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Home My WebLink About21-026IDENTIFICATION NO, 2-1-02-(o (Office Use Only) _ APPLICATION FOR TAXICAB / MOTORIZED PEDICAS 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 rallure to complete the "rec aired",';;formation will result in denial of f�a a pplication lotra City. lora S2210- 1826 (3191356-5040 Last First (319) 356-5497 FAX Middle 1. Name(REQUiPED) t /5/U rjl, bei ii]aVIP 2. Address(PEC:'JIRED) (KID ) {151116V'1-5� Fes,[ ZOfLg(y{O ZA �'aa4f t1 3. Contact Information (REQUIRE-D)Email: ILV6 call Phone: 61q. (All written communicate(W sent via email) 4a. Driver's License expiration date (REQUIRED) _ `7 l " I S— aooa b. Taxicab Business Name (REQUIPED) Ye i 5. Prior experience in transportation of passengers: 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or S 0 What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? An 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? K%� 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) in . 0412018 S 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), ?s license number I her by certify that 1 have Issued to me bisthe sued one De aamot"i xpirinag ooporta�n 15 valid I understand that If I falsely answer any quest ons In this application, that this appUcation may no denied. I agree that in making this applloatton, i consent to allow agents or employees of the City of Iowa City, Iowa, In their disoretlon, 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 provisl ns of /tie 5, Chapt 2, of the City Code, (Needs to be atoned In front of a Notary Public) Signature of Applicant Date d a/ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by w.h.MH#rx..raxwa.rx......aawe+✓+. 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 re of Police Chief or asignee �!//_Lf/ Z o 7 - [Date 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 DATFj`LISTED BELOW, Office Use Only Approved application DCI report State certified driving record Website update c f ,�j 2pZ I Date 0Wrx0RN9WcEnp L92019mmndw000 04/2010 —li ........day of 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 re of Police Chief or asignee �!//_Lf/ Z o 7 - [Date 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 DATFj`LISTED BELOW, Office Use Only Approved application DCI report State certified driving record Website update c f ,�j 2pZ I Date 0Wrx0RN9WcEnp L92019mmndw000 04/2010 Mar, 22. 2021 9:49AM DCI IOWA No. 8895 P. 1/3 0301712021 1121 YdowCab ffA1)91833870 PA02M STATE of IOWA Criminal History Record Check ? Request Form �= ACI Aecount Number! 9967-F (ifapphCobk) 'vtx�l nr Fax r�le:ed fon�e :cl: Sepd Icsulte to: Iowa Division of Criminal Investigation Mama YeUvw_ Cab ?(Iowa Clty Support Operations Bareae, P' floor _ 215 E. 7"' Streot Addren P.O. Box 426 o N x� Des Aloine:, Iowa 50379 - (515) 725.6066 Iowa City, Iowa 52 n, (515)-,254090 Fax � --i c'1 Phosse 19 338-_9777 Fu 319.359.4142 ^prxa vrt A3 of _ is AD 1) a soareh of the provided name and dato ❑ Nu iovta Criminal history Record found with DCI • ? `�3 G a Iowa Cs}minal History Record attached, DCI �? ......... c DCI inidale---C_ i "" oaaon] Iune1 I)M-?? (updated 06.26-2018) r„a uar 17 7071 11-n11u Ya Ad00 Page 1 of 2 Mar, 22. 