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Home My WebLink About13-068III CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319)356-5040 (319) 356-5497 FAX 1. Name /V/ e 2. Mailing Address 1�-/P5161 C� 3. Telephone: Home 3/ 0' 6,5� 4,7 4. Prior experience in transportation of passengers: 5. Authorization Number /3— 6 8 (Office Use Only) APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) Other: %a (rrie-S D f-ttl(s\-1 Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense 'r �' Where When C �t NI' 10t 5CL 1F lin clk 7 oz)( 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? /-jU Tvpe of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where I ✓�PPoP i l D e,,4,A 8. Has your driver's license or chauffeur's license been suspended or Tvpe of offense Where When in the last five years? 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) derWtaxidriv adg 03/2013 I hereby certify that I have issued to n)g by the Iowa Department of Transportation a valid Chauffeur's license number 4'3 -) \/ y DS D . 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 ti es 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 Date 5 - 1 3 RH#RR*#*#*###+####H#N#H#RlfHH!**+*##+#444YffNYHN##1`#4R##RR*+###+44N#4###4fRNflfif RHRR4#4+#H##4###N#4NfffHHfflfH**#####H4##H## STATE OF IOWA ) COUNTY OF JOHNSON ) and sworn to before me by N kg!.- t�� e -W j< On this lqv day of SONDRAEFORT Commission Number 159791 So My commission expires Notary Public in and for the State of Iowa 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). Signature of Police Chief or designee 3�Zall 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. Signatbie of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 81/:" (width) and 51/2" (height) and prominently displayed to all passengers. fiHf!llfNifi##i**NN#lNflNllff f if ti*iii**####i##iflfHfHflftlN***ti*#i##Ni#4f H1fNH4*Ri4ti*N###4#1NN#Y#1fNNflH!*itifli*i#t**N** Office Use Only Approved application DCI report State certified driving record Website update ded =idriWad9eaFp=O.dm - 0312013 J State of Iowa Division of Criminal Investigation 215 E 7' St Des Moines IA 50319 Ph. 515-725-6066 Fax 515-725-6080 Iowa Criminal History Record Check Walk -In Request Your name ii Address Middle Name Segundo Nombre (recommended) City/State/B " Phone# 5 19, 6__C -f -S O Rermestinu an Towa criminal histnry record check on: Fill in all shaded areas. Last Name Apellldo (mandatory) First Name Primer Nombre (mandatory) Middle Name Segundo Nombre (recommended) Date of Birth Fecha Nacimienro (mandatory) Gender Genero (mandatory) Social Security Number (recommended) a// 9 rbl -5 ale ❑Female � , 9 � 6g 35s- / Waiver Signature F;, a (I the request is on yourself, please sign. If the request is on someone else, write N/A.) Results DOIUSEONLV As of ✓ oZ a name and date of birth check revealed: ❑No record found Record attached, DCI # to 6 I c,a DCI initials—!04- W Receipt Number of requests �_ x $15.00 per last name = Total amount $ Method of payment: Ocash ❑money order ❑check# ❑MasterCard or Visa Cardholder's name Last 4 digits of MC or Visa DCI initials Credit Card Number # Exp. Date IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY DCI:00616318 NAME: PREMLEY,NICHOLAS KYLE PRESLEY,NICHOLAS