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Home My WebLink About13-027IIIM h CITY OF IOWA CITY 410 East Washington Street Iowa Civ Iowa 52240-182b �I-QLit 6- s 042 �J21) DLII �> (319) 356-5497 FAX 1. Name 2. Mailing Address( Cam 3. Telephone: Home 4. Prior experience in transportation of passengers: Authorization Number / �) —,)-7_ (Office Use Only) APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) Other: C1 1 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? f offense Where A When tree 6 f IHA 91 S U -C) It"A 5fA req FDX ou be et'6nvicted of operatjQ� a motor vehicle w ilk under t e influence of alcohol or ru s in the last five _�Q f' o6tt�'tc h(b� f Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Nf ) Type of offense Where When 8. Has your drivers license or chauffeur's license been suspended or revoked in the last five years? f'\ f 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) derlNexldriWadg 09/2012 I hereby certify that I have issugd to me by the Iowa Department of Transportation a valid Chauffeur's license number ` �1 u ¢ 't ` 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 b s with all of the rovisions_ of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date hLPb � *4NHNH***i*N#Rftf f1f1444i*##*H#*#*NR*H=H1fff=ffff=HHHRHR}**#NRi*RRfR*=f Rff1NRNRRHffffffH##Nt*Q#iRRl1NfN1f1Hf4*ffNi*}NR}t STATE OF IOWA ) COUNTY OF JOHNSON ) S eeribed and sworn to before me by S GLZck-.4111 -LpS On this l ' "` day of 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). Sijfnature 6f Police Chief or designee 3 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 re 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 deh "dnW.dg.pp2010.dm 09/2012 n Iowa Department of Transportation AW Office of Driver Services (Toll Free) 800-532-1121 PO Box 9204, [)as Moines, IA 50306-9204 515-244-9124 FAX: 515-239-1837 Inquiry Date: Name: Address: City/State: 2/6/2013 Phelps, Susan Lee 1206 E COURT ST IOWA CITY, IA 522403234 Mailing Address: 1206 E COURT ST Mailing City/State: IOWA CITY, IA 522403234 Certified Abstract of Driving Record DL/ID #: 846AA4543 (IA) Customer #: 5084794 Class: D ID Status: EXP Audit #: 4636522 DL Status: VAL Issue Date: 08/31/2010 CDL Status: None Expiration 02/03/2014 CDL Cert None Date: Status: Endorsements: 3 CDL Med None Status: Restrictions: NONE Restriction None Date of Birth: 2/3/1967 Supplement: Sex: F History Information Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number _ _ 7UR 09/21/2010 591807 QA 03/03/2011 621528 IA 05/09/2012 685189 IA Name: Phelps, Susan Lee DL/ID: 846AA4543 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; Name: Phelps, Susan Lee DL/ID: 846AA4543 ;,••••••;!v/d;'4� 2/6/2013 IOWA . 4 D. 0. T..¢ JF Office of Driver Services Iowa Department of Transportation •Feb.15. 2013 4:40PM Div of Criminal Investigation No.3360 P. 9/17 Feb. 6. 2013 9:33AM City Clerk - City of Iowa City No. 3197 P. 2 0 1 f,l I '11.1 �I 1. 1 Ili 1 'I e�n�'td�iw•''.1�`' •� I.l• :\r�14 •. %A\ViGj��%y 4V• ��: : � /•�jNn4ij xos X61Ydnivrs10hofCriminalXaVestfgatfoh Sapp DA Op eaffonsPur/ruh,PAloor 21$ a 9msfrest bes MOIn as, Yolva 60319 (918) 79.5.6066 (8Y5) 72r60A0 $aYc ACxA000unYll'um6er: /w�`� Qfopplf¢aD o)o)'� )rYOM' T�TV OX' _TOWA CI'I'Q' _ , max CMRKwg Onab)4 410 x AAgTiII Q�L9TRHE7C TpVA auXr $Yiagdy _ 4'(9-946-50A1 , $ax: 319 0a10.9 lo Jamara it lgr0 Z8(n ?�m'VeFI'r{%ar�nutio�; VPitrtout a sf�ne8 Walveal�yoht tfie subJeoD of t6n regnaag o eompfato crfmfnal htdory rwoxd mny omt iap YofepyA6lc, per Codo e$Ya14a, Chnptet 692a,YPobgptpgl4lg ullmMalhistoryrecordlnfoxmndoh, asalldwdd b,YTAYv, Always oAfaih,lwafverst afarolYop14T1e.sub ocLoYCllor C, 1�rt1'ver.li4d4l[,fb;IAu��Y&ive permrsofofl @rrhoaboYoraquullnpotttalot b canQvef wlToggcdmfn>J fJs[otyloaor4nhwkwiYh I1ian„tsfon grComfnol ravmtinauon(pCp.,,urykfndLulh6fa�ydgtncgnram(rt me[nndematnWnrddylh/n%chlyborokuoawalfowad6yTmr. i9alYer,4Ygrrn/ute:�/ - xayya �x�m�� s�or�ecnxd v✓hecCestrYt� , (nCt;yruonry) As of � � 9,, aeateh of tho:Xovfded uama and dot* ofbiiftwealed < . , No Awa QjMfnV1RgtorYAecord found withDCx .YoavaCylminalliistozyRecordattaohed bC;•#��t) ]OUb fffals.