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Home My WebLink About12-258First Middle Last 1. Name Prophet Kir* 89' eah T ' "' n^rn`l 2. Mailing Address 9009 RnrheCter Avenue, Iowa Cita, IA 52240 3. Telephone: Home 1 9-383-2550 Other: 4. Prior experience in transportation of passengers: IT worked for Black & Gold in 2006; a nd Old Capitol Cab, previously. 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? yFc Type of offense Where When 9'hpf# 2ndde.�-ee/_fa Srprr r.,,,ni-y 1992 Theft 5th degree/misdemeanor Iowa County 2004 I have nine x other misclemeanor convictions. 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? NO Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? No Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? NO Tvoe 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) der .iddwbadg 09/2012 / '�L a S-8 Authorization Number l 1 (Office Use Only) IIIh A �®1%� -n JLR__ 111 CITY OF IOWA CITY APPLICATION FOR TAXI DRIVER (Police Department review must be made 410 East Washington street between 8 a.m. to 3 p.m., Monday— Friday.) Iowa City, Iowa 52240-1826 _(319) 3S6-5040 (319) 356-5497 FAX First Middle Last 1. Name Prophet Kir* 89' eah T ' "' n^rn`l 2. Mailing Address 9009 RnrheCter Avenue, Iowa Cita, IA 52240 3. Telephone: Home 1 9-383-2550 Other: 4. Prior experience in transportation of passengers: IT worked for Black & Gold in 2006; a nd Old Capitol Cab, previously. 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? yFc Type of offense Where When 9'hpf# 2ndde.�-ee/_fa Srprr r.,,,ni-y 1992 Theft 5th degree/misdemeanor Iowa County 2004 I have nine x other misclemeanor convictions. 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? NO Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? No Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? NO Tvoe 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) der .iddwbadg 09/2012 I hereb certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 23 {/ N 7 2 rj 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 ! rNa Date #YYH##Y+H##+++#+*+*R#R*!tR#f##RffffHf#HYH###M##H#**+H+**#H#H+***f***RRRf*HRRR**t****R**f*f!H*Rff**RRR**fHH*HHffHRfHH#f f#fHH STATE OF IOWA ) COUNTY OF JOHNSON crib d nd sworn to before me by / ' ��D��le �nd�` On this 2cP�� day of �2- t "q�s KELLIE K. TUTTLE Notary Public in and for the State of Iowa er P_ Mycom. .Expires 1 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). Sig ture of ice Chief or designee '/j -a � -/a Date 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. 94 Signature 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 --Zl -/f:2-- Date dew drivbad9 aW2oiod 09/2012 Oct.25. 2012 9:30AM Div of Criminal Investigation Vb L. I/, cu IL I. JVI III VI I V I c I A VI Lr VI ivr,a V11y I r (1H maraa;l.J lstorry Reeoxd cheek Request h+orm 2a; XoWA blvlsioh of GrbnnialXhyasttgatfoh Sapport Operations Rureuu, 7'1l7toor 215 P, 914 Sfreot rVax iyfnosrTowa Sods (ole) 9214UM (616)126-6090 bax L.f UfAJ8cit� d 1-z3--1 q65 r' YaAw,inlormatforr: Wifhouta haY01a99ab1ej per Code oQ]'e{y4, Ch (M). Walyer 0611delf 1No. 1 3515 1. P. 5/8 qu. DCXAocountNi1mbor o a — ' (IfapyliceDic) kYolnl CTT! or Tow CITY GiTY M=99 OIRTIGE 47'1 V. T ASHI, G RT STRE•E rO7A CITY IOF)A 57.740 179X1 _ 4f 4-45(,-1447 0 I -14male ' C(VemaIB Y/Awe)'li'oin thesubjeeto{thoYaqu K/M/ SOoYnlSecurity Numbor rcoommcnde 4 to)nplela ol4tntndl hfsfory rceord• may not ora lnfokmntloh, as'allowed lYMV;, A(Ways 9h101Yaard rAcck M61h 1hsD,Yi51o)1OrCrh1nol 'nlfoi9cd 6y1n�Y , Iowa criMITIA1 HisLOMRN6(i c hockRestiffig , CDCluroun(Y) a search of tha provided name aixd dato dbix1h):wcaled: LJ NolbWaCrhi)hial1iistorykecoidMad withDOI Yom G'rimbial History Record attaohcd, Dcx# 3 � 1 � 3 � ; •s bGCataitials__-s� ,.. Receive"d'Ti"mctct 19. 2012 1:56PM No.5657 Gct,25. 