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Home My WebLink About18-072 f` IDENTIFICATION NO. • r 1 (Office Use Only) Ile APPLICATION FOR TAXICAB I MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m.to 3 p.m., Monday—Friday) CITY OF IOWA CITY 4 1 0 East Washington Street Failure to complete the "required"information will result in denial of the application Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX r First Middle Last 1. Name(REQUIRED) X31 a( r jeodrigy 2. Address (REQUIRED) I-131 5, 71h Ave. 1414_14; yicy\ -21-k 3. Contact Information (REQUIRED) Email: rod_ 2; 11676 &Yet 11e0, G4,rl Cell Phone: 3 9- 8:5 5 04/60 (All written communication sent via email) 4a. Driver's License expiration date (REQUIRED) 3 - 5- 2.02.0 b. Taxicab Business Name (REQUIRED) yellow c.4 ..1:01.4/A G r 47 5. Prior experience in transportation of passengers: T i,4uC t r►ben _o,T yel/ot./ G4 ti for 7 j/-Cb►r4. reek) ci►rtdcr5. 6. Have you ever been arrested/charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When A e-0- T 6 t^.,56,4 r ct cif - '"-' Y A akl! 5's t...1 ? 10- 2016 - 544:04 -1-44-46/t S-3o- lfl / I u FT- 7a 4 so,4 I -eel ?teff arie5 --it ) -4 What happened to the charge?(Circle one) �m - Convicted Dismissed Deferred Suspended Plead Guil 7. Have you been arrested /charged with any traffic offenses in the last five years? yef, co ao Type of offense Where When 5"feEi Powe sG,,eX 5- 30-,1616 falK 3 /o- 7-ot8 What happened to the charge?(Circle one) Convicted Dismissed Deferred Suspended Plead Guil Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? kJQ 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) N (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 04/2018 ) ( ll'iti ( ziAitlry 164,4 5.o,1 [- 7- 1 9.87 rogusow pct(0 Uro -hots ja4,7504 4- Al PLICATION FOR TAXICAB VEHICLE DRIVER Page 2 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). I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number yts,D A A-9807 issued on ti-i3-.2-6/5' expiring on .3.5-10;o . I understand that if falsely an§wer 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, and I further agree that, if authorization to be a taxicab driver is granted, to comply at all times with all of the provision of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant a , � Date 7'- S- 20($ ***********************************************************************************************************I**********k************************* STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and s ,rn to before me by 4 1! b.° 0 -B it on this G)./.-\ day of CHRIST IRC OLNE i -4011"211r10, ✓`.' bic 42 Commission Number.,.• Notary Public in and for"'State of Iowa **•k#* ***********AA AAAA A k4********************************** k***i******* ********* •_ C ) C"" :' t I have reviewed this application, DCI report, and the State certified driving record of this applic t hd ie d coed that there is no information which would indicate that the issuance would be detrimental to the safe't hAaltir'dr welof resi- dents of the City of Iowa City(Title 5, Chapter 2, City Code). fir- 1 i rri Expiration date of e s _ 3—C' Z 1 : = (fp —97 d 7- Z t/� Sign of Police Chief or designee 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. ldC-624) T , P L 7-- 7 -/ V Signature of City Clerk,:r designee Date **********************************************************************************************************A A A AA AA******************************* Office Use Only Approved application DCI report State certified driving record Website update Clerk/TAXIDRIVBADGEAPPL92018amended.DOC 04/2018 MIADoi Lwtpu'il.iavvadot.gav SMARTER I SIMPLER I CUSTOMER DRd 'EN Drive(&lde(uliiicstian SerMiees PO Cox 9?4! Res Wanes.IA 533306- Y: Phcne 5i5-244-91^.d 1 Fix 515.239-1837 Certified Abstract of Driving Record Inquiry Date: 7/23/2018 DL/ID #: 960AA9807 (IA) Customer#: 2228817 Name: Blair, Rodney Dean Class: B ID Status: None Address: 431 S 7TH AVE Audit#: 2720817 DL Status: VAL Issue Date: 04/13/2018 CDL Status: VAL City/State: WASHINGTON, IA Expiration Date: 03/05/2020 CDL Cert Status: Excepted Intrastate 52353 Endorsements: Motorcycle CDL Med Status: None Mailing Address: 431 5 7TH AVE Restrictions: CDL Intrastate Only Restriction None Supplement: Date of Birth: 03/05/1966 Mailing WASHINGTON, IA Sex: M City/State: 52353 CDL Downgrades Effective End Issuing JUR 03/17/2017 04/12/2018 IA History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 05/30/2016 06/05/2016 592 Speed Poweshiek IA 03/10/2018 04/05/2018 592 Speed Polk IA Name: Blair, Rodney Dean DL/ID: 960AA9807 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. 