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Home My WebLink About14-100 Authorization Number ) — 10v r _ 1 (Office Use Only) �tIIIAsk 11 As an 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 r\),-(0}e( - First iddle Last 1. Name !'�0}e( rn2. Mailing Address `16--' ', e P t S 0 x kl q 3. Telephone: Home Other: CCI �3(�� S 3 - E 4. Prior experience in transportation of passengers: b 14 200 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When • ?05srsiorl to n ��✓� �'y 200 s;mPk A_5, )1- ( dt1.4 CoV44y 4 70aF 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? A)0 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where When <PPr4 I ,i 1 tc, CtA Nce,d):, 0j /--(0 1( 400 c103c 2o I/ 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 'C 3 Type of offense Where When a �Q� v; 0it10r 20 ( '1-- 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) N.) v 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) clerWtaxidnvbadg 0312014 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 2_31 CC 3 W2 . 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 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) i "✓ 7(- Signature of Applicant \4,V Date L( 2 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. STATE OF IOWA COUNTY OF JOHNSON ) Subscribed and sworn to before me by7_,-.1.,p tr 1ftVlc . On this G7`.--) kk day of ryc< < Jo L-4 \ J s WENDY S.MAYER ` {C L 4 L&� C ` cor,w,,;Qe;,,,,ti„meef„0,,,R Notary Pubfib in and for the Stte of Iowa My Commission Expires ow n L4 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). v&/// Si na r o� def or designee 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. Signature of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 '/2" (width) and 5 1/2" (height) and prominently displayed to all passengers. ************************************************************************************************************************************************ Office Use Only Approved application DCI report State certified driving record Website update clerwtaxidrivbadgeapp2o14.doc 03/2014 . . „ • __ / �______ ,1 ' .i - ► DOT ,....... www,iowadot, ov SMARTER I SIMPLER I CUSTOMER DRIVEN g Office of Driver Services PO Box 9204 I Des Moines, IA 50306-9204 Phone:515-244-9124 1800-532-1121 I Fax:515-239-1837 www.iowadotgav Certified Abstract of Driving Record Inquiry Date: 3/13/2014 DL/ID #: 239CC3308 (IA) Customer#: 306926 Name: Manning, Robert James Class: D ID Status: VAL Address: 468 PETERSON ST Audit#: 7877357 DL Status: VAL Issue Date: 03/13/2014 CDL Status: None City/State: IOWA CITY,IA 522455147 Expiration Date: 01/17/2016 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 468 PETERSON ST Restrictions: NONE Restriction None Date of Birth: 1/17/1981 Supplement: Mailing City/State: IOWA CITY, IA 522455147 Sex: M CDL Downgrades Type Effective End ACD Issuing JUR Downgrade 04/22/2014 IA History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 05/21/2011 09/13/2011 E54 Fail to Dim Headlights Johnson IA 06/17/2011 09/13/2011 M34 Following Too Close Johnson IA 07/30/2011 09/12/2011 592 Speed Jasper IA Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended 03/08/2012 06/04/2012 W01 Habitual Violator IA IA Name: Manning, Robert James DL/ID: 239CC3308 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: '4! !c!f 4"W 1. -cbv .4:7'4 3/13/2014 ( Z2) owaeDepartme DepartmentServices Transportation Apr. 17. 2014. 11 :41AM Div of Criminal Investigation No. 5602 P. 1/3 . 04•/Sbrzuia iu;ao AA,s 4 DCI IOWA lavVC • l r� ' • STATIN OF IOWA0..,••4•••,:f ,. • n ' ' Criminal History Record Check ' - T - ;; :>, Request Form - DCI Account Number: 1383-FG ��q + '' (u.,ptiwele) Toi lows DMalon of Criminal Investigation !from: M -ilk 14kI Support Operations Bureau,I"Floor 11. S,�G,Khs Or 215 E 71 Street Y Dee Mollies,torn 30319 . -- (319)125-6066 — -- IOW a. Ct —1-A Sea'{-0 — (515I'725-6o80 ha •• Phone: •(31q) 339• 31(1 Fir, . 