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Home My WebLink About21-021CITY OF IOWA CITY 410 East Washington Street Iowa City. lana 52240.1826 (319)356-5040 (319)356.5497 FAX 1. Name (REQUIRED) _ IDENTIFICATION NO. 21-02-1 (Office Use Only) APPLICATION FOR TAXICAB I MOTORIZED PEDICAS 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 n 2. Address (REQUIRED) / 31 S- ?1.4 h j/ e r n n/I , :Tp Wk - % S,5,;1-3 5 3 3. Contact Information (REQUIRED) Email: (cd,blwr&W'6t_gc kIC. Co.K Cell Phone: 3)9-85-5—eO (All written'communication sent As email) 4a. Driver's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED) yL,il0 LA i lJt 19 r9 -reG/0. Gr'tY e 5. Prior experience in transportation of passengers: 9!a& kcq! q' S 4 d oils✓ FOf Y2//Ow C41, A ties ✓5 OkM41 a!3a Df p//Ow Gah 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? Vit 5_ Type of offense Where When Fu PZ AAd '-drat C; } � q- 1' 191 -' 'f 1,eit/ a.,J 7n[,Ja ('..Fy e_z..,_/q'x4/ Tkia¢ ASA 1PLJCL Ury 6--i6-L--lksb ' What happened to the charge? (Circle one) -- Convicted Dismissed Deferred Suspended lead Gull t r-7 7. Have you been arrested/ charged with any traffic offenses in the last fiveyears? [] What happened to the charge? (Circle one) Convicted Dismissed Deferred SuspendedCPl=ad Gull Other Has your drivel's license or chauffeur's license been suspended or revoked ive years? �11 D 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 tn/11044 Znjufy palalc TG,eFF I sf -5dA Sum `5oti Maki 10UJ0: cl,+r F 7 - 107 qAT L� � •-y �r 0 r page 2 APPLICATION FOR TAXICAB VEHICLE DRIVER REPORT AND STATE CERTIFIED DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW inal Investigation Report (form available upon request). You must apply for an individual Department of Crim 5_ avalid I understand that "rf I I hereb cert)ry that I have Issued to me by issued on )-62expiring8 piring Transportation .Driversulicense number falsely answer any questions m this application, that this application may be denied. I agree that in making this records application, I consent to allow agents or emplatlon,saof ndtl further agree that if authorization toe City of Iowa City, Iowa, in their be discretion, taxicab drivers granted, to l omply at all documents relating to this app Code. (Needs to be signed in front of a Notary Public) times with all of the provisions of Title 5, Chapter 2, o the City Z 7 o2 �N Date�— Signature of Applicant STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by CJ 0 on th(s c ::u day of — _' m in and for the State of Iowa_. _ � 'n ` rj) ti _.i iving cord of this licant and ve determinthat Ih ave r eviewed this information which would indicate report, catand the State certified that the issuancewouldrbe detrei ental to the psafety, health aor welfare ofrest- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Driver's license zse— Uate Sig re of Polioe Ief or designee AFTER APPROVAL BY THE CITY ,OU AR BELOW. TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DAT�. Office Use Only Approved application DCI report State certified driving record Website update Lt Dat qe,FIrAXIORNBPDOEAPPLg40i8emonded.DOC 0412018 Mar.15.2021 10:14AM DC1 IOWA 03112/2021 1031 YQ M1 Cab b. $078 P. 3/11 (FAX)319 338 glue vAPral003 STATE OF IOWA Criminal History Record Check Request Form Mail or Fax comuleted forms to: Iowa Dlvletou of Crimlual Investigation Support Oparsdow Bnreau, 1° Floor 21S E. 7o' Street Des Moines, Iowa 50319 MS) 725-6066 (515) 7.254080 Fax c a DCI Account Number: 9961-F (tapp0abb� p� rand rewulta to h r��y F " m Name Yepdw.Asb of Iowa CI„ji--r, Address P.O. Hox 426 Iowa City, Iowa 52244 Phone (319)33A 4777 V Fax 319-3H9�142 DCI -77 (updated 06-26-2015) Pap 1 oft Rereivpd Time Mar. 19. 