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Home My WebLink About14-008 Authorization Number 1 t) f r 1 (Office Use Only) '‘etJiS_ 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 t Rdc,e1,1Last t c t, '1—Name ` �, 2. Mailing Address �./ ULK 11' 4)12_, 3. Telephone: Home 97(7)--,95c,- 7SOther: 4. Prior experience in transportation of passengers: [A —J U C-floc/ 1— CIA 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? pe of offense Where When SeSS / In w >� ; /D6/ /q t sp r I a :E �6 00 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? 4s Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? n L Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? n ( 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) r) O 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) derkllaxidrivbadg 03/2013 I her;jeWy th t I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number !f( J . I understand that if I falsely answer any questions in this application, that this application may e denied. /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 �/j J/' e f. . Date / 1 Ro4c k 4 , ' t ' ************************************************************************************************************************************************ STATE OF IOWA COUNTY OF JOHNSON ) Oil / Sub- ':ed and sworn to before me by -Wobr I C . On this /L 1/L1/Lday of ( • -o /y c l/-c 'L� - K;=l 1 1F K TI1TTLE otary Public in and for the State of Iowa .ammission Number221819 My ,io 7 p res 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). .nature 6f 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. 29/(1. �' K - / /1-/5/ Signature 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 1/2" (height)and prominently displayed to all passengers. ************************************************************************************************************************************************ Office Use Only Approved application DCI report State certified driving record Website update clerkttaxidrivbadgeapp201 e.doc 03/2013 Iowa Department of Transportation •..t.M Mee Driver Services (loll Free)MU-532-1121 PD Box 9284,Des Mourns;IA 5039 5-9204 515-244-9124 FM:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 12/13/2013 DL/ID#: 723A35451 (IA) Customer#: 4816766 Name: Miceli, Robin Rene Class: B ID Status: EXP Address: 932 DUCK CREEK DR Audit#: 7235451 DL Status: VAL Issue Date: 08/13/2013 CDL Status: VAL City/State: IOWA CITY,IA 522468674 Expiration Date: 08/16/2018 CDL Cert Status: Non-Excepted Intrastate Endorsements: NONE CDL Med Status: None Mailing Address: 932 DUCK CREEK DR.. Restrictions: NONE Restriction None Date of Birth: 8/16/1964 Supplement: Mailing City/State: IOWA CITY,IA 522468674 Sex: F History Information CLEAR DRIVING RECORD, Name:Miceli,Robin Rene-DL/ID: 721435451 Pur`suapt,tq 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: �'YFAlCIf i"ii "4$. ��/�,M,� 12/13/2013 ' r4 IOWA :z° se 304, r y hii t S Office- of Driver Services . ..1 h`aarBR —�' Iow +Department of Transportation Name: Miceli, Robin Rene DL/ID: 723AI5451 .. Jan. 14. 