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HomeMy WebLinkAbout14-030 • Authorization Number L I f (Office Use Only) 7r. YIII -hit 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 L-cnnQ.. ;,.".-N �- f 2. Mailing Address q 32 LA, lu ;‘15 di)w 3. Telephone: Home 31? - 353'd63-7 Other: 3/;' 6 z/- y77 c� 4. Prior experience in transportation of passengers: Ai/A 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 1 z S Type of offense Where When i' J424teeso,-, ty Zd't'Q / '17 2 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? N Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? iJ J Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 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 STATEC RTIFIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF RE W You must apply for an individual Department of Criminal Investigation Report(form available upon request). (OVER FOR REQUIRED SIGNATURE AND NOTARY) derk/taxidrivbadg 03/2013 . I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number v � - 16 V, s- 6 / . 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 /` ,51„ /14.A.it Date o/"/L, 4X. / `/ STATE OF IOWA COUNTY OF JOHNSON ) Subscribed and sworn to before me by L e „� �-$� L. . L orrN. . On this / �-}—L day of Y��4clkt7CI N1fa y Public ind for the SCatteec f owa WENDY 3.MAYER L Commission Number 729428 M Ca ssign Expires *******s** *a****• * * * *******k*********************#...********.x********,r******r***:**,t**::*t*,r:::a**:*rr►*,+**:r*r*****,++*rr*ar*** I have reviewed this application, Dr report, and the State certified driving record of this applicant and have deter- mined that there is no infc:ntation which would indicate that the issuance would be detrimental to the safety, health or welfare of resi&. ,.s of the City of Iowa City (Title 5, Chapter 2, City Code). 2//05, nature of 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. Signa of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 1/2" (width) and 5 '.4" (height) and prominently displayed to all passengers. ************************************************************************************************************************************************ Office Use Only Approved application DCI report State certified driving record Website update clerk/taxidrivbadgeapp2010.doc 03/2013 Iowa Department of Transportation 1111 Onlce of Drn+res (Td{Free)800-532-1121 ir43f'O Sox 9204, Qas Manes, IA 50306 9204 515-244-9124 FAX:515.239.183T Certified Abstract of Driving Record Inquiry Date: 2/18/2014 DL/ID #: 769YY8261 (IA) Customer#: 331290 Name: Loney, Lonne Linn Class: D ID Status: None Address: 2432 WHISPERING Audit#: 7743048 DL Status: VAL MEADOW DR Issue Date: 01/29/2014 CDL Status: None City/State: IOWA CITY, IA Expiration Date: 07/30/2019 CDL Cert Status: None 522406805 Endorsements: 3 CDL Med Status: None Mailing Address: 2432 WHISPERING Restrictions: Corrective Lenses Restriction None MEADOW DR Supplement: Date of Birth: 7/30/1967 Mailing IOWA CITY, IA Sex: M City/State: 522406805 History Information CLEAR DRIVING RECORD Name: Loney, Lonne Linn DL/ID: 769YY8261 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: ASCU Ny, 2/18/2014 1.4.1kIOWA'': : * 4:::44s% D. O. T.,, ` ii•- � ri,...r� Office of Driver Services Iowa Department of Transporation Name: Loney, Lonne Linn DL/ID: 769YY8261 • Febt. 14. 