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Home My WebLink About19-029/ IDENTIFICATION NO. I q— l 1 r 1 (Office Use Only) • w11®�� City G`'�,; owa Ci`' APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday) CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (3 19) 356-5040 (3 19) 356-5497 FAX Last 1. Name (REQUIRED) _ 2. Address (REQUIRED) Failure to complete the "required" information will result in denial of the application 3. Contact Information (REQUIRED) Email: W 1 (All written 4a. Driver's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED) First k,u 19 m (3) /relI icatiion tbrit via email) 1U8S Middle 5. Prior experience in transportation of passengers:,�K i Inn % OCA(v lb r' 2-M `if\-k4!,3i ,— 5�� 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? J Convicte Disrms� Deferred, Suspend Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offense Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 101 9. Have you ever aClieedd to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) (StGUNU PAGE ANU NU1 ARY) 04/2018 P -M APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 DEPARTMENT OF CRIMINAL INVESTIGAT)Q�yN �(DCI) REPORT AND STATE CERTIFIED DRIVING RECORD MUST ACCOMPANY THIS APOLIMION FOR POLICE CHIEF REVIEW You must apply for an individual Department of Criminal Investigation Report (form available upon request). I herebyce t Ipph�?v issued to me b the Iowa Department of Trans rtati n a vali Driver's license number Ou y issued on 2 I e expiring on 0 ? . 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 applic tion, and I further agree that, f authorization to be a taxicab driver is granted, to comply at all times with all of the provisions of itl 5. Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) si Signature of Applicant Date ✓ a-7 STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by \��c1rC '0 � L I in and for the on this �h day of -11� I ac, 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 riv cense Signa 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. Clerk or Office Use Only Approved application DCI report State certified driving record Website update aeM1RA%IDRWB EAPPL92018artw+Metl.DOC 4-1 -Ig Date 04/2018 C4610WADOT ,anA wJowadot giN SMARTER I SIMPLER I CUSTOMER DRIVEN Ddrer a tdaarrearott aerriees PO Bast 9QD4I Des Masles<N5D90680D1 Phone: 515-24"1241 Fax: 515.2390887 Certified Abstract of Driving Record Inquiry Date: 3/29/2019 DL/ID #: 781ZZ7885(IA) Customer #: 1045217 Class: A Name: Graper, Ashley Nicole Audit #: 2596958 Address: 4 Parkside Estates Rd Issue Date: 03/02/2018 Expiration Date: 10/02/2025 City/State: Washington, IA 523532954 Endorsements: NONE Mailing 4 Parkside Estates Rd Restrictions: NONE Address: CDL Permit Restriction None Mailing Washington, IA 523532954 Supplement: City/State: Restrictions: _ IIA Date of Birth: 10/2/1982 DL Status: Sex: F VAL CDL Downgrades CDL Permit Class: None CDL Permit Issue None Date: CDL Permit None Expiration Date: Explanation CDL Permit None Endorsements: CDL Permit None Restrictions: _ IIA ID Status: None DL Status: VAL CDL Status: VAL CDL Permit Status: ELG APR 1-2019 Ciiy C/efk Iowa City, Iowa CDL Cert Status: Excepted Interstate CDL Med Status: None ffective End Issuing 3UR )1/03/2017 01/09/2017 IA History Information Convictions :itation Date Conviction Date ACD Explanation IUR County L0/23j2614 23/2014 ... 02/13/2015 S92 (Speed (30 mph & under in 35-55 mph zone) _ IIA - rohnson )3/19/201505/06/2015 592 iISpeed -_ _ Wright )2/07/2016 04/06/2016 'x,592 ,Speed IIA IA ,Lee Name: Graper, Ashley Nicole DL/ID: 781ZZ7885 (IA) Pursuant to Iowa Code §321.10, I, Darcy Doty, 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: MEw, vr'n. e 3/29/2019 A212 A Driver & Identification Services Iowa Department of Transportation Name: Graper, Ashley Nicole DL/ID: 781ZZ7885 (IA) 021Feb. 27. 20191;! 