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Home My WebLink About13-0761 - i ��®d1� III cccccrh + �amiQ CITY OF IOWA CITY 410 East Washington Street Dewe City, Iowa 52240-1826 r'—(3 19) 356-5040 13 19) 356-5497 FAX r, I First imZ171im Authorization Number / .�3 _ / 4l (Office Use Only) APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday.) Middle 2. Mailing Address 1 17 C,a17�i.1 �`.^� L) 3. Telephone: Home_5 IGl - �3 � /�_- Other: 4. Prior experience in transportation of passengers: nkQ aA n 5. Have you ever been convicted of any misdemeanors and/or felonies in I've k -)a< ker Fl State or elsewhere? _ When .It ,"T.3, 6. Have you een convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? V 2e Type of offense Where ,, hen j 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? R;, 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). (OVER FOR REQUIRED SIGNATURE AND NOTARY) daBnaxidwbadg 03/2013 I hereby certify that 1 have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number A I S�iL1C 1 `> i Y 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) , ��ii_i 9-- 401 +++++++++++++++++++++++++++maaaaaaaa+a++a+++aam+++-+++a•+a+m+e+++m++++++++++++++m++++++++mm++++++++++m++++++m++m+++++++++++++ STATE OF IOWA ) COUNTY OF JOHNSON ) cubed nd s om before me by �CC' I Lf 3C(-Ck`� r ' " � / /Onn this 2C day of ^eS\`�,- KELLIE K. TUTTLE g r mfcdnn Number 2,2' Notary 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). OKI S gna r Police Chief or designee 7/gt/5 5 '�' 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. Sign ture of City Clerk or designee 77 Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8'/z' (width) and 5'/z" (height) and prominently displayed to all passengers. +++++++++++++++ma++a++a+++a+aaaaa+a+amaaaaa++aaaaaaaaaamaaaaaaaaa+m+++a++++a++aama+m+++m++++++++++++++++++++++++++++m+++m+++++ Office Use Only Approved application DCI report State certified driving record Website update �nvbads ppv ro.doo - 03/2013 Iowa Department of Transportation Office of Driver Services (Tall Free) 800-532-1121 "IML PO BOx.9204, Des Moines, IA 503W92D4 515-244-9124 FAX: 515-239-1837 140 Inquiry Date: 3/21/2013 Name: Walker, Sharon Ann Address: 705 GIBLIN DR City/State: IOWA CITY, IA ID Status: 522465510 Mailing Address: 705 GIBLIN DR Mailing City/State: IOWA CITY, IA 522465510 Convictions Certified Abstract of Driving Record DL/ID #: 155UU2428 (IA) Customer #: 4565777 Class: D ID Status: VAL Audit #: 6794090 DL Status: VAL Issue Date: 03/21/2013 CDL Status: None Expiration 04/04/2017 CDL Cert None Date: Status: Endorsements: 3 CDL Med None Status: Restrictions: Corrective Lenses Restriction None Date of Birth: 4/4/1967 Supplement: Sex: F History Information Citation Date Conviction Date ACD Explanation County JUR ..........__. .. ..... ... .. ...__...... . _ _....___.. ... __...._ .. ........_. ...... ..........r ..........., 05/06/2001 01/11/2002 A20 Operating While Intoxicated 52 IA i . ...._.. ... ..... __.. ..:._......_ _ _..__.. ... ............. .. _. .. ...-t 05/14/2012 !06/07/2012 IS92 Speed 52 -IA ; Operating While Intoxicated Test Refusal/Test Failure Violations Occurrence ACD Explanation JUR 05/06/2001 IA12 10WI Test Refusal JA j Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Revoked Barred .._. __......_,.. Suspended 1 105/17/2003 IA12 iOWI Test Refusal of Iowa Fine of Iowa Fine Name: Walker, Sharon Ann DL/ID: 15SUU2428 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. Mar. 28. 20131 1:10?n Ct - tf1Y/AS 0 Uiv of Criminal I n v e s t i g a t i o n1, No. 8001 P. 7 ho, Jj,,u I. L 0 �p�nL11a giff,F)IT, millHim MIii y�tk� ff ;yyraof+r Tb: YosvaDrilalOfrOfC[hningl7tPVesffSatfoh Support OpoYaklongpurgir, PI$Yoor 215E.714strcot Dea)V1p7rrer,2o)v4 50319 ( �J5I5)725 (515) 725'-b009089 )rare : X7CTt�ccounCBTumber: ` OU2 �� QfopplftaDle) .