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Home My WebLink About18-117IDENTIFICATION NO. 1 q;?� -- 1) :] r 1 (Office Use Only) iIII—XW�� ®i� _ ��'' ((y� APPLICATI$4 F@R QXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday) CITY OF IOWA CITY t .tom fr� .,n,.� Qp`.:l 41 0 East Washington Street Failure to i6lgll/plB 16@ "I@ Y"Anformatlon will result in denial of the application Iowa City, Iowa 52240-1826 _ - (319) 3S6-SO40 (319) 3S6 -S497 FAX �''' // First Middle 1. Name (REQUIRED) _J7//c,1110 C �� CtiyWw1'Ck- // 2. Address (REQUIRED) aS/9 77� )9 T.q 5 -a-2'V 3. Contact Information (REQUIRED) Email: C`rko flci '/ co.ti Cell Phone: -74/7c (All written communicat sent via email) 4a. Driver's License expiration date (REQUIRED) � / % 1,2,2— b. 2L- b. Taxicab Business Name (REQUIRED) e (fo( Cq (j o-�'\-/ c L.va /C� I STV 5. Prior experience in transportation of (passengers: 3 Ine'l 4iSg S ri C`rg r eI r L7 C 144(-)j h a613, beth dr. V1` 110 7o q Cl l/ S/Ce_ hcig/ 06' 20151 6. Have you ever been arrested/ charged With any misdemeanors and/or felonies in this State or elsewhere? i h Z;4e r rva ui unCn56 Where When � 2i in;� � ��is '%.n 2e✓e� ,`.1 ,.,6�. Jg9Sw�,, Z r.<,Qs /B. (fj5sarU�1giaSS. lent gnGC �u�se i / ,soq •�e� a G e S tic/ l�"I HV �j]vS� r� p�000, S VeR�S la 1�/ r� e,/ 'A evtrl c-ticl-5 99 8. What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guil Other 7. Have you been arrested / charged with any traffic offenses in the last five years?(2 S Type of offensher « r eV i c9�2mr��ifs) When / gr/v/e 06 frA c s,"o� PLCevrb�cJ �Gl5r' L✓4c/ ih e c�rls�K,rrc/ aa�ys Srikyeore ri nr vs/ ao/y: o What happened to the charge? (Circle one) IVOV o41 ao 1 Convicted Dismissed Deferred Suspended Plead Guilty Other t 8. Has your driver's license or chauffeur/s license been suspended or revoked in the last five years? o Tvce 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) AI 04/2018 APPLICATION 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 he that I hie issued to me by the Iowa D pa ment of Transportation /a v lid Driver's license number i CMAPs5 issued on 1 2 �`l expiring on `fl �ZZ 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, and I further agree that, if authorization to be a taxicab driver is granted, to comply at all times with all of the provis/ionj f Title 5, C apter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant L Date / 2-//7 AE m»+++++++++++++++++mr+++mrr+»++++++++r++m++++++m++++m+++mm++++«++++++++++++m+++++++ms+mm+++++++m+++++++m++++++r++ STATE OF IOWA ) COUNTY OF JOHNSON 1 Subscribed and sworn to before me by LLurCi A"r 1 A Asv r'r k on this 1-7 day of Ali Pr s,-,. of 7n ICL for the State(df lowa_-'�-' I have reviewed this application, DCI report, and the State certified driving record of this applicant and have defoifnined 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 ri nse y -ZZ ��-2 Z �7 Siert re 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. Signat re of City Clerk designee Date Office Use Only Approved application DCI report State certified driving record Website update aeM1/rAXIDRN94DGEAPPL92o18em dd.Doc 04/2016 CJ10WA00Twww.iowadot.gov SMARTER I SIMPLER I CUSTOMER DRIVEN L �0 Diner a kith a adon services PO Bwt 92M I Des IAdne& IA 50W0 M Phone 515.241-9124 1 Fax S 15-239-1837 Certified Abstract of Driving Record Inquiry Date: 12/6/2018 DL/ID #: 769YY2955 (IA) Name: Hamrick, Chadwick Class: D t Aaron None') •t^r�"' Address: 2518 INDIGO DR Audit #: 7661903 Issue Date: 01/02/2014 City/State: IOWA CITY, IA Expiration Date: 04/11/2022 Supplement: _ 522406808 under in 35-55 mph O Endorsements: Chauffeur 3 Mailing Address: 2518 INDIGO DR Restrictions: NONE Date of Birth: 04/11/1977 Mailing IOWA CITY, IA Sex: M City/state: 522406808 History Information Convictions Customer #: 2348835 ACD ID Status: NolVP 1UR DL Status: VAL 1 t CDL Status: None') •t^r�"' _ CDL Cert Status: Nonip- 1 SI n SI nal CDL Med Status: None- S92 Restriction - None :�-i�I V Supplement: _ �D under in 35-55 mph O CO citation Data Conviction Date ACD Explanation County 1UR 01/05/2015 02/03/2015 M14 Fail to Obey Traffic Johnson IA SI n SI nal 11/15/2018 12/05/2018 S92 Speed (10 mph & Appanoose IA under in 35-55 mph zone Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Cate Number 3UR 06/07/2014 802293 IA 08/20/2014 813321 IA 07/2Z/2017 994283 IA Name: Hamrick, Chadwick Aaron DL/ID: 769YY2955 Pursuant to Iowa Code §321.10, 1, Darcy Doty, Director of Driver & Identification Services, Iowa Department of Transportation, do hereby certify that 1 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: Name: Hamrick, Chadwick Aaron DL/ID: 769YY2955 12/6/2018 Driver & Identification Services Iowa Department of Transporation N Q t� 0 121 ec, 11 20 181. 2:r25PM�ab DCI IOWA UWW 0*319338Pnni 4621 P. r.0021002 .rStATE OF • t t: a .. t o Ch Form Jai,�jrn�cX` To; Iowa Divislon of Criminal Invt$i gation Support OperAtlons Bureau, I" Floor 115 E. 7" Street Des Moines, Iowa 50319 (5157 72.5-6066 (515) 725-6080 Fax M I am requesting an DCI A000uhf Number: 9967-F �- (ifapplloable) From. Yellow Cab 91 Iowa City P.O.13ox 428 Iowa City, IA. 52244 (319) 338-9777 Phone; Bax: • (319) 339-7302 ro ✓I Data of.B/irth (o, od.re,y Gender (mandat 'Social- Security Plumber seoornmended alo ❑Female .$ 96a> —,5-7.3 !& 1Faiver Aforlitatlon: Without a signed walver from the subject o€ the J regpast, a complete griminal history record mey not It releasable, per Code of Iowa, Chapter Q2.2, For complete criminal hastoryrecoro information, as allowed bylaw, ltJways obtain a waiver slvnnteirr frnm rh. e.. ws... —,,c - ___.-__. Wabe/ CifaSe: I hereby dive pgminloo thr theebovc roqunilnd official to eondoct m Iowa edminel binoty [word eiwek whh the Division of Criminal Invuliaticn (DCI). Any 90minal history dale cone MI ftdiar ret y1 typy the DCI m e d at.alloxrotl bylaw, %i % Z kan waiver ,t,wa l TIm1Ilal t1IstOr xbeeolyd Check Results (Dctuse only) As of ?`l l �� a search of the provided name and date of birth revealed: / l 0f.'i ❑ No Iowa GYimltial History Record found with DCT 1 ; Iowa Criminal History Record attached, DCI # i� r DCI thitials ' tD DCI -77 (08/25/10) Received Time Dec. 6. 2018 10:21AM No.3958 Dec. 11. 2018 2:25PM DCI IOWA IOWA CRIMINAL HISTORY DCI 00507646 FELONY CONVICTION AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO- 02 IA STATUTE IA708-7 PAGE 1 OF 2 TRK#: 022450902 DATE PRINTED - COURT DISPOSITION 2018/12/11 DCI:00507646 COUNT NO- 02 IA STATUTE: IA708-7 NAME: HAMRICK, CHAD CHARGE CLASS: MISDEMEANOR CONVICTION HAMRICK, CHADWICK AARON TRK#: 022550902 SENTENCE DOB SEX RAC HGT WOT EYR HAIR SKN POB 19770411 M W 508 165 BRO BLK LGT IA ADDITIONAL IDENTIFIERS No. 4621 P. 2 CCH RECORD ... 01 ARRESTED/TAKEN INTO CUSTODY 19950916 AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO- 02 IA STATUTE IA708-7 HARASSMENT TRK#: 022450902 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- 02 IA STATUTE: IA708-7 HARASSMENT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 022550902 SENTENCE DISP EFF DAT PINE $100 19961024 02 ARRESTED/TAKEN INTO CUSTODY 19980902 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA713-6 N m ATTEMPT BURGLARY 2ND DEG TRK#: 037241001 COURT DISPOSITION10 AGENCY: iA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA713-6(2) '� n ATTEMPT BURGLARY 2ND DEO CHARGE CLASS: FELONY CONVICTION CD 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. rn 10 Dec -11.2018 2:25PM DCI IOWA No. 4621 P. 3 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(19). Additionally, criminal history data concerning convictions for certain juvenile sex offenses can be found on the Iowa Sex Offender Registry: htCp://www.iowaoexoffender.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(19). 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