2014 8: 33AM Div of Criminal Investigation No. 6625 P. 1 Jan. Ii. LU 144 i:46NNy ( i [y 61erk City of lova �Ity No. 4[ll P. 4 . I„ I v. . .�.\.r\ Iw v\ IVb 1n V, VJLI I. J +v• yr \,vv.r,n "v. ., w• l<VV J a.•� • STATE 0 IOWA, ,,,f, ,,,,, 4 „9: Afl. 014nt.,,j, Criminal History Record Check - 31(:).(4.:&I ..I Pr box AoonuatNumber,tel: NOi'' otrppllcablc) Toe Iowa Division of Criminal Investigation ,prom; City ofroWeQt(y 54Nport Op eration9 dol eau,l'LF•loor City Clork's Office 215)Jilt Sire et 410 Ni Washington Street n49Irrethea,Iowa 50319 (513)729-6066 ToWa clip, TA 6Z240 (016)725-6080 MX Phonal '319-356-5041 • Foxe S19,156'4497 I am requesting an Zoete Criminal Els Cheek ore Last 1 Name(meta ) VirstNeme(mm4r'49• 111dd1 MamereoaflnwAdetO Neel hic4,-tti fia.i/*/) Atz Date ofBi theuenclnory) gender(micaatol))) SoefaalSecurity Nutubel'(reoominendo (Ji t/ f 96$ Maie fiomaie 1611- 1i 69 Wni'vevinfosmal10)/r;Wtl4odtastgnedwatvorfromthoallbJrotoflherequest,acompletecriminalhlsforyrecor'dmaynot hal'oleaeable,per cob of1oWalChapter 692,2,leyl' mnletooYlmlhathistory record Information,asallowed byinw,Always obiaih a we Iver signatuye)Yom the abject of the request Wa(VepReleuse:Thcrebygive pron1KIohfbrrhonbera • orating ofgobltoconduct nNM xlmineI fifthly. record oheckutmreblpoftA .rvemganonwe). Anymialta )lroly4HecoheemlagnIs karncdbyitioDCt ' braaf .n3gllowcd i, ,- Wawsina4irar fAitI A / / / /' . a VI / Iowa Crimintiliiistoty Record Check Result tDCturoanly)_ As of, 1— /y e20/4' , a search of the provided name and date of bi>.throyeuladl . 0 No Iowa Criminal Ilistory Record found withDCT 0 Iowa CriminalHistory\Reooxd enrolled,bCI# ea6V 33 Co `•`' l's) 11--"2—.) 0) .,)9 , ;, Q,') Z CIinitials �0 EA e r e i v o fl .T i n nla.l a n_.11. 090141 1:45 PMn.Nn. 0593 Jan. 14. 2014 8:33AM Div of Criminal Investigation No. 6625 P. 2 Jan. 13. 20144 3:46PM, City Clerk — City or Iowa uity ,No. qui P. J van. I J. VIII J14JI11 VIr VI VI IIII11141 IIIre Jl lg d LI VII IIYU. V7G I 11. L ^ r.o�,I v V v.rin rl \J +, .vrw vl \y Av . , �/J uan. V. LV14 71171M11 Ill! UI 10111111141 )IIY ci ltgat Ivo ai. U'JvU I , J Jan, 7. 2014 l :o7PM City Clerk — Ci(y of Iowa City No. 4253 P. 2 • c,107kii.., , STATE OF KOLOVA `:,s`'3. o ��t Crinifnhi XXfsto 'y'RecoS Check ;a ,�y 4 . :�A• ',Ay!". 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DCLA.ccountNUmber: Yro n2'•p • (/ttyplroetr\l 'fat IowablYnloll of CriminalXnvotllgnfon Zino cityorYowa cliv Support Opolra(fano/Throw%luttloor ' CityClodc's Office. 