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Home My WebLink About14-095 Authorization Number / — 9 r 1 (Office Use Only) III vs CITY OF IOWA CITY APPLICATION FOR TAXI/MOTORIZED PEDICAB VEHICLE DRIVER (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 Firstp4e,,r3astA 1. Name P . / 2. Mailing Address /CI (0 Co c c7tT` ,l (4•C A- r, kx_D-e_. 3. Telephone: Home ( l Other: CCi l A, L(— 3 C3 4. Prior experience in transportation of passengers: 1—,',J UQ —Ar �C 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 1 C Type of offense Wher9 When DO Nuaro( use_ Cre. are./1 a_ .2006. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? (L7 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? `\,' r j lype of offense r) Where / When 9m PL u„ t ) 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type of offensedi ' ( cr( Where When N) - /'( 2 (S ( r y)Gall- 9. Have youeverapplied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) ,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). (OVER FOR REQUIRED SIGNATURE AND NOTARY) c!erk/taxidrivbadg 03/2014 , her5eby certify that I r ve ued toime by the Iowa Department of Transportation a valid Chauffeur's license number `1i R' .:.�.�iIWIl►� «l` MgeMM 'kl. . I understand that if I falsely answer any questions in this application, that this �� application may se denied. I understa d 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 0 es with all of the .revisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) / ilik / 1°71-- Signature of A lica, r / r 9 pp � . Date � l/( /g 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 by &Cwt.«\_.i a Q - . e4t••dj 12 . On this /1 X11, day of WENDY S MAYERaa � L- Commission Number 725428 /YL ,,feS Notary Publi n and for the Stat of Iowa '1— - U' 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/15/ / Y Signature Po ce�hief or designee 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. -32 2"i 745/// 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'/2" (height) and prominently displayed to all passengers. ....*..*****.*.**.........*********..,.. ........*****..*.***.**.....,....***.*.**..**..*.***.*..***.*,..**.*....*..***.*..*****.**..*...*...** Office Use Only Approved application DCI report State certified driving record Website update clerk/taxidrivbadgeapp2014.doc 03/2014 ii i. �.. , SMARTER ! SIMPLER 1 CUSTOMER DRIVEN v�+adot: ov Office of Driver Services PO Box 9204 I Des Moines,IA 50306-9204 Phone:515-244-91241800-5532-1121 I Fax;515-239-1837 wvras.iowadot.gov Certified Abstract of Driving Record Inquiry Date: 4/11/2014 DL/ID#: 434AA6769 (IA) Customer#: 1385335 Name: Randle,Gemayal Rashaun Class: D ID Status: VAL Address: 2001 E VIRGINIA AVE APT Audit#: 6339038 DL Status: VAL 19 Issue Date: 09/27/2012 CDL Status: None City/State: DES MOINES,IA 503201255 Expiration Date: 10/31/2016 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 2001 E VIRGINIA AVE APT Restrictions: NONE Restriction None 19Date of Birth: 10/31/1982 Supplement: Mailing City/State: DES MOINES,IA 503201255 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 11/25/2009 .,.,.,...,.. 12/30/2009 1592 Speed ..,, Cedar ,....._.IA 02/17/2010 j03/23/2010 592 =Speed (10 mph&under In 35-55 mph zone) Johnson IA 06/12/2010 07/20/2010 M14 Fail to Obey Traffic Sign/Signal _.._ _ _ - _ _Johnson _ IA 05/23/2012 06/26/2012 x592 Speed _ Polk IA I 05/23/2012 ,06/26/2012 B64 No Insurance Card Polk :IA Accidents-Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 02/18/2008 1427259 SIA j Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended 709/08/2010 j09 /27/2010 -D51 i Non-Payment of Child Support IA IIA Suspended 05/28/2011 111/03/2011 ,D53 ;Non Payment of Iowa Fine .IA IA 1 Suspended 10/22/2011 110/23/2011 D51 Non Payment of Child Support YIA IA Suspended 07/17/2012 108/16/2012 D51 Non-Payment of Child Support ;IA IA i Name: Randle, Gemayal Rashaun DL/ID: 434AA6769 Pursuant to Iowa Code §321.10, I, Klm 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. • Apr. 9. 