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Home My WebLink About18-057 1111 ' ' IDENTIFICATION NO. -� 4". _41 l - ffice Use 1Z) .1;;;MOV lair it, APPLICATION FOR TAXICAB/MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m.to 3 p.m., Monday-Friday) CITY OF IOWA CITY 410 East Washington Street Failure to complete the "required"information will result in denial of the application Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX First Last Middle 1. Name(REQUIRED) Op Q k4eN,\___. A,AN() .S2. Address (REQUIRED) 7`A Ma,,. 5k. �c-� Cv.X� -7c� 3. Contact Information(REQUIRED) Email: A\c oPP l G C c'c. \. U Ar., Cell Phone: 11-S - (All written communicauion sent via email) 4a. Driver's License expiration date (REQUIRED) OL,\241(v b.Taxicab Business Name (REQUIRED) \\.A� \ IT,,\,(\ (/), 5. Prior experience in transportation of passengers: (01z (,Y x J vn n\ (IC,\ LJ ev,) -\--c,,-,(\c�°A 6. Have you ever been arrested/charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When ' -i'r ..4-1 V2 A_ (tN — -- 44 i\f\r•:Nit C. :i'l , \1 V..tIckT6. , .__44 4Vri."\ o‘� � c4� \nom Cc. CSI l26 Q, %-4 a is ; � �'�;`-s �, f � �, �1�tR 1 >>` , What happened to the charge?(Circle one) Convicted Dismissed Deferred Suspend> Plead Guilty Othtfg 7. Have you been arrested/charged with any traffic offenses in the last five years? -c. co _g-L) C Type of offense Where �—,_, __err V--6.\\Lilk.. k*".\,. &A.4\c. v(2\-` "Nr\r`\ 1---\\ ''. .-tAtto aA - ` F c, ll� c�o i ' 1_;1 �S 1:40;41 kt-<1 'N‘1(1-V4\ What happened to the charge?(Circle one) ` Y Convicted Dismissed Deferred Suspended Plead Guilty Otheri-vQ i,.,� 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? \L') 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) (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 04/2018 t l'. APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 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). I hereby certify that I have issued to me by the Iowa Department of Transportation a va:d Driver's license number ` 5V-I IASII issued on expiring on 1 . I understand that if I falsely answer any questions in this application, that this applicatioh may be denied. I agree t at 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 authorization to be a taxicab driver 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 'c___: C Date q 1 1 (F) STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and wor to before me by Rnr\ ±hoi/ 1�c.ro s� pp on this I S - day of Ynr1� a(J1 J r CHRISTINE OLNEY •4 2� 1 ota and for the of Iowa Cz11 My . mission Ex.'r. _ ********************************************************- ii, ****************************************A.A A************* 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 .. - if Pri - s licensee — 03 -/0 -Z°Z "% V � 7 Si.irure of Police Chief or designee Date e,1 p AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB tf'.IOI ►CITY R NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. ---€ - -..... —:c-) ' / / - '�' -I -et' c-_( A.�' - — / 0 Sign. ure of City Clerk .