0319) 551-8ati I am requesting an Iowa Criminal ilietory Recmd Check on: •- Last Name(nwd.bryl Pint Name(mssdoton) Middle Name(rewmocrded) Date of Birth(rwut.. Gender(or„arm,yI Social Security Number(Qomtenaod? Q1072181(11721 g L Male ' ❑ m ^ Fe ale .351 - i - 6 13 7 Waive,Informations Without a piped waiver from the subject or the relUell,a complete criminal bletoryrecord may not be releasable,per Code of Iowa,Chapter 6932.For tempi etc criminal history record Worm odes,as allowed by law,always obtain a waiver signature from the eubjeal of the request. Waive,/Re/etre l haoby Live pamhubnfor no above roquwikiietficiI to wnduer In In cdmepl hlnaty Wed{leek ankh the Division of Criminal ' rnvat6piba(DCO. AnY crminalbi,taty data;wraiths Da rival Is meralnai le,hid DCl maaY"m relea.edl hw otecab/IiW. t—t ow '' II wn Fri. mal History Record Check Results int rwea dr1 As of `4�\ V 1 \ a search of the provided name and date of birth revealed: tJ x� LI)- ❑ No Iowa Criminal History Record found with DCI E±;.2 cn 9 Iowa Criminal History Record attached,DCI f1 :''= L�l . • V^� " N DCI Millais � t-•–� 4 DCI.77(08/25/10) • t Received Time Apr, 15, 2014 10:42AM No. 5277 Apr. 11. 2014 11 :41AM Div of Criminal Investigation No. 5602 P. 2/3 IOWA CRIMINAL HISTORY DCI 00709211 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- 2014/04/17 DCI:00709211 NAME: MANNING,ROBERT JAx,Es DOB SEX RAC HGT HOT EYE HAIR SRN POB 19810117 M W 511 210 BLU SRO FAR IL ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y SC CHIN CCH RECORD *** 01 ARRESTED 20031011 AGENCY: IA0570000 LINN CO SO CHARGE NO- 01 IA STATUTE IA71D-B(3) HARBORING A RUNAWAY IRR#: 502270101 COURT DISPOSITION' AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE IA726.6(1) CHILD ENDANGERMENT DEFINED • COURT CASE ID: 06571 AGCR053015 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 502270101 RESTITUTION SENTENCE DISP EFF DAT SUSPENDED JAIL 90D 20040304 JAIL 90D 20040304 FINE $500 20040304 SUSPENDED PINE $500 20040304 PROBATION 2Y 20040304 02 ARRESTED 20080209 AGENCY: IA0160100 TIPTON PD CHARGE NO- 01 IA STATUTE IA708.2A(2) (A) DOMESTIC ABUSE ASSAULT TRK#: 081249401 CHARGE NO- 03 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA TAR#: 081249403 COURT DISPOSITION AGENCY: IA016015J CEDAR CO DIST COURT COUNT NO- 01 IA STATUTE IA700.2 (6) ASSAULT COURT CASE ID: 07161 SMCR020324 • CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 001249401 SENTENCE DISP EFF DAT JAIL 2D 20080501 FINE $65 20080501 COURT DISPOSITION AGENCY: IA016015J CEDAR CO DIST COURT Apr. 17. 2014 11 :42AM Div of Criminal Investigation No. 5602 P. 3/3 DCI 00709211 PAGE 2 OF 2 COUNT NO- 01 IA STATUTE IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID; 07161 SMCR020330 CHARGE CLASS; MISDEMEANOR CONVICTION TRIO: 081249403 SENTENCE DISP EFF DAT FINE $200 20080424 03 ARRESTED 20080417 AGENCY:. IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124.401(5) POSSESSION OP A CONTROLLED SUBSTANCE TAO: 1A003WW01 COURT DISPOSITION AGENCY; IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(5) o POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID; 06521 SRCR083044 CHARGE CLASS; MISDEMEANOR CONVICTION TRK4: 1A003WW01 LICENSE REVOKED ' SENTENCE DISP EFF DAT TIME SERVED 30D 20100305 JAIL 3010 20100305 FINE $315 20100305 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA123.91(3A) ALCH. CHAPTER 123 VIO/2ND OFF - 1983 ' COURT CASE ID: 06521 SRCR003044 CHARGE CLASS: MISDEMEANOR CONVICTION TRKM; 1A003WW02 SENTENCE DISP EFF DAT TIME SERVED 30D 20100305 JAIL 300 20100305 FINE $315 20100305 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 EE 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 01)