20141 12: 02PMn VDivrof icCriminal rnvestuigaatviony NNo.17093 F. X3/5 STATE OF IOWA t(=but t.1 O_F(rp�c �. r r ,. rr r.iL`kv. Criminal History Record Check \ Request Form ;F4.,..; DCI AccountNumber: 110062-, or oppliceble) Ta: Iowa Division of Criminal Investigation From; City oftowa City Support Operations Bureau,1..'Moor City Clerk's Office 215E.in'Street 410 E.Washington Street Des Moines,Iowa 50319 (515)725.6066 Iowa City, IA 62240 . (515)125-6080 Fax . • Phone; 319-356-5041 Fax: 319-356-5491 I am requesting an Iowa Criminal Distal Record Check on: Last Name(nMemo) First Name(mandatory) Middle Name(recommended) CAOAt- G76114Atey( e Date of Birth(mandamr j Gender(mend rl ry) . Social SecurifyNumber(recommended) • 1 Q n(t, `oZ 1.5I11a1e dFemale 3 6 ('- 7p?"CJ7 , Waiver Information: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. I Waiver Release:Ilscgbygkcpennlsslonlbr ii vercquesrhfgofefatloeondndanIowacriminalhistoryrceordcheckwith(hoDivisionofcnrninal investigation(DM Any criminal history dare concern!._ .that is melnlelne; sy iho ima oleos d is allowed by law. Waiver Signal lrfpL �"�' u5 '1_- Iowa Criminal History Record Cheek Results • . (DCrUBecniy) As of B-ILJ , a search of the provided namo and date of birth revealed: Z `y: ` : . _v • r , </ t U No Iowa Criminal History Record found with DCI =-..: :T' :_:: 0 IX Iowa Criminal.History Record attached,DCI ft '1Q�1-fr4 b _ �'.l:. E r- W DCI initials.Ul/) DCI-77(08/25/101 Received Time Apr. 4. 2014 3:47PM No. 6751 A .r. 9. 2014 12:02PM Div of Criminal Investigation No. 7093 P. 4/5 IOWA CRIMINAL HISTORY DCX 00708490 'MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- 2014/04/08 DCI:00100490 NAME: DAVIS,BRYANT L RANDLE,GEMAYAL L RANDLE,GEMAYAL RASHAUN DOB SEX RAC HGT WGT EYE HAIR SKN POE 19810921 M B 601 185 BRO ELK DRK IL 19811021 19821031 ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y SC FED SC HEAD CCH RECORD *** 01 ARRESTED 20031003 AGENCY; IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA708-1 ASSAULT ON PEACE OFFICER TRK#: 100970401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708.7(4) HARASSMENT / 3RD DEGREE - 1989 COURT CASE ID: 06521 SRCR066636 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100970401 SENTENCE DISP EFF DAT TIME SERVED 30 20040116 JAIL 3D 20040116 02 ARRESTED 20050116 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 02 IA STATUTE IA714.2 THEFT 2ND TRK#: 101404902 CHARGE NO- 03 IA STATUTE IA715A.0 CREDIT CARD POROERY/JOINT/CRIMINAL TRK#: 101404903 COURT DISPOSITION • AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA715A.6(2)-C UNAUTHROIZED USE OF CREDIT CARD c $1,000 COURT CASE ID: 06521 FECR070822 CHARGE CLASS: MISDEMEANOR CONVICTION TRU: 101404902 RESTITUTION SENTENCE DISP EFF DAT FINE $500 20050908 COURT DISPOSITION Apr. 9. 2014 12: 02PM Div of Criminal Investigation No, 7093 P. 5/5 DCI 00708490 PAGE 2 OF 2 AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE IA714.2(3) THEFT 3RD DEGREE - 1970 COURT CASE ID: 06521 FECR070822 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101404903 SENTENCE DISP EFF DAT FINE $500 20050908 03 ARRESTED 20090321 , AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE TRK#: 1A006EX01 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 06521 SRCR086579 CHARGE CLASS: NON CONVICTION TRK#: 1A006EX01 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT $315 CIVIL PENALTY, CLEAN 20090730 UA W/IN 10 DAYS AND/AS ORDERED PROBATION lY 20090730 UNSUPERVISED PROBATION TO DCS DISCHARGED FROM 20100727 DEFERRED JUDGEMENT AR 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 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