The URL can be used to link to this page

Home My WebLink About19-053r IDENTIFICATION NO. 1 (Office Use Only) APPLICATION FOR TAXICAB / MOTORIZED PEDICNSVEAICLE DRIVER (Police Department review must be made bn 8 a.m. to 3 p.m., Monday - Friday) CITY OF IOWA CITY tMUL 4 10 East Washington street Failure to complete the "required" 25 PM 3: 03 information will result in denial of thea n ation Iowa City. Iowa 52240-1826 (319) 3S6-5040 ERK IOWA CITY. IOWA (3 19) 356-5497 FAX Last First Middle 1. Name(REQUIRED) l (I- RdjPjje(/ 2. Address (REQUIRED) L/ 5. 7 t47c 4%;,nq fonf -7DW 5j.2353 n 3. Contact Information (REQUIRED) Email: �Ocr�ZiI(g6(mya�rrn i r� Cell Phone: 3&-86 OYk (All written communication sent via email) 4a. Driver's License expiration date (REQUIRED) 3 /5 /,;l o 2 o b. Taxicab Business Name (REQUIRED)VQ ��o[,) �c Ij p F �n 7i C I f 5. Prior experience in transportation of passengers c� (/e, r C -4-1 yf /16 (J C a L 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? je Lod �QeC�iln� (y�iF/ otcF Ca ISon f 1�7aQgi C;4 -'k S /779 7 �ie� 1st4OWq C; Ilk What happened to the charge? (Circle one) Convicted Dismiss Deferred Suspended lead Guil Other 7. Have you been arrested / charged with any traffic offenses in the last five years? W here When N -5- What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspendedlead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in ast five years? /(%i Type 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) 04/2018 Cd/ a/ I Ss/SY)L fl?l L/ i if �o��n vcrJ ✓8!°�� / kal liV09 7"v/ o -( f �, (4 (3 wn Y? ,N-► � era f ewe APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPp'2T ANQ TATE CERTIFIED DRIVING RECORD MUST ACCOMPANY THIS APPLICAIfO(JIEp�pIICE CHIEF REVIEW You must apply for an individual Department of Criminal Invest' on Re Qrt f rm available upon request). hi JUL Z� � 3: 03 CITY CLERK IOWA CITY, IOWA I hereby cert' that I have issued to me by the Iowa Department of Transportation a valid Driver's license number %GB A 4�0! issued on q:j ao4xpiring on _jI 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 I Title 5, Chapter 2, of the yity Code. (Needs to be signed in front of a Notary Public) Signature of Applicant -49 Date %-b♦ 9 STATE OF IOWA ) COUNTY OF JOHNSON ) Subsc ''bed and sworn to before me by � o I . I L T on this =� day of 4 1 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 Drive s lic e o3—C/1--?- Z O Signatur f 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 Gerk/rA%IDWROGEAPPL92078eme dW DOC 0401 8 DOT xovww.iiM�& 3:03 SMARIER I SIMPLER I CUSTOMER DRIVEN DrNo-r & IdefA PCJ Eox 920•t 1 Da; _ Certified Abstract of Driving Record Inquiry Date: 7/18/2019 DL/ID #: 960AA9807(IA) Customer #: 2228817 Name: Blair, Rodney Dean Class: B ID Status: None Address: 431 S 7TH AVE Audit #: 2720817 DL Status: VAL Issue Date: 04/13/2018 CDL Status: VAL City/State: WASHINGTON, IA Expiration Date: 03/05/2020 CDL Cert Status: Excepted Intrastate 52353 Endorsements: Motorcycle CDL Med Status: None Mailing Address: 431 S 7TH AVE Restrictions: CDL Intrastate Only Restriction None supplement: Date of Birth: 03/05/1966 Mailing WASHINGTON, IA Sex: M City/State: 52353 CDL Downgrades Effective I End I Issuing IUR 103/17/2017 104/12/2018 IA History Information Convictions Name: Blair, Rodney Dean DL/ID: 960AA9807 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: Blair, Rodney Dean DL/ID: 960AA9807 7/18/2019 r.fac.