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Home My WebLink About20-023• 1 l 1 � .®4 CITY OF IOWA CITY 410 East Washington Strect Iowa City, Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX IDENTIFICATION NO. 20 - 0 Z 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 First Middle 1. Name (REQUIRED) 01-i ' V l) -e4,1 2. Address (REQUIRED) V 3/ S. Viii, A s- L)Ksii: 114r04, F L, 5 215 3 3. Contact Information (REQUIRED) Email: foa.�i it B!y IG,v ali m Cell Phone: 3/9-855 - OY60 (All written co munication sent via email) 4a. Driver's License expiration date (REQUIRED) 0 3 -o5 - ao,2g b. Taxicab Business Name (REQUIRED) 1 e/(DW CAh O, Z&QA GI f� 5. Prior experience in transportation of passengers: Dfiva- 9r,r 1i l ) Cc, � �G �at ,ti G / tj 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? P S Type of offense Where When ft 15- L& S- of t AM^L ( in54rane f �D/I�nSon C6anf / �/-/ /Plc<J Tkz4f .7n4 So6nSD�I C— V 3- 2z>I9R4 Olaarl What happened to the charge? (Circle one) / Convicted Dismissed Deferred Suspended Pie d Gui Other _ 7. Have you been arrested / charged with any traffic offenses in the last five year r Type of offense Where When ` 4Ae4 pow,eI ,¢V rok,-5-.zo�6 What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Gu' Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? A)o 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 rv;irEwi z� l�ry ��vnsovl coknfi/ I-� olo'% p1"2 pte'a P�rolc Ui�laf;on �atinso� cin y f - 1 i90 Pw jo��SoN (�4,r1+y l�55aw�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 ce�rtifythat I have issued to me by the Iowa Department of Transportation a valid Driver's license number 362C?A� q�d7 issued on .2- � ;W-oexpiring on 8 . 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 provisionsRf Title 5, Chapter2�.pf the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant 7 Date 3 - 3 • ,Zoo STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by 0' r on this day of M0..rcih 202a ? ASHLEY A JAY-PLATZ Notary Public in n ior4 a St f Iowa My commission Expires roW� July 14, 2020- -- I have reviewed this application, DCI report, and the State certified driving record of this applicant find have deteemined that there is no information which would indicate that the issuance would be detrimental to the safety, health dr welfade+of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Dri cense 0 3 -or- 7yzg o7—/y- zoza SI of 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. of City Clerk or Office Use Only Approved application DCI report State certified driving record Website update oeWTAxIDRNBADGEAPPL 9201 Ba meMed. DOC Date 04/2018 0211yicucu ud:5o I Untiw Cab (W)31633nlive r.JUzfVUj STATE OF IOWA Criminal History Record Check Request Form DCX Account Number: 9967-F Ofwliabls) Mail or Fax completed forms to; Iowa Division of Criminal Investiption Support' Operations Bureau, l" Floor 215 E. 70 Street Des Moines, Iowa 50319 (Sid 725-6066 (SIS) 72$-6080 Fax Send resulU-w Name Yoll6w Gob of Iowa Ci Address P.O. Box 428 Iowa CRY, Iowa 52244 Phone 1 7 Fax 319-3994342 DCI -77 (updated 06-26.2018) Page 1 oft Received Time Feb. 19. 