� /..r: `s,N601"Pf/ Gir.,\ / u J�d ^QSI �\��CI/flNkdh}�yf 1 f,l I '11.1 �I 1. 1 Ili 1 'I e�n�'td�iw•''.1�`' •� I.l• :\r�14 •. %A\ViGj��%y 4V• ��: : � /•�jNn4ij xos X61Ydnivrs10hofCriminalXaVestfgatfoh Sapp DA Op eaffonsPur/ruh,PAloor 21$ a 9msfrest bes MOIn as, Yolva 60319 (918) 79.5.6066 (8Y5) 72r60A0 $aYc ACxA000unYll'um6er: /w�`� Qfopplf¢aD o)o)'� )rYOM' T�TV OX' _TOWA CI'I'Q' _ , max CMRKwg Onab)4 410 x AAgTiII Q�L9TRHE7C TpVA auXr $Yiagdy _ 4'(9-946-50A1 , $ax: 319 0a10.9 lo Jamara it lgr0 Z8(n ?�m'VeFI'r{%ar�nutio�; VPitrtout a sf�ne8 Walveal�yoht tfie subJeoD of t6n regnaag o eompfato crfmfnal htdory rwoxd mny omt iap YofepyA6lc, per Codo e$Ya14a, Chnptet 692a,YPobgptpgl4lg ullmMalhistoryrecordlnfoxmndoh, asalldwdd b,YTAYv, Always oAfaih,lwafverst afarolYop14T1e.sub ocLoYCllor C, 1�rt1'ver.li4d4l[,fb;IAu��Y&ive permrsofofl @rrhoaboYoraquullnpotttalot b canQvef wlToggcdmfn>J fJs[otyloaor4nhwkwiYh I1ian„tsfon grComfnol ravmtinauon(pCp.,,urykfndLulh6fa�ydgtncgnram(rt me[nndematnWnrddylh/n%chlyborokuoawalfowad6yTmr. i9alYer,4Ygrrn/ute:�/ - xayya �x�m�� s�or�ecnxd v✓hecCestrYt� , (nCt;yruonry) As of � � 9,, aeateh of tho:Xovfded uama and dot* ofbiiftwealed < . , No Awa QjMfnV1RgtorYAecord found withDCx .YoavaCylminalliistozyRecordattaohed bC;•#��t) ]OUb fffals.� J eb.15. 2013 4:40PM Div of Criminal Investigation IOWA CRIMINAL HISTORY MISDRMSANOR CONVICTIONS ONLY DCI:00356306 NAME: CASTILLI,SUSAN CASTILLI,SUSAN LEE CASTILLO,SUSAN LASCHKE,SUSAN LEE MIELL,SUSAN LEE MIELL,SUSIE DOB SEX RAC HOT WGT EYE 19670203 F W 506 130 BRO ADDITIONAL IDENTIFIERS SC L CHK SC L PGR SC R LEG SC R SHLD SC R THGH TAT CHEST CCH RECORD --* 01 ARRESTED 19870103 DCI 00356300 PAGE 1 OF 2 DATE PRINTED - 2013/02/15 HAIR SKU POB BLN MED IA AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK#: L31555901 COURT DISPOSITION AGENCY: IAOS2015U JOHNSON CO DIST COURT COUNT NO- 01 SA STATUTE IA321J.2 OPER VSK WH INT OWI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L31555901 SENTENCE JAIL 2D FINE $500 02 ARRESTED 19911111 AGENCY: IAOS20000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI/2ND OFFENSE TRK#: L31556001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(B) OYER VER WH INT (OWI) / 2ND OFFENSE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L31556001 ' SUBSTANCE ABUSE EVALUATION SENTENCE JAIL 7D FINE $750 DISP EFF -DAT 19870220 19870220 No. 3360 P. 10/17 J eb.l5. 2013 4:40PM Div of Criminal Investigation DCI 00356308 PAGE 2 OF 2 03 ARRESTED 19950612 AGENCY: IAGS30000 JONES CO SO CHARGE NO- 02 IA STATUTE IA124-401-3 P099E981021/CONTROLLED SUBSTANCE TRK#: 014024302 COURT DISPOSITION AGENCY: IA053015J JONES CO DIST COURT COUNT NO- 02 IA STATUTE IA124-401(5) POSSESS CONTROLLED SUBSTANCE/MARIJUANA CHARGE CLASS: MISDEMEANOR CONVICTION TRK#; 014024302 SENTENCE DISP EFF DAT FINE $250 19970617 04 ARRESTED 19970512 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI 2ND OFFENSE TRK#: 028039201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(B) OPER VEH WH INT (OWI) / 2ND OFFENSE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 026039201 LICENSE REVOKED SENTENCE DISP EFF AAT SUSPENDED JAIL lY 355D 19970813 JAIL 3651) 19970813 FINE $750 19970813 PROBATION 2Y 19970813 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*DCIN THE ABSENCE OF PINGERPRIPOSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORMATION 'FURNISCANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR . DIVISION OF CRIMINAL INVESTIGATION No.3360 P. 11/17