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Home My WebLink About18-029 IDENTIFICATION NO. .1 n -o c 1 r 1 (Office Use °C ) UIII t*t APPLICATION FOR TAXICAB /MOTORIZED PEDICAB VEHICLE DRIVER CITY OF IOWA CITY (Police Department review must be made between 8 a.m. to 3 p.m., Monday—Friday) 410 East Washington 5trrrl Iowa city. Iowa S2240- 1826 Failure to complete the "required"information will result in denial of the application (319) 356-5040 (319) 356-5497 FAX 'ir t ,MiddleLast 1. Name (REQUIRED) }SY\�i I / l(,a 6"f c4{YQj 2. Address (REQUIRED) ( cc) L 1\ 1CIrYN, ` Qi TDvVCt ( Sfg] \I 0 3. Contact Information (REQUIRED) Email: %K\e C.; ru QS @ M<<a u :hone 4)cl) o, o- b 74 (All written� upi��n sent vi mail) 4a. Driver's License expiration date (REQUIRED) 1 / b. Taxicab Business Name (REQUIRED) CS ( 1 O W Ce.4)0 CC 1.(7)-----Ti 5. Prior experience in transportof passengers: g QQ.)!7 d f :\,j r r1 G Cc,,\O 0 -1. CIT ;' \ (\c ,&c (, J 6. Have you ever been arrested /charged with any misdemeanors and/. - .i. - pe,State or else i.- Type of offense ji r4 (e r3(c v4 i0 04" c °`here £ hen aO c 4LAk� ) ( kk c \�� ) Q4\. Pf4 t x,�};. f10n(q"I 642 1.1 it :113 0 1. 1o16L ;rn s 6 '(\(\(.1(, ,,,p(aatA ' S �n� �pit 2aa.3 g 13 0 J �� ( What happened to the charge? (Circle one Convictec,- DismisseDeferred Suspended Plead Guilty Other 7. Have you been arrested/charged any traffic offenses in the last five years? Type of'bffense Where When `---) � c � r�t7n �Wf; L , J )31►s1 5iL1ls, `� /dit What happened to the charge? (Circle one) . ----- Convicted Dismissed Deferred Suspended Plead Guilt Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the asr we years? ,V 0 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) Iv ., y 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). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 07/2016 1 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I he ebb( certify thathave issued to me by the Iowa epart ent of Transportation a valid Driver's license number 1 '2.�-�$H_S issued on LC expiring on fin)24 It . I understand that if I falsely answer any questions in this application, that this application may 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 applica 'on, and I further agree that, if authorization to be a taxicab driver is granted, to comply at all times with all of the provisi ns of itle , Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) ii Signature of Applicant i Date 3 I I )6 STATE OF IOWA ) COUNTY OF JOHNSON ) I War Su scribed and swo o before me by lksh peg r'I CO Q• Gila Per on this n C day of J/ . / ,/ 4 r CHRISTINE OLNEY Notary Public in and for the Sta a.f, owa a .,,, commission Number 806232 Alta My ,ssion- irK *** a - *G : *** rs******m*****************►**n ****** *** _Rwnwrw rt*** I have reviewed this application, DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City(Title 5, Chapter 2, City Code). Expiration date a;Diver's lie y-1-/e l -I4.- - ,,-e 83- GZ '/b Signature of4Police Chief or designee Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. c':-/- .4,-- c_1...;.--e.- ,4 _,?,j-rt_..--n 3/ --// Signature of City Clerk esignee Date *ffw**f*f!****w*****************f7.#**►***a***** **f* ******** *rr*f**************t*&A A AHI******* Office Use Only Approved application DCI report State certified driving record Website update Gerk/TAXIDRIVBADGEAPPL92014amended DOG 07/2016 irIowa Department of Transportation C83 ofMce ar orfver Services (loll i fee)800 532 1121 PO Box 9204. Des Manes, IA 50-q 1-x74 515,244-9124 NOV FAX 515-2391831 Certified Abstract of Driving Record Inquiry Date: 2/27/2018 DL/ID #: 781ZZ7885 (IA) Customer#: 1045217 Name: Graper, Ashley Class: A ID Status: None Nicole Address: 1226 WILLIAM ST Audit#: 8503828 DL Status: VAL Issue Date: 10/03/2014 CDL Status: VAL City/State: IOWA CITY, IA Expiration Date: 10/02/2018 CDL Cert Status: Excepted Interstate 522402537 Endorsements: NONE CDL Med Status: None Mailing Address: 1226 WILLIAM ST Restrictions: NONE Restriction None Supplement: Date of Birth: 10/02/1982 Mailing IOWA CITY, IA Sex: F City/State: 522402537 CDL Downgrades Effective End Issuin. JUR 01/03/2017 01/09/2017 IA History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 