• F Driver & Identification ervices LL 25 PH 3'- 0� Iowa Department of Trans MaVY C L E R K IOWA CITY. IOV!A ^ 10WADOT "111D SMARTER 1 SIMPLER I CUSTOMER DRIVENVwAdjIDu ., CM PO Box ��D{lipry 1 t � sQrviees Phone rt1R.1 fTlY04QWAF last Certified Abstract of Driving Record Inquiry Date: 7/18/2019 DL/ID fF: 960AA9807 (IA) Customer #: 2228817 Name: Blair, Rodney Dean Class: B ID Status: None Address: 431 S 7TH AVE Audit fF: 2720817 DL Status: VAL Issue Date: 04/13/2018 CDL Status: VAL City/State: WASHINGTON, IA Expiration Date: 03/05/2020 CDL Cert Status: Excepted Intrastate 52353 Endorsements: Motorcycle CDL Med Status: None Mailing Address: 431 S 7TH AVE Restrictions: CDL Intrastate Only Restriction None Supplement: Date of Birth: 03/05/1966 Mailing WASHINGTON, IA Sex: M City/State: 52353 CDL Downgrades Effective End lIssulno IUR 03/17/2017 04/12/2018 IA History Information Convictions Citation Date Conviction Date ACD Explanation County IUR 105/30/2016 106/05/2016 IS92 Speed I Pgweshlek IIA 103/10/2018 104/05/2018 S92 Speed 1Polk IA Name: Blair, Rodney Dean DL/ID: 960AA9807 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: Blair, Rodney Dean DL/ID: 960AA9807 7/18/2019 2019 JUL A Pt9 3: 04 Driver & Identification Services Iowa Departn@�foYTOLiSfR4(lon IOWA CITY, IOWA 0711u1_16_2019j�1 :,17AMpab DCI IOWA ff 19=ZNo.9860 P. 1pyppy STATE OF XOWA �(LED CiiM incl $iStory Re ci = . ' Request Vorm Cr ry 3' 04 't� W. CITY I01VA DCT Account Ntunbar: 9967-F to appueAble) To; Iowa Division of Criminal investigation of Iowa City From; _Xallow Cab Support Operations Bureau, l" ltioor P.O. Boat ab 215 F.7 8traet 428 Des Moines, Iowa 50319 (515) 725.6066 Iowa City, TA, 52,244 (315) 723-6080 Fan (319) 338-9777 '�. Phones ' Fax 19) 339-7302 ' <F I am reauattinc an Tnw. Last Name inM(IM03u y) ' Firyt Name (macdato Middle Name ro mended) ri ollder mmdaro Social Srcuriq Number (rownunww) Date of firth aro jq / j 3 `��`1 llof'J , CgMale ❑Female ��,�� 732 Waiver Xnformat[on: without a signed waiver from the subject of the request, a complete crlminat history rrcord may not be releasable, per Code of lows, Chapter 692.2, For com' ate criminal historyrecord information, as allowed by law, always obtain a waiver si nature from the subject of therenest Watver Release; I Iwroby glvc pumlalm for the Lbave tegwaong official to WIMUO An lows vlminalltino y recent check widr the Dlvlalen of CtuoL,d Invadg�don (DCIJ. My criminal hkwry ens coneaming nN 4 mdnnlned by the DCl may be Weaa1 by Iaw�- Waiver Signatrue; _ _1� �geyH AVV..vau VAAVV \ PY4J '•/I(�" (DQ eye may) As of _ 1. 1(L • (�1 a starch of the provided name>' iate of birth xevelitl :` �1 m s p ; tows criminal P �' i hislorY resl.lt.5, r N d No Iowa Criminal history Record fotmd with LSCI •. x �� • '• g o 0 __J O Iowa Criminal History Record attaoiaed, pCl 1i�. w a 0 DCI initials 1 DCI -77 (08/25/10) .a • .r Received Time Jul. 9. 