2014 1 : 38PM Div of Criminal Investigation No. 295470P. 3/10 -� . .. ...,��� ii� .. � ., visin moi „ of 1VRa VItY Iwo. ( 9 F. I 0.,- lly STATE OF IOWA ',,1 C r' ,M1 Ai g(1;t41‘1�r. Culi>ronnaoaIl]HIust®ny pec®rrm7 Check ° PVia: 1 zi-o� ,;� Request Form fir, , ti,,--•- ij ' .. far _,r, t, DCI Account Number: 0 a-—r (thppfl ablo) To; Iowa Division of CriminalInvestigation Fromr City of Iowa City Support Operations Bureau,1"Moor City Clerk's Office 216 .7th street 410 B. Washington Street Des Moines,Iowa 50319 (515)725-6066 Iowa City, IA. 52240 (515)725-6080 not a Phone: 3196.5447 Fax: 319-95-256.5Q97 I atn requesting an Iowa Criminal Histo Record�,,'" Check on: Last Name(mnndeloty) grist Name(mondetely) Middle Name(recommended) Laney Lann e L 'nn Date of Birth(manaawry) _Gender(nrandamiy) Social guiltily Number(recommended) 7 — 3 0 ` 6 7 • giMak DEemale 4/2/ - 8V-S-391 Waiver Information:Without a signed waiver from(ha subJect of the request,a complete criminal history record may not be releasable,per Code of Iowa,Chapter 692,2,Ear completQ criminal history record information,as allowed by law,always obtain a waiver signature from the subject of the request. T atverRei'ease:lVuchygivepomelrelonforlheahovercgowlingoalolelloconductenforvaCriminalhlsloryrecordcheckwilirrheDlvlcionofCriminal lnvestlgatlan(DCi), Any oriminet hislosydelacaneentlngera nmdemeinldnedbyihe Ct mgyheraltascdae allowed by law / �� WalverSignarure; 6nAMR Iowa Crimipta1 IllistorIRecord Check esuItS (DClusc only) As of 'DA l ut. l 1 Li , a search of the provided name and date of birth revealed: . 0 NoIowa CriminalHistoryRecord fonndwith DCa p° Iowa Criminal History Record attached,DCI# S�1"3 --)— '..' / a;.r DCI initials_______tQCt-- • t.ece i ved Til e,71eeb,10a: 4014^'12: 29PMJNo. 2584 Feb. 14. 2014 1 : 38PM Div of Criminal Investigation No. 2954 P. 4/10 IOWA CRIMINAL HISTORY DCI 00452732 • MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- DCI:00452732 2014/02/19 NAME; LONEY,LONNE LINN LONEY,LONNIE LINN DOB SEX RAC HGT WGT EYE HAIR SKN POB 19670730 M W 510 210 HA2 BLK MED IA ADDITIONAL IDENTIFIERS CCH RECORD *** 01 ARRESTED 19921229 AGENCY: IA0510000 JEFFERSON CO SO CHARGE NO- 01 IA STATUTE IA716-4 CRIMINAL MISCHIEF 2ND DEGREE TRK#: L43189301 CHARGE NO- 02 IA STATUTE IA708-11 STALKING TRK#: L43189302 COURT DISPOSITION AGENCY; 1A051015J JEFFERSON CO DIST COURT COUNT NO- 01 IA STATUTE IA716-5 CRIMINAL MISCHIEF 5TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#; L43189301 SENTENCE DISP EFF DAT JAIL 15D 19930318 COURT COSTS 3 1/2 CREDIT 19930318 SERVED/MITTIMUS FOR 11 1/2 DAYS PROBATION 1Y 19930318 SUSPENDED 15D 19930318 COURT DISPOSITION AGENCY; IA051015J JEFFERSON CO DIST COURT COUNT NO- 02 IA STATUTE IA708-11 STALKING CHARGE CLASS; MISDEMEANOR CONVICTION TRK#: L43189302 SENTENCE DISP EFF DAT FINE $50 19930422 15 RESTITUTION/25 DOLL COSTS 02 ARRESTED 19971115 AGENCY; IA0560000 LEE CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI 1ST TRK#: 013637401 COURT DISPOSITION AGENCY: IA056015J LEE CO DIST COURT COUNT NO- 01 IA STATUTE IA321J-2 • Fel. 14. 2014 1 : 38PM Div of Criminal Investigation No. 2954 P. 5/10 • DCI 00452732 PAGE 2 OF 2 OWI TRK#: 013637401 SENTENCE DISP EFF DAT PLEAD GUILTY DDS/SUB ABUSE EVAL AND TRMT 19980203 DEFERRED JUDGEMENT 19980203 COURT COSTS 19980203 PROBATION 1Y 19980203 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMXNAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON-LAW ENFORCEMENT AG IES SY THE DCI. IN THE ABSENCE 0 INGERPRINTS 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 OP CRIMINAL INVESTIGATION IOWA .�,� , /3 -r``A DRIVER LICENSE . -;-7--= -..- LONEY .`.LONNE LINN -- - i ',,x :.2432 WHISPERING MEADOW DR▪ Q*� EOWA CITY,W 52240 I 2 CIL No.769YY8261 {ss 01/29/20140 '* 2019{ Class D End 3 I {y9t _ RBsstrictions t Eyes H. -OO▪NOMY . . 00DOB07/30/I „f DO 67743048YLL1331M300719R