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Home My WebLink About20-014� r • rrll®�� CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX 1. Name (REQUIRED) 2. Address (REQUIRED IDENTIFICATION NO. -c;?U Cly (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:tRk cyrW 6,po-L (0 a)m Cell Phone: -z7l r156 - 54 53 (All written cbmmunldation sent via email) 4a. Driver's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of pa 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or el§@Where? t%s What happened to the charge? (Circle one) Convicted Dismissed eferre Suspended Plead ,Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? A� 7 Type of offense Where When What happened to the charge? (Circle one) Convicted 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? kn 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) PAGE FOR 04/2018 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 pa ment of Transportation a valid Driver's license number 1L issued on Z 21 1 expiring on _. 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) -n Signature of Applicant Date ++++++++++++++++++++++ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by on this 12 day of �7o Xo 2U 20 AM FY AJAY-PLATZ Notary Public in d to o Commission No. 785030 My Commission Expires 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 d of iv license Q i -O& - ZdZ7 �T 0 Z / Z- ZriZO Signa re of Po ice 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 Clerk?AXIDRNeADGEAPPL9201 Bamended.DOC Date 04/2018 STATE OF IOWA� Criminal History Record C ecj Request Form Mail or Fax completed forms tp : Iowa Division of Criminal IpveeUgation Support Operations Bureau, 10 Floor 215 E. 7m Street. Des Moines, Iowa 50319 (515) 725-6066 (515)725-6080 Fax DCT Account Number: 99674 DCI.77(updated 06-26-2018) Page 1 oft Received Time Feb. 3. 2020 1:53PM No, 8349 (ifapplicoblo) Send results to: 13uiMe Yellow" of Iowa City Address P.O. Box 42B Iowa City, Iowa 52244-, Phone (319) 338-9777 N — Fax 3IR-359.4142 DCI.77(updated 06-26-2018) Page 1 oft Received Time Feb. 3. 2020 1:53PM No, 8349 Pill) ry60COR PA1 #a)"'gOtt 04 "ZT" CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 19950207 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA124-401-3 POSSESSION SCHEDULE I -MARIJUANA TRK#: 014615801 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-401-3 POSSE99 CONTROLLED SUBSTANCE/SCHEDULE I/MARIJUANA TRK#: 014615801 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19950707 PROBATION 1Y 19950707 COMMUNITY SERVICE IOOH 19950707 -n cno M 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. 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 request the release of confidential juvenile records, if any, an application must be filed pursuant to Iowa Code section 232.147(18). 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 .::+e ' 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 I3 BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION 2 1 IOWA CRIMINAL HISTORY DCI 00494581 COURT DISPOSITION PENDING PAGE 1 OF 1 STATUS UNKNOWN DATE PRINTED - 2020/02/10 DCI:00494587 NAME: HOPE,MICHAEL GLENN DOB SEX RAC HGT WGT EYE HAIR SKN POB 19680306 M W 602 320 BLU BRO FAR IA Pill) ry60COR PA1 #a)"'gOtt 04 "ZT" CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 19950207 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA124-401-3 POSSESSION SCHEDULE I -MARIJUANA TRK#: 014615801 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA123-401-3 POSSE99 CONTROLLED SUBSTANCE/SCHEDULE I/MARIJUANA TRK#: 014615801 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19950707 PROBATION 1Y 19950707 COMMUNITY SERVICE IOOH 19950707 -n cno M 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. 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 request the release of confidential juvenile records, if any, an application must be filed pursuant to Iowa Code section 232.147(18). 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 .::+e ' 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 I3 BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION 2 1 C4JiU'V`V`► DOT wvPA+.iowadot.gar/ SMARTER I SIMPLER I CUSTOMER DRIVEN Driver 81demi`lication services PO Box Des Mines. IA &1)-sU V2064. Plt7ne 51 ;-219-9124 J Fax 5IS239-1837 Certified Abstract of Driving Record o Inquiry Date: 2/3/2020 DL/ID #: 155AC4503(IA) Name: Hope, Michael Glenn Class: D Address: 459 S SCOTT BLVD Audit #: 3626941 - Issue Date: 02/21/2019 City/State: IOWA CITY, IA Expiration Date: 03/06/2027 522455527 Endorsements: Chauffeur 3 Mailing Address: 459 S SCOTT BLVD Restrictions: Corrective Lenses Date of Birth: 03/06/1968 Mailing IOWA CITY, IA Sex: M City/State: 522455527 History Information ,v Case Number Customer #ate;39M199�� ID Status: -i Nave 879405 DL Status: C-) 09/28/2019 CDLStatus: —{,C-) Non 1 CDL Cert Statuk:- -'}None-" CDL Med Status: Nonce - Restriction None Supplement: Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number 3UR 09/21/2015 879405 IA 09/28/2019 1136492 IA Name: Hope, Michael Glenn DL/ID: 155AC4503 Pursuant to Iowa Code 4321.10, 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: ,,I Of )gi19 w4p 4 n 9� s s L Name: Hope, Michael Glenn DL/ID: 155AC4503 2/3/2020 C� Driver & Identification Services Iowa Department of Transporatlon N P N P N