2020 9:47AM ho -0724 DCI :00316955 NAME: BLAIR,ROD BLAIR,RODNEY DEAN DOB SEX RAC 19660305 M W ADDITIONAL IDENTIFIERS SC R WRIST SC UL ARM TAT UL ARM IOWA CRIMINAL HISTORY DCI 00316955 FELONY CONVICTION PAGE 1 OF 6 FLS USE FIN INSTR 2ND DATE PRINTED - COURT DISPOSITION 2020/02/25 HGT WGT EYE HAIR SKN POB 601 321 HAZ BLK FAR IA PHOTO AVAILABLE: Y DISP EFF DAT 19840412 DISP EFF DAT 19840822 19840822 CCH RECORD --* 01 ARRESTED/TAKEN INTO CUSTODY 19840401 AGENCY. IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA715-1-6 FLS USE FIN INSTR 2ND TRK#: L25803001 -I:7 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA715-1-6 PLS USE FIN INSTR 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25903001 SENTENCE JAIL 11D 02 ARRESTED/TAKEN INTO CUSTODY 19840530 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-2 THEFT 2ND TRK#: L25803101 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#: L25803101 SENTENCE PLEAD GUILTY JAIL 72D 03 ARRESTED/TAKEN INTO CUSTODY 19850625 AGENCY: IA0520200 IOWA CITY Pb CHARGE NO- 01 IA STATUTE IA714-2-5 THEFT STE DEG TRK#: L25803201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-5 THEFT STH DEG DISP EFF DAT 19840412 DISP EFF DAT 19840822 19840822 N [J o N m i -I:7 CJ CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1.25803201 SENTENCE PLEAD GUILTY FINE $100 04 ARRBSTED/TAKEN INTO CUSTODY 19850725 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA713-5 BURG 2ND DEG TR": L2S803301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: THEFT 4TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25803301 RESTITUTION SENTENCE PROBATION l8 SUSPENDED 90D 05 ARRESTED/TAKEN INTO CUSTODY 19860320 AGENCY: IA0520200 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 PROBATION 5Y CREDIT 221) 06 ARRESTED/TAKEN INTO CUSTODY 19860610 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-1-3 THEFT 2ND DBO TRK#: L2S803S01 COURT DISPOSITION AGENCY: XAOS2015J JOHNSON CO DIST COURT COUNT NO- O1 IA STATUTE: IA714-1-3 THEFT 2ND DEG CHARGE CLASS; FELONY CONVICTION DCI 00316955 PAG]@ 2 OF 6 DISP EFF DAT 19850708 19850708 DISP EFF DAT 19851002 19851002 DISP EFF DAT 19870129 n N Q O > - C-)� w r N C - TRK#: L25803501 RESTITUTION SENTENCE PROBATION SY 07 ARRESTED/TAKEN INTO CUSTODY 19870107 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA708-4 WILLFUL INJURY TRIC#: L25803601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: TERRORISM CHARGE CLASS: FELONY CONVICTION TRK#: L25803601 RESTITUTION SENTENCE CONCURRENT W/CYCLE DOA 06/10/86 PROBATION 5Y 08 RECEIVED 19670129 AGENCY: IA052015M CHARGE NO- 01 THEFT 2ND TRK#: L25803701 CHARGE NO- 02 THEFT 4TH TRK#: L25803702 COURT DISPOSITION AGENCY: IA052015J COUNT NO- 01 OAKDALE IMCC IA STATUTE IA714-2-2 INMATE #: 803150 IA STATUTE IA714-2-4 JOHNSON CO DIST COURT IA STATUTE: IA714-2-2 THEFT 2ND CHARGE CLASS: FELONY CONVICTION TRK#: 1.25803701 SENTENCE PROBATION 5Y COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA714-2-4 THEFT 4TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25S03702 SENTENCE CONSECUTIVE SENTENCE WITH CT 01 JAIL 90D COURT DISPOSITION DCI 00316955 PAGE 3 OF 6 DISP EFF DAT 19870129 DISP EFT DAT 19870226 19870226 DISP EFF DAT 19870129 DISP EFF DAT 19870129 19870129 < `- a !Ti N ',^ r r AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE: TERRORISM CHARGE CLASS: FELONY CONVICTION TR": L25803703 SENTENCE JAIL SY CONCURRENT WITH CT 01 & 02 CUSTODY AGENCY: IA053015C ANAMOSA MENS REFTY A 19670226 RELEASED BY COURT ORDER CUSTODY