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Home My WebLink About14-064 Authorization Number /i - LP`} - 1 (Office Use Only) �:.:.®prat we go•Palifir -"PUNA-- APPLICATION FOR TAXI 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 Middle Last 1. Name � 1-- 4'�"".� 2. Mailing Address Lac/ So -1. C 3. Telephone: Home 3)5 Other: 4. Prior experience in transportation of passengers: 70os- Zv os 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? b Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? lei, Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? ? tet 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) clerk/taxidrivbadg 03/2013 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number L `-i S 53 . 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) Signature of Applicant 1, sti Date 3/)`t /2_3 i STATE OF IOWA COUNTY OF JOHNSON ) Subscribed and sworn to before me by 1(n t,tr.fHL_ . l , . On this 04 rj& day of rti'Ct71 . L _ Notary Public I and for the St4te of Iowa t 16Y S MAYER z`- Comm" 16Y Number 729428 My Com L rz * *********m*s 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). ..74/ j-//0 Sig atdre 4f 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. f/-10// Sign t�lre of City Clerk or designee / ate Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 1/2" (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 clerkitaxidrivbadgeapp20l0.doc 03/2013 V.'" Mar. 13. 201414 1 :28PNVM Div of Criminal Investigation I No. 1919 P. 1 • 1a4�. rr. cvty4 , .�R„n) err 1,�1 �. . ,...._. „e,., 1vn I pm), lu►4 Pr. 1 ,. 1 .. a.v . • ., v . 1 v vrl'1.,......' (Y'uU 1.y 1,v 11 ..v ►.. I v, YY/L n ..v . . ...u,p (., ,/ ,� r � � IN:4"011 /V P. ' L,�13 1 ti tA, g1 Hl7al9 Z. '.S1 Aw- ! . - ----6,,,,.-,..(14.0___ 2=- • I 0 Aso, M.,..(z.ki`t 1 70/.4 , ' rtly STAT) O1'IOWA 1 ,,,,._ p' �:i, .r,t, Criminal History ecoid Check .u.& ; "a Request Vorm (..,1,,!::,...:..):14.,,,� r,,►ilnfix%.� • I • 1XIAaoountNltmbo►'I, I►6 --' - (eppllcabfo) To; rowablv(tlop(116r1111Inull5l/M(1140oh ',Inv 01(v°notiva& I. _ _ auppo i Operations berenu,a' ):4111 '1 • b .AYJNG - i 'Y City Mlei01dod 215J,7ttSkeet S RE& ES • G• I 411:1%W. I u.(on!,9(reet 1)"MI°lnw,Yowa "319 P ASE R THIS • Cr r ' (515)12$.6066' /owe ci )rh. P______ 1`0 ( 15)72t3'■eogo Ito Se 3-I l-tet W1 ~___. Mone; 319.156 SA41 1 Falx: 3X995 s497 1 _ , . I am to.;deist : an Pah Cr minul Leto It000td Cheek oh; Lad AYne(n,.adelely+) 1 ret Btme(mgdol•1y) M ane Name recolit' en lied) CoC, _ T DAte OaiIx1I► m>Inde(a aohdeh(n1111QNory) Soda 9ecur1t!Number(rceemnr6Aeee) — P9-2 Lea10 ►'`16'alnAto yg i 9 6L4112 )Va4'e) 111fivhio/1aidr without a signal waver!reit,tho all bloat el the mitten)n oompleia orim(rra r(rrtoty record nicy no( be releasable,pel'CoatiaflaWa1 Chapter rfp,2,For tomnlat4 dr)/1161111 Illatory 13.40141:1 Allo►•ma 1(011,as i i °Wed by)sty,a1►Vnye ILtglh aWaiyoirdlgnAlurelrom thc_110.1tatAtth9YCquolt. j rr/ ; W afverhelerise:rAereiygfvepennhgionforlheabovercgrlol?,�oillclal(oc.e du�lDMAsr1IpfnelhInerywordeldockvilllrthbPIFllloA(IC11[ 11(1111 1nlealt�arioll( G1). Anyadtnfn•i hhlary data conooAlin/lno the(If maintelnrd by the DCI111�y V/roim l 10 Allowed byllly. I PiYa berSleraliere: . V QA).