2019 9:314M No -8711 Jul.16.2019 10:17AM DCI IOWA No -9860 P. 2 DCI :00316955 NAME: BLAIR,ROD BLAIR,RODNEY DEAN DOB SEX RAC 19660305 M W ADDITIONAL IDENTIFIERS SC R WRIST SC UL ARM TAT VL ARM IOWA CRIMINAL HISTORY FELONY CONVICTION HGT WGT EYE HAIR 601 321 HAZ ELK PHOTO AVAILABLE: Y DCI 00316955 PAGE 1 OF 6 DATHINTED- 20I9��,7A�-n 281y JLIL 25 Ph 3: 04 S*1Ty OBC 1 C1 RK DISP EFF DAT 19840412 DISP EFF DAT 19840822 19840822 CCH RECORD i++ 01 ARRESTED/TAKEN INTO CUSTODY 19840401 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA715-1-6 . _.,moi USE FIN LNBTR 2ND TRK#: L25803001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA715-1-6 FLS USE FIN INSTR 2ND CHARGE CLASS: STATUS UNKNOWN TRK#: L25803001 SENTENCE JAIL 11D 02 ARRESTED/TAKEN INTO CUSTODY 19840530 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-2 -„DEFT 2ND TRK#: 425603101 . COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: OPERATE MOTOR VEHICLE W/OUT OWNER CONSENT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25603101 SENTENCE PLEAD GUILTY JAIL 72D 03 ARRESTED/TAKEN INTO CUSTODY 19650625 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-5 ” VREFT STH DEG TRK#: L25803201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-5 THEFT 5TH DEC DCI 00316955 PAGE 1 OF 6 DATHINTED- 20I9��,7A�-n 281y JLIL 25 Ph 3: 04 S*1Ty OBC 1 C1 RK DISP EFF DAT 19840412 DISP EFF DAT 19840822 19840822 Jul.16.2019 10:17AM DCI IOWA No. 9860 DCI 00316955 PAGE ?,OF 6 2S PR TRK#GEL25603201ISDEMEANOR CONVICTION /(�1;4 ljtER�A D4 SENTENCE DISP EFF DAT ('Ql lki PLEAD GUILTY 19550706 FINE $100 19850708 04 ARRESTED/TAKEN .INTO CUSTODY 19850725 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA713-5 'BUR43 2ND DEO TRK#: L25803301 COURT DISPOSITION AGENCY: IA0520151i JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: THEFT 4TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25803301 RESTITUTION SENTENCE DISP EFF DAT PROBATION lY 198510D2 SUSPENDED 901) 19851002 05 ARRESTED/TAKEN INTO CUSTODY 19860320 AGENCY: IAD520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-2 THEFT 2ND DEG TRK#: L25803401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-2 THEFT 2ND CHARGE CLASS: FELONY CONVICTION TRK#: L25803401 SENTENCE DISP EFF DAT PROBATION 5Y 19870129 CREDIT 22D 06 ARRESTED/TAKEN INTO CUSTODY 19860610 AGENCY: IAC520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-1-3 -.: THEFT 2ND DEO TRK#: L25002501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-1-3 THEFT 2ND DEO CHARGE CLASS; FELONY CONVICTION P. 3 Jul.16.2019 10:17AM DCI IOWA No -9860 P. 4 DCI 00316955 PAQX �- 3 OF 6 ILED 1019 JUL 25 PM 3: 04 TRK#: L25803501 CITY CLERK RESTITUTION IMVA CITY.101VA SENTENCE DISP EFF DAT (• PROBATION SY 19870129 07 ARREBTED/TAKEN INTO CUSTODY 19870107 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE TA708-4 WILLFUL INJURY TRK#: L25803601 COURT DISPOSITION AGENCY: XA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: TERRORISM CHARGE CLASS: FELONY CONVICTION TRK#: L25803601 RESTITUTION SENTENCE DISP EFF DAT CONCURRENT W/CYCLE DOA 06/10/86 19870226 PROBATION 5Y 19870226 08 RECEIVED 19870129 AGENCY: IA052015M OAKDALE IMCC CHARGE NO- 01 IA STATUTE IA714-2-2 «_<.WZPT 2ND - TRK#: L25803701 INMATE #: 603150 CHARGE NO- 02 IA STATUTE IA714-2-4 THEFT 4TH TRK#: L25801702 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE; IA714-2-2 