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Home My WebLink About12-259DEPARTMENT 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) dehJudrwba g 09/2012 Authorization Number / a 2 �E/ r 1 (Office Use Only) � MIIr®r�11 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 (3 19) 356-5040 (319) 356-5497 FAX FirstM' dle / ast 1. Name l (3 tW i to C o. / 2. Mailing Address 3 I 3 ✓d! q I ICJ aw cz r �r . 2 �f-6 3. Telephone: Home �36 — z S Other: 4. Prior experience in transportation of passengers: 6 r r r U��rvS La n rir ✓ ri 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere?. S Type of offense Where When Pnst Ma�`avavta oWOL CI �s z C 1 n,.r [t n , I Yr -7—ov i SC- 6. Have you ee con4 cte of operating a motor vehicle while under the inFl ar of alcohol or drugs in the last five years? Mn Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? / 5 Type of offense Where When S / .moo uvg Cr v l 1 1 l Z o0 h 1, vc C 0 122 8. Has your driver's (cense or chauffeur's license been suspended or revoked in the last five years? Type of offense Where When Dt/o w Ph- Xowa 2lln cj -! t o 9-/ 1- Z C I Z 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) dehJudrwba g 09/2012 I hereb certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeurs license number Y � 5: q,?- / . 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- /� f��+._ Date Q % STATE OF IOWA ) COUNTY OF JOHNSON ) I r'be and swg(n to bfore me by c5_ C04- '-DII-Cl Y',__ GQ--"_ �. -On this ;?(V ` day of duet KELLIE K. TUTTLE o Commission Number 221819 Notary Public in and for the State of Iowa ow ***********k************4**1444}f#}k#*k}**}***************}}*4}**4}}*4*4}k}kfk}#1k*#*}##**}**#*********#**********4***4*****}444}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). Sig��Wf - .& designee 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. _2/ (w&&v2 ir' - Af A4 ") 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 Date d&klla Wt badgeapp2010.d 09/2012 State of Iowa Division of Criminal Investigation 215 E 71h St Des Moines IA 50319 Ph. 515-725-6066 Fax 515-725-6080 Iowa Criminal History Record Check Walk -In Request Your name Address 1,3qr Gt V Ci /State/Zi w ac �EtZ Phone# 3 1 q q 3,(, Reauestine an Iowa criminal history record check on: Fill in all shaded areas. Last Name dpellido (mandatory) First Name Primer Nombre (mandatory) Middle Name Segundo Nombre (recommended) DL) V-tC-6i kA -5G <�VIA // Date of Birth FechaNaciwlenlo (mandatory) Gender Genera (mandatory) Social Security Number(recommended) /0//0/3-q Wale ❑Female D 3 6-3v2omr6 Waiver Signature Firm a request is on yourself, please sign. If the request is on someone else, write N/A.) C-1 Results As of I c)- a s i 2 , a name and date of birth check revealed: ❑No record found �i Record attached, DCI #-5-6 � 3 0 d DCI initials Receipt Number of requests Method of payment: DO USEONLY x Cn C-1 ui _ 3,- x $15.00 per last name = Total amount $ I r 0 U cash ❑money order El check # ❑MasterCard or Visa Cardholder's naipe 8 Last 4 digits of MC or Visa DCI initials Credit Card Number # Exp. Date ~ IOWA CRIMINAL HISTORY DCI 00560308 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED - DCI :00560308 2012/10/25 NAME: DUNCAN,SCOTT KENDALL DOB SEX RAC HGT WGT EYE HAIR SKN POB 19591010 M W 506 140 BLU BRO MED PA ADDITIONAL IDENTIFIERS CCH RECORD *** O1 ARRESTED 19970905 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124-401-5 POSSESSION/SCHEDULE I/MARIJUANA TRK#: 037269401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124-40195) POSSESS CONTROLLED SUBSTANCE/SCHEDULE I/ MARIJUANA CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 037269401 SENTENCE DISP EFF DAT FINE $250 19971121 COURT COSTS 19971121 02 ARRESTED 19971007 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124-401 POSSESSION/SCHEDULE I/MARIJUANA TRK#: 037285201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124-401 POSSESSION /CONTROLLED SUBSTANCE/SCHEDULE I/MARIJUANA COURT CASE ID: 06521 SRCR045809 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 037285201 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT JAIL 10D 19980226 FINE $250 19980226 PROBATION lY 19980226 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINT NED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDE}�7TI C TION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW ENFO10 W ENT AGENCIES BY THE DCI. IN ?i 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 Iowa Department of Transportation Office of Driver Services (Tall Free) OM -532-1921 "tamt PO Box 9204, Des Moines, IA 50306-9244 515-244-9324 FAX: 515-239-1837 1*0 Inquiry Date: 10/25/2012 Name: Duncan, Scott Kendall Address: 1131 3RD AVE APT 2B City/State: IOWA CITY, IA 522402013 Mailing Address: 1131 3RD AVE APT 28 Mailing City/State: IOWA CITY, IA 522402013 Convictions Certified Abstract of Driving Record DL/ID #: 713YY5941 (IA) Class: D Audit #: 6416454 Issue Date: 10/25/2012 Expiration Date: 10/10/2016 Endorsements: 3 Restrictions: Corrective Lenses Date of Birth: 10/10/1959 Sex: M History Information Customer #: 3382468 ID Status: None DL Status: VAL CDL Status: None CDL Cert Status: None CDL Med Status: None Restriction None Supplement: Citation Date Conviction Date ACD Explanation County JUR 12/13/2007 ...,....._.,,-._,—__.__..____....1. 01/21/2008 3592 Speed 52 ;IA 04/22/2012 06/05/2012 ;S92 Speed X79 IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident DateCase Number JUR 04/04/2006_ - ---- _-----� �� — _ 436690 )IA 10/06/2010 1595478 Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended ,og/11/2012 X10/24/2012 053 ;Non -Payment of Iowa Fine IIA v IA Name: Duncan, Scott Kendall DL/ID: 713YY5941 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: loQpEA....... 10/25/2012 s � `• IOWA � *°ti ��y0f ORliii6 Stc= Office of Driver Services