HomeMy WebLinkAbout14-257410 East Washington Street
Iowa City, Iowa 52240-1826
(319) 356-5040
(319) 356-5497 FAX
1. Name (REQUIRED)
Authorization Number _� L
(Office Use Only)
�o '3 Tevo
APPLICATION FOR TAXI / MOTORIZED PEDICAB VEHICLE DRIVER
(Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.)
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First
0,
2. Mailing Address (REQUIRED)
3. Contact Information (REQUIRED) Email: ®;" . ( 4'11u; . L,ter Cell Phone: / "?
P p passengers:
dS L r
4. Prier ex erten In transportation of
5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Y'5 "'-u pa
_Type of offense Where When
lu Rao
6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five
years? 0
Type of Offense Where When
7. Have you been convicted of any traffic offenses in the last five years? I'S
T e of offense Where When
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8. Has your driver's license or chauffeurs license been suspended or revoked in the last five years? .IV17
Type of offense
Where
9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s)
ri
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).
(OVER FOR REQUIRED SIGNATURE AND NOTARY)
09/2014
I he eby ceJ�I t t I have issued to me b the Iowa Department of Transportation qa valid Chauffeurs Plicense number
I `p mvf y P P
,r I understand that if I falsely answer an uestions in this a licatiori,�iafm(tiis
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 al!ow agents or employees of the City of Iowa City, lova, in
their discretion. to examine any and all records and documents relating to this application, and I further agree that, if a license
is a Nota Public)
y at , i with all of the provisions of Title 5, Chapter 2, of the City Code. (Needs :o be stgnad '¢n frer�t
Signature granted, of A cant .fall times a r m m w
Notary 111] [�
9 PP _.,. Date 10 - Z a..' l7
YOU ARE NOT VALID TO DRIVE A TAXI IN IONIA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY
CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org.
**xx*xxxxxxxx#***#****xxx*xxxexxxxxx******s:xRxxxaax*x#+.****zxkrtmxxx*kx*xxx##k*>*x*.*xxx.xxx*x,.#a#*x*Rx**#****xxxxxxxxxxx#****#*****a#xxxxx*xxxxx
STATE OF IOWA )
COUNTY OF JOHNSON )
u scribed and sworn to before �� fa me by " 0 k V° .- (--o rr Cf. i On this � ° day of
LII ilu i1E ut. °v°U w.e Notary Public in and for the State of Iowa
my wryricsirfl xR ms
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).
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.
Signal rd of City Clerk or designee
Date
Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 %" (width) and 5 1/2"
(height) and prominently displayed to all passengers.
Office Use Only
Approved application
DCI report
State certified driving record
Website update
C6+,rrAXIDRNBADGEAPPL92014ammded.DDC 09/2014
$2,Nov®25.m 2014s 4 JM
Div of Criminal [nvestixat.on
STATE OF IOWA
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(315)M-6966
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Phone: 134}3379 ._. _
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No Iowa CAx ing HdmaKy Record fbtmd with DC1
Iowa Cainifnalfflawy Record sthwhed, D CI d8 .. 1 ✓ N ..
DC1...77 (08AS/D0)
Received Time Nov. 24, 2014 10,45A No -5802
Nov.25. 2014 4:06PM Div of Criminal Investigation
IOWA CRI.NINAlu HISTORY DCI 00561136
HISDEMANOR COkMCn0N3 ONLY PAGE 1 OF 2
DATE PRINTED-
DCI:04561136 2014/11/25
NAME: CORREIA,JO PAUL
CORRExA>JP
a7P
DOB SEK SAC EST NOT RYE HAIR- SKS POB
19790306 M W 600 140 BNI"1 BRO FAR FL
ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: I
SC FACE
TAT BACK
TAT L HND
TAT L WRST
TAT NECK
TAT R ARM
TAT R HND
TAT R WRST
TAT UL ARM
TAT OR ARM
CCt RECORD
01 ARRESTED 19970912
AGENCY: IA0440200 NEW LONDON PD
CHARGE NO- 01 IA STATUTE IA124-401D
POSSESSION WITH INTENT TO MANUFACTURE
TRK#: 012502301
COURT DEPOSITION
AGENCY: 1A044015J HENRY CO DIST COURT
COUNT NO- 01 IA STATUTE IA124-401-1D
PROHIBITED ACTS
CHARGE CLASS: NON CONVICTION
TRW 012502301
SEkr°vt`BNCE
D$Y'E GEMENT
COURT COSTS.