2012 9:30AM Div of Criminal Investigation IOWA CRIMINAL HISTORY FELONY CONVICTION DCI ;00381736 NAME: LIVENGOD,CURT DCI 00381736 PAGE 1 OF 2 DATE PRINTED - 2012/10/25 LIVENGOOD,CVRT MICHAEL LOUISA CO SO LIVENGOOD,XURT IA STATUTE XA714-2-3 THEFT/3RD LIVBNGOOD,KURT MICHAEL TRK#: L35029001 LIVINGOOD,KIRK MICAH COURT DISPOSITION LXVINGOOD,PROPHET KIRX M LOUISA CO DIST COURT LIVINGOOD,PROPHET KIRX MICA .THEFT 5TH DEGREE - LIVINGOOD,PROPHET XIRK MICAH TRK#! L35029001 PROPHET,KIRK MICA RESTITUTION , DOB SEX RAC HOT WGT EYE HAIR SKN POB 19650123 M W 508 220 BLU BRO MED IA ADDITIONAL IDENTIFIERS Sc FHD Sc HEAD SC RF ARM CCH RECORD *l* 01 ARRESTED 19880804 AGENCY:. IA02DO100 BURLINGTON PD CHARGE NO- 01 IA STATUTE IA715 FORGERY TRK#: L35028901 COURT DISPOSITION AGENCY: IA029015J DES MOINES CO DIST COURT COUNT NO- 01 IA STATUTE IA715 FORGERY CHARGE CLASS: NON CONVICTION TRK#a L35028901 SENTENCE DISP EFP DAT DEFERRED JUDGEMENT 19681003 COURT COSTS 19881003 DISCHARGED FROM 19891212 DEFERRED JUDGEMENT 02 ARRESTED 19900520 AGENCY: IA0580000 LOUISA CO SO CHARGE NO- 01 IA STATUTE XA714-2-3 THEFT/3RD TRK#: L35029001 COURT DISPOSITION AGENCY! IA058015J LOUISA CO DIST COURT COUNT NO- 01 IA STATUTE IA714,2(5) .THEFT 5TH DEGREE - 1978 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#! L35029001 RESTITUTION , SENTENCE DISP EFF DAT No, 1355 P. 6/8 Qct.25. 2012 9:30AM Div of Criminal Investigation DCI 00361736 PAGE 2 OF 2 FINE $75 19900723 COURT COSTS 19900723 03 RECEIVED 19920731 AGENCY: IA052015M OAKDALE IMCC CHARGE NO- 01 IA STATUTE IA714-2-2 THEFT 2ND DEGREE TRK#: L35029101 INMATE #: 062960 COURT DISPOSITION AGENCY: IA062015J SCOTT CO DIST COURT COUNT NO- 01 IA STATUTE IA714.2(2) THEFT 2ND DEGREE - 1978 CHARGE CLASS: FELONY CONVICTION TRK#: L3S029101 SENTENCE DISP EFF DAT PRISON SY 19920731 CUSTODY AGENCY: IA077015G ADULT PAROLE SVC A 19950214 PAROLED W/IMMEDIATE DISCHARGE 04 ARRESTED 20041124 AGENCY; IA0480000 IOWA CO 50 CHARGE NO- 01 IA STATUTE IA714-2(5) THEFT 5TH DEGREE TRK#: 071614001 COURT DXSP09ITION AGENCY: IA046015J IOWA CO DIST COURT COUNT NO- 01 IA STATUTE IA714.2(5) THEFT 5TH DEGREE - 1978 COURT CASE ID: 06481 SMAC063936 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 071614001 RESTITUTION SENTENCE DISP EFF DAT FINE $100 20041124 COURT COSTS 20041124 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 C D IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT CORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION No. 1355 P. 7/0 I0owa Department of Transportation Office of Driver Services (foll Free) OW -532-1121 PO Bot 9204, Des Moines, fA 5030&9204 515-244-9124 n FAX: 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 9/6/2012 DL/ID #: 253HH9257 (IA) Customer #: 389115 Name: Livingood, Prophet Kirk Class: A ID Status: None Micah Address: 311 RONALDS ST APT 1 Audit #: 5932837 DL Status: VAL Issue Date: 04/19/2012 CDL Status: VAL City/State: IOWA CITY, IA 52240 Expiration Date: 01/23/2016 CDL Cert Status: Non -Excepted Intrastate Endorsements: NONE CDL Med Status: None Mailing Address: PO BOX B57 Restrictions: NONE Restriction None Date of Birth: 1/23/1965 Supplement: Mailing City/State: IOWA CITY, IA 522440857 Sex: M History Information CLEAR DRIVING RECORD Name: Livingood, Prophet Kirk Micah DL/ID: 253HH9257 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 .Iflce, 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: �.;•".... ' " 9/6/2012 IOWA ' D. 0. T. ..'e) F � � 0 /f'IIIIIE� Office of Driver Services Iowa Department of Transportation Name: Llvingood, Prophet Kirk Micah DL/ID: 253HH9257 Executive Department RESTORATION OF CITIZENSHIP To All to Whom these Presents Shall Come — Greetings: KNOW YE, that by authority in me vested by law I, Thomas J. Vilsack, Govemor of the State of Iowa, in the name and by the authority of the people thereof, do hereby restore to Prophet Kirk Micah Livingood the rights of citizenship including that of voting and qualification to hold public office which were forfeited by conviction of the crime of Class D Felony, NSF Checks (Insufficient Funds), on July 31, 1992, in the District Court of the State of Iowa in and for SCOTT County and for which he/she was sentenced to 5 years. This Restoration of Citizenship shall not include rights with respect to firearms as provided in Chapter 724, Weapons, of the Code of Iowa nor be construed as a Pardon or as a remission of guilt or forgiveness of the offense, and shall not operate as a bar to greater penalties for second offenses or subsequent convictions or conviction as a habitual criminal. This ORDER is granted upon the recommendations of the Iowa Board of Parole. IN TESTIMONY WHEREOF, I have hereunto set my hand and caused to be affixed the Great Sea! of the State of Iowa. Done at Des Moines this 14'" day of June in the year of our Lord two thousand five. e�l"' Q L1'1'.. C' Thomas J. Vil c Governor