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: ,.iNT ur .,.,4 7/23/2018 Y 3 . 0,2'. ."1-A-41 e-b711-Lrcif-:"....._ \ 0 I IC./ fir .v* Driver&Identification Services jL DC -'c Iowa Department of Transporation Name: Blair, Rodney Dean DL/ID: 960AA9807 Ju1. 12. 2018 8: 30AM Div of Criminal Investigation No. 6406 P. 1/7 0ilu9i4ults ur3:ooreitowCab (F43193382708 P.002/002 " ` • STATE OF IOWA "'a " 4. . C 'Criminal HistoryRecord Check . o, M; ,ii4as'a i ` ;,.Sjl 4P ° Request Porta zI ,, • DCI Account Number; 9967-P (If applicable) To: Iowa Division or Criminal investigation From; Yellow Cab of Iowa City SupportOperationsBureau, 1"Floor. P.O Sox 428 215 E.7 Street • Das Moines,Iowa 50319 • Iowa City,IA, 52244 (515)7256066 (515) 725-6080 Fax (319)338-9777 . • Phone: I Fax; (319)339-7302 I am requesting an Iowa Criminal History Record Check on: • Last Name (mendvoy) „first Name(mandatory) • :Mi'ddle Name(recommended) ' 0 fF;r • i • . Date of Birth (mandatory) Gender(mandatary) .Soetal.Seenrity Number(recommended) 3 ' S' 196 • figMale C1emale 98/9V-2532 2 Waiver IJ{/'oni:atlon) Without a signed waiver from the subject of the regaest, a complete criminal history record way not be releasable,per Code of Iowa,Chapter 692.2.For complete criminal historyrecord information, a;allowed by)aw,always obtain a waiver signature from the sub)eeraf the request, • • Waiver Release:I duchy two pannlssion for thd'bboJe requesting official to conducc an Iowa Criminal Jtlstort regard ohtrdcwith the division°T rimlml Investigation(DCI). My criminal binary deco concerning in that is maintained by the Del may be teased at'olloweq by law, • Waiver Signature: cipet-, „„ > . r,: .. • • • Iowa Criminal History Record Check Results : • ',:, . , ._ , (DCI tied only) As of 4la— Ig , a search:of the provided name and date of birth revealed::.: r ci r ❑ No Iowa Criminal.History Record found with DCI J Iowa Criminal I3istory Record attached, DCI if 3 ((o 9 5$ • • • DCIinitials__ • DCI-77 (08/25/10) .. ii• • c Received Time Jul. 9. 2018 8:450 No. 1701 • . Jul, 12. 2018 8: 30AM Div of Criminal Investigation No. 6406 P. 2/7 IOWA CRIMINAL HISTORY DCI 00316955 FELONY CONVICTION PAGE 1 OF 5 DATE PRINTED- 2018/07/12 DCI:00316955 NAME: BLAIR,ROD BLAIR,RODNEY DEAN DOE SEX RAC HOT WGT EYE HAIR SKN POB 19660305 M W 601 321 HA2 BLK FAR IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y SC R WRIST SC UL ARM TAT UL ARM CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 19840401 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA715-1-6 FLS USE FIN INSTR 2ND TRK4I: L25803001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA715-1-6 PLS USE FIN INSTR 2ND CHARGE CLASS: STATUS UNKNOWN TRKf: L25803001 SENTENCE DISP EFF DAT JAIL 11D 19840412 02 ARRESTED/TAKEN INTO CUSTODY 19840530 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-2 THEFT 2ND TRKO: L25803101 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: OPERATE MOTOR VEHICLE W/OUT OWNER CONSENT CHARGE CLASS: MISDEMEANOR CONVICTION TRX#: L25803101 SENTENCE DISP EFF DAT PLEAD GUILTY 19840822 • JAIL 72D 19840822 03 ARRESTED/TAKEN INTO CUSTODY 19850625 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-5 THEFT STH DEG TRK$f: L25803201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: 1A714-2-5 THEFT 5TH DEO Jul, 12. 2018 8: 30AM Div of Criminal Investigation No. 6406 P. 3/7 • DCI 00316955 PAGE 2 OF 5 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25803201 SENTENCE DISP EFF DAT PLEAD GUILTY 19850706 PINE $100 19850708 04 ARRESTED/TAKEN INTO CUSTODY 19850725 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA713-5 BURG 2ND DEG TRK0: L25803301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: THEFT 4TH CHARGE CLASS: MISDEMEANOR CONVICTION TRIO: L25003301 RESTITUTION SENTENCE DISP EFF DAT PROBATION 17 19851002 SUSPENDED 90D 19851002 05 ARRESTED/TAKEN INTO CUSTODY 19060320 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-2 THEFT 2ND DEG TRK#: 1.25803401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-2 THEFT 2ND CHARGE CLASS: FELONY CONVICTION TRK#: L25803401 SENTENCE DISP EFF DAT PROBATION 5Y 19870129 CREDIT 22D 06 ARRESTED/TAKEN INTO CUSTODY 19860610 AGENCY; IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-1-3 THEFT 2ND DEG TRIO: L25003501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-1-3 THEFT 2ND DEG CHARGE CLASS; FELONY CONVICTION Jul; 12. 