HomeMy WebLinkAbout20-010< ` IDENTIFICATION NO. 2Z-0 0
1 r 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
410 East Washington Street Failure to complete the "required" information will result in denial of the application
Iowa City, Iowa 52240-1826
(319) 356-5040 Last First Middle
(319) 356-5497 FAX
1. Name (REQUIRED) e vi1�n�l\1t�< ChflQh'✓
2. Address (REQUIRED) R43 :10V rt r 14 3 14- s 3 } y
3. Contact Information (REQUIRED) Email: CIVi.r h��Fu� n/1 8,1 Co Gve . ro,-n Cell Phone: 7i 1"l0 - It it Jr
(Al written communication sent via email)
4a. Driver's License expiration date (REQUIRED) i �� A fA "I 5 15
b. Taxicab Business Name (REQUIRED) �I P o yJ C 00
5. Prior experience in transportation of passengers: 17 P o + }9✓s
6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere?
Type of offense WhereWhen I
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What happened to the charge? (Circle one)
Convicted is Iss e d Suspended Plead Guilty
7. Have you been arrested / charged with an traffic off nses in the last five years?
Tyne of offense
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NO
(Unkro i l tr,r�-
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When
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What happened to the charge? (Circle one; 5�w d i;,( r." C (1� p - Cam,+ d -k ,e+ -7r
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Cued Dismissed Deferred Suspended Plead Guilty Other
8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years
Tvoe of offense
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Where
Tv"V `t
When
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9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s)
(SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY)
04/2018
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' 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 D.e�partment of Transportatiopp a valid Drivers license number
I v 1�`^ i $'1 S issued on o rlrG1expiring on 12/,r{ D-) q. 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, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public)
Signature of Applicant : l✓ i Date 0 oqll q
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STATE OF IOWA ) < w r
COUNTY OF JOHNSON ) — i 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 o�river' � se 17 -- y- Zoa
_ 37 a —SO -492,0
ature 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.
D -O D -n
Signature of City Clerk or esignee Date
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Office Use Only
Approved application
DCI report
State certified driving record
Website update
Caen MIDRMIADGen�WlUmasaDOC 0412018
-� Jan. 13. 2020 10:27AM DCI IOWA No. 5238 P. 5/9
01100/2020 .10:54 Yellow Cab Vale 338 2708 P.0021003
Criminal History Record Check
Request Form
DCIAccountNumber; 9967-F
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Mail or Pax completed fors to $end forints to;
Iowa Division of Criminal Invesdgation
Support Operations Bureau, l" Floor
215 $. 76 Street
Des Moines, Iowa 50319
(515)726-6066
(SIS)125-6080 Fax
I am rWuestine an Inwa Criminal Hiefnry Re Ard C'hr .k nn•
Name YelldwGabofIowa City
Address P.O. Box 428
Iawa.01 Iowa 52244
Phone (319)338-9777
Fax 319359-4142
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As of J— 1_3-i n a O a search of the provided name and date
❑ No Iowa CrininHistory Record found with DCT e
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�owa Criminal History Record attached, DCI # i VS '•:����,�^
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DCI -77 (updLttcd 06.26.1016)
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(DCI we only)
pegs 1 of 2
Jan.13.2020 10:28AM DCI IOWA
IOWA CRIMINAL HISTORY
'=:'NON CONVICTION
DCI :010597fi2
NAME: CUNHINGS,CHRISTOPHER A
CUMNINGS,CHRISTOPHER ALLEN
DCI 01059762
PAGE 1 OF 2
DATE PRINTED-
_. 2 020191113 ..., —
N0.5238 P. 6/9
DOB SEX RAC HGT WGT EYE HAIR
SKN pOH
19871214 M B - 504,I 125 BRO BRO
DBR IL
19881214
ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y
TAT R SHLD 'F
CCH RECORD •�*
O1 ARRESTED/TAKEN INTO CUSTODY 20161129
AGENCY: IA0520200 IOWA CITY PD
CHARGE NO- 01 IA STATUTE IA713.6A(1)
BURGLARY 3RD DEGREE
TRK#: 1A000DK01
COURT DISPOSITION
AGENCY: IA052015J 'JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTE: IA713.6B(1)
ATTEMPTED BURGLARY 3RD DE(aREE -- Non Vehicle
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COURT CASE ID: 06521 FECA113973�
CHARGE CLASS; NON CONVICTION
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TRK#: 1A00ODK01
—1 C -J
RESTITUTION
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SENTENCE
DISP EFP DAT
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DEFERRED JUDGEMENT
20180309
CIVIL PENALTY $625 ,I
20160309
PROBATION 2Y
20180309
DISCHARGED FROM ., - �
20191211
DEFERRED JUDGEMENT
An arrest without disposition i not an indication of
guilt. This record
maintained by the Iowa Division Of Criminal Investigation, Bureau Of
Identification is a public record but can only be released to non -law
enforcement agencies by the bCS.:
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Jan.13.2020 10:28AM DCl IdWA No. 5238 P. 1/9
This response can only include ,.public criminal history data. Under Iowa law,
most juvenile records are confidential. Confidential juvenile court records,
if any, cannot be included in this response. A signed release authorization
is not sufficient to obtain this information from the Division of Criminal
Investigation. In order to regdeet the release of confidential juvenile
records, if any, an applicatiod.,must be filed pursuant to Iowa Code section
232.147(1$).
