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Home My WebLink About18-064e CITY OF IOWA CITY IDENTIFICATION NO. _ /�`-�7 (0`1 (Office Use Only) APPLICATION FOR TAXICAB"I ML�RILLCPEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday) 2018 JUL 12 PM I:,in 410 East Washington Streel rdnu Iowa City. Iowa 52240-1826 (319) 3S6-5040 (3 19) 3S6-5497 FAX Last 1. Name (REQUIRED) 1C Qa 2. Address (REQUIRED) KIS 3. Contact Information (REQUIRED) CITY CLERK IOWA CITY. IOWA 4a. Driver's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of pa 11 /lo/zcz/ 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? ✓2 Type of offense Wh ee When roSfa SSiayt ll/1.l,'�J44ti r f• a� t�L✓1 �0 VorA2S Ctn1A��/ , / ov///JZC/W What happened to the charge? (Circle one) Convicted DismissedDefer Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? �.c t voe of otrense Where When SFeekn" 0� ,0 1I /7-71Zoi What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspe� \ Plead Guilty Other 8. Has your drivers license or chauffeurs license been suspended orvvoked"i e last five years? Where When C -44i.,, 0l n 0312c l e S 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) NG (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 04/2018 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STAT E FIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE 1010-DRIDI.EW You must apply for an individual Department of Criminal Investigation Report (Nff available upon request). (�U�lttll 12 PH 1: 30 CITY ��CLLyER�rtKIyy I hg�eby cert'�ry that I have issued to me by the Iowa Depart ent of Transporta0`n aCatid'AMA license number 1332 - .Z� 1 issued on i Z/)S�I& expiring on II ( o . I understand that if I falsely answer any questions in this application, that this application may 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, d I further agree that, if authorization to be a taxicab driver is granted, to comply at all times with all of the provisions of Title hapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date 7/) 2 / LO W 1111111!!1111:#fiftMfHfl��llfktllf-1 llfYtflfYl�f 11MMfY1Y�'11ffH1Ni111fMf.."* 6 * 6 . . 11ff111M1Nt STATE OF IOWA ) COUNTY OF JOHNSON ) and sworn to before me by 6L� ; 1I i c I&k F—emc-OtAc , on this ( 7 _ day of the State of Iowa I have reviewed this application, DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Dnyves license 7 SPO re of Police Chief or designee I/- /O, Z/ 7-1 z -/� Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. of City Clerk Office Use Only Approved application DCI report State certified driving record Website update 0e,WTM10RNR4DCEAPPL9201 BaawdeG DOC 7-) -1V Date 04/2018 I 0 IaTffili FILED Convictions Citation Date 1018 ppb ACD �Ll�lv�a�E7 &Ld?N ': 30 lCounty SMARTER I SIMPLER I IFT��',`,IR DRIVEN 111/2712013 QrFVicald S93 Pi'ox. I Phone � 5t5.2�912A i Fax' S1�220-1537�'4 JUR Certified Abstract of Driving Record Inquiry Date: 7/3/2018 DL/ID #: 433ZZ6331(IA) Customer #: 4701165 Name: Readman, William Class: C ID Status: None Fail to Satisfy Garrison Address: 2175 KOUNTRY LN Audit #: 1494275 DL Status: VAL SE APT 11 Issue Date: 12/15/2016 CDL Status: None City/State: IOWA CITY, IA Expiration Date: 11/10/2021 CDL Cert Status: None 522409302 Endorsements: NONE CDL Med Status: None Mailing Address: 2175 KOUNTRY LN Restrictions: NONE Restriction None SE APT 11 Supplement: - Date of Birth: 11/10/1987 Mailing IOWA CITY, IA Sex: M City/State: 522409302 History Information Convictions Citation Date Conviction Date ACD Ex lanation lCounty JUR 111/2712013 04 15 2014 S93 Seed I OH Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended 03/25/2014 04/15/2014 D53 Fail to Satisfy OH IA Non -Iowa Citation Name: Readman, William Garrison DL/ID: 433ZZ6331 Pursuant to Iowa Code §321.10, I, Darcy Doty, Director of Driver & Identification Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records held by Driver & Identification 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. Tn witnocc wh...nf T havo ranead my cippah,rc and thn coal of tho ncnprfmont M ho cct nnnn thic dnn.manf of Tnwa Name: Readman, William Garrison DL/ID: 433ZZ6331 FILED 7/3/2018 2818 JUL 12 PM 1: 33 Aal/-k� TM ( �_ Driver & Identification Services Iowa Department of Transporation Jul. 11. 2018. 