2021 9:50AM DCI IOWA No. 6895 P. 273 IOWA CRIN.TNAL HISTORY DCI 00514269 MISDEMEANOR CONVICTTONS ONLY PAGE 1 OF 2 DATE PRINTED - 2021/03/22 DCIi00514269 NAME: MILSTER,YLIZIIUETH GAYLE DOB SEX RAC HGT WGT EYE HAIR SKU POE /9740915 Y W 607 :75 ALK BRO FAR MO ADDITIONAL TDENTIFIERS PHOTO AVAILABLE: Y TAT L ANKL TAT L HIP TAT NECK TAT R ANKL N CCH RECORD ••• _H A� 01 AARECTED/TAKEN INTO CUSTODY 19951222 r"'—a ;Z AGENCY! IAOS20400 IOWA CITY UNIV SEC PD CHARGE NO- 01 IA STATUTE TA124-401-3 POSE BCH I -MARIJUANA �� 2'• 8Tl TRK#: 016652401 ..a x CO •• COURT DISPOSITION AGENCY, IA052015J JOHNSON CO DIST COURT C� COUNT NO- 01 IA STATUTE: IA124-401-3 POSE SCHEDULE I MARIJ COURT CASE ID: 06521 SRCRO40094 CHARGE CLASS, NON CONVICTION TREA: OIB652401 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19960415 PROBATION 365D 19960415 UNSUPERVISED COMMUNITY SERVICE 20H 19960415 DISCHARGED FROM 19961212 DEFERRSD JUDGEMENT 02 ARRESTED/TAKEM INTO CUSTODY 20150715 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 02 IA STATUTE IA716.5 CRIMINAL MISCHIEF 3RD DEGREE TRK#: IAOOL7902 COURT DISPOSITION AGENCY. IA05:015J .IOlfNSON CO DIST COURT COUNT NO- 01 IA STATUTE! IA716.6(2) CRIMINAL MISCHIEF STH DEGREE bmaga Under 0200 COURT CASE /D: 065:1 MCR109112 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1ADOL7501 RESTITUTION SENTENCE DISP EFF DAT TIME SERVED 9D 20151210 GAIL 9D 20151210 COMMUNITY SERVICE IN LIEU OF PYMNT, COMP.. SERV 20151210 Mar, 22. 2021 9:51AM DCI IOWA DCI 00514269 PAGE 2 OF 2 AT FEDERAL MIN NAGE (7.25) No.8845 P. 3/3 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 DCS. This response can only include public criminal history data. Moor Iowa 100, most juvenile records are confidential. confidential juvenile court reeorQ'. if any, cannot be included in this response. A signed release authorizatiFg-.,' is not sufficient to obtain this information from the Division of Criminals c;,. Investigation. In order to request the release of confidential juvenile .�j records, if any, an application must be filed pursuant to Iowa Code sectCJ 232.147(3.6). Additionally, criminal history data concerning convicLione for certain juvenile sex offenses can be found or. the Iowa Sex offender Registry: http://www.iowasexoffender.com/ . However, even though some information is available on this site, the actual records fur juveniles may still be confidential and any confidential juvenile records cannot be provided with thin 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(10). 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 SUUJEC7 OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION ccs Ax-7410WADOT SMARTER I SIMPLER I CUSTOMER DRIVEN www.Iowadotgov Ddv&f A Idtln1fieation Smvieas FYI Box 92041 De's Moines, IA 50306-9204 Phone 515-234-91241 Fax 515239-W7 Certified Abstract of Driving Record Inquiry Date: 3/17/2021 DL/ID #: 242AD3839 (IA) Customer #: 5401729 Name: Milster, Elizabeth Class: D ID Status: EXP Gayle Address: 1840 S Gilbert St Audit #: 2979564 DL Status: VAL Apt 1 Issue Date: 07/11/2018 CDL Status: None City/State: Iowa City, IA Expiration Date: 09/15/2022 CDL Cert Status: None 522404311 Convictions CDL Med Status._.. None 2� ACD Endorsements: Chauffeur 3 Mailing Address: 1840 S Gilbert St Restrictions: NONE 0 Apt 1 4. IA Date of Birth: 09/15/1974 Mailing Iowa City, IA Sex: F City State: 522404311 History Information Convictions CDL Med Status._.. None 2� Citation Date Conviction Date ACD Explanation Restriction-._ z CNonesy 7UR Supplement: y 0 ISpeed 4. IA co 0 Citation Date Conviction Date ACD Explanation lCounty 7UR 08/11/2016 109/28/2016 S92 ISpeed Johnson IA Name: Milster, Elizabeth Gayle DL/ID: 242AD3839 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: J p1N4ryT Or ]gf4.Y.rw Qp G 1 i JFC�4i DOC"��s 3/17/2021 Driver & Identification Services Iowa Department of Transporation Name: Milster, Elizabeth Gayle DL/ID: 242AD3839 Q ZE>7 2w f�i 3s 'c O