�rafrif C [QTY ar� c��s o�axc>J ' g i Te'4p'A p�"TY TCWA ��24p Piano 379-956--5041 I d R60 1291$Ittnev4einn) Gieh(7eX(mnudafo) �4peiuj�eplYkityNghibal r000mmehdeaj DNS i �orisfai7ori.yrgcar�ntnpnoC balnfepspUfe�porr'odeePYoplp,Chaptot69z2�or o lets'arlminglhistn�yreaoritlawantfoa,ns41 WOtyYalw,AlWpys btaihS�waiveYsl nafareitiomikosrtb nczbf�hg#e 8r9R'S8�•YhcrcOygiYeperinis,fOn fDCOroODoYaYeg4esifngollfoi¢(/o Col7duof8nYoWo o1{mipolhlflOfyLrAo(deheckW%Ifllhe➢�islan efCrtmfOal rgY0st1$slfon(DCp, AhyyfNlnelhlslorydefrtEdnpcfn(ngn orhatlsnlalnfalned6yihoAOYmyy 6oroledso4A IfolYcdDylaW. . Aso�_ � 1�L�1��/ yasease3xbflhogYovid'ednameanddai�od'Si>tlzxeves)ed; �1'o,Tbw¢Ca3lrfinf3lI�Tiseo>,yXtpcoadi?ounawithl�cr. 1pwa G5im4naTS-Tiatpry2teCoYd attached, a7CX;r# 5 a � 3g • 5 Received imey'Mar.22.-2013— 4:41PNrlo. )503 I foCf IUD CNly) ry I Mar.ZB, 2M I,IUYM Uiv of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00521388 • MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 3 DATE PRINTED - 2013/03/28 DCI:00521388 NAME: LEE,SUARON WALKER,ANN WALKER,SHARON ANN WALKER-LEE,SHARON ANN DOH SEX RAC HGT ROT EYE HAIR SKN POB 19670404 F H 504 220 HRO ELK DRK IN ADDITIONAL IDENTIFIERS SC R EYE TAT R ARM CCH RECORD *** 01 ARRESTED 19960612 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 001 TRK#: 024182101 CHARGE NO- 02 IA STATUTE XA726-6-1A CHILD ENDANGERMENT TRO: 024182102 COURT DISPOSITION AGENCY: IA052015LT JOHNSON CO DIST COURT COUNT NO- 01 XA STATUTE IA321J,2 OPER VEH WH INT OWI COURT CASE ID: 06521 AGCRO41615 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 024182101 SENTENCE JAIL 48H FINE $500 REVOKED COURT DISPOSITION' AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA726-6(1A) CHILD ENDANGERMENT COURT CASE ID: 06521 AGCR041615 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 024182102 SUBSTANCE ABUSE EVALUATION SENTENCE DEFERRED JUDGEMENT PROBATION lY FINE $500 REVOKED 02 ARRESTED 19911117 AGENCY: IA0570100 CEDAR RAPIDS PD CHARGE NO- DISP EFF DAT 19970103 19970103 19990218 DISP EPF DAT 19970103 19970103 19970103 19990218 19990210 No. doul Y. 8 Mar. 28. 2013 1:1OPM Div of Criminal Investigation 01 IA STATUTE IA714-2-2 THEFT 2ND DEGREE TRK#: 037690901 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE IA714-2-3 THEFT 3RD DEGREE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 037090901 RESTITUTION SENTENCE PLEAD GUILTY FINE COURT COSTS PROBATION PRISON 03 ARRESTED 19961030 AGENCY: IA0520100 CHARGE NO- 01 THEFT 4TH DEGREE TRK#: 032294701 COURT DISPOSITION ACS 00521368 PAGE 2 OF 3 DISP EFF DAT 19980610 $500 19960610 19980610 2Y 19980610 2Y 19900610 CORALVILLE PD IA STATUTE IA714-1,714-2-4 AGENCY: IA052015,7 JOHNSON CO DIST COURT COUNT NO- O1• IA STATUTE IA714-2-4 THEFT 4TH DEGREE COURT CASE ID: SRCR049719 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 032294701 SENTENCE DISP EFF DAT FINE $250 19990216 COURT COSTS 19990218 PROBATION 19990218 VIOLATOR'S PROGRAM 19990218 JAIL 30D 20011221 REVOKED 20011221 04 ARRESTED 20010506 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J.2 OWI 2ND OFFENSE TRK#: 100233401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE TA321J.2(H) OPER VEH {Vii INT (OWI) / 2ND OFFENSE COURT CASE ID: AGCRO58737 CHARGE CLASS: MISDEMEANOR CONVICTION No. 8001 ' P. 9 Mar. 28. 2013 1:1OPM Div of Criminal Investigation No. 8001 P. 10 TRK#: 100233401 SENTENCE JAIL FINE PROBATION PROBATION EXTENDED REVOKED 05 ARRESTED 20020616 AGENCY: IAOS20200 CHARGE NO- 01 DRIVE WHILE BARRED TRK#: 100576501 30D $1500 lY lY IOWA CITY PD IA STATUTE IA321-561 COURT DISPOSITION AGENCY: IA0520151T JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321.561 DRIVING WHILE BARRED HABITUAL OFFENDER - 1976 COURT CASE ID: 06521 AGCRO62434 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100576501 SENTENCE FINE $1000 DCI00521388 PAGE 3 OF 3 DISP EFF DAT 20020111 20020111 20020111 20030111 20050107 DISP EFF DAT 20021115 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 VE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BA P N INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COV THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION