The URL can be used to link to this page

Home My WebLink About19-043r ' CITY OF IOWA CITY 410 East Washington street Iowa City, Iowa 52240-1826 (3 19) 356-5040 1319)356-5497 FAX 1. Name (REQUIRED) 2. Address (REQUIRED) IDENTIFICATION NO. (I l 3 (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) Failure to complete the "required" information will result in denial of the application Last Do '�'s: S� 3. Contact Information (REQUIRED) Email: b O SS e d- (AII written c First C11 J ea'«)„rI1'e,-1 /O S P CA &r'l' munication h is email) 4a. Driver's License expiration date (REQUIRED) SG? 7,1 G 9 b. Taxicab Business Name (REQUIRED) VQ -111)” C a b 5. Prior experience in transportation of passengers: Middle z- Cell Phone: � s /G �po cc? -.)cQ3 d Clerk 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this Type of offense Where When D CY What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended liiiGuil Other 7. Have you been arrested/ charged with any traffic offenses in the last five years? Type of offense What happened to the charge? (Circle one) Where /S Convicted Dismissed Deferred `i spended lead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? N 6 Tvce of offense Where When 1`4e 3 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) A) t> (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 04/2018 r ' f . Page 2 APPLICATION FOR TAXICAB VEHICLE DRIVER 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 Transportationa valid Driver's license number SG AG G G SJ issued on 94)VI'? expiring on ?3 cl 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, CNpter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant ii Date 541?1 FILED STATE OF IOWA ) COUNTY OF JOHNSON ) S bscribe�( and orn to before me by Public in and MAY 1 7 2019 Iowa City, Iowa on this I -7'h day of Iowa 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). Expiratio to Dri license f7 Signature of Police Chief or designee oS /7'/1 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. of City Clerk Office Use Only Approved application DCI report State certified driving record Website update 5- 1-7- 1 Date CIM✓rAXIMIVSADGEAPPL92018am dW.DOC 04/2018 CHRISTINE OLNEY CCommission N m r 8$4232 j;Eiai yu0mmiaion res TO—WT Public in and MAY 1 7 2019 Iowa City, Iowa on this I -7'h day of Iowa 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). Expiratio to Dri license f7 Signature of Police Chief or designee oS /7'/1 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. of City Clerk Office Use Only Approved application DCI report State certified driving record Website update 5- 1-7- 1 Date CIM✓rAXIMIVSADGEAPPL92018am dW.DOC 04/2018 OgiMaL-.j _201.9j;J12,.15PMCab 6C1 IOWA TAS)3193391No_ 1400 P. 1/47002 S'T'ATE OF IOWA Criminal .History Record Check, .. Requestorm 1 ? DCI Aeeoui t Ntlmbe•r: 99(57.F To: Iowa Division of Criminal Investigation support Operations Bureau, it' Floor From: ilellow Cab of Iowa City 215 L 7`a Streci E.O. Box 428 Des kolues, Iowa 50319 (515) 725-60'66 Iowa Clt),, IA. $2244 (515) 725-6080 Fax (319)338- Fix: 319)3389Fax: (319) 3394302 I am requesting_an Iowa Criminal FiistniviRernr i (.tie,k Last Name m,andarq y) .First Name mandam y • &11dd10IQ3rrze freoommended) 5•tYlrfh '• Cavi Le.c ; Rate of Birth (mandato y) ;(rendeY (meaderory) "Social•SecnriNumber mcommmm) r�Male ❑I;emale y3�a.-�s aiaG Waiver,r4rormatl0n: Without h•signed yraiver from the subject of the regpest, a complgte olealnal history r000ra igay not be releasable, per Code of lows, Chapter 692.2. For complete criminal hxstoryrecord information, as allowed by law, vjways obtain a waiver si nature frbm the sub•ectbfthe re ucet, Waiver Release: I hemby Give permiralaa Foriho'above requanins ottlolel io wnduor An IOWA eflminal htitaryneord ahs k whh,he Division of Liminal Invesdgition (SCI), Any wiminnl blerory data oonamldt me dial Is mal Ined by tho Dc7 may be released as ellowa4 by law, }3WafverSfgnatrrre_ ILL• -- - vw a�nra. 1 u VRAG4A A\G Ail 0:)Cl me Wdy) As of search- of the provided name and date of birth reveale&. ATE OF IOWq/DP$ No Iowa Criminal,HisRecord found with DCI MAY I 2A19 to�.y DIV o C11"U'NAL lrut%F: q 1 Iowa Criminal History Rr.ecord attached, -DCI # �Z DCT illitials,�,� - DCI -77 (08125/70) ' Received Time May. 10. 2019' 2:59PM No. 0600 May.16.2019 12:15PM DCI IOWA No. 1400 P. 2/4 DCI:00870749 NAME: SMITH,CARY LEE DOB SEX RAC 19880623 M B ADDITIONAL IDENTIFIERS TAT L ARM TAT R ARM TAT UL ARM TAT UR ARM IOWA CRIMINAL HISTORY DCI 00870749 FELONY CONVICTION PAGE 1 OF 3 AGENCY: IA0520200 DATE PRINTED - CHARGE NO- 01 IA STATUTE IA708.2A(2)(B) 2019/05/16 HUT WGT EYE HAIR SKU POB 511 265 PRO SLK DER LA PHOTO AVAILABLE: Y CCH RECORD +m. 01 ARRL"STKD/TAKEN INTO CUSTODY 20090708 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA708.2A(2)(B) DOMESTIC ABUSE ASSAULT WITHOUT INTENT CAUSING INJURY TRK#: 1A0077P01 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO-- 01 IA STATUTE: IA708.2A(2)(B) DOMESTIC ABUSE ASSAULT CAUSE BODILY INJURY/MENTL ILLNSS(SRMS COURT CASE ID: 06521 SRCROB7672 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: IA0077POI SENTENCE DISP EFF DAT TIME SERVED 2D 20100430 JAIL 2D 20100430 FINE $315 20100430 02 ARRESTED/TAKEN INTO CUSTODY 20100222 A AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 02 .IA STATUTE IA712.3-A ARSON 2 ND DEGREE - 1978 TRK$: 1A008SCO2 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA712.3-A ARSON 29D DEGREE COURT CASE ID; 06521 FECROB9932 CHARGE CLASS: FELONY CONVICTION TRK#; 1A006SCO2 SENTENCE DISP EPF DAT . PRIOR ORDERS l0Y 20110218 CONTINUED FINE $1000 20110218 SUSPENDED FINE $1000 20110218 SUSPENDED PRISON l0Y 20110218 PROBATION 3Y 20110218 PRISON 10Y 20110218 COURT DISPOSITION May. 16, 2019 12:15PM DCI IOWA No. 1400 P. 3/4 AGENCY: IA052015J COUNT NO- 03 JOHNSON CO DIST COURT IA STATUTE: IA664A.7(5)-CN: DCI 00670749 PAGE 2 OF 3 CONTEMPT - VIOLATION OF NO CONTACT OR PROTECTIVE ORDER COURT CASE ID; 06521 PSCR089932 TRH#: 1A008SCD3 SENTENCE DYSP EFF DAT TIME SERVED 25D 20110902 .TAIL 25D 20110902 03 ARRESTED/TAKEN INTO CUSTODY 20171117 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA714,2(3) THEFT 3RD DEGREE - 1976 TRK#; 1A000JI0l COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714.2(3) THEFT 3RD DEGREE -- Possess/Control Over $500 Under $1,000 COURT CASE ID: 06521 AGCRI17269 CHARGE CLA89: MISDEMEANOR CONVICTION TRK#: 1A00QJI01 RESTITUTION SENTENCE DI5P EFF DAT FINE $625.0 20181015 MAY PERFORM COMMUNITY SERVICE IN LIEU OF PAYMENT An arrest without disposition is not an indication of guilt. This record maintained by the Iowa Division Of Criminal Investigation, sureau Of Identification is a public record but can only be rcloaeed to non -law enforcement agencies by the DCI, This response can only include public criminal history daca. 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(16). 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 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(16). May-16-2019 12:16PM DCI IOWA No. 1400 P. 4/4 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 m C410WADOT www.iowadot.gov SMARTER I SIMPLER I CUSTOMER DRIVEN g Drhw 8 tdsrMrieation Services PO Box 92011 Des Haat,. IA 50305920/ Phone 515-244-9124 1 Fax 5 1 5239-1837 Certified Abstract of Driving Record Inquiry Date: 5/10/2019 DL/ID #: 567AG9952(IA) Customer #: 5907125 Name: Smith, Cary Lee Class: C ID Status: VAL Address: 814 BENTON DR Audit #: 1708637 DL Status: VAL APT 14 Issue Date: 03/29/2017 CDL Status: None City/State: IOWA CITY, IA Expiration Date: 06/23/2024 CDL Cert Status: None 522465214 Endorsements: NONE CDL Med Status: None Mailing Address: 814 BENTON DR Restrictions: NONE Restriction None APT 14 Supplement: Date of Birth: 06/23/1988 Mailing IOWA CITY, IA Sex: M City/State: 522465214 History Information Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended 04/08/2015 01/09/2016 Fail to Post IA IA Security for an Accident -Owner Only Name: Smith, Cary Lee DL/ID: 567AG9952 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: ,r .,EnT OP 5/10/2019 Name: Smith, Cary Lee DL/ID: 567AG9952 Driver & Identification Services Iowa Department of Transporation