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Home My WebLink About14-052 Authorization Number I — I _ 1 (Office Use Only) • ®fa mem CITY OF IOWA CITY APPLICATION FOR TAXI 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 First Middle / . La§t 1. Name L 2( �I'`/ 01 2. Mailing Address 7 I ;21-3 /fn ii& 47 f 1�Ire �40 3. Telephone: Home Other: ?/6"' i 3(-) P-/6/0 4. Prior experience in transportation of passengers: /16)1/ ' 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? (A:3 Type of offense Where When /) � %? ( vt'.��r I/Pik 5/fp-0 /,ADO 5 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? /.7'0 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Typelof offense // Where When J )Lf/Li LJ/1i /(' l / 4L/71(d / ((s L-1P'dIs 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? /FS Type of offense Where When /.c ti'/ 1F c� �c�,(v�//e ^'/ 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 / ''1 .41`Q,. ?j11-) ?j . 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 Date 371//y 7 .. ___._ ______, .___) ************************************************************************************************************************************************ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by Lett,. 4 0. C «{-t--ex . On this rj÷-{".._ day of _t_0 5dJ( _ gr2N1 WENDY S.MAYER Nottar Public in an for the State of owa rir Commission Numuer 7 oues213 My_Co�missio�l f +— 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). 4 ..-- . '-',. —'' /(7 Signature oolif�P ce 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. Signage 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 clerkftaxidrivbadgeapp2010 doc 03/2013 Mar. 3. 2014. 1 : 12PM Div of Criminal Investigation No. 4167 P. 1/3 .� �.., �.,�� .7.,..,� 3193,...,,,,x„ .,i� uF IC,LEGAL rmum. 02/02 t • r;14;.:(14 : STAT` OF IOWA ,,I•` ', iolub� (CRilmi rnAl 1Fifdsto�ry Reaegd Check �'�` 4 `l�' : LJ �J1.�i�� ll'®�n�ill e o;j"�`f'L;%5f�,_ � J1'.n 1' 'np ,F3 r,, DCT.Account Number; q tc-r (leappllcablo) • To: Iowa Division of Criminal Investigation i(l' om; City of Iowa City Support(operations Bureau,1°`Floor City awe office 215 E.7d'Street . 4/0.D.Washington Street Deo Moines,Iowa 50319 (515)725-4066 Xown City, )ts 52240 (515)725-6080 Fax Phone: 319-356-5041 • Fax: 319-3565497 • • Iain requesting an Iowa Criminal History Record Check on; )Last Name(niandololy) First Dano(meltdelory) Middle Name(recommended) I C C Le. v1ge_ Date of Birth mandatory) Gender(man•ala Sodal Security.Neuhahop(recommended) 03 / 7 r 7 Lazio d]Cemale 3 , - )i---//a-2 Waiver Inform,Idon:Without a signed waiver from tilosubjeet of the request,a complete criminal history record may not Ire releasable,per Code of Iowa,Chapter 692.2.Fpr eonrnle(e criminal history record information,as allowed by Jaw,alwa a • . i 1 • vaiicetsl•natara-fram-thoaub-eetofrthe-'esilent, Waiver body eltro permission for tho above requesting*Mehl to conduct ab Town criminal history record elm:kw/0r lta DWIsion at Criminal Viva llgatian(DON .4.by wiminal tifsloty dela co:muffing ma awl is mainlaincd by thel:CI mny be Meowing allowed by law. Jf I�ttiyeYS1l:+ilKtllYC: , f Iowa Criminal l&SSSory Record Check Resnlla (DCI use Ws) o r c,: As of 3 (3 1` ,a search of the provided name and data of birth revealed; "= ,r' ti, v, N3 sr 0 No Iowa Criminal History Record found with EICl =i ' " ' y, __: = . • p —i..'7—: Iowa Criminal History Record attached,DCI#95 I c�7 51 �''1 y N _ DCX.initials ; , Received Time.nFeb. 25. -2014' 4:20PM—No, 0410 Mar. 3. 