- designee [ate ••0 Office Use Only Approved application DCI report State certified driving record Website update Cleric/TAXIDRIVBADGEAPPL92018amended.DOC 04/2018 SMARTER EtT€ I SI#,tGlEr, 1 CUSTCi'l�R #1�E1� W' ` w.iowad�ot.gov DOM 8 Idtnti1taation Suvicts PO Eox G204 i Des Mines IA 5305-S2C'c Pte•9,-i-714-9124 I FaX 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 5/25/2018 DL/ID #: 794PP4585 (IA) Customer#: 5059224 Name: Popp,Anthony Class: D ID Status: EXP Nicholas Address: 201 Main St Apt 1 Audit #: 2839324 DL Status: VAL Issue Date: 05/25/2018 CDL Status: None City/State: Montrose, IA Expiration Date: 03/10/2026 CDL Cert Status: None 526399728 Endorsements: Chauffeur 3 CDL Med Status: None Mailing Address: PO Box 44 Restrictions: NONE Restriction None Supplement: Date of Birth: 03/10/1979 Mailing Montrose,IA Sex: M City/State: 526390044 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 06/22/2016 09/02/2016 M14 Fail to Obey Traffic IL Sign/Signal _ Accidents - Accident involvement indicated does NOT mean the individwal w�,cp s at '11 fault or given a citation. a Accident Date Case Number JUR n 12/16/2013 773866 IA O a v co Name: Popp, Anthony Nicholas DL/ID: 794PP4585 Pursuant to Iowa Code§321.10, I, Darcy Doty, Director of Driver& Identification Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records held by Driver& Identification 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: ' T UV y 5/25/2018 4.0st4 e, ',94 A 4. ' °':'2' „i9i1,-5? ..., • — 0 J ! adeze"...._ , d • ....z...._ .._ \i, i c , ..K. .K. ..,, Driver&Identification Services sr, 4L DE1t.34<' Iowa Department of Transporation Name: Popp, Anthony Nicholas DL/ID: 794PP4585 r•-> co -11_...... .,..,..,--) ... ----- -;...„..-1 r." ._.4. -...... :4'1-rt S C5/ --- f....-) .._ ..,._ C, .,. co 1 IOWA USAIA i DRIVER LICENSE j POPP ANTHONY NICHOLAS 201 MAIN ST APT ;i ONTROSE>I 52639 : F DL No. 794PP4585 i ss 0512512018 EXP 061 1208 u • Class D tf t Restrictions Eyes BRO / _ NONE (-��'�9" C DO93'249PDD ,A12241M100326R d ,,TA C9 0'~ fi, ---- C-?;,:- 1. • DES MOINES Case Search Case ID Citation SubType Name SSN Role Initiate Dispositon Number ALIAS d Date J r 08291 FECR0017 Burglary POPP 481024 DEFENDA 11/02/1 TRANSFERRED 03 ANTHO 571 NT 998 NY .1-111,, iiik V6 t) NICHO LAS ,,o v r 08291 FECR0017 Burglary POPP 481024 DEFENDA 11/02/1 TRANSFERRED 04 ANTHO 571 NT 998 NY NICHO LAS .4 r 08291 FECR0030 Burglary POPP 481024 DEFENDA 02/07/2 DISMISSED 42 ANTHO 571 NT 003 NY NICHO 0 til, ""`ter`""'. "`` ,- -, LAS or 08291 JVJV0001 DNU- POPP 481024 JUVENILE 11/04/1 REOPENED 31,0 49 Delinquen ANTHO 571 - 993 y 41.. cy NY INVOLVE P NICHO D / LAS r 08291 JVJV0001 DNU- POPP 481024 JUVENILE 11/04/1 REOPENED 401449 Delinquen ANTHO 571 - 993 cy NY INVOLVE '{ NICHO LAS D �/�,� r 08291 JVJV0001 DNU- POPP 481024 JUVENILE 11/04/1 CLOSED 49 Delinquen ANTHO 571 - 993 cy NY INVOLVE NICHO D LAS o 08291 LNLN002 Other POPP 481024 OBLIGOR 09/22/2 OTHt JUDJIENT"'n 082 ANTHO 571 014 NY y`` NICHO 534*." r 4 LAS r. p' g 08291 NTO5357 State- POPP 481024 DEFENDA 08/09/2 DISMIS 0 01 NonSched ANTHO 571 NT 000 0535701 uled NY rp �,( Traffic NICHO ��+�C, LAS 08291 NTP53570 State- POPP 481024 DEFENDA 08/09/2 DISMISSED 0 NonSched ANTHO 571 NT 000 P535700 uled NY Traffic v NICHO LAS 08291 NTP53570 State- POPP 481024 DEFENDA 08/09/2 DISMISSED 2 NonSched ANTHO 571 NT 000 P535702 uled NY .