9091 10:19AM h. -/ 91 Mar, 15, 2021 10; 15AM DCI IOWA DCI.00316955 NAME: BLAIR,ROD BLAIR,RODNEY DEAN DDB 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 DATE PRINTED - 2021/03/15 HOT NOT EYE HAIR SKN POB 601 321 HAZ ELK FAR IA PHOTO AVAILABLE! Y 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#: L25003001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA715-1-6 FLS USE FIN INSTR 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRA#: 1.25803001 S&NTENCE JAIL 11D 02 ARRESTED/TAXER 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/TAXER INTO CUSTODY 19850625 AGENCY: IA05202DO IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-5 THEFT STN DEG TRK#: L25603201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-5 THEFT 5TH DEG DISP EFF DAT 19840412 DISP EFF DAT 19840822 19840822 No. B078 P. 4/11 N 4 N_ C] 7C N 1..f > O CIi M3r.15.2021 10:15AM )CI IOWA CHARGE CLASS- MISDEMEANOR CONVICTION TRU; L25803201 SENTENCE PLEAD GUILTY FINE $100 04 ARREBTED/TAKEN INTO CUSTODY 19850725 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA713-5 BURG 210) DEO GO YRK#: L2s803301 C n COURT DISPOSITION AGENCY: IAOS2015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: THEFT 4TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25803301 RESTITUTION SENTENCE PRORATION 1Y SUSPENDED 90D 05 ARRESTED/TAKEN INTO CUSTODY 19860320 AGRNM ZA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-2-2 THEFT 2ND DEG TRK#: L258034D1 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-2 THEFT 2ND CHARGE CLASS: FELONY CONVICTION TRA#: L25803401 SENTENCE PROBATION SY CREDIT 22D 06 ARRESTED/TAKEN INTO CUSTODY 19660610 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA714-1-3 THEFT 2ND DEG TRK#: L25803501 COURT DISPOSITION AGENCY: IADS2015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-1-3 THEFT 2ND DEG CHARGE CLASS: FELONY CONVICTION DCI OD316955 MOE 2 OF 6 DISP EFF DAT 19850708 19850708 DISP EFF DAT 19851002 19851002 DISP EFF DAT 19870129 ND.8078 P. 5/11 0 N m -v i GO C n Mar, 15. 2021 10:15AM DCI IOWA DCI 00316955 PAGE 3 OF 6 TRO: 1,25003501 RESTITUTION SENTENCE DISP EFF DAT PROBATION 5Y 19670129 07 ARRESTED/TAKEN INTO CUSTODY 19870107 AGENCY: IA0520000 JOHNSON CO SO 3 CHARGE NO- 01 IA STATUTE IA708-4 C WILLFUL INJURY U1 TRK#: L25603601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: TERRORISM CHARGE CLASS: FELONY CONVICTION TRK#: L25803601 RESTITUTION SENTENCE DISP EFF DAT CONCURRENT W/CYCLR DOA 06/1D/86 19870226 PROBATION SY 19570226 08 RECEIVED 19870129 AGENCY: IA05201SM OAKDALE IMCC CHARGE NO- 01 TA STATUTE IA714-2-2 THEFT 2ND TRK#: 1,25003701 INMATE #: 803150 CHARGE NO- 02 IA STATUTE IA714-2-4 THEFT 4TH TRK#: L25603702 COURT DIBPOSITYON AGENCY: IA032015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-2 THEFT 2ND CHARGE CLASS: FELONY CONVICTION TRK#: 1,25803701 SENTENCE DISP EFF DAT PROBATION SY 19870129 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA714-2-4 THEFT 4TH CHARGE CLASS: MI9DE14EANOR CONVICTION TRK#: L25603702 SENTENCE DISP EFF DAT CONSECUTIVE SENTENCE WITH CT 01 19870129 JAIL 90D 19870129 COURT DISPOSITION 80. 