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Home My WebLink About14-238CITY OF IOWA CITY 410 East Washington Street loira City. Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX Authorization Number Iq - g (Office Use Only) '/ , t � 0 APPLICATION FOR TAXI / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) �amad�aw� �o �ff�df�r�� f� aapa:�axal�s�"warafrady�aprf?¢a o�_a9��c�.wsa�(;m8_f��l�ca�®es�w)(c�b g�"-9rra;�(Kroa� 2. Mailing Address (h EQ;( JMRH. D) First 712 -cc) Ij.. �' SAA oAo%j �a� 1. Name (Irov'.c:al�lRED a gg .� 3. Contact Information(F{(=.QUIRED) Email: (+�1��ara" � 9_�A9'� �a m�sw. '��CellPhone: �� ' �'""`��(W L 4. Prior experience in transportation of passengers: .:) " 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? _ Type of offense Where When 6. Have you beer convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? PT ffe of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? s Type of offense Where When .N...N .....................................�3yd.........�?....t7"......1a� ..... .. 4,....0 .ni.................. y .................... ....................... x w (t9 � C%'4 d c' � I L9 &_R� .`�_�a d ��4 . a 20 � g C N4 e( � 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? N Type of offense Where When *...I 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the4jdme(s) 00 r DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE. "TIF�3 r . DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CREVIEW I re,wu2, You must apply for an Individual Department of Criminal Investigation Report (form avall#tillo,)ipon "request)a ..,.-,.. (OVER FOR REQUIRED SIGNATURE AND NOTARY) 09/2014 I hereby certify tha I ve iss-.ed to .s by the iowa Department or Transportation a valid Chauffeurs license number° 1 [✓ )C t 4 u . I understand that if !falsely ansv,er 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 wiil be denied. I agree that in making this app!ication, I consent to allow agents or employees of the City of Iowa City. Iowa. in their discreton, to examine any and all records and documents relating to this application, and I further agree that, if a licerse is granted, to comply at all times with all of theprevisions of a 5, Chapter 2, of the City Code. ( azda to t,,a ena,wasd' in front ct f is a N4t3ry " NC) Signature of Applicant lk�Date I o d 2-2-11 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 ) Subscribed and sworn to before me by T,'u.ct�,. 11�. ��Gyiice� On this Zane day of 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). Signat P o roe Chief or designee Dae 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. SignatDwof City Clerk or designee Dafe Taxi cab businesses are required to provide Uriver Identification cards. Cards must be 8 %" (width) and 5 %11 (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update ciadarAXIDRNIBADDeAarL92014an ded.Doc 09/2014 f SMARTER I SWPLER ICUSTOMERORWrI1 ��, 1,_ 4DOT I t Offline of Dr9 auSevvices T"O Boa ;}204 Iles Moines, A ," X.M..86-R:1:C4 Phm4W 1, 152,44-9124 I I40DXA2-9921 � Fal ?a't", 2'.W-Y:'nT www.k�rad�.'r7 Inquiry Date: 10/22/2014 DL/ID #: 713XX1449 (IA) Customer #: 1833101 Name: Fuhrmelster, Timothy Class: D ID status. None Miscellaneous Jackson William 12 ;04(05/2012 M14 !Fail to Obey Traffic Sign/ShInal Johnson '.IA Address. 