K.
Additionally, criminal hi story �data concerning convictions for certain
juvenile sex offenses can be found on the Iowa Sex Offender Registry:
http://www.iowasexoffender.com/R. However, even though some information is
available on thin site, the actual records for juveniles may still be
confidential and any confidential juvenile records cannot be provided with
this record. In order to reque'et the release of confidential juvenile
records, if any, an applicationtmuet be filed pursuant to Iowa Code
section 232.147(19). -
IN TRE 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 INQUSRY.
DIVISION OF CRIMINAL INVESTIGATION
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E -FILED 2019 DEC 10 2:41 PM JOHNSON - CLERK OF DISTRICT COURT 1
THE IOWA DISTRICT COURT IN AND FOR JOHNSON COUNTY z zoiq
Plaintiff, FECR113973
VS.
CHRISTOPHER ALAN CUMMINGS, ORDER OF DISCHARGE
Defendant.
The Sixth Judicial District Department of Correctional Services has recommended the
defendant's discharge from probation or deferred judgment, and the State has had an opportunity
to review and file a resistance to this action, therefore
IT IS HEREBY ORDERED
That the defendant is discharged from probation and shall no longer be held to answer for this
crime.
THE COURT ORDERS THE FILE EXPUNGED.
Clerk to notify counsel and the Sixth Judicial District Department of Correctional Services..
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E -FILED 2019 DEC 10 2:41 PM JOHNSON - CLERK OF DISTRICT COURT
State of Iowa Courts
Type: ORDER OF DISCHARGE
Case Number Case Title
FECR113973 STATE OF IOWA VS CUMMINGS, CHRISTOPHER A
So Ordered
Electronically signed on 2019-12-10 14:41:52 page 2 of 2
c�10WADOT
www.iowadot.gov
SMARTER I SIMPLER I CUSTOMER DRIVEN
Dr&sr & Id1lMification Smims
PO Box 92041 Des Moines- IA 50306-9204
Mwe 515-244-91241 Fax 515-239-1837
Inquiry Date:
Name:
Address:
City/State:
Certified Abstract of Driving Record
1/28/2020
Cummings,
Christopher Allen
430 S Dodge St
Iowa City, IA
522405007
Mailing Address: 430 S Dodge St
Mailing Iowa City IA
City/State: 522405067
Convictions
DL/ID #: 140AM4575 (IA) Customer #: 6564085
Class: C ID Status: VAL
Audit #: 3986464
Issue Date: 07/10/2019
Expiration Date: 12/14/2024
Endorsements: NONE
Restrictions: Corrective Lenses
Date of Birth: 12/14/1988
Sex: M
History Information
DL Status: VAL
CDL Status: None
CDL Cert Status: N0
19
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CDL Med Status -.Nope
Restriction t'_iMeCkal Rep
Supplement:
C-)
Supplement: 7//
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m a
E7) =
0
Citation Date
Conviction Date
ACD
Explanation
County
JUR
12/03/2016
01/19/2017
D72
Fail to Have Vehicle
Under Control
Johnson
IA
12/03/2016
01/19/2017
864
No Insurance Card
Johnson
IA
Accidents - Accident involvement indicated does NOT mean the individual was at
fault or given a citation.
Accident Date
Case Number
JUR
601/2016 2016
956234
IA
Sanctions
Type
Effective
End
ACD
Explanation
Occurrence
JUR
JUR
Suspended
02/16/2017
08/01/2018
W20
Incapable of
IA
IA
Operating a
Motor Vehicle
Safely
Suspended
04/27/2017
08/26/2018
D53
Non -Payment of
IA
IA
Iowa Fine
Suspended
04/27/2017
06/25/2019
D53
Non -Payment of
IA
IA
Name: Cummings, Christopher Allen DL/ID: 140AM4575
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:
ptl4r,�)�
OENr ua1/29/2020
Driver & Identification Services
L DDIowa Department of Transporation
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Name: Cummings, Christopher Allen DL/ID: 140AM4575
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