04/25/2012 05/11/2012 B64 No Insurance Card 52 IA Name: Howard Hendje, Alemeta Henrietta DL/ID: 937AA4655 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: .............. y� 10/17/2012 IOWA .:y'' O. I UNNER S= Office of Driver Services �o��-= Iowa Department of Transportation Name: Howard Hendje, Alemeta Henrietta DL/ID: 937AA4655 Oct.15. 2012 2:38PM Div of Criminal Investi;ation Oct. 5. 2012 11:48AM City Clerk — City of Iowa City V Ant No. 9433 P. 9 No. 2898 P. 2 >c>?Imre�d.JE3�x�Et)r<y�8e�o�oY (check ki Tos Yowl bldslonofWnInAltttvesttgatroh support operatlons TltlreaU, Y'I Moor 215E. I,, strooE bealYlolnos,YaWA 50319 (515) 72g Gadd (61.5)1%5.6090 )FAX r• n I]CrAocotlntNfm6er: 4OOa . peflPpu�nei�) FroW r`*rw n -w Town CTTV• CITY CLWKYS omlcz bl 0 7t G7A S=GTO14 STRFam khonAl 47 4-3K6--SO4.1 naXl 9L4-95654.47 ,� 06,10,5'1/ J� �(P I OUda - C,v-"'BmaTe Ja)IYII[IjaI, wthoufasfg164WAAYe1140111 MasilbJeot Who regnesP,atomplotooy(In(nplh1Woryrecord ))laynot bob'ofoa9rible,Iie1'CodeoTYoWq,ChapteY69�,2.Y�er otvoriminalfitstoPyrecol'�YlnCoxmntlolr,a�aliaw99byiaV�,alivays I pelfnlss(off 1DPI�IoaEnya Yegves11ngo1f(alp� la mndual6ft Ia\vA cflnitnal As oP Io lqu—,—, a. samoh of tho provided name aind date of bu-tltseveaIed: 10 go lom Ctlmltlal ljsray l2eeord found with 1) M �� rows Crim(nal Y�(stozy lZecord atiached, JDC1�t• � U`' 2,U n .--I -Y- •,n -1 r nn 4n I1_/n ill It I I 1 4 Dz&b16n0fCominal 4 Oct.15. 2012 2:38PM Div of Criminal Investigation No.9433 P. 10 IOWA CRIMINAL HISTORY DCI 00308358 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 3 DATE PRINTED - 2012/10/15 DCI:00308358 NAME: CUEVAS,ALEMETA DOWNS,ALEMETA DOWNS,ANITA HENRIETTA HENDJ9,ALEMETA E HENDJR,ALEMETA HENRIETTA HOWARD,ALEMETA E HOWARD,ALEMBTA HENRIETTA HOWARD-HENDJE,ALEMETA E HOWARD-HENDJE, ALEMETA HENRIETTA DOB SEX RAC HGT WGT EYE HAIR SKN POB 19560625 P B 509 210 BRO BLK MED IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y SC L WRIST SC R KNEE CCH RECORD •*� 01 ARRESTED 19030414 AGENCY; IA0020200 DAVENPORT PD CHARGE NO- 01 IA STATUTE IA708-2 ASSAULT W/BODILY INJURY TRK#: L24530501 COURT DISPOSITION AGENCY: IA0820150' SCOTT CO DIST COURT COUNT NO- 01 ASSAULT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L24530501 SENTENCE DISP EFF DAT PLEAD GUILTY 19830823 FINE $100 19630823 02 ARRESTED 20040408 AGENCY: IA0920200 DAVENPORT PD CHARGE NO- 01 IA STATUTE IA708.2(3) ASSAULT W/DISPLAYING WEAPON TRK#: 902856301 COURT DISPOSITION AGENCY: IA082015J SCOTT CO DIST COURT COUNT NO- 01 IA STATUTE IA708-2(5) ASSAULT COURT CASE ID; 07821 AGCR267719 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 902858301 SENTENCE DISP EFF DAT FINE 20040708 03 ARRESTED 20040908 AGENCY: IA0820200 DAVENPORT PD Oct.15. 2012 2:38PM Div of Criminal Investigation ACT 00308358 PAGE 2 OF 3 CHARGE NO- 01 IA STATUTE IA714.2(3) THEFT 3RD TRK#: 903058701. COURT DISPOSITION AGENCY: IA082015J SCOTT CO DIST COURT COUNT NO- 01 IA STATUTE IA714.2(5) THEFT 5TH DEGREE - 1976 COURT CASE ID: 07821 AGCR271708 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 903058701 SENTENCE DISP EVP DAT FINE $50 200410/4 04 ARRESTED 20080603 AGENCY: IA0820200 DAVENPORT PD CHARGE NO- 01 IA STATUTE IA708.7(3) HARASSMENT / 2ND DEG. - 1989 TRK#: 9AO053BOl COURT DISP09ITXON AGENCY; IAO82015J SCOTT CO DIST COURT COUNT NO- 01 IA STATUTE IA708.7(3) HARASSMENT / 2ND DEC, - 1989 COURT CASE ID: 07821 SRCR311883 CHARGE CLASS: NON CONVICTION TRK#: 9AO053BOl SENTENCE DISP EFV DAT DEFERRED JUDGEMENT 20081119 PROBATION 1Y 20081119 DISCHARGED FROM 20100224 DEFERRED JUDGEMENT 05 ARRESTED 20100322 AGENCY: XA0520100 CORALVILLE PD CHARGE N0- 01 IA STATUTE IA714.2(3) THEFT 3RD DEGREE - 1978 TRK#: 1AOOBZM01 COURT DISPOSITION AGENCY: IA052015LT JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA714.2(5) THEFT STH DEGREE - 1978 COURT CASE ID: 06521 TLGCRO90263 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: IA008ZM01 RESTITUTION SENTENCE DISP EFF DAT TIME SERVED 1D 20100908 JAIL, lD 20100900 No. 9433 P. 11 r Oct.15. 2012 2:38PM Div of Criminal Investigation DCI 00300350 PAGE 3 OF 3 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. bIVISION OF CRIMINAL INVESTIGATION No. 9433 P. 12 11