3:OOPMCeb DCI IOWA ffA103193m81No.7103 P. 1/31002 STATE OF IOWA Cri:IldbAl HistOxyl Recard Cleck ". t Y C/ r Roquest FbTH3 Tht IaWaTf,[vlilon:of.CemtinajnyerQation Slgipe¢; Opciedoiis�erd>tu, I�`Ftoar iis>~ r^ swat Desd(R;alne lora ]9 f��4• ))CTAeoo8nt Ntmebx: _99..27-F Vf agptibabk) Fr m: _Yd11t»v Cab.elIBwa city P9.RoxM Iowa Chy. I:4_. 52244 (319)3$=9179 I'tnoma: Par: (319) 339-7M I ton ro enxotast nef g Roe -Mod Oh6ek-on; I:95fi�aliy:@(maoaiteg9 . ,'.. ?`. Fu(8.t. �. RAi9'.Cnwiilu " • ?V1Itx8ld'A7�n[k {realIom__monaee), Date of $1rEtr Ca�eNl+to Cende# (�+n)"` I �7 i c' �ulhtb l %r•�i�j OmAle ema]e 'T ' V ( ( I I Ei!utver . ►trat;atloni• Ond,�kxl�ed'OLA1vli.�j`Utitttail4�rJegt'dtJIliat�ejudttar:doo'rpt'eie(ethal�4*Ff�ietory'resoidmyyant tie.reteasi[biSPti'�oBAi.of'%wbi�'EdytEi'89Z�:'I�rcom Tete"orlrh,'va�11+1sk' geN°?4..i fl4 d°9. ,>< Y P �ili`1ni�rYit s !r wod: ]avx Iwa e o6tain:atirsigt;ai torr�om.th - ectott]irrt nea£: l�i�Q�M1!ttj'��i$.IC,prebyi(11I. osiM1erbpreo954iuhrcmducCe4do vuSmGw:F'..�icootd ]a�eaBaW�,t�W),,@rlahnOuCtdsro�'Wg `� ?T� , dM'11h 91e Dlvisian o7Gimiod 1,7 QDC1 eaeeW AS of a e'6e$r4* of the provided mmne and date of birth revealed: STATE OF IOWAA 1db Iowa Crih'iftiel.Tlirtorq RCacord found with DCI FEB 212019 DIV OF CRIMINAL IP Tova CYltninelIistury Recorda#]tach:d„D.Ci # �p50 3 DtiiinitislS�� Dbi-77•(a waw Received Time Feb, 21. 2019 10:51AM No. 5936. T Feb.27.2019 3:OOPM DCI IOWA IOWA CRIMINAL HISTORY DCI 00650813 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- DCI:00650813 2019/02/27 NAME: GRAPER,ASHLBY NICOLE DOB SEX RAC HGT WGT EYE HAIR SKN POB 19821002 F W 505 170 GRN BRO FAR IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLRf Y TAT BACK TAT L FOOT TAT L SHLD TAT R ANKL TAT UL ARM No. 7103 P. 2/3 I.; " i - 2079 CCH RECORD 01 ARREBSED/TAKEN INTO CUSTODY 20010812 AGENCY: IA0920100 WASHINGTON PD CHARGE NO- 01 IA STATUTE IA124-401-5 POSSESSION/MARIJUANA TRX#: 055399601 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE: IA124-401-5 POSSESSION MARIJUANA CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055399601 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20011009 COURT COSTS 20011009 PROBATION lY 20011009 JAIL 711 20020117 FINE $250 20020117 COURT COSTS 20020117 RESTITUTION SERVICE 20020117 REVOKED 20020117 02 ARRESTED/TAXEN INTO CUSTODY 20020305 AGENCY: IA0920100 WASHINGTON PD CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC INTOXICATION TRX#: 055423901 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123.46 CONSUMPTION / INTOXICATION COURT CASE ID: 05921 SMSM036477 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055423901 SENTENCE DISP EFF DAT JAIL 5D 20020320 CREDIT W/TIME SERVED 20020320 No. 7103 P. 2/3 I.; " i - 2079 Feb.27.2019 3:OOPM DCI IOWA DCI 00650813 PAGE 2 OF 2 03 ARRESTED/TAXEN INTO CUSTODY 20080620 AGENCYe IA0520100 CORALVILLE I'D CHARGE NO- 01 IA STATUTE IA726.6(7) ENDANGERMENT/NO INJURY TRK#: IA004FTOI COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA726.6(7) CHILD ENDANGERMENT/NO INJURY COURT CASE ID: 06521 AGCROB3748 CHARGE CLASS: NON CONVICTION TRK#: IA004FT01 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20081024 PROBATION 1Y 20081024 DISCHARGED FROM 20090819 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, No. 7103 P. 3/3 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(18). 1L Additionally, criminal history data concerning convictions for certain juvenile sex offenses can be found on the Iowa Sex Offender Registry: � http://www.iowasexoffender.com/ . However, even though some information is APR available on this site, the actual records for juveniles may still be 1 1019 confidential and any confidential juvenile records cannot be provided with this record. In order to request the release of confidential juvenile City Clerk records, if any, an application must be filed pursuant to Iowa Code IOWA C)ty,lOWa section 232.147(18). 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