AGENCY: IA053015C ANAMOSA MENS REPTY H 19670226 RECEIVED RETD ON COURT ORDER CUSTODY AGENCY: IA077015G ADULT PAROLE SVC C 19860302 PAROLED CUSTODY AGENCY: IA052015M OAKDALE IMCC D 19881208 PAROLE REVOKED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC E 19890510 PAROLED CUSTODY AGENCY: IA077015C ADULT PAROLE SVC F 19890831 DISCRARGED FROM CRIMINAL JUSTICE SYSTEM 09 ARRESTED/TAKEN INTO CUSTODY 19881116 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- OS IA STATUTE IA906-1 PAROLE VIOLATION TRK#: L25803801 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA906-1 PAROLE VIOLATION CHARCE CLASS: FELONY CONVICTION TRKY: 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 THEFT IST TRK#! L25803901 COURT DISPOSITION DCI 00316955 PAGE 4 OF 6 DISP EFF DAT 19870226 19870226 DISP EFF DAT 19900703 C7 —1 n c.J r r r AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-1 THEFT 1ST CHARGE CLASS: FELONY CONVICTION TRK#: L25803901 SENTENCE JAIL l0Y 2D CREDIT 11 RECEIVED 19910913 AGENCY: IA052015M CHARGE NO- 01 THEFT IST TRH#: L25804001 COURT DISPOSITION AGENCY: IA052015J COUNT NO- 01 OAKDALE IMCC IA STATUTE IA714-2-1 INMATE #: 803150 JOHNSON CO DIST COURT IA STATUTE: IA714-2-1 THEFT IST CHARGE CLASS: FELONY CONVICTION TRK#: L25804001 SENTENCE JAIL l0Y CUSTODY AGENCY: IA077015G ADULT PAROLE SVC A 19940714 PAROLED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC H 19960714 DISCHARGED FROM CRIMINAL JUSTICE SYSTEM DCI 00316955 PAGE 5 OF 6 DISIP EFF DAT 19910912 N C_t d v ^J -pro DTSP EFF DAT ;GM _D p'- 19910913 r 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 DCT, 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 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(19). 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 N O _ �] N 6 r r C A0001 J10WADOT www.iowadot~gov SMARTER I SIMPLER I CUSTOMER DRIVEN DMW $ kNrAftation safvim 130 Box 9204 I Des Moines- IA 503061M Phone- 515-244-91241 Fax 515-2991837 Endorsements: Mailing Address: 431 S 7th Ave Restrictions: Date of Birth: Mailing Washington, IA Sex: City/State: 523531519 CDL Downgrades Motorcycle CDL Med Status: CDL Intrastate Only Restriction Supplement: 03/05/1966 M 2228817 None VAL VAL Non -Excepted Intrastate None None Effective Certified Abstract of Driving Record Inquiry Date: 2/19/2020 DL/ID #: 960AA9807(IA) Customer #: Name: Blair, Rodney Dean Class: B ID Status: Address: 431 S 7th Ave Audit #: 4537995 DL Status: IIA Issue Date: 02/06/2020 CDL Status: City/State: Washington, IA Expiration Date: 03/05/2028 CDL Cert Status: 523531519 Endorsements: Mailing Address: 431 S 7th Ave Restrictions: Date of Birth: Mailing Washington, IA Sex: City/State: 523531519 CDL Downgrades Motorcycle CDL Med Status: CDL Intrastate Only Restriction Supplement: 03/05/1966 M 2228817 None VAL VAL Non -Excepted Intrastate None None Effective I End Issuin 7UR 03/17/2017 04 1 2018 IA History Information Convictions Citation Date I Conviction Date ACD Explanation I County ]UR 05/30/2016 106/05/2016 IS92 Seed 113oweshiek IA 03/10/2018 104/05/2018 IS92 I Seed I Polk IIA Name: Blair, Rodney Dean DL/ID: 960AA9807 Pursuant to Iowa Code §321.10, I, Darcy Doty, Director of Driver & Identlflcatlon 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: O m c E N Z ILEA 2020 MAR 13 PM 12: 44 CITY CLERK IGVfA CITY,10WA