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Home My WebLink About19-067CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 3S6-5040 (319) 3S6-5497 FAX 1. Name (REQUIRED) 2. Address (REQUIRED IDENTIFICATION NO. ) I — C%lD 7 (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 First Middle 3. Contact Information(REQUIRED)Email: 0.0 (� OSS t Il Phone: �Ir1 Shy"IQZ�y ( I written communicatio sent via email 4a. Driver's License expiration date (REQUIRED) ()LI OU b. Taxicab Business Name (REQUIRED) Ii 5. Prior experience in transportation of passengers: �l U ri�j id t 5 {fin �Y�L f Lfi �t Oh p!< 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When What happened to the charge?(Circle one) onvicte4 Dismissed eferced Suspended Plead Guilty Other 7. Have you been arrested rged 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 eead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 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) ANU NU IARY) 04/2018 rj 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 Transportation a valid Driver's license number 3�1 RE 1S 1 k issued on 12 Le 18 expiring on Qq I Ob 21)20 . I understand that if I falsely answer any questions in this application, that this applicatiorl may be denied. I a ree 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 provAions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date I y STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and swom to before me by I4Jr r.�e tll, on this day of vewy s.MAVER Notary Public in an r the ate of to ' ty CamnYplon E� M 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 Driver's license y- (D Si re of Police Chief or designee 09 -al - 00i1 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 ?- ( "/ I Date aeWTAXIDRM3ADGEAPPL92018amentle0 DOC 04/2018 o81Aug_27_•20191;1I;04 Cat) DCI IOWA i ffpxpIg338INo_ 6600 P. , 13021002 To: Iowa Dlyislan of Criminal lnvesftation Support OperAtions Bureau, V Floor 215 9. 7`h Steele, Des Moines, lows 50319 (515)7757 -6066 (515) 725-6086 Fax I am recluestins'an Sows Criminal iiistnrv&emrd Cheek nn• DCS Account Number: ,9967-F (If epplluble) From: 'Yellow Cab of Iowa City P.O. Bos 428 Iowa City, M. 92244 (319) 338.9777 Phone; Faxc (319)339-7302 Last Flame (hn.data y) :First Name lildlnow NSOM6 renommoeded O �rnVoYI�C �l r Date of Birth enaaco 'Cender BeteSocial-Seenri Number (tacomtnendud) O v . i : G`n i Iowa Criminal � z 5-V � 1.1h1isty0ri..rresults: = walrer Infortnrdion. Without a signed waiver from the subjedt of'tbe regpest a eomplate grlmiahl history record spay not be releasable, per Code of Iowai Chapter 69;.2- For complete criminal history.reeorf iufortalwola, as allowed by law, Always obtain a waiver sI nature •from the subject of the request. WRIYCrA81C=[ Ihereby glvopeemGdoefbrthd above requeatingrifGoldtoconduct anloweorlmbwl'blstoryr000rdchwkwithiheDiviMmofCrimiml InveadEelton (ACI). Any admtnhl bbrory data oo min; mr that b maitttatned by dlo DCI mAv be releatod as allowed bylaw. . waiver Signature; r.1 ! I Q IUYJr.Y"AsX. of d •:'� a 9ear64 of the provided naive ❑ No Iowa Criminal History Record foiuld with I Iowa C#isl¢1 Histpry I&ooxd atteched,'DCI # nCI ihitials ,4 DCI -77 (OV25i10) Received Time Aug.21, 2019 10:53AM No.5120 :kz rtes SCI Uro only) ``p`P��P a CYLry1y7 �gigi�i O co • % ^l �' O v . i : G`n i Iowa Criminal � z 5-V � 1.1h1isty0ri..rresults: = 0 zCD o 1=11ni, M1. J� Aug.27.2019 11:04AM DCI IOWA No. 