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Home My WebLink About19-042r ILED IDENTIFICATION NO. IC%, — 4 / r 1 (Office Use Only) MAY 08 2019 . _ APPLI(VkT)Qiy1fiQR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Deq"eg4tTvI4Wpust 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 (319) 356-5040 (319) 356-5497 FAX First Middle Last 1. Name (REQUIRED) 2. Address (REQUIRED) 3. Contact Information (REQUIRED) Email: Ca �i,,n,r,Lc �;� (1 ��" Co-ACell Phone: (All'written communication sent vld email) 4a. Driver's License expiration date (REQUIRED) \4 AC— b. Taxicab Business Name (REQUIRED) YE I(Ou% 5. Prior experience in transportation of passengers: 6. Have you ever bee n this State or elsewhere? 1W i65 Type of offense Where \,Ii � When W��MZW1fiEgTdT ? (Circle one) L Convicted lsmiss Deferred Suspended P ad ilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? 40* Yeo, Type of offense Where When Ia-: What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended lead Guil Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? tin Type of offense Where When 9. Have you ever applied to bean Iowa City taxi driver using a different name? If yes, please provide the name(s) (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 04/2018 APPLICATION FOR TAXICAB VEHICLE DRIVER FILED Page 2 DEPARTMENT OF NAL INVESTIGATION (CQ REPORT AND STATE DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE Wall You must apply for an individual Department of Criminal Investigation Report (form av$gja��OWF6quest). Ity, Iowa I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number 1��1 ftC _ issued on xpiring on -1-2{ -aD, . I understand that if I falsely answer any questions in this application, that this application may be denied. I agree that in making this application, I consent to allow agents or employees of the City of Iowa City, Iowa, in their discretion, to examine any and all records and documents relating to this application, and I further agree that, if authorization to be a taxicab driver is granted, to comply at all times with all of the provisions of Title 5, ChERter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant �� " q Date tJ - - C . STATE OF IOWA ) COUNTY OF JOHNSON 1 Subscribed and sworn to before me by C -I n Tpv-Z d L . I D tA-Z p r on this day of i%&f alnOf 1. �% 12t S. MA�tR Notary Publi n and for the State of lfwa ty Exprw I have reviewed this application, DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Dry 's ' nse O i -0`l - �_>aZ Signalypo�0 Police Chief or designee 0�-- 0$ - 2011 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 r�- S--) 9 Date O&WTAXIDRNBADGFAPPL9201B mended DOC 04/2018 FILED ,U#41j%jTMAY 08 1019 SMARTER I SIMPLER I CUSTOMER DRIVEN IDVVadoit N x'41 Clerk Deb =1,0 II1n City, Iowa po Bax m I Das i 11,11 Bs .rA Thune- 515-ZU-9194 i FBII: 5154W IM Certified Abstract of Driving Record Inquiry Date: 4/26/2019 DL/ID #: 129AC3200 (IA) Customer #: 5234945 Name: Lanier, Cyntonia Class: C ID Status: VAL Latrice Address: 2418 ASTER AVE Audit #: 1911264 DL Status: VAL Issue Date: 06/23/2017 CDL Status: None City/State: IOWA CIT', IA Expiration Date: 07/04/2022 CDL Cert Status: None 522406731 Endorsements: NONE CDL Med Status: None Mailing Address: 2418 ASTER AVE Restrictions: NONE Restriction None Supplement: Date of Birth: 07/04/1975 Mailing IOWA CITY, IA Sex: F City/State: 522406731 History Information Convictions Citation Date Conviction Date ACD I Explanation County JUR 12/20/2017 02/09/2016 S92 I Speed Johnson IA Name: Lanier, Cyntonla Latrice DL/ID: 129AC3200 Pursuant to Iowa Code §321.10, I, Darty 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: 4/26/2019 A2-.Ik:5_ Driver & Identification Services Iowa Department of Transporation Name: Lanier, Cyntonia Latrice DL/ID: 129AC3200 FILED MAY 0 8 2019 City Clerk Iowa City, Iowa MAY j.2019 11:,hy��Cllb UC1 IOWA ffAMIS 3 -aw 9421 P• r4J02/002 FILED STATE OF IOWA �_ � I r ♦� � . ori; . • a C)wa City, Iowa To; Iowa Dlvition of Crimanal lnVtJtfgatlon Support Operations Bureau, I Ir'loor 215 E. 7" Street Des Moines, Iowa 50319 (515) 725.6066 (51S) 725-6050 pax `r I am requesting an low, Crimivat P,... -a DCT Account Number; _9967—F . (7appliubl•) From; Xellow Cab, of Iowa City P.O. Box 428 Iowa City, IA.. $2244 019) 338-9777 phone Fax_ (319) 339-7302 Last Name (mend■ ;Brat Name man °M{ddlo NWnt f■oommaiWed Date of Birth (mandatory) 'Gender (mandamry) 'Social. SecurityNumber r m=Nel -1"�`� 5 �• ' C71KaIe ®�e>�ale ?��J �v��nZQ,� Waiver Information. Without a Agnadl yrAtver from the subjers of the regpast, a complgte giminal history record may not be releasable, per Code of lows, Chtipter 692.2, For complete criminal hUtoryrecorO fnformation, as allowed by law, always obtain awafveral nature from the subect'6fthe request. Waiver Release: T hereby giVc pcm115ston ftr dw'abdve roqurslmg official m eondnr2 eo Iowa almioal bWory record d,erY wiNthe Division of Crlarinal lov■adgation (DCT). My erim"stai hlsrory d■oe eanceming me that is meintainad by the DC1 may be re)eased w all6wea by law. Waiver Signature:. AS of S 3 r ! �; a Searc)z of the provided name and date of birth revealed: —' No Iowa Crimirgd lhsto} y Record found with DCT ❑ Iowa Criminal Iliatory gt' cont attach4=10 )ICT iriitiah DCI -77 (08/25/10) Received Time Apr.26, 2019 9:47AM No.8349 (DCf ua■ only) b o Co m a n ;X7 m O z` ici Y m � ai Mla'�. 3.2019 11:h9AM UCl IOWA No. 941/ Y. h DISCLAIMER FILE® MAY 08 V19 This response can only include public criminal history data. Under Iowa law, most irk juvenile records are confidential. Confidential juvenile court records, if any,,��!? included in this response. A signed release authorization is not sufficient to o=/n'YhlPwa information from the Division of Criminal Investigation. In order to request the release of confldentlal juvenile records, if any, an application must be filed pursuant to Iowa Code section 232.147(1 B). 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 available on this site, the actual records for juvenlles 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).