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Home My WebLink About14-268Middle 1. Name (REQUIRED) I .> 2. Mailing Addr (REQUIRED)t'r� '' cm I i t 12ti� Q °� I Z p 3. Contact Information (REQUIRED) Email: 4. M , 6 Oa 6 Mi ( d_ •066 Cell Phone: @ '" I -7 4 4. ,. 4. Prior experience in transportation ofpassengers: 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When m 1 �'a S.+ E` h�.tlE-�tL..... e�- v b t 6. Have you ben convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? )' I 0 7. Have you been convicted of any traffic offenses in the last five years?5 When Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type of offense Where When ffl 9. Have y u/ ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) �M1 k DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERnFIEp, DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF, REVIEW a•n You must apply for an individual Department of Criminal Investigation Report (form avallable,upon r@guest):,(mt, (OVER FOR REQUIRED SIGNATURE AND NOTARY),r 09/2014 4' Authorization Number„ -A 1 t (Once Use On y)�' ®III n-1 hit REME o ®; I F IOWA CITY APPLICATION FOR TAXI / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) 410 East Washington Street Iowa City, Iowa 52240-1826 Egi0fl(re dna car l�ia tg `°re eair�c eelPorfgq/it:sd7 will wgsultin denial of the is��ticrc& (3 19) 3S6-5040 356-5497 i ®.-=•--ytl'°"""' a (319) FAX Middle 1. Name (REQUIRED) I .> 2. Mailing Addr (REQUIRED)t'r� '' cm I i t 12ti� Q °� I Z p 3. Contact Information (REQUIRED) Email: 4. M , 6 Oa 6 Mi ( d_ •066 Cell Phone: @ '" I -7 4 4. ,. 4. Prior experience in transportation ofpassengers: 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When m 1 �'a S.+ E` h�.tlE-�tL..... e�- v b t 6. Have you ben convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? )' I 0 7. Have you been convicted of any traffic offenses in the last five years?5 When Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type of offense Where When ffl 9. Have y u/ ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) �M1 k DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERnFIEp, DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF, REVIEW a•n You must apply for an individual Department of Criminal Investigation Report (form avallable,upon r@guest):,(mt, (OVER FOR REQUIRED SIGNATURE AND NOTARY),r 09/2014 4' I hereby certi That I' have issued to me by the iowa Department of Transportation a valid Chauffeur's license number ""'� " a ? / I understand that if I falsely answer any questions in this application, that this application may be denied. I understand that if I falsely answer any of the questions in this application, that this application will 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 a license is granted, to comply at all times with all of the provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant t - i :961LA� Date �a..L d ) YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. STATE OF IOWA ) COUNTY OF JOHNSON ) �✓ 8u scribed and, sworn to before me b On this t (p _t day of Notary Public in and for the State of Iowa I have reviewed this application, DCI report, and the State certified driving record of this applicant and have deter- mined that there Is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of residents of the City of Iowa City (Title 5, Chapter 2, City Code). Sign Vf Police Chief or designee Date YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. Signature -of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 %11(width) and 5'/z" (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update C,erwrnwoRivsADcenrPLe2014amwdsd000 0912014 JZko j� IB:�I�I.r. IIII ��U H 1984143 Name. U D ID Statues 'yamp�.q��ryp� _...- AtVWi ad,0t Address® 0. K W DL Status® VAL $.$I MV of S.Dnver rroen"dees 11/21/2014 CDB, Status. None PO Box ±U04 €:lis ?ftnes, lA 5t'1.",t",WDJa'�..T4 North Liberty, IA 52317 expiration 11/16/2020 Pxplzw 515244,1024 g 800 532 11211 Fax515.2539--1837 Date: www..kP.Yw«"kftGC.N0..gav C'ertllfittd AIIDst:raot of 1Drllvliflg Record Inquiry Data; 12/11/2014 DL/ID #s 075AA1861(IA) Customer #. 