-..,/i Traffic NICHO LAS 08291 NTWG135 State- POPP 481024 DEFENDA 08/03/1 DISMISSED 998 NonSched ANTHO 571 NT 999 WG135998 uled NY k-qTA — Traffic NICHO LAS - 4,-'14 'a 08291 NTWG135 State- POPP 481024 DEFENDA 08/03/1 GUILTY PLEA/DEFAULT r 999 NonSched ANTHO 571 NT 999 00!i•14 WG135999 uled NY tie I- Traffic NICHO LAS (-:I 08291 NTWG136 State- POPP 481024 DEFENDA 08/03/1 DISMISSED ��,„, 000 NonSched ANTHO 571 NT 999 WG136000 uled NY Traffic NICHO LAS N4,„ co, 08291 OWIN007 OWI-I POPP 481024 DEFENDA 08/03/1 GUILTY PLEA/DEFAULT 951 ANTRO 571 NT 999 NY NICHO LAS V x.' 08291 OWIN009 OWI-II POPP 481024 DEFENDA 08/09/2 DISMISSED 126 ANTHO 571 NT 000 NY NICHO LAS 7 08291 SCSC0061 Money POPP 481024 DEFENDA 04/16/1 DISMISSED `''„ 01 Judgement ANTHO 571 NT 997 co .11 \YIa NY = NICHO q....1 �� LAS Cr rn 7 ..:-.4n r 08291 SCSC0164 Money POPP 481024 DEFENDA 11/07/2 DISMISSE> � SC) 96 Judgement ANTHO 571 NT 002 .Jv:3 0 NY .,. NICHO T' LAS — ,..08291 SMSM014 Other POPP 481024 DEFENDA 01/15/2 GUILTY PLEA/DEFAULT 1` 930 (State) ANTHO 571 NT 000 T Vk NY NICHO LAS • F 08291 SMSM021 Other POPP 481024 DEFENDA 09/22/2 DISMISSED 333 (State) ANTHO 571 NT 003 NY ,i1 L4 k"-QA‘AKA, NICHO LAS r.. 08291 SMSM035 Other POPP 481024 DEFENDA 10/02/2 GUILTY PLEA/DEFAULT 153 (State) ANTHO 571 NT 012 NY (---( � • f NICHO -F �l ��G�C�t�3`�1 LAS F 08291 SMSM035 Other POPP 481024 DEFENDA 10/02/2 GUILTY PLEA/DEFAULT 154 (State) ANTHO 571 NT 012 NY k\UW NICHO LAS r 08291 SRIN008I DNU- POPP 481024 DEFENDA 08/20/1 DISMISSED 20 Other ANTHO 571 NT 999 NY NICHO LAS 7 r 08291 STWG135 State- POPP 481024 DEFENDA 07/22/1 GUILTY PLEA/DEFAULT 599 Scheduled ANTHO 571 NT 999 i WG135599 Traffic NY NICHO LAS 7 r 08291 STWG841 State- POPP 481024 DEFENDA 05/08/1 VIOLATIONS HANDLED B 290 Scheduled ANTHO 571 NT 998 Y CLERK WG841290 Traffic NY NICHO LAS el- -'4iNG3tAk, r 08291 USEQ002 DNU- POPP 481024 RESPOND 07/20/1 GUILTY PLEggDEFAULT 688 Uniform ANTHO 571 ENT 998 a Support NY (( NICHO c ✓ ` �g LAS > t C.) r 08291 USEQ003 DNU- POPP 481024 RESPOND 02/10/2 REOPEQ cb:X11 511 Uniform ANTHO 571 ENT 000 .4 t-'r1 Support NY 6� NICHO ' 0 LAS 'y cO r 08291 USE0003 DNU- POPP 481024 RESPOND 02/10/2 DISMISSED 511 Uniform ANTHO 571 ENT 000 Support NY NICHO LAS r 08291BUNTWGI City- POPP 481024 DEFENDA 07/22/1 GUILTY PLEA/DEFAULT 35598 NonSched ANTHO 571 NT 999 WG135598 uled NY Traffic NICHO LAS N08291BUSTA000 City- POPP 481024 DEFENDA 04/13/2 BY TRIAL TO COURT 8987 Scheduled ANTHO 571 NT 009 BU2S2MQ Traffic NY NICHO LAS 08291BUSTWG4 City- POPP 481024 DEFENDA 10/13/1 VIOLATIONS HANDLED B 72316 Scheduled ANTHO 571 NT 995 Y CLERK Traffic NY NICHO LAS 08291BUSTWG9 City- POPP 481024 DEFENDA 03/24/1 VIOLATIONS HANDLED B 92419 Scheduled ANTHO 571 NT 998 Y CLERK WG992419 Traffic NY NICHO LAS 08291WBNTWG City- POPP 481024 DEFENDA 07/05/1 GUILTY PLEA/DEFAULT 446958 NonSched ANTHO 571 NT 995 uled NY Traffic NICHO LAS 08291WBNTXX' City- POPP 481024 DEFENDA 08/04/1 GUILTY PLEA/DEFAULT 46958 NonSched ANTHO 571 NT 995 uled NY Traffic NICHO LAS O 37. Q co Jun, 11. 