KYNE PRESSLEY,NICHOLAS KYNE DOB SEX RAC HGT WGT EYE HAIR 19831230 M W 511 160 BRO BLK ADDITIONAL IDENTIFIERS SC R KNEE TAT L ARM TAT L WRST CCH RECORD *** 01 ARRESTED 20040210 AGENCY: IA0520400 IOWA CITY UNIV SEC PD CHARGE NO- 01 IA STATUTE IA124.401.5 POSSESSION CONTROLLED SUBSTANCE SCHEDULE I TRK#: 101081601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 SRCROG7779 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101081601 SENTENCE FINE $100 DCI 00616318 PAGE 1 OF 2 DATE PRINTED - 2013/03/20 SKN POB IA DISP EFF DAT 20040526 02 ARRESTED 20050421 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124.401(5) POSSESSION OF SCHEDULE I CONTROLLED SUBSTANCE 2ND OFFENSE TRK#: 101505901 CHARGE NO- 02 IA STATUTE IA716.5 CRIMINAL MISCHIEF 3RD DEGREE TRK#: 101505902 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA716.6(1) CRIMINAL MISCHIEF 4TH DEGREE COURT CASE ID: 06521 AGCR072218 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101505901 RESTITUTION SENTENCE DISP EFF DAT SUSPENDED JAIL 30D 20050713 JAIL 30D 20050713 FINE $250 20050713 PROBATION lY 20050713 I DCI 00616318 PAGE 2 OF 2 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 AGCR072218 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101505902 SENTENCE DISP EFF DAT FINE $100 20050713 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 Iowa Department of Transportation Office of Driver Services {Toll Free) 800-532-1121 PO Box 9204, Des Moines, IA 50305-9204 515-244-9124 FAX: 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 3/20/2013 DL/ID #: 432YY0579 (IA) Customer #: 4710517 Occurrence 3UR Name: Pressley, Nicholas Kyne Class: D ID Status: VAL Payment of Iowa Fine Address: 18 EROBI LN Audit #: 6754280 DL Status: VAL D53 INon Non_Payment of Iowa Fine_ IA Issue Date: 03/07/2013 CDL Status: None €06/16/2010 City/State: IOWA CITY, IA Expiration 12/30/2015 CDL Cert None 522403012 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 18 EROBI LN Restrictions: .NONE Restriction None Date of Birth: 12/30/1983 Supplement: Mailing City/State: IOWA CITY, IA Sex: M 522403012 History Information Convictions Citation Date __ ...:._ .... Conviction Date .. ......... .. ACD Explanation County JUR 02/19/2011 _ ...__.... ......__.. ... .. _. ... ._. - __ M4211 . .'Improper Lane (changing lanes) 52 IA 03/01/2011 ,03/02/2011 04/12/2011 S92 _ Sed pe 52 IA 10/29/2011 11/29/2011 -M 14 'Fail to Obey Traffic Sign/Signal 52 IA Sanctions Type Effective End ACD Explanation Occurrence 3UR JUR Suspended 05/09/2003 06/16/2010 D53 Payment of Iowa Fine '.IA IA Suspended 01/25/2_005 ,06/16/2010 D53 INon Non_Payment of Iowa Fine_ IA IA Suspended ,02/25/2005 €06/16/2010 ;D53` ;Non -Payment of Iowa Fine __. IA..._...._.._� IA Name: Pressley, Nicholas Kyne DL/ID: 432YY0579 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: �E91Cif p�qy ~D'l0e• ��J'i 4, IOWA 3/20/2013 i yIiP 0.T: I�1,,,,4 SA S,`/ Office of Driver Services If 0 Mar. 25. 2013 9:01 AM Div of Criminal Investigation No. 1506 P. 2 Mar. 15, 2013 4:26PM City Clerk - City of Iowa City No.3325 P. 2/2 Record (Check L Orr i. -,a , -its M�a�- s �' , t• � • �n� c�lr7r.