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Home My WebLink About14-088 Authorization Number , �� ` FP, a _ 1 (Office Use Only) cw Mg II ZIT 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 First Mi dle Last 1. Name .� ChiPAy ,OJGgij5-`C/z�' 2. Mailing Address 79 ff7 k e5'.1e- e 3. Telephone: Home 3 f i•- '/O Other: 4. Prior experience in transportation of passengers: Di"c•-e P-%1 PC:7--)L.e 'E 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When Cvf-y �'' )0-61l 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? Ai L) Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? /t-/"C Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? y- Type of offense Where When 10—L7( 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) �Vv 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) clerWtaxidrivbadg 03/2014 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number iqot c r . Q q_ -1, . 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) 4:::/2.—• . ....,02i) � Signature of Applicant Date (/_ 7-' 4( YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERKS 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 ", rj 0 _ � ; I . On this -P day of J 1 G-004 �A A X1.9141 WENDY S MAYER Q AA-E. -o ti ` i c Commission Number 729428 o ary Publ in and for the t to of Iowa My Cornmtsswn Cxyhea low 1 '1—) —11 c 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). O,i , Signature f y 7/y Police Chief 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. ii.e..,4-11.../ A9 - kzf.L' 7 - /// Si nat of CityClerk or designee Date 9 9 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/taxiddvbadgeapp2074.doc 03/2014 Iowa Department of Transportation este Office of Driver Services {Toll Free)BC1J-532-1121 PO Box 9204,Des Moines,IA 50305-9204 515-244-9124 \lopFAX:515-239.1837 Certified Abstract of Driving Record Inquiry Date: 12/17/2013 DL/ID #: 199CC0921 (IA) Customer It: 3099281 Name: Bishop, Danny Duane Class: C ID Status: VAL Address: 4154 KESSLER DR SW Audit#: 6967490 DL Status: VAL Issue Date: 05/22/2013 CDL Status: None City/State: IOWA CITY, IA 522469467 Expiration Date: 10/25/2018 CDL Cert Status: None Endorsements: NONE CDL Med Status: None Mailing Address: 4154 KESSLER DR SW Restrictions: NONE Restriction None Date of Birth: • 10/25/1960 Supplement: Mailing City/State: IOWA CITY, IA 522469467 Sex: M History Information Convictions • Citation Date. 1. Conviction Date ACD Explanation • County JUR 05/2642003 05/26/2003 , X 05/20/2004 B20 _Driving While Suspended, Denied, Cancelled, Revoked 1 Johnson IIA 1 ,i Operating While Intoxicated Test Refusal/Test Failure Violations I Occurrence ACD Explanation JUR .......__WW__.._...._.._.,µ....-�, .. .....a._.�,......._._..._..�_:___- 06/26/2QQ3,_�___ 1Al2 IOWI Test Refusal, IA Sanctions .. . ,, , Type. - . ^Effective '.'. End ACO Explanation Occurrence JUR JUR Revoked 07/07/2003 W7/06/2005 . Al2 OWI Test Refusal - IA .....,..,,. :IA Revoked .05/18/2007',. 105/16/2013, B25 Driving While Suspended, Denied,Cancelled, Revoked . 11A #IA ditee: Bishop,Danny Duane DL/ID: 199CC0921 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: , . /l e....ttl •es'4 12/17/2013 s'4 IOWA C ytr. •S D. 0.T � �4OF�R• = Office of Driver Services +c. Iowa Department of Transportation •e: Bishop, Danny Duane DL/ID: 199CC0921 Dec 23. 2013 12:23PM CDiv of Criminal Investigation, No 5339 P. 1.2 STATE OF IOWA yt;uo,t ,o r 5� : Criminal History fa'ecord Cheekf;f ► A f-�, Request Form ' girt DCI Account Number: 3/4-002, F (if applicable) To: Iowa Division of CatninalInvestlgatlmr Brom: CITY OF IOWA CITY Support Operations Bureau,ri Floor CIX! CLERIC'S OFFICE 215 E.Th Street 41.0 E WASHINGTON STREET bas Moines,Iowa 50319 (515)725-6066 TOT/A CITY -1 'FA 52240 (615)725-6000 Fax Phone: 3193565041 Fait 319-356-5497 I amrequesting an Iowa Criminal History Record Check ow Last Name (mandatory) nirt Name(mandatory) Middle None(recommended) les14013 fj Avbvvy • OVane Date of Birth(mandatory) Gender(mandatory) Social Security Number(recomd) lmendeo - at� to $vale WFeinale yaLi - pX -ciD / WaiverInfog•Tngllon:Without a signed waiver from the subject of the request,a complete atimlbal history record may not be releasable,per Code of Iowa, Chapter 6922.For complete criminal history record information,as allowed by law, ahWays obtain a waiver signature from thesublect of the request Matta Be1ease:IherebyglvopemiIselonfortheeboverequeslingofficialtoconductan/owe criminal history record check with the Division ofCriminal Investigation(DCI). Any criminal history data concemh:gme tint is maintainned by the Bpmay be released as allowed bylaw. • Waiver Signature:0--- 8 Kc3 Iowa Criminal History Record Check Results (DCluse only) As of /02.