HomeMy WebLinkAbout14-234CITY OF IOWA CITY
410 East Washington Street
lona Gty,,)owa 52240-182
a(3T9) 3565040 "A•x 1, 17
j3"fyl' 3"Sfi=T'�F"9T'r7CX
1.
2.
3.
4.
Authorization Number —
" (Office Use Only)
9 j
APPLICATION FOR TAXI / MOTORIZED PEDICA13 VEHICLE DRIVER
(Police Department review must be made between ,8„ a.m� to 3 m Monday — Friday.)
0"alltmre to coeur algRg„ (� _', palRxevga, ", rr aannationwill,residt in denial the,�p�9dp a�iord
5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? _
TvDe of offense g Where When
p
A v e/ a
tt P t f r r/ P r a y r
612
6. Have Ju been convicted of ope abng motor hide while under the influence of alcohol or drugs
years?
Type of Offense Where When
7. Have you been convicted of any traffic offenses in the last five years? _
Type of offense Where When
giTZ-11M
8. Has your drivers license or chauffeurs license been suspended or revoked in the last five years? c'
Type of offense Where When
9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please pr"" the' ame s
DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STAT _ TIFF D
DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR Faleff Rafj
You must apply for an Individual Department of Criminal Investigation Report (form available upQ request).
(OVER FOR REQUIRED SIGNATURE AND NOTARY)
09/2014
I hce
ereby rtify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number
n � / �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 iPubl'c)� � -, ......- Date
,
Signature of Applicant . r
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 )
S
I d and sworn to before me by "`Gs✓..�.f�;" On this _ day of
vc be zw t 4 A .
and for the Stalb 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 (Titie 5, Chapter 2, City Code).
Signature of olice 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.
D to
Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 %" (width) and 5'/z"
(height) and prominently displayed to all passengers.
Office Use Only
Approved application
DCI report
State certified driving record
Website update
ClerkrrAXIDRIVBADGEAPPL92014amendedDOC 09%2014
/G-Ali!I
DOT
DL/ID S!e
21OCCO015 (IA)
Customer M
2047080
Namm
III^'I
Clasen
A
ID Status.
/�//'aI'1I111B11'I�I.
oC�
320 S DUBUQUE ST
Audit 9z
x µ,sq&gam p� e^y
�,k'Iz 5tl �.1'diamC,,,k
OL Statum
S ARTEI I SOAPL uR
$ CUST V`
UNIT 612
;Issue IDat®a
09/01/2011
CDL Status®
VAL
Bamx:b.O..
IOWA CITY, IA_
Expiration
09/01/2016
CDL Cert
alike ofa,ivau .S;L9lik eas
522404119
Datos
PO Box 9M4 I Des !Niaanes IA. NXY.i64IJ2U4
Interstate
f?Itame: 15-2.WQ 4 i an 9S3Z-1121 it w5'9ai-k'ig.i2§-ST
P
CDL Med
Certified
Iu:wmadot
Certified Allistract Of MAurPtrliwig Riscmilrd
Inquiry Date.
10/14/2014
DL/ID S!e
21OCCO015 (IA)
Customer M
2047080
Namm
Barker, Harold Jerry
Clasen
A
ID Status.
None
Addressn
320 S DUBUQUE ST
Audit 9z
5482341
OL Statum
VAL
UNIT 612
;Issue IDat®a
09/01/2011
CDL Status®
VAL
CRY/Staten
IOWA CITY, IA_
Expiration
09/01/2016
CDL Cert
Non -Excepted
522404119
Datos
Statum
Interstate
Endorseuneua m
P
CDL Med
Certified
Statue;
Mailing Addrosal
PO BOX 1424
Restrictlem n
Except Class A Bus
Restriction
None
Date of E® r
9/1/1950
Supplement.
Mailing City/State: IOWA CITY, IA
Sege
M
522441424
CDL MedicalExaminer's Certificate
Name. Barker, Harrold Jerry DL/ID. 21OCC0015
Pursuant to Iowa Code §321.10, 1, 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 ofnclel 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:
% Oct. 16. 2014 4:32PM Div of Criminal Investigation No. 2079 P. 1/3
IIID lull t, 2p. IVI'r 7.ivn1n blry 61elK - vity uI lovla UIty 1Po, )Jul P. L
VIII VIII
IIII
IIII II 111111
STATE JbE O IOWA
Crimi aml History Recoyrd Check
Request Form"
DCI AccountMuraber: �
...................................................................................
(rukgya911mx6dlcl
To: rowa 18tyidlcst of Crinimel $Ia'yektigation Prom, IC k6vp eat l'r�1 ddb'
support oporo alono Bureau, Ia Floor a 19y t pemld s It [ane
215 R.0street tllIv1rt. arlaarar�.r raat
_......
Drs Molnes, Iowa 50319
(515) 725-6066 laws Cflty, T� X266-
(315) 77.5.6080 .A%ax
e.,
Plnaone.- 11.9-555.5041 �^
lf9'a'aa t�l�B•555,56b1 "
e>
I,
ullal¢'C;'I ttqu,..,,
. � �.isa.,(an^aara• RMR^fnzlznat 1Ciatalcu°y lll.e�cmtll Check nail,;'
l ...._........................... Ierammmg
Middle Name Name h9itlllgl..:l,i.:...........................................e
.............
.......................................................................................... ....................
a �...... ....................... y............................... p............................. So CIA S ry..p.N ........................�......
Igs..'Iocf awtll QMia BIANW.................................................................1."MCICIde-1.,....IIFphda%JD..............................................,............................. _..°.._......... #.G^�°IIAAIt�IL �AkAWUU.rO................................................