2018 8: 30AM Div of Criminal Investigation No. 6406 P. 4/7 DCI 00316955 PAGE 3 OF 5 TRK#• L25803501 RESTITUTION SENTENCE DISP EFF DAT PROBATION SY 19870129 07 ARRESTED/TAKEN INTO CUSTODY 19870107 AGENCY: IA0520000 JOHNSON CD SO CHARGE NO- 01 IA STATUTE IA708-4 WILLFUL INJURY TRK#: L25803601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: TERRORISM CHARGE CLASS: FELONY CONVICTION TRK#: L25803601 RESTITUTION SENTENCE DISP EFF DAT CONCURRENT W/CYCLE DOA 05/10/86 19870226 PROBATION 5Y 19870226 08 RECEIVED 19870129 AGENCY: IA052015M OAKDALE IMCC CHARGE NO- 01 IA STATUTE IA714-2-2 THEFT 2ND TRIO: L25803701 INMATE #: 803150 CHARGE NO- 02 IA STATUTE IA714-2-4 THEFT 4TH TRK#. L25803702 COURT DISPOSITION AGENCY: IA0520150. JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-2 THEFT 2ND CHARGE CLASS: FELONY CONVICTION TRIO: L25803701 SENTENCE DISP EFF DAT PROBATION 5Y 19870129 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE; IA714-2-4 THEFT 4TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25803702 SENTENCE DISP EFF DAT CONSECUTIVE SENTENCE WITH CT 01 19870129 JAIL 90D 19870129 COURT DISPOSITION Jul, 12. 2018 8:30AM Div of Criminal Investigation No. 6406 P. 5/7 • DCI 00316955 PAGE 4 OF 5 AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE; TERRORISM CHARGE CLASS; FELONY CONVICTION TRK#: L25803703 SENTENCE DISP EFF DAT JAIL 5Y 19870226 CONCURRENT WITH CT 01 & 02 19870226 CUSTODY AGENCY: IA053015C ANAMOSA MENS REFTY A 19870226 RELEASED BY COURT ORDER CUSTODY AGENCY: IA053015C ANAMOSA MENS REFTY B 19870226 RECEIVED RETD ON COURT ORDER CUSTODY AGENCY: IA077015G ADULT PAROLE SVC C 19880302 PAROLED CUSTODY AGENCY: IA052015M OAKDALE IMCC D 19881208 PAROLE REVOKED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC E 19890510 PAROLED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC P 19890831 DISCHARGED FROM CRIMINAL JUSTICE SYSTEM 09 ARRESTED/TAKEN INTO CUSTODY 19051116 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA906-1 PAROLE VIOLATION TRIO: L25803801 COURT DISPOSITION AGENCY; IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA906-1 PAROLE VIOLATION CHARGE CLASS: FELONY CONVICTION TRIO: 1.25003801 SENTENCE DISP EFF DAT TO SERVE HAL 06/10/86 19900703 10 ARRESTED/TAKEN INTO CUSTODY 19901102 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-1-6 THEFT 1ST TRK#: L25803901 COURT DISPOSITION Jul, 12. 2018 8: 31AM Div of Criminal Investigation No. 6406 P. 6/7 • DCI 00316955 PAGE 5 OF 5 AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-1 THEFT 1ST CHARGE CLASS: FELONY CONVICTION TRK8: L25803901 SENTENCE DISP EFF DAT JAIL 10Y 19910912 2D CREDIT 11 RECEIVED 19910913 AGENCY: IA052015M OAKDALE IMCC CHARGE NO- 01 IA STATUTE IA714-2-1 THEFT 1ST TRIO: L25804001 INMATE ft: 803150 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-1 THEFT 1ST CHARGE CLASS: FELONY CONVICTION TRK#: L25804001 SENTENCE DISP EFF DAT JAIL 101 19910913 CUSTODY AGENCY: IA077015G ADULT PAROLE SVC A 19940714 PAROLED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC B 19960714 DISCHARGED FROM CRIMINAL JUSTICE SYSTEM 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 OP YOUR INQUIRY. ,�^,, DIVISION OF CRIMINAL INVESTIGATION /, y y` Jul, 12. 2018 8:31AM Div of Criminal Investigation No. 6406 P. 7/7 DISCLAIMER This response can only include public criminal history data. Under Iowa law, most Juvenile records are confidential. Confidential juvenile court records, if any, cannot be included in this response. A signed release authorization is not sufficient to obtain this information from the Division of Criminal Investigation. In order to request the release of confidential juvenile records, if any, an application must be filed pursuant to Iowa Code section 232.147(18). Additionally, criminal history data concerning convictions for certain Juvenile sex offenses can be found on the Iowa Sex Offender Registry: htto://www.lowasexoffender.com/. However, even though some information is available on this site, the actual records for-Juveniles may still be confidential and any confidential Juvenile records cannot be provided with this record. In order to request the release of confidential Juvenile records, if any, an application must be filed pursuant to Iowa Code section 232,147(18).