2801 HIGHWAY 6 II', LOT Audit #n 7327449 DIL statusr VAL 245 'Iasua flatnn 09/10/2013 CDII. Statua: ;'None , City/State: IOWA CITY, IA Expiration 08/18/2018 CDL Cart � No'r♦e 522402652 Date: Status n ""I rvm Endorsements: 3 CDL Med -„^None FNJ :- Status: Mailing Address:: 1401 MARCY ST Restrictions: Corrective Lenses Restriction ;,ygrie, Date of Birth: 8/18/1968 Supplement. Mailing City/Stator IOWA CITY, IA Sex: M�:1 522402117 CDlavlctiorm Date Conviction Date ACD Explanation County 3uR 11 07/20/2011 'S92 Speed (10 mph & under In 35-55 mph zona) ..e .. _ w. Johnson IA 12 05/08/2012 Miscellaneous Jackson IA 12 ;04(05/2012 M14 !Fail to Obey Traffic Sign/ShInal Johnson '.IA Accidents •- A=Qdlenit involvement indicated does INOT (mean the iinrdiivlduall was at fault or given a citation. Accident DateCase (Number 11iM _. _. 12/o3lzothl 15432I7 _. � _,._.. IA 02/is/2613 728650 IA !787979 IA Name: Fuhnneister, Timothy William DL/ID: 713XX1449 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. 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: No. 1482 P,r 113®ao2 Oct° 8. 2014 11:18AM Div of Criminal Investigation (FAy,)31933OZ lO/uw ww w.5• �c� gun reb STATE OV IOWA Criminal History Record CheekRequest Form DC1 Amount Number: 9 support opsorallina Bureau, I" Floor P. . Boz 429 Doug MOJU04 Iowa 30319 (016720-6046 (319) 3384777 a0 F221 Phonak (319)339-7302 wrilvor S1gHdfUrgffa Received Time Oct. 6. 2014 9:57AM No.2014 Oct. 8. 2014 11:18AM Div of Criminal Invest gation No.1482 P. 2/3 IOWA CRIMINAL HISTORY DCI 00373668 MISORKRANOR CONVICTIONS ONLY PAGE I OF 2 DATE PRINTED - 2014/10/00 DCI:00373508 NAME! VVHRMB1I9TBR,TIM FUROMISTER,VIMOTHY WILLIAM FURNMEISTMg, YIN PURHUNISTER,TINOTHY WILLIAM DDB SEX PAC 1-107 NOT E'YR HAIR SKA POB 19680818 N w 600 200 BLU BRO PAR IA 17, ADDITIONAL IDENTIFIERS TAT L ARM TAT L CA .�.e TAT L LEG -` CCH RECORD 01 ARRESTED 19880403 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE I 23-46 PUBLIC INTOR TRK#: L33958601 COURT DISPOSITION AGENCY: XA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123.46 CONSUMPTION / INTOXICATION - 1970 CHARGE CLAS$: MISDEMEANOR CONVICTION TRK#: L33958601 SENTENCE DISP EFF DAT PLEAD GUILTY 19000410 FINE $25 19000418 COURT COSTS $20 19800418 AGENCY: ZA0520100 CORALWHZE PIM CHARGE NO- 01 IA STATUTE IA204-401-3 POSSES&I ,9CNEDULB I/NARIJUANA TRK#a L33958701 COURT DISPOSITION AGENCYs lAOS2015J JOHNSON CO DIST COURT COUNT - 01 IA STATUTE IA204®401-3 POSSESS SCHEDULE I/MAR1ZdAMA CHARGE CLASSs MISDEMEANOR CONVICTION TRK#: L33950701 SENTENCE DISP RPF DAT JAIL ;P.D 19900703 CREDIT W/TIME SERVED 88 19900703 _0 .s 00 IOWA CITT PD CHARS o 01 IA STATUTE i. 0 ,.. B INJURY/DOMESTIC TRM 037205101 O,ct. 8. 2014 11:18AM Div of Criminal Investigaton No. 1482 P. 3/3 O'fRT DISPOSITION COUNT� DOMESTIC COURT D 06521 SRCR049754 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 037285101 aml=W SIESPENDRE0 JAIL JAIL 3 FINE $1 PROBATION DCI 00373600 PAGS 2 OF 2 DISP BBF° DAT 19900115 19960/15 19950/15 19960/15 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA700-2A(2B)(3B) ASSAULT WITH TNUuRY/DOK38TIC/ENHhNC9b TRY((; 044597001 . IA052015J TOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA?00-2 ASSAULT �.Rx.MISDEMEANOR CONVICTION 044591001 SENTENCE JAIL 1D r Al ARREST WITHOUTNOT e.. OF RECORD MAINTAINED BY THE IOWA DIVISION OF IDENTIFICATXON IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW ENFORCEMENT d ABSENCEIN THE OF FINGERPRINTS e. -e e. RECORD Is ,e ON INFORMATIONFURNISHED. e... CONFIRM OR DENY THAT THE RECORD COVERS THE suB.-EcT or YOUR e e DIVISION OF CRIMINAL INVESTIGATION