8078 P. 6/11 0 N --1r- f {icy m p ALJ 3 C U1 Mar.15.2021 10:15AM DCI IOWA AGENCYi IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE: TERRORISM CHARGE CLASS: FELONY CONVICTION TRKN: L25603703 SENTENCE JAIL 5Y CONCURRENT WITH CT 01 & 02 CUSTODY AGENCY: IA053015C ANAMOSA MENS REFTY A 19670226 RELEASED BY COURT ORDER CUSTODY AGENCY: IA053015C ANAMOSA MENS REM H 19670226 RECEIVED RETD ON COURT ORDER CUSTODY AGENCY: IA077015G ADULT PAROLE SVC C 19860302 PAROLED CUSTODY AGENCY: IA052015M OAKDALE IMCC D 19681208 PAROLE REVOKED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC E 19090510 PAROLED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC F 19890631 DISCHARGED #ROM CRIMINAL JUSTICE SYSTEM 09 ARRSSTHD/TAASN INTO CUSTODY 19881116 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA906-1 PAROLS VIOLATION TRK#: L25803801 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA906-1 PAROLS VIOLATION CHARGE CLASS: FELONY CONVICTION TRK#: L25OC3801 SENTENCE TO SERVE HAL 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#: L25OU3991 COURT DISPOSITION DCI 00316955 PAGE 4 OF 6 DISP EFF DAT 19B70226 19870226 DISP EFF DAT 19900703 No.8078 P. 7/11 O `-1 C'3 Cn 7 -' :-gym -o ? CD v -3t a 1V b CT Mar, 15, 2021 10:16AM DCI IOWA AGENCYi IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-1 THEFT LST CHARGE CLASS: FELONY CONVICTION TRK#t L25603901 SENTENCE JAIL l0Y 2D CREDIT 11 RECEIVED 19910913 AGENCY: IA052015M OAKDALE IMCC CHARGE NO- 01 IA STATUTE IA714-2-1 THEFT 1ST TRK#: L25804001 INMATE #: e03150 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA714-2-1 THEFT IST CHARGE CLASS: FELONY CONVICTION TRK#: 1.25004001 SENTENCE JAIL 10Y CUSTODY AGENCY! IA077015G ADULT PAROLE SVC A 19940714 PAROLED CUSTODY AGENCY: IA077015G ADULT PAROLE SVC B 19960714 ]DISCHARGED FROM CRIMINAL JUSTICE SYSTEM DCI 00316955 PAGE 5 OF 6 DISP EFF DAT 19910912 DISP EFF DAT 19910913 N0,8078 P. 8/11 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. 4 C7 t" O C+1 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. Mar.15.2021 10:16AM DCI IOWA N0.8078 P. 9/11 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 requeat 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 conviction for certain juvenile sex offenses can be found on the Iowa Sex Offender Registry: http://vww.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). 1N THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS _ o BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD l� a COVERS THE SUBJECT OF YOUR INQUIRX. DIVISION OF CRIMINAL INVESTIGATION C I` 4 �V ys 0 C410WADOTwww.iowadot.gov SMARTER 1 SIMPLER 1 CUSTOMER DRIVEL g D"Ver A Idiulneamn Services PO On 92041 Des Moms, IA 503DF920r Plane 515-244-91241 Fax 515-239-1837 37 Certified Abstract of Driving Record Inquiry Date: 3/12/2021 DL/ID #: 960AA9807(IA) Customer #: 2228817 Name: Blair, Rodney Dean Class: B ID Status: None Address: 431 S 7th Ave Audit #: 4537995 DL Status: VAL Issue Date: 02/06/2020 CDL Status: VAL City/State: Washington, IA Expiration Date: 03/05/2028 CDL Cert Status: Non -Excepted 523531519 Intrastate Endorsements: Motorcycle CDL Med Status: None Mailing Address: 431 S 7th Ave Restrictions: CDL Intrastate Only Restriction None Supplement: Date of Birth: 03/05/1966 Mailing Washington, IA Sex: M City/State: 523531519 CDL Downgrades c Effective End Issui (URC) 03/17/2017 04/12/2018 IIA -4 t31 History Information Convictions Name: Blair, Rodney Dean DL/ID: 960AA9807 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: FILED 1011 APR -6 PH F2: 06 CITY CLERK IOWA CITY. IOWA a v �o a c E a m c i 1p o 0