THEFT 2ND CHARGE CLASS: FELONY CONVICTION TRK#: L25803701 SENTENCE DISP EFF DAT PROBATION 5Y 19870129 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA714-2-4 THEFT 4TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25003702 SENTENCE DISP EFF DAT CONSECUTIVE SENTENCE WITH CT 01 19870129 JAIL 90D 19670129 COURT DISPOSITION Jul.16.2019 10:17AM DCI IOWA AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE: TERRORISM CHARGE CLASS: FELONY CONVICTION TRK#: L25003703 SENTENCE JAIL 5Y CONCURRENT WITH CT 01 6 02 CUSTODY AGENCY: IA053015C ANAMOSA MENS REFTY A 19670226 RELEASED BY COURT ORDER CUSTODY AGENCY: IA053015C ANAMOSA MENS REPTY_ B 19870226 RECEIVED RETD ON COURT ORDER CUSTODY AGENCY: IA077015G ADULT PAROLE SVC C 19860302 PAROLED CUBTODY AGENCY: IA052015M OAKDALE IMCC D 19881208 PAROLE REVOKED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC E 19890510 PAROLED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC F 19690831 DISCHARGED FROM CRIMINAL JUSTICE SYSTEM 09 ARRESTED/TAKEN INTO CUSTODY 19881116 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA906-1 -, *AROLE VIOLATION TRK#: L25803801 COURT DISPOSITION AGENCY; IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA906-1 PAROLE VIOLATION CHARGE CLASS: FELONY CONVICTION TRK#: L25803801 SENTENCE TO SERVE SAL 06/10/86 10 ARRESTED/TAKEN INTO CUSTODY 19901102 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-1-6 DEFT 1ST TRK#: L25BO3901 COURT DISPOSITION No. 9860 P. 5 DCI 00316955 PAGE 4 OF 6 I /L ED 2'319 JUL 25 PH 3: 04 CITY rn�VA CITY 0 DISP EFF DAT 19870226 19870226 DISP EFF DAT 19900703 Jul.16.2019 10:17AM DCI IOWA No. 9860 P. 6 AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-1 THEFT 1ST CHARGE CLASS; FELONY CONVICTION TRK#: L25803901 SENTENCE JAIL SOY 2D CREDIT DCT 00316955 PAGE 5 OF 6 F/L ED 2019 JUL 25 PPI 3: pt CRK .1C A7 CITY jojj 3 DISP EFF DAT 19910912 11 RECEIVED 19910913 AGENCY; IA052015M OAKDALE IMCC CHARGE NO- 01 IA STATUTE IA714-2-1 « s,4"FT IST TRK#: L25804001 INMATE #e 803150 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-1 THEFT 1ST CHARGE CLASS: FELONY CONVICTION TRK#: L25004001 SENTENCE DISP EFF DAT JAIL l0Y 19910913 CUSTODY AGENCY: IA0770150 ADULT PAROLE SVC A 19940714 PAROLED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC 8 19960714 DISCHARGED FROM CRIMINAL JUSTICE SYSTEM 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. Jul.16.2019 10:17AM DCI IOWA No. 9860 P. 7 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,.,tqlease authorization is not sufficient to obtain this information from the DiJ#k11 of Criminal Investigation. In order to request the release of confidefrbanile records, if any, an application must be filed pafoga to Iowa ode section 232.147(18). Z,1j P n.CI �3�0 Additionally, .criminal history data concerning dqF�/��4 certain juvenile sex offenses can be found on the Iowa Sex Of istryi http,//www.iowasexoffender.cam/ . However, even though some ' ormation 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(18). IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM On DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION n 0 h1p( rY� i/lCS %rN `•••••�''•. ..•`r Doti •911..: q':.::...r:1'