2014 1 : 12PM Div of Criminal Investigation No. 4167 P. 2/3 IOWA CRIMINAL HISTORY DCI 00859559 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2014/03/03 DCI:00959559 NAME: CARTER,LEROY ONELL DOB SEX RAC HGP WGT EYE HAIR SKN POB 19870317 M B 510 160 BRO BLK DRK IL ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y TAT R SHLD CCH RECORD *** 01 ARRESTED 20090305 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA124.401(5) • POSSESSION OF A CONTROLLED SUBSTANCE TRK#: 1A006A001 CHARGE NO- 02 IA STATUTE IA719.3 PREVENT APPREHENSION/ OBSTRUCT PROSECUTION TRK#: 1A006A002 COURT DISPOSITION AGENCY: SA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA719.1(1)A INTERFERENCE W/OFFICIAL ACTS COURT CASE ID: 06521 AGCR086364 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1A006A001 SENTENCE DISP EFF DAT FINE $250 20110406 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 06521 AGCR086364 CHARGE CLASS: MISDEMEANOR CONVICTION TAX(); 1A006A002 LICENSE REVOKED SENTENCE DISP EFF DAT TIME SERVED 14D 20110406 JAIL 14D 20110406 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 BE RELEASED TO NON-LAW ENFORCEMENT AGENCIBY THE DCI. IN THE ABSENCE OF GERPRINTS 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 1p Iowa Department of Transportation dri, Office of D 04 r Services 515-244-9124 (Toll Free)80532-1121 PO Box 0204,Des Moines,1t4 503116,9204F, 515.239.1537 Certified Abstract of Driving Record Inquiry Date: 3/5/2014 DL/ID#: 187AD3343 (IA) Customer Status:#: 5325328186 Name: Carter, Le Roy Onell Class: D ID Address: 720 4TH AVENUE PL Audit#: 7847967 DL Status: VAL APT Issue Date: 03/05/2014 CDL Status: None City/State: C5OORALVILLE,IA Expiration Date: 03/17/2017 CDL Cert Status: None 22412017 Endorsements: 3 CDL Med Status: None Mailing Address: APT APT AVENUE PL Restrictions: NONE Restriction None Supplement: Date of Birth: 3/17/1987 Mailing CORALVILLE,IA Sex: M City/State: 522412017 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 03/14/2009 04/06/2011 A33 Drug/Drug Related Johnson IA Conviction 06/04/2010 07/16/2010 B20 Driving While INSuspended, Denied, Cancelled,Revoked Driving While Johnson IA 08/17/2012 11/15/2012 B20 Suspended, Denied, Cancelled, Revoked Sanctions Type Effective End ACD Explanation Occurrence JUR ]UR Suspended 01/19/2010 02/14/2012 D53 Fall to Satisfy IN IANon-Iowa Citation Revoked 03/21/2012 09/16/2012 A33 Drug/Drug IA IARelated Conviction Suspended 02/01/2013 04/25/2013 D53 Non-Payment of IA IA IowaFine Name:Carter, Le Roy Onell DL/ID: 187AD3343 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: ,mow. er44it 3/5/2014 seeTTT ..... r yr�ryry�A�,p�ry4 : .. VD. 0, ,it Office of Driver Services Iowa Department of Transporation Name:Carter, Le Roy Onell DL/ID: 187AD3343 1 CITY OF IOWA CITY APPLICATION FOR TAXI 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 ' First Middle r. La§t 1. Name ( d'-/ (9i !f1 f f ( t 6. 2. Mailing Address (7 c-io '//---h V 'U-4 ?/4(9 677L1/ 3. • Telephone: Home Other: ?/' %3 b 8-/G/O 4. Prior experience in transportation of passengers: /4.24 •P t 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? !�'f ,I Type of offense Where When- --— - .1 =:° k Ile f,-cll r())/-4(vf J/e 1% 3 l I/D-079 /7 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? i4 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? (%, Type of offense Where When Arte it 1...) , le A / 1 erad, l r( 3004_. 8. Has you Type of I CARTER, ATTENTION:Your permanent LE IROY ONELLd will be mailed to: 720 4TH AVENUE PL APT 3 a(.5 CORALVILLE, IA 52241 9. Have you Your license will be mailed in an unmarked envelope. IT WILL NOT BE FORWARDED. 71 (� USA IA - This temporary document becomes IOWA _ I invalid 50 days alter issuance. P DRIVER LICENSE' l apt vz 1111,44 r.l t'Vi,II ct '• .,4 ROY ONELL yirYou must a6 ; 720 47H AVENU�.E' T +��' I ' _ CORALVILLE,'lA 52241 1 Rev 07/25/2011 Y , i1 CLASS:o-Chauffeur IlyoudenoYece e ` v DL Ne.187AD3343 r Commercial Pass veil<16 Passenger your permanent ,a i'} ••' Iss 0310512014 EXP 04N4120st ENDORSEMENT$3Non License/ID in 21 days < I sex M�i�.�' please call 1 elassD Enda £�,} Hgt 51109•. RESTRICTIONS: - A' Restrictions E `, Eyes BRO 1-foo-57tance. t NONE F ± ooNOR:r for assistance. ', to RFARINGIMP:'I D0803117/1987 9]B Gell tavdnvbad9 03,1]1199] \ DO 4196]]CL0912M1]034D 6hDILV'Ii