2018 2: 21PM Div of Criminal Investigation No. 3857 P. 14 ' Frorn:CI,y 0/ Ibwea City Clark Of►lam 31B 3666487 96/22/2016 13:1B ate 52E P.002/002. I. ; 1, /7 0.lit ig . Li / , , iv,...\,, ,,,4-,,i,,,,;-„,„ STATE E OF IOWA ,-- _I) 4,-A if.i',• r.. Criminal History Record Check - �° ;VII"�iuwa. w.l .; I,-.,,, '° i:.:pJ Request Form 9 -' ',4 ...':N�`• '...47---",...%"' -'Nice' /40111 I, DC1 Account Number: 0 -- c (if applicnble) To: Iowa Division of Criminal Investigation From: City of Iowa City Support Operations Bureau, 1'1 Floor City Clerk's Office 215 E.7th Street 410 F. Washington Street Des Moines,Iowa 50319 — (515)725-6066 Iowa City, IA 52140 (515)725.60S0 Fax — Phone: 319-356-5041 Fax: 319-356-5497 •I ant requesting an Iowa Criminal History Record Check on: Last Name (mandatoy) First Name(mandatory) Middle Name(recommended) _ 4-&-) _ - k44i1,-1. L\\ LVAc,3 Date of Birth (mandatory) Gender(mandatory) _ Social Security Number(reconunended) 02. — Ip "\01-79 ®Male DFemale L\t 0 - tkS-1l N Waiver Information: Without a signed waiver from the subject of the request,a complete criminal history recopd may na ' be releasable,per Code of Iowa,Chapter 692.2.For complete criminal bislory record information,as allesrtd by v+,aiwayil i obtain a waiver•signature from the subject of the request. 7--I s.... 1f/alver Release;I hereby give permission for the above requesting official to conduct an Iowa criminal history record check with I ;rasion ofigriminal1 investigation(DCI). Any criminal history data concerning me that is maintained by the laC(may Sc released as allowed by law. (r1 —vv fid . = i, N CD Waiver Signature: _ — Iowa Criminal 1-Iistory Record Check Results (DCI use only) As of 5 '13-1 , a search of the provided name and date of birth revealed: 0 No Iowa Criminal History Record found with DCI , tr) ( r. •Iowa Criminal History Record attached,DCI# l I p'.? ' DCI initiais_CC — — DCT-77(08/25/10) n - . . .,. .1 T:_. CA-., in 'min in. 'I1nU ti_ n'inn ,Jun. 11. 2018 2: 21PM Div of Criminal Investigation No. 3857 P. 2/4 IOWA CRIMINAL HISTORY DCI 00691613 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2016/05/23 DCI:0O691613 NAME: POPP,ANTHONY NICHOLAS DOB SEX RAC HOT WGT EYE HAIR SKN POS 19790310 M 4r 609 217 BRO BRO IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 20120929 AGENCY: IA0290000 DES MOINES CO SO CHARGE NO- 01 IA STATUTE IA123.46 CONSUMPTION / INTOXICATION - 1978 TRK#: DA005JE01 COURT DISPOSITION AGENCY: IA029015J DES MOINES CO DIST COURT COUNT NO- 01 IA STATUTE; IA123.46 CONSUMPTION / INTOXICATION - 1978 COURT CASE ID: 06291 SMSM035153 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: DAO05JE01 SENTENCE DISP EFF DAT SUSPENDED JAIL SD 20/21002 JAIL 100 20121002 UNSUPERVISED 20121002 PROBATION 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 HOT 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. r+s DIVISION OF CRIMINAL INVESTIGATION CD ca —4 �...... t72-< -0 rri N tJ C