.. ............. I Ircromr�mor�n�aiep
wwwoar ,6r1tear afrrtiararn ' ilhoout as ltignod avlulver Iroiit the subject. aa$tbe raRqa wta correnpnlaste 2 paninsl hhlai.;y record inky not
elatwlra'rra ratamappaim; a,arlatnluaal11sGaI^,y'reeottoIBrltol°mrnal'IYoulaasagllow r.:alIluyIry^,al:vaaha
be lroleasatble, preen° Code neat lows, Chapter 692,1. For ,,,,,,,,,,,,,,,,
lader,,ld naatunaekl°oimptgo2stulYaeetaatHalmr uevt,
waiper.ftele se:1herebyglvo polmisslon forrhe aboverequesting official In conduct an fowa erlmlmlhfr(oryreeord checkwlrh the Division ofCrimfaal
havoaligedon (DC6. Any edealnal blsiory dare eoncrmblg me Ilial is mainiafned bylho DCC may be released ea allow by law.
Ip"aaiver .....................2."Q':2 A..,4.2
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� o �i'111.�1�kt��.�:............................p.......".:..a....".......... � � �.."..�........b` revealed; .' nnap�,aulrD
A aaf................. �'�� c�,�g' l' lecr.... l,1,
s... °cis of the rovidedn a and date of
'No Too Cri..minal l(4 tcr.,y Rea.wd found wftio DC1
Tows. Criminal Histoly Record attached, DCY i ............. .....
DCT ini aih......i a....... .
......_._................................... _... .m .... .................. ......................................... ................................. .._._......
Received Time7Oc1fflr1 014 9:180 No. 1775
Oct.16. 2014 4:32PM Div of Cr:m-nal Investigation
DCI ;00170972
mhmRE AARXER„HAROLD JERRY
HARXR1,HAR0LD JERRY e7R
EAV99R,VAROLD JR
LAMOREUX,RAROLD JERRY
LAMOREUX,JERRY
004 off., RAC XW.T WGT EYE
19500901 M W 402 180 BLU
ADDITIONAL IDENTIFIERS
SC L AND
SC UL ARM
CCU RECOIRn ***
DCI 00170972
PAGE I OF 2
DATE PRINTED -
201.4P10/16
HAIR ,SKN Pon
ARO FAR IA
01 ARREBTED 19010709
AGENCY: EA05202p0
IONA CITY PD
CHARGE NO- DI
..IA S".TATRd:9.`E IA321-281
OmVVx
TRK#; 005042801
COURT DISPOSITION
AGENCY: IA052015J
JOHNSON CO DIST COURT
COUNT NO- 01
IA STATUTE IA321-28:1
Ob"I
CHARGE CL Ss MISDEMEANOR CONVICTION
TRK#s L05842801
SENTENCE
PLEAD GUILTY
JAIL
2D
FINE
$300
02 ARRESTED 19020609
AGENCY: IA0970100SIOUX
OiTY PD
CHARGE NO- 01
ONVUl
TRK#: LOSS42901
COURT DISPOSZTZON
AGENCY„ IA097015J
WOODBURY CC DIST COURT
COUNT NO- 01
ONVUl
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: Lo5042901
SENTENCE
PLEAb GUILTY
FI
$400
03 ARRESTED 19030026
AGENCY: IA0970100
SIOUX CITY PD
CHARGE NO- 01
OWI
TRK#= 1.,05843001
DI',�SP EPL DAT
19011008
19011.008
19011008
No.2079 P. 2/3
Oct.16. 2014 4:32PM Div of Criminal Investigation
PCI 00170972
PAG'D:^.: 2 OF 2
COURT DISPOSITION
AGENCY! XA097015J WOODBU.R'Y CO DIST COURT
COUNT NO- 01
OWY
CHARGE CLASS: MISDEMEANOR CONVICTION
TRM 1..0564300:11
No. 2019 P. 3/3
SENTENCE DIS'P.? FEY DAT
PLEAD GUILTY 19840201
JAIL 35D 19840201
,SU"sk?w±ND 3301) 19840201
AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT, THIS RECORD,.
MAINTAINEED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF
IDENTIFICATION IS A PUBLIC RECORD SOT CAN ONLY BE RELEASED TO NON -LAW ,
RXFOR.CEMENT AGENC199 13Y THE DCI, >m,.
IN THE ABSENCE OF FTNG99PPINTS FOR POSITIVS IDENTIFICATION 7`91S RECORD 11 "nim '
.EASED ON INFORMATION FURNTsii$D, WE CANNOT CONFIRM OR DENY THAT.' Tii$ RECORD
COVERS THE SUB CT OF YOUR INQUIRY. ,
DIVXSION OF CRIMINAL INVESTIGATION
Julie Voparil 1 Lf ` a3
From: Jerry Barker <jerrybarker12@gmail.com>
Sent: Wednesday, July 01, 2015 6:12 AM
To: Julie Voparil
Subject: Re: Taxi Driver I.D.
Thank you
On Tue, Jun 30, 2015 at 7:46 AM, Julie Voparil <Julie-Voparil(a-),iowa-city.org> wrote:
Attn: Harold Barker
As of June 1, 2015 Red Line Cab was no longer operating as a taxi business. Your taxi driver identification card for
this business is no longer in effect. If you choose to drive for a currently licensed taxi business you will need to have
a new identification card specific to that business name, and have a new photo taken.
Julie Voparil
Deputy City Clerk
City of Iowa City
410 E. Washington Street
Iowa City, IA 52240
(319) 356-5040
now imp �.1 .2111
#
N-03'' i
CITY OF IOWA CITY
UNESCO CITY OF LITERAT URE