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Home My WebLink About19-036IDENTIFICATION NO. I � — O 3(, 1 l 1 (Office Use Only) 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 41 0 East Washington street Failure to complete the "required" information will result in denial of the application Iowa City, Iowa 52240-1826 (3 19) 356-5040 (3 19) 356-5497 FAX Last i a\neA 1. Name (REQUIRED) _ � Z 2. Address (REQUIRED) jr 3. Contact Information (REQUIRED) Email 4a. Driver's License expiration date (REQt b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of pa First sent via email) 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or else ff Type of offense Where When 6 J What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offetnse Where- When r:] 2 5 2019 Iowa City, Iowa 9 What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other i`t a c Has your drivers license or chauffeur's license been suspended or revoked in the last five years? Type of offense nn pp n/� Where ^� p When mn Dk3q�V1Ev�� r# 4C'A T , Cha, 1)'211 7 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) FOR REQUIRED 04/2018 A,sc,��e� 1niUf rick' CUA Ca� /��S 1/ 2'��CanJCtCC' aai5 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 hereb certify that I have issued to me by the Iowa Department of Transpo tion a valid Driver's license number t0 ��3 �i issued on 7Y A / I W expiring on 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 provisions of Title 5, 1phapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant (�t Date ' It "I 111 NNNMIN\1i\1NNN1111NN\1Nfi11fN1NN1ff fflfNlNNf\1NNNNNN1fN1NN}NffNfNbf 411Nf f 1ff1f\HN1Nk1f fl1ff44NN}f111NNNN1 STATE OF IOWA ) APR 2 5 2019 COUNTY OF JOHNSON ) sworn to before me b CI C rk Subscribed and � Y � � s�b�C � : \ Sir on tljpw day of in and for 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 da D * er' cense °I ` 15- - Zrl Z C Sign a 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. Office Use Only Approved application DCI report State certified driving record Website update -')�s— /-/ Date aerk/TMORMADcenPvL92018a�.DOC 04/2018 I Apr. 1.2019 11:30AM UC1 IOWA Il , IOWA CRIMINAL HISTORY DCT 00514269 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- DCI:00514269 2019/04/01 NAME: MILSTER,ELIZABETH GAYLE DOH SEX RAC HGT WGT EYE - HAIR SKN POB 19740915 F W 502 175 ELK BRO FAR • MO ADDITIONAL IDENTIFIERS TAT L ANKL TAT L HIP TAT NECK TAT R ANKL PHOTO AVAILABLE: Y CCH RECORD +;• 01 ARRESTED/TAKEN INTO CUSTODY 19951222 AGENCY: IA0520400 IOWA CITY UNIV SEC PD CHARGE NO- 01 IA STATUTE IA124-401-3 POSS BCH I -MARIJUANA TRK#: 018652401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA124-401-3 POSE SCHEDULE I MARIJ COURT CASE ID:'06521 ERCR040094 CHARGE CLASS: NON CONVICTION TRK#: 018652401 SUBSTANCE ABUSE EVALUATION SENTENCE DEFERRED JUDGEMENT PROBATION 365D UNSUPERVISED COMMUNITY SERVICE '20H DISCHARGED FROM DEFERRED JUDGEMENT 02 ARRESTED/TAKEN INTO CUSTODY 2015071S AGENCY: IAOS20200 IOWA CITY PD CHARGE NO- 02 IA STATUTE IA716.5 CRIMINAL MISCHIEF 3RD DEGREE TRK#: IAOOL7902 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA716.6(2) CRIMINAL MISCHIEF STH DEGREE Damage Under $200 COURT CASE ID: 06521 AGCR109112 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1AOOL7901 RESTITUTION DISP EFF DAT 19960415 19960415 19960415 19961212 SENTENCE DISP EFF DAT TIME SERVED 9D 20151210 JAIL 91) 20151210 COMMUNITY SERVICE IN LIEU OF PYMNT, COMM SERV 20151210 No. 2777 P. 2/3 i Apr. 1. 2019 11 ; 30AM I)C1 IOWA AT FEDERAL MIN WAGE (7.25) DCI 00514259 PAGE 2 OF 2 No. 2777 P. 3/3 An arrest without disposition is not an indication of guilt, This reobrd 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. 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: http;//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, Is 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 CJ10WA00T SMARTER I SIMPLER I CUSTOMER DRIVERwww•iowadot.gov Driver 81denlil[cation Selvices PO Eax 9367 I Des 1„ cines. IA 34309281 Phone: 515-744.91241 Fa(- 51:-239.1897 Certified Abstract of Driving Record Inquiry Date: 3/26/2019 DL/ID #: 242AD3839 (IA) Customer #: 5401729 Name: Mister, Elizabeth Class: D ID Status: EXP Gayle Address: 1840 S Gilbert St Audit #: 2979564 DL Status: VAL Apt 1 Issue Date: 07/11/2018 CDL Status: None City/State: Iowa City, IA Expiration Date: 09/15/2022 CDL Cert Status: None 522404311 Endorsements: Chauffeur 3 CDL Med Status: None Mailing Address: 1840 S Gilbert St Restrictions: NONE Restriction None Apt 1 Supplement: Date of Birth: 09/15/1974 Mailing Iowa City, IA Sex: F City/State: 522404311 History Information Convictions Citation Date Conviction Date ACD Ex lanation County IUR 108/11/2016 109/28/2016 S92 Seed Johnson IIA Sanctions Type Effective End ACD Explanation Occurrence IUR ]UR Suspended 01/02/2017 03/05/2017 D53 Non -Payment of IA IA Iowa Fine Name: Milster, Elizabeth Gayle DL/ID: 242AD3839 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: Name: Milster, Elizabeth Gayle DL/ID: 242AD3839 3/26/2019 Driver & Identification Services Iowa Department of Transporation