The URL can be used to link to this page

Home My WebLink About14-006 Authorization Number 12 JSP a r (Office Use Only) lit AO ga 17/7 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 Cit Iowa 52240-1826 ( I ') 356-504. (31 ' .-5497 FAX ,,Firs- (Addle ,Lt 1. Name (v t(l /�,n art#vf 7G Z 2. Mailing Address /62 2 k,-cCnn,,� a Sf c�cf �r may � 4 5a2 Ifo 3. Telephone: Home ee(1 31‘7-9 /6 -o 9 13 Other: 4. Prior xperience in transport tion of passengers: ye.S aero vQ q S q C irci c4,7 k �yy .At 6 7�n'v,�►-t Oc �e / � 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? ye_S ,c� Type of offense 4;�'{z,n Gc._vi#y Where When nnner/2_ Ve,t4.) (�3 n't Lyleieu,�Cr-cc., ,S5qu(4/ l{�t.ass•tiehfii �- "Pc( (se ;M I;s6,1,,.4 eti A44e-rivi ecQ I�/`e�7��l e�cvt`1�(i' (04/ Toclict C,.ff t77 9�► 6. Have you been convicted of operatingg cfmotor vel5icle while under the influence of alcohol or drugs in the last five years? Ne_ve.,r Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? ) oAs2_ Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? NO 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) JV)6 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 w , I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 7C 1, 'V zc15 . 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 wi all of the provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) / / r, Signature of Applicant e "' 7 Date i / // ************************************************************************************************************************************************ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn motto before me by ma c ,, CYC A . 1-Inu L 1, c2 . On this /c tL. day of * QiAi WENDY S MAYER • - S (tel �_ o "i ^„mm,acion_Dlumber 729428 Notary Public�in and for the Mate of Iowa My Commission Expires ioW -1-13 lie 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). ll/ _________.- ignatu e of f Police Chief or designee 01.V/r 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. A.-e-ez. c.-) --e • --." "A/1- i//0// SignetCtre 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 • clerktaxidrivbadgeapp2010.doc 03/2013 fa, OfnceIowof DrirSaDepartment of Transpo( ali Frerti)800532-1121 PO Box 9204, Des Moines• IA 50306-9204 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 1/2/2014 DL/ID#: 769YY2955(IA) Customer#: 2349835 Name: Hamrick,Chadwick Class: C ID Status: None Aaron Address: 1627 RIDGE ST Audit#: 2177467 DL Status: SUR Issue Date: 05/28/2008 CDL Status: None City/State: IOWA CITY,IA Expiration 04/11/2013 CDL Cert None 522406050 Date: Status: Endorsements: NONE CDL Med None Status: Mailing Address: 1627 RIDGE ST Restrictions: NONE Restriction None Date of Birth: 4/11/1977 Supplement: Mailing City/State: IOWA CITY,IA Sex: N 522406050 History Information CLEAR DRIVING RECORD Name: Hamrick,Chadwick Aaron DL/ID:769YY2955 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: to®•� -.4A 1/2/2014 it'lik."�ni of Driver Services owaeDepartment of Transportation Name: Hamrick,Chadwick Aaron DL/ID: 769YY2955 Jan. 8. 2014 10: 14AM Div of Criminal Investigationy ?No. 0040 14U. 'ILIY EX P . 7/6 , - � uVVr (u , J. 4Y11 ILI 1111 VIt V1411, vi Li VI 'Vila 'si STATE OF IOWA. `i <� •w V � -``-;mum v; Criminal histo Record Check4:::4-F,s =- Request Form �(C� DCI Account-Amber: lit O)T kz- (IrapplIcable) To: Iowa Division of Criminalrnvestlgation From: city drown city Support Operations buroau, 1"p'loor City Clerk's Office 215 E.7h Street 410 E,Washington Street Des Moines,Iowa 50319 (SE)7254066 Iowa City, IA 52240 (515)725-6080 Fax S Ph : 319565491 • Fax: 319-3456--5497 I am requesting an Iowa criminal Nieto _Record Check on: .Last Name (mandatory) First (mandatory) Middle Name(recommended) Name Birth(mandatary) - GenrdeeCr(mandatory) Social Security Number @commendeal 7/— 7 7 j ale OFemale 2/83 16 5735" Waiver Information: Without a signed waiver from the subject ofthe request,a complete criminal history record may not be releasable,per Code allows,Chapter 692,2.For complete criminal history record Information,as allowed by law,always obtain a waiver signature from the subject of the request, • Weever Release:Ihereby give pemission for rheabove •• twins vi slut io conduct aa Iowa criminal history reca rd checkWM the Division of Criminal Investigation(DCI). Any criminal history data concern(•17-t is m: o ed6 'rtmay be rdccscd n aftowcd by law, I"' / Waiver Signature: of Ir , Iowa Criminal History Record Check Results SCI manly) I —*-,..;;:z (?i I As of \ ,3' t. 1' I _, a search of the provided name and date of birth revealed: i'C,.t r u•,`*l I F3.rn moi' w ;1,0 0 No Iowa Criminal history Record found with DCI yN mc • Iowa Criminal history Record attached,ACX# ChM. DCI initials I l' Received Time7Jan:"3.02014 12: 05PM No. 9815 J. 2014 10: 14AM Div of Criminal Investigation No. 0040 P. 8/8 • IOWA CRIMINAL HISTORY DCI 00507646 FELONY CONVICTION PAGE 1 OF 1 • DATE PRINTED- 2014/01/08 DCX:00507646 NAME: UAMRICI(,CHAD HAMRICK,CHADWICK AARON DOB SEX RAC HGT WGT EYE HAIR SRN POE 19770411 M W 508 165 BRO BLK LGT IA ADDITIONAL IDENTIFIERS CCH RECORD *** 01 ARRESTED 19950916 AGENCY: XA0920000 WASHINGTON CO SO CHARGE NO- 02 IA STATUTE IA708-7 HARASSMENT TRK#: 022450902 COURT DISPOSITION AGENCY; IA092015J WASHINGTON CO DIST COURT COUNT NO- 02 TA STATUTE IA708-7 HARASSMENT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 022450902 SENTENCE DISP EFF DAT FINE $100 19961024 02 ARRESTED 19980902 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA713-6 ATTEMPT BURGLARY 2ND DEG TRK#: 037241001 COURT DISPOSITION AGENCY: 1A052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA713-6(2) ATTEMPT BURGLARY 2ND DEG CHARGE CLASS: FELONY CONVICTION TRK#: 037241001 SENTENCE DISP EFF DAT • COURT COSTS 19990226 PROBATION 2Y 19990226 SUSPENDED 5Y 19990226 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 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 4 '