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Home My WebLink About13-071� r , VIIIA +gt tl1W®r�� CITY OF IOWA CITY 410 East Washington Street I 52240-1826 (319) 356-5040 (319) 356-5497 FAX 1. Name Authorization Number 1//-1 I (Office Use Only) APPL)CATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) 2. Mailing Ad( 3. Telephone: 4. Prior experience in transportation of passengers: -A Lv \ l COO �-J ( tvr ( -}-Or \ t yryT(,f \ )a., cy, n 208 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? ges Type of offense Where When OSS fY\wf t (AG�)C n F.� %f!U (.t ( i x 66'' t / o:3 N— 2ooZ n r �� o r�o 6. ave yoy been convicted of operating a motor vehicle while under the in uence of alcohol or drugs in he last roe 8. Has your drivers license or chauffeur's license been suspended or revoked in the last five years? Type of offense Non paAl Where 3/ 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) derMaxldnvbdg 03/2013 Vel I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeurs license number �fS' ! �� 7885 . 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 ofApplican 04 Date z�%3 STATE OF IOWA ) COUNTYOFJOHNSON �/ Su17 bed�ary� sv�gr1 n to before me by 1 SQL �e �7 rC��E'r On this — ' day of KELLIE K: TUTr�21819 Notary Public in and for the State of Iowa Vy 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). Signal re of Police CkW or designee /fy#yedi3 , 11/J 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. Signature of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 1/2" (width) and 5 1/2" (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update den<n WimadgwWW 10. 0312013 i!LIowa Department Office of Driver Services PO Box 9204, Des Manes, IA 5030"204 Inquiry Date: 3/13/2013 Name: Graper, Ashley Nicole Address: 2401 HIGHWAY 6 E APT Audit #: 3605 City/State: IOWA CIT', IA 522406719 Mailing Address: 2401 HIGHWAY 6 E APT 3605 Mailing City/State: IOWA CITY, IA 522406719 Convictions of Transportation (Toll Free) 8W-532-1121 515-244-9124 FAX: 515-239-1837 Certified Abstract of Driving Record DL/ID #: 781ZZ7885 (IA) Class: D Audit #: 4231660 Issue Date: 04/01/2010 Expiration Date: 10/02/2013 Endorsements: 3 Restrictions: NONE Date of Birth: 10/2/1982 Sex: F History Information Customer #: 1045217 ID Status: None DL Status: VAL CDL Status: None CDL Cert Status: None CDL Med Status: None Restriction None Supplement: Speed (10 mph & under in 35-55 mph zone) Citation Date Conviction Date ACD Explanation County JIUR 09/18/2008 10/29/2008 S92 Speed 52 IA 08/28/2009 10/06/2009 S92 Speed (10 mph & under in 35-55 mph zone) 52 IA 10/30/2009 12/08/2009 S92 Speed 92 IA 06/06/2010 08/17/2010 S92 Speed (10 mph & under In 35-55 mph zone) 52 IA 12/05/2011 03/09/2012 S92 Speed MO Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number IUR 01/06/2010 547131 IA Sanctions Type Effective End ACD Explanation Occurrence IUR ]UR Suspended 03/16/2010 03/31/2010 D53 Non -Payment of Iowa Fine IA IA Suspended 08/25/2010 01/05/2011 D38 Fall to Post Security for an Accident -Owner Only IA IA Name: Graper, Ashley Nicole DL/ID: 781ZZ7885 Pursuant to Iowa Code §321.10, 1, 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: bro-i- , n Xi L L c CIE 3/13/2013 oip°'a to Sf�UG beflGl';=o�o.IOWA �8�'�, 2tr; :¢ti 3/13/2013 Mar.25. 2013 9:01AM Div of Criminal Investigation No.7506 P. 5 Mar, 18. 