10/23/2014 02/13/2015 592 Speed (10 mph& Johnson IA under in 35-55 mph zone) 03/19/2015 05/06/2015 S92 Speed Wright IA 02/07/2016 04/06/2016 592 Speed Lee IA Name: Graper, Ashley Nicole DL/ID: 781ZZ7885 Pursuant to Iowa Code §321.10, I, Melissa Spiegel, 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: 2/27/2018 4fr IOWA* PQ. O. T y; PrageracjOeate" . h ��po. office of Driver Services Iowa Department of Transporation Name:Graper,Ashley Nicole DL/ID:781ZZ7885 Mar 1 2018..10:23AI� Div of Criminal Investigation No. 4921 P. 1/3 0�,..;,. �„ a..., ,.u.':7Cab ffAt0319338uvp r.vv21002 • �+r~ STATE OF IOWA l . : Criminal Record Check . ° _ ;� ,imii„, tIz.'ch rfT` Request Form l` - ' . d, *MI • • DCI,Account Number: 9967-P • ' --(ifapplieebie) " - To: Iowa Division of Criminal investigation Prom: Yellow Cab•oflowa City Support Operations Bureau,I"Floor 'p,0;Box 428 215 B.7'a Street Des Moines,Iowa 50319 . . Iowa City,IA,. 62244 (515)725-6066 (515)725-6080 Fax (319)338-9777 .. • Phone; • • pax: (319)339-7302 , lam requesting an Iowa Criminal Mao Record Check on: Last Name(monatic's) First Name(manauoy) . Middle Nome(r000mmeneed) • • Ohl i co� Date of Birth (mandator') 'Gender(mandatary) 'SoeAt l•See(curity p -- /JN�u-mber(reaommaadid) l 012-1 198; • . ❑Male *male ' `cc?,3— vimC-f/. Waiver/hfOr7natIom Without a signed Waiver from the subjeoe of the request,a complete criminal history record may not he releasable,per coda of Iowa,Chapter 692.2:'For camoh:to criminal hlstoryrecord Informgtion,ac allowed by law.always obtain a waiver signature from the subjeatif the request: • WaiverReleasel I herebygivepermission fbr the abovequessting official to conduct an[on Mogul history mom oherkwitb the°Won afCriminal invaatigaaon(DC1). My criminal blowy data ooncoming a x(.1 i. i sintained by ..OM may ha Mond C,glowed by law. • 41k I Waiver Signature: _ Ai%� ij,/ :lila _.►_o • I • Iowa Criminal History Record Check Results • per use only) • As of 3 11 f (s , a search of the provided name and date of birth reveatedr . .. a: Gr 0 No Iowa Criminal History Record found with DCI • —1. 'N • Iowa Criminal History.Record attached,DCI 11 (o50313 • i: : 13 DCI initials. • • o • • DC1-77(08/25/10) . • • Received Time Feb. 23. 2018 4; 19PM No. 4584 .• .. Mar. 1. 2018 10:24AM Div of Criminal Investigation No. 4921 P. 2/3 IOWA CRIMINAL HISTORY DCI 00650813 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- 2019/03/01 DCI:00650813 NAME: GRAPHR:ASHLEY NICOLH DOB SEX RAC HGT MGT EYE HAIR SKN POE 19821002 F W 505 170 GRN SRO FAR IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y TAT BACK TAT L FOOT TAT L BALD TAT R ANKL TAT UL ARM CCH. RECORD *n+ 01 ARRESTED/TAKEN INTO CUSTODY 20010812 AGENCY; IA0920100 WASHINGTON PD CHARGE NO- 01 IA STATUTE IA124-401-5 POSSESSION/MARIJUANA TRK#: 055399601 COURT DISPOSITION AGENCY: IA09201S3 WASHINGTON CO DIST COURT COONT NO- 01 IA STATUTE: IA124-401-5 POSSESSION MARIJUANA CHARGE CLASS: MISDEMEANOR CONVICTION TRKN: 055399601 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20011009 COURT COSTS 20011009 PROBATION 1Y 20011009 JAIL 7D 20020117 FINE $250 20020117 COURT COSTS 20020117 RESTITUTION SERVICE 20020117 REVOKED 20020117 02 ARRESTED/TAKEN INTO CUSTODY 20020305 AGENCY; IA0920100 WASHINGTON PD CHARGE NO- 01 IA STATUTE IA123-46 PUELXC INTOXICATION TRK#J: 055423901 COURT DISPOSITION AGENCY: IAO92015J WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123.46 CONSUMPTION / INTOXICATION COURT CASE ID: 08921 SMSM036477 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055423 901 SENTENCE DISP EFF DAT JAIL 5D 20020320 CREDIT W/TIME SERVED 20020320 Mar. 1. 2018 10:24AM Div of Criminal Investigation No. 4921 P. 3/3 DCI 00650813 PAGE 2 OF 2 03 ARRESTED/TAKEN INTO CUSTODY 20080620 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA726.6(7) ENDANGERMENT/NO INJURY TRK#: 1A004FT01 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA726.6(7) CHILD ENDANGERMENT/NO INJURY • COURT CASE ID: 06521 AGCR083748 CHARGE CLASS: NON CONVICTION TRU: 1A004FT01 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20081024 PROBATION IY 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 OP 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. �f DIVISION OF CRIMINAL INVESTIGATION