-Att.:hi Xata Cr1)nIna_ Hfsto ecorcd Check Results c:pq oily) :� •... As of3- _ - H ,a search of the p>`ovlded nano and date otblrch revealed; ri ;,; '.;.: . , 0 0 I i Mar. 13. 2014 1 : 28PM Div of Criminal Investigation No. 1919 P. 3 'a IOWA CRIMINAL HISTORY DCI 00593188 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- 2014/03/13 DCI:00593180 NAME: WILSON,BRANDY LYNETTE DOB SEX RAC HGT WGT EYE HAIR SRN POB 19740924 F W 507 145 BRO BRO FAR IA 19760924 ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y SC ABDOM SC ARM • CCH RECORD *** 01 ARRESTED 19990303 AGENCY: IA0250000 DALLAS CO SO CHARGE NO- 01 IA STATUTE 1A321J-2 OWI 1ST OFFENSE TRK#: 040710601 COURT DISPOSITION AGENCY: IA025015J DALLAS CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2 OPER VEH WH INT OWI COURT CASE ID: OWCR022960 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 040710601 SUBSTANCE ABUSE EVALUATION SENTENCE • DISP EFF DAT JAIL • 2b 19990708 FINE $1000 19990708 02 ARRESTED 20021218 AGENCY: IA0250100 PERRY Pb CHARGE NO- 01 IA STATUTE IA123.46 PUBLIC INTOX TRIO: 061696601 COURT DISPOSITION AGENCY: IA025015J DALLAS CO DIST COURT COUNT NO- 01 TA STATUTE IA123.46 CONSUMPTION / INTOXICATION COURT CASE ID: 05251 SMAC045665 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 061696601 SENTENCE DISP EFF DAT FINE $100 20030113 AN ARREST WITHOUT DISPOSITION IS NOT AN INWICAT1ON 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. a -7. 1r ir , .„ , ew x ,,,,,iit ,,, SMARTER I SIMPLER I CUSTOM ER , ,, - ,D RIVEN` VWVvv.low dot.goV Office of Driver Services PO Box 92041 Des Moines, IA 50306-9204 Phone 515 244-9124 1 800-532-1121 1 Fax;515-239-1837 Wwyi_iowadotgov Certified Abstract of Driving Record Inquiry Date: 3/8/2014 DL/ID #: 482LL4953 (IA) Customer#: 3267837 Name: Wilson, Brandy Lynette Class: D ID Status: None Address: 429 SOUTHGATE AVE Audit#: 6098841 DL Status: VAL Issue Date: 07/05/2012 CDL Status: None City/State: IOWA CITY,IA 522404401 Expiration Date: 09/24/2015 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 429 SOUTHGATE AVE Restrictions: Corrective Lenses Restriction None Date of Birth: 9/24/1976 Supplement: Mailing City/State: IOWA CITY,IA 522404401 Sex: F History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 02/02/2008 ;04/15/2008 -B20 Driving While Suspended, Denied, Cancelled, Revoked Jasper IIA i 01/12/2011 103/18/2011 B64 No Insurance Card Johnson IA 3 Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended 06/05/2008 j10/01/2008 626 Driving While Suspended, Denied, Cancelled, Revoked SIA ,IA Suspended 07/09/2011 :09/22/2011 D53 Non-Payment of Iowa Fine *Iq IA -S Name: Wilson, Brandy Lynette DL/ID:482LL4953 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: .1.-4.. taitil z.. 1iy 3/8/2014 11,D. O. TM] cF �v�nOBIYEss owaeDepartme DepartmentServices ansportation