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Home My WebLink About14-164 Authorization Number / --11Lp t/ k (Office Use Only) 4:1-7irralrialsat,111 APPLICATION FOR TAXI/MOTORIZED PEDICAB VEHICLE DRIVER CITY OF IOWA CITY (Police Department review must be made 410 East Washington Street between 8 a.m.to 3 p.m., Monday—Friday.) Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX 1. Name (,� /� ,Fir!�l,�/`V6 Middle -M?"-/v6 L /v l� 2. Mailing Address / 5 ()Ana 0 d' p lA 3. Telephone: Home J S t! Other: f 4. Prior experience in transport ion of passengers: ( � Zoo 061/0 aft.47 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? T e of offense Where When 12u ' cVJnIJ. /�v / ‘P � Z�zl 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? /VV o Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? / Type of offense ye€44 /� ere w� When l 00 1 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 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) derkRaxidrivbadg 03/2014 I hereby certify that I ve issued to me by the Iowa Department of Transportation a valid Chauffeur's license number r 3 2 . ,c- 617- CI I 'O . I understand that if I falsely answer any questions in this application, that this application may be Beni d. 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 of Applicant ' i,6:a; Date !'lA4 ' 4 / YOU ARE NOT VALID TO DRIVE A TAXI IN OWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. *i:*:r... **x*...:t**:t****************************************,t,****************,t*******,t***************Inh**r*rte*,**r**************************** STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed� and swornl tq before me by \iov�c� 1../\i „Ar Z�c.v`ct . On this I L't day of �LA `] - - ' . _.111 Notary Public i y=nd for the State o Iowa 6`l r, ' my NDY S. MAYER :.•! � Commission ***** ''_* ** bei 7.2942rre ******************************************************************************************************** —1_ ptras 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). 9,4 g/(.. / y Signa ;'o r ice Chief or designee Date V 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. /tf rz-.«GL: A( moi' Li ' - . g.// ///5 S g 9 Signe of City Clerk or designee 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. ************************************************************************************************************************************************ Office Use Only Approved application DCI report State certified driving record Website update clerkrtaxidrivbadgeapp2014.doc 03/2014 • /410 ..13 T D , c:, oT „ Artnivw SMARTER I SIMPLER I CUSTOMEI!'DRIVE ,ICIWc"3# G gov Office of Driver Services PO Box 9204 I Des Moines,IA 50306-9204 Phone:515-244-9124 r 800-532-1121 I.Paz:515-239-1837 www_towadot.gov Certified Abstract of Driving Record Inquiry Date: 8/14/2014 DL/ID #: 329AE9820 (IA) Customer#: 4094130 Name: Zheng,Yongming Class: D ID Status: None Address: 156 APPANOOSE CT Audit#: 8355772 DL Status: VAL Issue Date: 08/14/2014 CDL Status: None City/State: IOWA CITY,IA Expiration 09/08/2022 CDL Cert None 522407204 Date: Status: Endorsements: 3 • CDL Med None Status: Mailing Address: 156 APPANOOSE CT Restrictions: Left and Right Outside Restriction None Mirrors Supplement: Date of Birth: 9/8/1975 Mailing City/State: IOWA CITY,IA Sex: M 522407204 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 09/18/2013 10/16/2013 1592 Speed -Iowa IA Accidents-Accident involvement indicated does NOT mean the individual was at fault or given a citation. _Accident Date Case Number (.JUR 12/21/2012.. ....__.,...._....................._..,..._....� --..,..."---_---- p18018 ...., ...___ _____......._.�._ !IA Name: Zheng,Yongming DL/ID: 329AE9820 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: *%!... '$ r1!% 8/14/2014 ! IOWA 0 .r 4 3=:D. O. T , he........... Office of Driver Services Aug. 12. 2014 2:24PM Div of Criminal Investigation No. 6842 P. 1/3 Rug. 0. LV 14 3: 7irwi LII lerR ly of lows lily No. 6842 F. z N° l.`c•ev- • eacp;.2-097 • -, " r,iptr, STATE OF IOWA J �1: , £ ` t.,,ALI ,, . . �rialinal History :.ecord Check. .%, N , G lui ,. I � • Request Forman DCI Account Number; tions (Itapplion le) To: Tows Division of Criminal Investigation Fiom: City of Iowa City • Support Operations Darman,In Floor City Clerk's Office 215E,7'h Street 410 E.Washington Street • Des Moines,Iowa 50319 • • •• (515)726-6066 • Iowa City,.IA. 52240 (515)125.60E10 ):ex . • Phone: 319-356.5041 . Fax: 319-356-5497 I am requesting an Iowa Criminal History Record Check on: • Last Name (mandatory) First Name(mandatory) Middle Name(recommended) beet{ 6° 4/4 47/4 Date of Birth(mandatory) Gender(mandatory) SocialSSecurity,Number(recommended) qi/ ? 17 11JN1ale OFemale • 7 7 l -1 " J i-� . Waiver atmalloit:Without a signed waiver from the subject of the request,a complete criminal history record may not be releasable,per Code of Iowa, Chapter 692.2.For complete criminal history record information,as allowed by law,always obtain a waiver signature from the subject of the request. Waiver ReleaSe:I hereby elm painion for the above requesting official to conduct an Iowa criminal b Der rearracheck with the Division ofCriminal . Invesdgetlon(KO, Any criminal Wary dela concerning nut that is maintained by Ase DCtmoy be rel •or allowed by law. . Waiver Signature: / y�9tt+r0 a -c:L '� Iowa Criminal History Record Check Results (,I (DCiuse only) •. As of &' I a�1 , a search of the provided name and date of birth revealed: 0 No Iowa Criminal History Record found with ACI . . `'I' // • Iowa Criminal History Record attached,DCI# �JC(1 S1 ;` . . `'' Iv DCI initials ar n- -- ...- , n._ /Atli cell,0�n,/. .3.lnDit fi_ (CIA ' Aug. 12. 2014 2: 25PM Div of Criminal Investigation No. 6842 P. 3/3 • • IOWA CRIMINAL HISTORY DCI 00561457 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2014/08/12 DCI:00581457 NAME: ZHENG,MING ZHENG,YOUNG ZHENG,YOUNG-MING ZHENG,YOUNGMING DOB SEX RAC HOT MGT EYE HAIR SIO POB • 19750908 M A 507 140 BRO ELK MBR CN ADDITIONAL IDENTIFIERS SC FACE CCH RECORD ++• 01 ARRESTED 19980814 AGENCY: IA0520200 IOWA CITY PD CHARGE—NO=01 TA SAHSUTE IA4s6-12-AA DOMESTIC ASSAULT-ENHANCED TRK{: 017962701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708-2A(3) (A) DOMESTIC ASSAULT C/INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 017962701 RESTITUTION SENTENCE • DISP EFF DAT JAIL 2D 19981221 FINE $250 19981221 PROBATION lY 19981221 SUSPENDED 20D 19981221 BATTERER'S PROGRAM AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED EY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY EE RELEASED TO NON-LAW ENFORCEMENT AGENCIES BY THE DCT. • 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 ] Aug. 12. 2014 2: 24PM Div of Criminal Investigation No. 6842 P. 2/3 \a ?stj Terry E. Branstad fi ;