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Home My WebLink About20-030� r CITY OF IOWA CITY 410 East Washington Strcct lona CRY. lore, 52240-1826 1319) 3S6-5040 (319) 356.5497 FAX IDENTIFICATION NO. 2-0-()30 (Office Use Only) APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.rn. to 3 p.m., Monday — Friday) Failure ru ,;;,r;;r , ji,, -ray;, ireo , mrorrnaLon writ resuif in denial of the application Last 1. Name -,REQUIRED) — t�(q 2. Address "E 'J!uED) 3. Contact Information REQUIRED) Email: 4a. Drivers License expiration date (REQUI b. Taxicab Business Name (Rf?QI-Ip2El i, 5. Prior experience in transportation of passengers: First via Middle Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Tvnc of ,ff.— Where What happened to the charge? (Circle one) Convicted Dismissed Deferred When M1J L: :1 �n — Suspended Plead Guilty Other 7. Have you been arrested/ charged with any traffic offenses in the last five years? -Nb Tvce 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?; Tvoe 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) (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 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 hereb certify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number ��' issued ons06 far�xpidng on jN 06a7-) -u I understand that if I falsely answer any questions in this application, that this appl cation 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 11 f Tit C �iipter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date C, � .«..........«.........« ...................«......I ............................Y....»,«««.....«...«.............«............. STATE OF IOWA « COUNTY OF JOHNSON Subscribed and sworn to before me by n,. on this - day of Notary Public in and for the Siete of Iowa ,YII..«YYY i.IY«i«M1.«1Y..YI/YI«.Yf.MI/Yf 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 G- /2 N7 -7 1.Z;> 1�- Sg re o Police Chief or designee �&tt /zJ 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. Approved application DCI report State certified driving record Website update Office Use Only �/ 24 Date / Z -O C4rWrAxIDx1Y5.DGEAW,Onlga,e,dW.DW 04/2018 �,iowaoOT www.iowadot.gov SMARTER 1 SIMPLER I CUSTOMER DRIVEN 9 Drivef d lderdi Ration smry m PO Box 92041 Des Manes, IA 40306-WU phone 515-244-9124 1 Fax 51 5239-1837 Certified Abstract of Driving Record Inquiry Date: 7/15/2020 DL/ID #: 354AR0527(IA) Customer #: 6791753 Name: Grady, Ryan Michael Class: C ID Status: None Address: 429 Southgate Ave Audit #: 4787445 DL Status: VAL Issue Date: 07/08/2020 CDL Status: None City/State. Iowa CityA Expiration Date: 02/02/2027 CDL Cert Status: None 522404W6Endorsements: NONE CDL Med Status: None Mailing Address: 429 Southgate Ave Restrictions: NONE Restriction None Supplement: Date of Birth: 02/02/1985 Mailing Iowa City, IA Sex: M ry City/State: 522404401 0 History Information C, c - CLEAR DRIVING RECORD r - TI a f Name: Grady, Ryan Michael DL/ID: 354AR0527 CJ 7D Pursuant to Iowa Code 4321.10, I, Darcy Doty, Director of Driver & Identification Services, Iowa Department -if 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: Grady, Ryan Michael DL/ID: 354AR0527 7/15/2020 Driver & Identification Services Iowa Department of Transporation 07iJu1. 16. 2020); 4:14Pt Cab DCI 1N> ffA)03193M;N3 7348 P• 1)02/002 FA X STATE OF IOWA Criminal History Record Check Request Form Iowa Division of Criminal Investigatioy 6trpport Operations Bureau, I" Floor 235 E. 7b Streot Dos Noines, Iowa $0319 (515)725-6066 (M).725.4080 Fax DCI Account Nulaber: 9967-F (HappBosbts) Send resuits to: Name Yeulfw cab of Iowa Cst�_ Address P.0, Bos 4Z8 Iowa City,Iowa 52244 Phots Fn MW (339) 93R�T —" i�`,•Wn.'a.'^'T+�.+�k.:�%e.S z b - ; r� t g�j�• tltld• 4 �fNifd'�C,,!MRi9he$IrUlea of �a ° � bl�i(1�9 .�� 191�,�1Ilo eJlmdkNcid�l�a.o 4rolade Zo acdMinal lafftory Reggrd owa .cr.. lb 'h'storyr s�twn�usi As of 0 a C) a scWth of So provided name and dere of firth i evealed ' a No lowti ( Rooad found with D ?��"'7 5 t� o t\\```� T 10 N ❑ YOW% 41miaAl MKM7 Racotd Mwb4 DCT # Z o p m U DCI initials, co `o DCZ-77 (updated 06-26-2018) Page I oft Received Time Jul. 15. 2020 10:36AM No -7071 Jul.16.2020 4:14PM DCI IOWA DISCLAIMER No.7348 P. 2 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(18), N p N O �) L Co 0