2013 12:21PM City Clerk - City of lova City No. 3326 P, 2 8TAT.9 OV IOWA i�,iq .' .. a'• (Cx°uMbd„ogtoryRecord Chaeft Request Forin n WaPvOPAVfOrmadon: 'Ail thou taafno4WAlyDVfrom tho9ll ba-0f-thaeq—wa,,*to rnplef8o}11danIII (story record))InynoC b?.Yo1op9ab(e, per code 69Y6WA,Chopter69a2Y7oreo arlmhla(historyreeordlrrformndlorr,nsal(otved6ytyvv,AlNays av nlforv°d by Ibex As of a aoaroh of th000vlded name and dato of bnth.):owaled; ' 0 No l'owa Cil z1vat9,1storyRecord found w ffi))CT U -Pr Tom C4ImihaMatogRecord attachod,bCZ#UU 5 bCCiaitiaLs D RP.r.P.IvP..4 TImP-lar 1R —9011-19.91PMrNn OAA — (tiCl uao only) DaA000untl4ombes: Lt -00D,-1- To: 101VAUiVis(ghofCr)m1n91XIMA190foh kiaml ctsr pa iffia Crr4' Snpportopera((owilvwUna',1''BYaor 218 E, 7lh SYCeot` cxxs ff�Ewvv 01? -V a 4J WA P ry,(aN'r��hs -K S}I7i7GxOiJ A I n RgT (913)771J�6o66 IOWA �JT4 IOWA 52�4� (5X5D 925-6090 kra� Anna, s _ lkKl l7flxl -�4-'aSt;-•Sl�q'7 S nh1 Tey anPoyrk Crhnino(Ti(sfo Record Chook on; proatln xAai4V�ri1P nrnd4 MrsE 9h1A&gndd(Ory)U1 WaPvOPAVfOrmadon: 'Ail thou taafno4WAlyDVfrom tho9ll ba-0f-thaeq—wa,,*to rnplef8o}11danIII (story record))InynoC b?.Yo1op9ab(e, per code 69Y6WA,Chopter69a2Y7oreo arlmhla(historyreeordlrrformndlorr,nsal(otved6ytyvv,AlNays av nlforv°d by Ibex As of a aoaroh of th000vlded name and dato of bnth.):owaled; ' 0 No l'owa Cil z1vat9,1storyRecord found w ffi))CT U -Pr Tom C4ImihaMatogRecord attachod,bCZ#UU 5 bCCiaitiaLs D RP.r.P.IvP..4 TImP-lar 1R —9011-19.91PMrNn OAA — (tiCl uao only) DaA000untl4ombes: Lt -00D,-1- To: 101VAUiVis(ghofCr)m1n91XIMA190foh kiaml ctsr pa iffia Crr4' Snpportopera((owilvwUna',1''BYaor 218 E, 7lh SYCeot` cxxs ff�Ewvv 01? -V a 4J WA baz 1K(afgos, Iowa 403X9 -K S}I7i7GxOiJ A I n RgT (913)771J�6o66 IOWA �JT4 IOWA 52�4� (5X5D 925-6090 kra� Anna, s _ lkKl l7flxl -�4-'aSt;-•Sl�q'7 S nh1 Tey anPoyrk Crhnino(Ti(sfo Record Chook on; proatln xAai4V�ri1P nrnd4 MrsE 9h1A&gndd(Ory)U1 d1oName (eeomamdea) r \ k L �1CV .Dafo o£1$ilth(mondefo 6'CYl(TCx mmldelb Sao4ai3eo)Yrt'EyNtrmb®r ro°ormnaidW �a�a �% ��aza •�einara , � G�--��1 1 WaPvOPAVfOrmadon: 'Ail thou taafno4WAlyDVfrom tho9ll ba-0f-thaeq—wa,,*to rnplef8o}11danIII (story record))InynoC b?.Yo1op9ab(e, per code 69Y6WA,Chopter69a2Y7oreo arlmhla(historyreeordlrrformndlorr,nsal(otved6ytyvv,AlNays av nlforv°d by Ibex As of a aoaroh of th000vlded name and dato of bnth.):owaled; ' 0 No l'owa Cil z1vat9,1storyRecord found w ffi))CT U -Pr Tom C4ImihaMatogRecord attachod,bCZ#UU 5 bCCiaitiaLs D RP.r.P.IvP..4 TImP-lar 1R —9011-19.91PMrNn OAA — (tiCl uao only) Mar. 25. 2013 9:01AM Div of Criminal Investigation I011A CRIMINAL HISTORY DCI 00650813 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2013/03/25 DCI:00650813 NAME: GRAPER,ASHLEY NICOLE DOB SEX RAC HGT WGT EYE HAIR SKN POB 19021002 F W 505 170 GRN BRO FAR IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y TAT BACK TAT L FOOT TAT L SHLD TAT R ANKL TAT UL ARM CCH RECORD *** 01 ARRESTED 20010812 ' AGENCY: IA0920100 WASHINGTON PD CHARGE NO- 01 IA STATUTE XA124-401-5 POSSESSTON/MARIJUANA TRK#: 055399601 COURT DISPOSITION AGENCY: XR092015J WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE IA124-401-5 POSSESSION MARIJUANA CHARGE CLASS: MISDEMEANOR CONVICTION TRK#+ 055399601 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20011009 COURT COSTS 20011009 PROBATION IY 20011009 JAIL 7D 20020117 FINE $250 20020117 COURT COSTS 20020117 RESTITUTION SERVICE 20020117 REVOKED 20020117 02 ARRESTED 20020305 AGENCY: IA0920100 WASHINGTON PD CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC INTOXTCATTON TRK#: 055423901 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE IA123.46 CONSUMPTION / INTOXICATION COURT CASE ID: 06921 SMSM036477 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055423901 SENTENCE DISP EFF DAT JAIL 5D 20020320 CREDIT W/TIME SERVED 20020320 No. 7506 P. 6 Mar.25. 2013 9:01AM Div of Criminal Investigation PCI 00650813 PAGE 2 OF 2 03 ARRESTED 20080620 AGENCY: IAOS20100 CORALVILL'S PD CHARGE NO- 01 IA STATUTE IA726.6(7) ENDANGERMENT/NO INJURY TRK#: 1A004PTOI COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA726.6(7) CHILD ENDANGERMENT/NO INJURY COURT CASE ID; 06521 AGCRO83748 CHARGE CLASS: NON CONVICTION TRK#: IA004FTOI SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20001024 PROBATION lY 20081024 DISCHARGED FROM 20090819 DEFERRED JUDGEMENT 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. DIVISION OF CRIMINAL INVESTIGATION No. 7506 P. 7