6600 P. 2 IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY DCI70OB22401 NAME; E,LORD E NICHOLS,JAVONTE MARQUIS NICHOLS,JAVONTE MARQUISE DCI 00822401 PAGE 1 OF 2 DATE PRINTED - 2019/00/27 DGR 4`Y 19920406 M B 509 270 DRO BLK DRK IN ADDITIONAL IDENTIFIERS TAT LF ARM TAT R SHLD TAT UR ARM PHOTO AVAILABLE: Y 's CCH RECORD 01 ARRESTED/TAKEN INTO CUSTODY 20120521 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE XA124.401(l)(d)-F CONTROLLED SUBSTANCE VIOL. TRK#: 1A00ECX01 COURT DISPOSITION AGENCY; IA05201SO JOHNSON CO DIST COURT COUNT NO- Ol IA STATUTE: IA124.401(1)(D' CONTROLLED SUBSTANCE VIOL. COURT CASE ID: 06521 FECRO98197 CHARGE CLASS: NON CONVICTION TRK#: IA00ZCX01 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT $750 CIVIL PENALTY, $750 20130311 CIVIL PENALTY SUSPENDED PROBATION 2Y 20130311 DISCHARGED FROM 20141204 DEFERRED JUDGEMENT 02 ARRESTED/TAKEN INTO CUSTODY 20170322 AGENCY: IA0520500 NORTH. LIBERTY PD CHARGE NO- 02 IA STATUTE XA714.2(3) THEFT 3RD DEGREE; TRK#: 1A00P2Z02 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA714.2(3) THEFT 3RD DEGREE -- Po&eepB/Control Over $500 Under $1,000 COURT CASE ID: 06521 FECR115030 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1A00P2Z02 RESTITUTION SENTENCE DISP EPF DAT FINE $625.0 20170720 Aug.27._2019 11:04AM DCI IOWA DCI 00822401 PAGE 2 OF 2 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.6600 P. 3 This response can only include public criminal history data. Under Iowa law, —m��-sae.r'�-^--;w,.,�d*a--as^c--eerrE^tdertC4e3—Een-i-iderrt-ia�;�ven-rl-e-e�azz�eeeFde; .— '-- 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 he 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(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 `'\y Iowa criminal h,ista'y results; - .�,,'',,- •.•';off i 114.ft01L '....0��, 7.� , : � []SOT SMARFER I SIMPLER 1 CUSTOMER DRIVENvan tnn+.lowadat.gov Driver & Idamification Services PO Box 92,10:1 Des Mrines- IA 60306-S2M Plane 5 15-2-W-9124 1 Fax 515 -2M -le ti Certified Abstract of Driving Record Inquiry Date: 8/21/2019 DL/ID #: Name: Nichols, Javon'te Class: 2934799 Marquis VAL Address: 2414 10TH ST APT Audit #: 04/06/2020 1 None NONE CDL Med Status: Issue Date: City/State: CORALVILLE, IA Expiration Date: Cancelled Revoked- evoked01/09/2016 522411273 04/06/1992 02/18/2016 Endorsements: Mailing Address: 2414 10TH ST APT Restrictions: 1 Suspended, Denied, Date of Birth: Mailing CORALVILLE, IA Sex: City/State: 522411273 Convictions 367AE7571 (IA) Customer #: 5544831 C ID Status: EXP 2934799 OL Status: VAL 06/26/2018 CDL Status: None 04/06/2020 CDL Cert Status: None NONE CDL Med Status: None NONE Restriction None Cancelled Revoked- evoked01/09/2016 Supplement: 04/06/1992 02/18/2016 B20 M Johnson IA History Information Citation Date Conviction Date ACD Explanation County JUR 03/13/2013 03/27/2013 B20 Driving While Johnson IA JUR Suspended Suspended, Denied, 02/27/2017 D53 Non -Payment of IA IA Cancelled Revoked- evoked01/09/2016 01/09/2016 02/18/2016 B20 Driving While Johnson IA Suspended, Denied, Cancelled Revoked 05/08 2016 06/09/2016 S92 Seed Johnson IA Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended 07/21/2016 02/27/2017 D53 Non -Payment of IA IA Iowa Fine Name: Nichols, Javon'te Marquis DL/ID: 367AE7571 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: Nichols, Javon'te Marquis DL/ID: 367AE7571 8/21/2019 Driver & Identification Services Iowa Department of Transporation