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Home My WebLink About21-038I r -4 IDENTIFICATION NO. 2-1 - 0 3 (Office Use Only) APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER CITY OF IOWA CITY (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday) 410 East Washington Street Failure to complete the "required" information will resuitin denial of the application Iowa City. Iowa 52240.1826 (3 19) 356-5040 Last First (319) 356-5497 FAX / 1. Name (REQUIRED) Z� lq%Ck- ck4wet/i c 2. Address (REQUIRED) ;� `5 / $ Com, P,-- 3. Contact Informatlon (REQUIRED) Email:v Middle /on Cell Phone: 3 (9 14111 7q 90 sent via email) 4e. Driver's License expiration date (REQUIRED) /`JJ b. Taxicab Business Name (REQUIRED) e i�a orf Q 7�y nn i 5. Prior experience in transportation of passengers: P ty v -e tv / 6�, Cr o* ` -:�,j B. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offenseWhere When Cit,m,,25 -46wI ov(e, t,jc,Je-n t io S cv5 ke-✓ �� / 99. pl 4 v; /7V 7ir I? 3 .'>'r /'5- o L 4rvi C) '_5 d),4_6 Sqe,,/ -95_5 kwz -7 f �SQI da 0 On 04 e yr f wt a S l 4Cjgf AnoW oXc10- A, .7 199T CY What happened to the charge? (Circle one) v a Convicted Dismissed Deferred Suspendedlead Gull Other 7. Have you been 4r8sted-/-charged with any traffic offenses in the last five years? Type ofgffgnse - Where When ., _r - n n n e C What happeneZ the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeurs license been suspended or revoked in the last five years? Type of offense Where When 9. Have you ever applied to be an Iowe,City taxi driver using a different name? If yes, please provide the name(s) 0412018 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). 22— . I understand that If I I hereby ce nam ve issued to me bisthe suedlona De 2 ant e pirnag ooportatio a alid Drivers license number be ree that in this application, I colnslenanswer any qua t to allow agentstions in thi a or employees of the City ofication, that tIowa City, Iowa, nytheird slcretion,9 o examine any an d all o records and documents relating to this application,iUe and Chapt ef, of the Clty Coderee that, if h(Neetion ds too be a tax be signed n front of !cab driver is granted, rNotary Public) y at all times with all of the provisio Date Signature of Applicant STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to moiI t(' 7y3\ before me by Ltc�d c,< A -O f' L� on this a Q day of S. the 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 thathe 2t City issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title �� J2 2 Expiration date of Driver's license % Z/ �/Z/ZOO _T Date Si ure4Pcethal5eesignee AFTER APPIjt3VAL 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. c -'---- We Office Use Only Approved application DCI report State certified driving record Website update CI,WA%IDRNBADDEAPPL92018amended.DDC 04/2018 IL 071JUI, 29, 2021;:12:44P4ce DCI IOWA j;AM9M,No, 7459 P. 113U002 FAX STATE OF IOWA Criminal History Record Check Request Form*_Wr le:wa Pivislon of Criminal Investigation Supp rt Operatioa; Bureau, 1" Floor 215'19.7° street I Des Moines, lows 50319 Fax I = recraesd= an Iowa Cnmuul History Record Check on: DO Account Number: 9967-F (fzppr14D1g) Send results to: Name Yellow Cab of low* Ory Addreve —P.O. box 428 lova Cky, Iowa 52244 Phone (319) 338••9771 FM 319-3994142 iowa urimmai untory mecora C IarCK mentits IL As of a seuth of the provided w=ie ar;4 date of b1%*.iavii14- Fj 0 Co z Vo Iowa Criminal History Record found with DCI z -3 gr LU 0LL > I DO -77 (Up&lted 0&26-2019) Received Time Jul. 23. 2021 3:32PM No, 6642 Page I of 2 A'?0z'e_d) 7 '7 Al? 3 — ?Cm 5-7 S_-S- 4 Zak iowa urimmai untory mecora C IarCK mentits IL As of a seuth of the provided w=ie ar;4 date of b1%*.iavii14- Fj 0 Co z Vo Iowa Criminal History Record found with DCI z -3 gr LU 0LL > I DO -77 (Up&lted 0&26-2019) Received Time Jul. 23. 2021 3:32PM No, 6642 Page I of 2 Jul, 29, 2021 12:45PM DCI IOWA No. 7459 P. 2/3 IOWA CRIMINAL HISTORY DCI 00507646 FELONY CONVICTION PAGE 1 OF 2 DATE PRINTED - 2021/07/29 DCI:00507646 NAME: HANRICK,CHAD HAMRICK,CHADWICK AARON DOB SEX RAC HGT WGT EYE HAIR SKN POB 19770411 M W 508 165 BRO .ELK LGT IA ADDITIONAL IDENTIFIERS CCH RECORD •+• OS ARRSSTSD/TAKEN INTO CUSTODY 19950916 AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO- 02 IA STATUTE IA708-7 HARASSMENT TRK#: 022450902 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- 02 IA STATUTE: IA708-7 HARASSMENT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 0224SD902 SENTENCE DISP EFF DAT FINE $100 19961024 02 ARRESTED/TAKEN INTO CUSTODY 19980902 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA713-6 ATTEMPT BURGLARY 2ND DEG TRK#: 037241001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT 1?0- 01 IA STATUTE: IA713-6(2) ATTENPIFBURGLARY 2ND DEG CHARGE'CLASS; FELONY CONVICTION TRK#: 63924/001 SENTENCE .. DISP EFF DAT COURT CSTS 19990226 PROBATIVW _ 2Y 19990226 SUSPENDED: _ SY 19990226 An arrest wit5i6ut 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. Jul, 29. 2021 12:45PM DCI IOWA No.7459 P. 3/3 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 thin 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 siteo 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 IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION LD rr'�L•rI:: 1. "��.. r rn•aw;n'. ��iowAooT SMARTER I SIMPLER I CUSTOMER DRIVEN www•'owadogov Dr w & Identification sarvkss PO Box 9M I Des Moines. IA 503069204 Phone -.515-244-91241 Fax 515-239- I&V Certified Abstract of Driving Record Inquiry Date: 7/23/2021 DL/ID #: 769YY2955(IA) Customer #: 2349835 Name: Hamrick, Chadwick Class: D ID Status: None Aaron Address: 2518 INDIGO DR Audit #: 7661903 DL Status: VAL Issue Date: 01/02/2014 CDL Status: None City/State: IOWA CITY, IA Expiration Date: 04/11/2022 CDL Cert Status: None 522406808 Endorsements: Chauffeur 3 CDL Med Status: None Mailing Address: 2518 INDIGO DR Restrictions: NONE Restriction None Supplement: Date of Birth: 04/11/1977 Mailing IOWA CITY, IA Sex: M City/State: 522406808 History Information Convictions Citation Date Conviction Date ACD Explanation County 3UR 11/15/2018 12/05/2018 S92 Speed (10 mph & Appanoose IA under in 35-55 mph zone 12105 2014v 01/03/2020 S92 Speed Black Hawk IA Accidenjs- Accident involvement indicated does NOT mean the individual was at fault or given a citation. I Accident D Case Number 7UR 107/22/2017 — 1994283 IIA Name: Hamrick, Chadwick Aaron DL/ID: 769YY2955 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