21S it.91h Sl1'eet 410 t,Woeb(rgton Street boulvamottIowa 50310 (515)729-(o(€ 1 room city(Yid 41440 (615)775.60)10 Fox TO ' a 'a • ' re FOR OMI 319-066.9041 E A -, 1 319409491 rat • aroro n obttn; 011I'og'a celminrI ffstoiheool'J Moak.on:' LAstkianto muds/ Vint N'atne(Math(a1y) witanoName(rccimriner•1 l (1 Mite' kthhir' • R--e.he !bale of !I I. menttb Cliortriekt Shade So'cfnnilSeeu i( Nlllhbeirrembyriieeeruf . os— / i — 1 11' 4 LJ1vl.0lo �irtuaTe ''GS3r2�— r/7�" morn I'Xip'o7` olhlWilifoutaiktiodwn(vorrioinOmalffijeet,Mk0Vegt16r1,itbonlpietecrlln111alttrsfo)yd'ewrdmnynot be releasable./ Q'/pat•CodoofYowaJC(mp1QY6'97,2,]t+promm�lodiploid iaffon,asaliowthbylntvnkval/1 ablainawe(vo?alipi h'tom(lies11(doototiheYegltoa( WA(Vel tdielllsei Ibm14.01(14,10110190 Aielloebove�' irsldnpoe(ehlfoconductabtaloaodb(nUhu Hoyrraordul(takwfihlnoolvtaionouklminel rnwairgA;ion(oCo. MYalining Tilden'da(aaufoominb'I • ellitntkrrndhylhebah' Wawa &Lovad6ylew, With vsigatirl6NYer Ail 0112..s._ AU . .. • . / . Iowa Criminal l'fs prv'Record Cheek k eslti • (o4rne 9l14 Au of L-- 144- .Q/4".,a witch of thop('ovided normend date offiloh Lovealed, ::-/.r..; --'74,.../.), ❑ No Iowa GllmholMowry kecard foundwilhDCt —+c, :H �'o - rgi Io'cra Criming).larory22ccocd*stoked,DCT,7'4,1. 00G ' cl'� e2A- x 61.-0---' . c� DCTin(fn)s o , \ !Received Timei,Jan. 13, )(20140 3:45PMoW 0523 Jan. 14. 2014 8: 33AM Div of Criminal Investigation No. 6625 P. 3 IOWA CRIMINAL HISTORY DCI 00258336 MISDEMEANOR CONVICTIONS ONLY PAGE 1 08 2 DATE PRINTED- 2014/01/14 DCI:00258336 NAME: HAR,ROBIN REISNER,ROBIN REISNER,ROBIN RENE RISNER,RHONDA ROGER,ROBIN ROGERS,ROBIN ROGERS,ROBIN RENE DOB SEX RAC HGT WGT EYE HAIR SRN POB 19640816 F W 506 155 BRO BRO . LGT WV ADDITIONAL IDENTIFIERS SC LF ARM SC R HND SC RF ARM TAT L HND TAT R ARM CCH RECORD *** 01 ARRESTED 19860131 AGENCY: IA0970100 SIOUX CITY PD CHARGE NO- 01 IA STATUTE IA321-281 OWI TRK#: L17002001 COURT DISPOSITION AGENCY: IA097015J WOODBURY CO DIST COURT COUNT NO- 01 • IA STATUTE IA321-281 OWI TRIO: L17002001 DRUNK DRIVING SCHOOL SENTENCE DXSP EFF DAT PLEAD GUILTY 19860513 PROBATION 1Y 19860513 COMMUNITY SERVICE 50H 19860513 SUSPENDED 60D 19860513 02 ARRESTED 19881015 AGENCY: IA0970100 SIOUX CITY PD CHARGE NO- 02 IA STATUTE IA321J-2 OWI TRIO: L17002102 COURT DISPOSITION AGENCY: IA097015J WOODBURY CO DIST COURT COUNT NO- 01 IA STATUTE IA321J-2 OWI CHARGE CLASS: MISDEMEANOR CONVICTION TRIO: 1+17002101 SENTENCE DXSP EFF DAT PLEAD GUILTY 19890208 Jan. 14. 2014 8: 33AM Div of Criminal Investigation No. 6625 P, 4 • DCI 00258336 • PAGE 2 OF 2 JAIL 7D 19890208 FINE $863 19890208 COURT COSTS 19890208 03 ARRESTED 19890330 AGENCY: IA0970100 SIOUX CITY PD CHARGE NO- 01 IA STATUTE IA714-2 THEFT 3RD TRK*: L17002201 COURT DISPOSITION AGENCY: IA0970153 WOODBURY CO DIST COURT COUNT NO- 02 IA STATUTE IA714-2 THEFT 3RD CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17002201 SENTENCE DISP EFF DAT PLEAD GUILTY 19900104 FINE $200 19900104 COURT COSTS 19900104 04 ARRESTED 19930724 AGENCY: XA0970100 SIOUX CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK4J: 006801501 COURT DISPOSITION AGENCY: IA0970153 W000BURY CO DIST COURT COUNT NO- 01 Owl CHARGE CLASS: MISDEMEANOR CONVICTION TRK#; 006801501 SENTENCE DISP EFF DAT PLEAD GUILTY 19940406 JAIL 300 19940406 PINE $650 19940406 COURT COSTS 19940406 SUSPENDED 100D 19940406 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OP 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 ^ !, "u