PROBATION 4Y
DISCHARGEU FROM
DEFERRED-QUDGEMENT
02 ARRESTED 20040329
AGENCY¢ ZA0440100 NT PIXASANT PD
CHARGE NO- 01 IA STATUTE IA124-401-5
POSSESSION MARIJUANA
TRK#: OSSIS7001
COURT DISPOSITION
AGENCY: IA044015J HENRY CO DIST C.'Ofi.CRT
COUNT NO- 01 XX STATUTE IA124e401(5)
PossEssrow OF A CONTROLLED BUBUTANCE
COURT CASE ID: 00441 SRIN010677
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: 055157001
DI,SP SCFy DAT
19980:126
19960126
19980126
1,9980124
No. 5033 P. 2/3
Nov.25. 2014 4:07PM Div of Crimina"; Investigation
LICENSE REOOKED
BURST CR ABUSE EVALUATION
SENTENCE
SUSPENDED ,TAIL
JAIL
FINE
03 ARREST91D 20110326
044o [o
CHMOR NO- 03
O
I
COURT DISPOSITION
AGENCY: IA044015a7 HENRY CO DIST COMT
COUNT NO— 04 IA STATUTE IA45:3B.12...A
FAILURE TO AFFIX TAX STAMP - 1993
COURT CASE IDr 0844:1 PECROO6567
CHARGE CLASS: NON CONVICTION
TRK#. JFOOIEM04
SENTENCE
DEFERRED JUDGEMENT
FINE $750
PROBATION 2Y
DISCHARGED FROM
DEFERRED JUDGEMENT
D:ISP E:FF DAT
20040406
20040406
20040406
DISP EFF DAT
20111017
20111017
20111017
2013042,8
WITHOUTAN ARREST DISPOSITION IS NOT AN INDICATION t*iF,
MAINTAINED BY THB IOWA DIVISIONOr CRIMINAL INVESTIGATION, BUREAU
IDENTIFICATIONf`1 BUT CAN ONLY f 4
ENFORCEMENT AGENCIES BY THE DCj.
IN THE AB"NCS OF stn 4:". POSITIVE IDENTIFICATIONfv
!. ,f INFORMATION FURNISHED.WE CANNOT CONFIRM OR
f RECORD
COVERS : OF M"' INQUIRY.
lIVISIOX OIF CRIMINAL INVESTIGATION
No. 5033 P. 3/3
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Certified Atntract of t dWirg Record
Inquiry Date.
11/26/2014
DL/ID #:
764YY4118 (IA)
Customer #.
4241957
Name.
Correia, John Paul
Class:
A
ID Status.
None
Address.
1425 1/2 EASTVIEW
Audit #:
7781533
DL Scutum
VAL
DRIVE
Issue Data.
02/11/2014
CDL Status:
VAL
City/Staten
CORALVILLE, IA 152'2411
Expiration
03/06/2022
CDL Cert
Non-Exr.epted Intrastate
Date.
Statuan
Endomemenhn LT
CDL Med
None
Status:
Mailing Addresug
1425 1/2 EASTVIEWRestrictions:
NONE
Restriction
None
DRIVE
Date of Birth:
3/6/1979
Supplement:
Mailing City/States CORALVILLE, 1A 52241
Sex:
M
History Information
Convictions
ncKatiam De to
ComdEtllon Data
ACID UxPlanation
Counft,
0UR
44/29/20Y I
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Waslhingtan
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IJ/25/2013
12/05/2013
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Johnson
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,09/21/20:14
`S92 tipaed
lobnson
;IA
Name: Correia, John Paul DL/ID: 764YY4118
Transportation o so
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:
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