�� hc�S a✓ Q�•�r ��:an DCiticoovnENlsmberL �a—'�' ' �ri✓ Qt•P➢1Pre6�� :CO) 1Q%VA blvlskn Of Ctin VrOn111 rmr QR roaA CITY SuppoYlgperAtlolnyburoau,r--:stocr CITY crJaK•S OFFTCS -11ST,71,Neeet 410 W_ wAMVCTON�BET baeUDlner,TolvA 50919 (919]734.60f6 IOt,7A��52260 (516)129-4'000 )1A>t • Shnndw � a19-5041 trak! 314_356-5497 Y Ani regPoatIPS s01owA CL•Imfnaf Ht o Raoord Check on; ]LaatN'ame 1�ttd.,Io bYr9t ArriO Mdejd Mlddlol<iap0.9 teaomtleAded) l< Y N ' raver t{format!ori:Witbooteelgnad�rgh'orllorrLthosubjaotoLthoreAuwh,gtotaploEootflnfnnlhhtoryrecoY�maynot 50l'eiea9abI� par Code 4PT4ryA69a , Chaptor? Nor cobnoletebYlntfnalhinloYy 1 e4oYd idfarlagtloN, u elloWtd bYIAW, AWAY., Yy[e1�eY�e13(!S[�iAerceygivapermLs�forLllrr�hontoveieque:Ltngotnol6ltoeonduolaglo�vae�tminAl6bLod(uaL4ficole�d�hlAan,W' 1•nofCrlmfnE( Ynvospgnlfon�Cn, AryyeLfilMdAtrtorydotdt�+•rFmi meLfiaLlsnu(oralnedbyi6�p0lrevy6aic1Lwe4NelfowcdGyrnW Wotver5'lgxuYal'e; As ofa seaxoh of fiv, provided name and date ofbi>thievealed: C1 N•oBwaUa-hY& d17jatory12ecordfoundwithW1 Tom WininalHistoryRecord attaohed,bCx#,�`) l7G}; uuflals D. ,.A T:.,,—LII,. 1C —1AII— A - UHA—M, 4-11A Mar. 25. 2013 9:01AM Div of Criminal Investigation ADDITIONAL IDENTIFIERS SC R KNEE TAT L ARM TAT L WRST CCH RECORD *** 01 ARRESTED 20040210 AGENCY: IA0520400 IOWA CITY UNIV SEC PD CHARGE NO- 01 IA STATUTE IA124.401.5 POSSESSION CONTROLLED SUBSTANCE SCHEDULE I TRK#: 101081601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 SRCR067779 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101081601 SENTENCE DISP EFF DAT FINE $100 20040526 02 ARRESTED 20050421 AGENCY: lAOS20200 1014A CRIMINAL HISTORY . DCI 00616318 MISDE14RANOR CONVICTIONS ONLY PAGE 1 OF 2 CHARGE NO- 02 IA STATUTE IA716.5 ' DATE PRINTED - 3RD DEGREE ' TRK#: 101505902 2013/03/25 DCI:00616318 COURT DISPOSITION AGENCY: IA052015J NAME: PREMLEY,NICHOLAS KYLE COUNT NO- 01 IA STATUTE IA716.6(1) PRESLEY,NICHOLAS KYNE COURT CASE ID; 06521 AGCR072218 PRESSLEY,NICHOLAS KYNE TRK#: 101505901 DOB SEX RAC HGT WGT EYE HAIR SKN POE 19831230 M W 511 160 SRO BLK 20050713 IA ADDITIONAL IDENTIFIERS SC R KNEE TAT L ARM TAT L WRST CCH RECORD *** 01 ARRESTED 20040210 AGENCY: IA0520400 IOWA CITY UNIV SEC PD CHARGE NO- 01 IA STATUTE IA124.401.5 POSSESSION CONTROLLED SUBSTANCE SCHEDULE I TRK#: 101081601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 SRCR067779 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101081601 SENTENCE DISP EFF DAT FINE $100 20040526 02 ARRESTED 20050421 AGENCY: lAOS20200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124.401(5) POSSESSION OF SCHEDULE I CONTROLLED SUBSTANCE 2ND OFFENSE TRK#: 101505901 CHARGE NO- 02 IA STATUTE IA716.5 ' CRIMINAL MISCHIEF 3RD DEGREE ' TRK#: 101505902 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA716.6(1) CRIMINAL MISCHIEF 4TH DEGREE COURT CASE ID; 06521 AGCR072218 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101505901 RESTITUTION SENTENCE DISP EFF DAT SUSPENDED JAIL 30D 20050713 JAIL 30D 20050713 FINE $250 20050713 PROBATION 1Y 20050713 No. 7506 P. 3 • Ma r. 25. 2013 9:01AM Div of Criminal Investigation COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 AGCR072218 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101505902 SENTENCE FINE $100 DCI 00616318 PAGE 2 OF 2 DISP EFF AAT 20050713 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.1506 P. 4