„ -Z3•—/3 , a search of the provided name and date of birth revealed: • 0,( No Iowa Criminal History Record found with DCT /. Iowa Criminal History Record attached,DCI 1i „Zi J f G1'03 DCI initials Received .Time Dec,•17,. -2013 11 :26AM No. 8426 f. Dec.. 23. 2013 12: 23PM Div of Criminal Investigation No. 5339 P. 2 IOWA CRIMINAL HISTORY DCZ 00275603 FELONY CONVICTION PAGE 1 OF 3 DATE PRINTED- 2013/12/23 DCI:00275603 NAME; BISHOP,DAN BISHOP,DANNY BISHOP,DANNY DUANE DOB SEX RAC HCL WGT EYE • HAIR SKN POB 19601025 M W 511 220 SRO BRO FAR IA ADDITIONAL IDENTIFIERS TAT L ARM TAT R ARM TAT RP ARM TAT UL ARM CCH RECORD w++ 01 ARRESTED •19810311 AGENCY: IA0500100 NEWTON PD CHARGE NO- 01 IA STATUTE IA204-401 POSSESS CONTROLLED SUBSTANCE TRK#: L19604601 COURT DISPOSITION AGENCY: IA050015J JASPER CO DIST COURT COUNT NO- 01 IA STATUTE IA204-401 POSSESS CONTROLLED SUBSTANCE CHARGE CLASS: MISDEMEANOR CONVICTION ' TRK#: L19604601 SENTENCE DISP EFF DAT FINE $100 19810518 02 ARRESTED 19820123 AGENCY: IA0500100 NEWTON PD CHARGE NO- 01 IA STATUTE IA204-401 -2-DELIVER MARIJUANA TRK#: L19604701 COURT DISPOSITION AGENCY: IA050015J JASPER CO DIST COURT COUNT NO- 01 -2-DELIVER/ACCOMODATION/SCHEDULE I CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L19604901 SENTENCE DISP EFF DAT PLEAD GUILTY 19820331 JAIL 6M 19820331 FINE $500 19820331 PROBATION 1Y 19820331 03 ARRESTED 19911206 AGENCY: IA0500000 JASPER CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK#: L19604801 - Dec: 2,3. 2013 12: 23PM Div of Criminal Investigation No, 5339 P. 3 DCI 00275603 PAGE 2 OF 3 COURT DISPOSITION AGENCY: IA050015J JASPER CO DIST COURT COUNT NO- 01 IA STATUTE IA321J,2 OPER VEH WH INT OWI CHARGE CLASS: MISDEMEANOR CONVICTION TRI(#: L19604801 SENTENCE DISP EFF DAT JAIL 2D 19920413 FINE $500 19920413 04 ARRESTED 19931024 AGENCY: IA0500000 JASPER CO SO CHARGE NO- 01 IA STATUTE IA321J-2 Ow/ TRK#: 000663501 COURT DISPOSITION AGENCY: IA050015J JASPER CO DIST COURT COUNT NO- 31 IA STATUTE IA321J.2(3) OPER VEH WH INT (OWI) / 2ND OFFENSE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 000683501 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF PAT PLEAD GUILTY 19940208 FINE $750 19940208 COURT COSTS 19940208 05 ARRESTED 20000715 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 0W2/3RD OFFENSE • TRK#: 053327001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(C) OPER VEH WH INT (OWI) / 3RD OFFENSE COURT CASE ID: 06521 0WCR055906 CHARGE CLASS: FELONY CONVICTION TRK#: 053327001 LICENSE REVOKED SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT FINE • $2500 20010518 PROBATION 3Y 20010518 PRISON 5Y 20010518 06 ARRESTED 20000914 AGENCY: IA0520200 IOWA CITY PD • Dec: 29. 2013 12: 23PM Div of Criminal Investigation No. 5339 P. 4 • DCI 00275603 PAGE 3 OF 3 CHARGE NO- 02 IA STATUTE IA124-401 POSSESS CONTROLLED SUBSTANCE TRIC#: 100021202 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124,401(5)C POSSESS CONTROLLED SUBSTANCE/MARIJUANA COURT CASE ID; 06521 OWCR056490 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100021202 LICENSE REVOKED SENTENCE DISP EFF DAT FINE $750 20010518 PROEATION 3Y 20010518 PRISON 5Y 20010518 07 ARRESTED 20030708 AGENCY: XA0520200 IOWA CITY PD CHARGE NO- 02 IA STATUTE IA321J.21 DRIVE UNDER REVOKE TRK#: 100900302 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE IA321J,21 DRIVING WHILE LICENSE DENIED OR REVOKED COURT CASE ID: 06521 OWCR065859 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100900303 SENTENCE DISP EFF DAT JAIL 30D 20040520 FINE $1000 20040520 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 SE 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