8:31AM Div of Criminal Investigation (FAW19338Nou 6249 P' r.0021003 PILED 2018 JUL 12 STATE OF IOWA IO CIT Cl iinillal History Record Check. Request Porm t PH 1e 30 Watyerinformafionl Without a signed'yvalver from the subject of the request, a complgte criminal history record may not be releasable, per Code of Iowa, Chapter 692.2. For om tete criminal history record in;ormatto0, as allowed bylaw, always obtain a waiver signature from the tub ect.bf the re ueat. Waiver ReieaSet I hereby give pumisslon for the above rcqurtnbgrdal to ceadatJ an IOWA criminal history record cherk with dtc Division of Criminal Invesngatlon(DCQ. My aiminat history data oonwnfng me thubineln Imd by the IXT may be released as.gowotl by law, Waiver Signatu)-e; L✓• Iowa C riminal Hisfory Record Cheek Results (T)CI use only) As of a seaigt of the provided name and date of birth rovealyd: ❑ Aso Iowa Criminal His Record found with DCI r Iowa criminal llistoty Rtecoxd attac3ied,'ACI /''�� yv DCT i'rtilials�J ` � DCI -77 (08/25/10) !Y ; Received Time Jul, 5, 2018 1:354No. 1615 DCT AccounrNumber: 9967-F ' �(IfapelieAbb) • •• a• To: Iowa Division orcrlminsl lnves[Igation Support Operations Bureau, lrriiloor From: _Yellow Cdb ofYowa City 215 B. 7° Street P.O. Box. 428 Moines, Iowa 50329 (51 (515) 725-6066 •' Iowa City; YA 52244 • (515) 735.6080 Fax (119) 338-9777 Phone: Fax- (319)339-7302 I am r uestin an Iowa Crlminal'Mato kk 3iecord Check on: Last Name man Ar irst Name (�. Mi dle 112010 (recemmendad) Date of Birthq(mandatory) '.;Gender (maodetery ''Social-Sacu! Number rsoomtnt:td-A) 1100 0 /M 1 - 1 Tale ❑Female ! 112-`t 3gl61 Watyerinformafionl Without a signed'yvalver from the subject of the request, a complgte criminal history record may not be releasable, per Code of Iowa, Chapter 692.2. For om tete criminal history record in;ormatto0, as allowed bylaw, always obtain a waiver signature from the tub ect.bf the re ueat. Waiver ReieaSet I hereby give pumisslon for the above rcqurtnbgrdal to ceadatJ an IOWA criminal history record cherk with dtc Division of Criminal Invesngatlon(DCQ. My aiminat history data oonwnfng me thubineln Imd by the IXT may be released as.gowotl by law, Waiver Signatu)-e; L✓• Iowa C riminal Hisfory Record Cheek Results (T)CI use only) As of a seaigt of the provided name and date of birth rovealyd: ❑ Aso Iowa Criminal His Record found with DCI r Iowa criminal llistoty Rtecoxd attac3ied,'ACI /''�� yv DCT i'rtilials�J ` � DCI -77 (08/25/10) !Y ; Received Time Jul, 5, 2018 1:354No. 1615 �. Jul.11. 2018 8:37AM Div of Criminal Investigation No.6249 P. 3 , IOWA CRIMINAL HISTORY NON CONVICTION DCI:01045921 NAME: RRADMAN,BILL GARRISON READMAN,WILLIAM GARRISON RRADMAN,WILLIAM RAYMOND DOR SEX RAC HGT WGT 19871110 M W 506 135 DCT 01045921 PAGE 1 OF 1 DATE PRINTE 2038/07/11 1 L E D ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 20160411 AGENCY: IA0530000 JONES CO SO CHARGE NO- 02 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE TRK#: JROOOGRO2 COURT DISPOSITION AGENCY: TA053015J JONES CO DIST COURT COUNT NO- 01 IA STATUTE: IA124.401(5) POSSESSION OF CONTROLLED SUBSTANCE, MARIJUANA 1ST OPPENSS COURT CASE ID; 06531 SRCROO6422 CHARGE CLASS: NON CONVICTION TRK#: JROOOGRO2 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT lY 20160711 CIVIL PENALTY $315.00 CIVIL PENALTY 20150711 PROBATION lY 20160711 DISCHARGED FROM 20170324 DEFERRED JUDGEMENT 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 PINGERPRINTS 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 2818 JUL 12 PM 1: 30 EYE R B CITY BLV RO FAR TX IOWA CITY, ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 20160411 AGENCY: IA0530000 JONES CO SO CHARGE NO- 02 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE TRK#: JROOOGRO2 COURT DISPOSITION AGENCY: TA053015J JONES CO DIST COURT COUNT NO- 01 IA STATUTE: IA124.401(5) POSSESSION OF CONTROLLED SUBSTANCE, MARIJUANA 1ST OPPENSS COURT CASE ID; 06531 SRCROO6422 CHARGE CLASS: NON CONVICTION TRK#: JROOOGRO2 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT lY 20160711 CIVIL PENALTY $315.00 CIVIL PENALTY 20150711 PROBATION lY 20160711 DISCHARGED FROM 20170324 DEFERRED JUDGEMENT 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 PINGERPRINTS 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 Jul .11. 2018 8:3?AM Y DISCLAIMER Div of Criminal investigation No. 6249 P. 4 This response can only include public criminal history data. Under Iowa law, most juvenile records are confidential. Confidential juvenlle court records, if any, cannot be included In ihls response. A signed release authorization is not suNlclent to obtain this Information from the Division of Criminal investigatlon. In order to request the release of confidentialluvenile records, if any, an application most be filed pursuant to Iowa Code section 232.947(18), Additionally, criminal history data concerning convictions for certain juvenile sex offenses can be found on the Iowa Sex Offender Registry; http://www.iowasexoHender com/. However, even though some information is aSallable on this site, the actual records forjuveniles may still be confidential and any confidential juvenile records cannot be provided with this record. In order to request the release of confidentlaijuvenile records, If any, an application must be filed pursuant to Iowa Code section 232.147(18).