1984143 Name. Metzler, David Milton Class: D ID Statues None Address® 310 N George Audit #. 8637174 DL Status® VAL Issue Date. 11/21/2014 CDB, Status. None Cny/Statm North Liberty, IA 52317 expiration 11/16/2020 CDL Cert None Date: status° Endorsements. 3 CDL Med None Status® Mailing Addressn 310 N George Restrictions. Corrective Lenses Restriction None Date of Stroh. 11/16/1958 Supplsroant. Mailing City/States North Liberty, IA 52317 Som M History Information Citation oz'm- Conviotian Date IL -CD ......... _.. .._._..�..... .................... Belt Violation ig wrong way an One way Street Nanus. Metzler, David Milton DL/IBD: 07SAA1861 County jur, Pursuant to Iowa Code §321.10, I, Kim Snook, Director of Office of Driver Services, Iowa Department of Transportation, do hereby certify, that I am the custodian of the records held by the Office of Driver 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. y. ...r , ..4 1 1111 1111111 1111 1111 1111 111111111 11111, 1 1111111f 1111 1111 .,. , ,. xplill,. a�r6��4e e, 12!11(2014 T,.f °��..... Office of Drover Services .,... PAI Iowa Department of Transportation , Hamm Metzler, David Milton BDL/ID. 075AA1861 State, of, Town kequesdrip, fi .pri" rea;aflu d check a'sun.„. I �"dnP§Y7n Pia mme AEj, Iowa 11 nk� M �m"IIIN" �; nIIInID ”. aes aw rwCrr PA 9 . -1, z 1 Date of Birth k""erPura eMTrpa.Atiulse:rRatX elvalll i'a1W nlnnaWna'r"n, 4'^"s`wuuara6,narlMrFrws¢guar t, . esuft Gem .der o auero b!NOYWnda As of m R II (:l , a name and date of birth check revealed: �.....q No record found Record attached DCI # , P : w ry DCI initials 11 Receipt Fitt in 0 :nhaded areas. Middle b.gmmne d � U ""i to rd Socmalll Iucn.nnrkv Nuuulllllr711lmr i,haAYlaberrr�f're Iimsbua x $1 w"�N�'�I' a w �.° ) 4t I � . Crl' sru &r,� Iru,vnnennc t"astau snlrlrlaauaurrt, f ucr use ONLY DCI -83 (09/09/10; Revised iced 10/ 1/ 10; form reviewed 08/11/14) IOWA CRIMINAL HISTORY DCI 00312314 MISDEMEANOR CONVICTIONS ONLY PAGE I OF 2 DATE PRINTED - 2014/12/09 DC1 :003:1231.4 NAME:: METZLER,DAVE METZLER,DAVID MILTON DOB SEX RAC HOT WGT EYE HAIR sm POB 19581116 m w 600 150 HA2, SDY MED IA ADDITIONAI, 1:1):13ITTIVI:KlS CCH RECORD *** 01 ARRESTED 19831126 AGENCY: IA0570000 LI NN CO SO CHARGE NO- 01 IA STATUTE IA321-281 OYER WHILE INTOX TRK#: L25116101 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE IA321-281 OMVUI CHARGE CLASS:; MISDEMEANOR CONVICTION TRK#i: 1,2511.61.01 SENTENCE FINE $300 PROBATION 6HRS GRED -PROS TIL 020885 SUSPENDED 2D CREDIT' W/TIME SERVED 02 ARRESTED 19890405 AGENCY: IA0520200 IOTNA CITY PD CHARGE NO- 01 I.A. STATUTE IA321j-2 OWI 2ND TRK#: L25116201 COURT DISPOSITION AGENCY IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE Ik32IJ 2 OWI 2ND CHANGE CLASS: MISDEMEANOR CONVICTION TRK#: L25116201 SENTENCE JAIL IOD CREDIT 7 HRS/PAY SURCHG FINE $750 03 ARRESTED 19940807 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 0:1 IA Sl.'ATUZ[u,' IA321.0-2 OWI 2ND TRK#: 006445901 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- DISP EFF DAT 19831126 19831126 19831126 .1.9831.3.26 DI.Sp EFIF 1XT 19890628 DC1 00312314 PAGE 2 OF 2 01 IA STATUTE IA321,T-2 OWI 2ND CHARGE CLASSa MISDEMEANOR CONVICTION TRIO:: 006445901 SENTENCE DISP EFF DAT JAIL ISO 19940928 FINE $750 19940928 PROBATION ly 19940928 SUSPENDED 35D 19940928 PAY SURCHJ AGENCY: IA0520100 CORALVILLE PC CHARGE NO- 01 IA STATUTE IA709-4 SEXUAL USE 3RD DEGREE TRK#: 032253001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA 709-11 ASSLT W/INTENT CO ITT SEX ABUSE NO INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 032253001 RESTITUTION SENTENCE DISP EFF DAT PLEAD GUILTY 19990526 FINE $500 19990526 PROBATION 2Y 19990526 SUSPENDED 2Y 19990526 AS ARREST WIT11OUr 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. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORRATION FURNIS10). WE CANNOT CONFIRM OR DENY 1111AT rim ju�,caw COVERS THE SUBOECT OF YOUR INQUIRY, DIVISION OF CRIMINAL INVESTIGATION