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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 ...._........................... 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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 ._. .�::"w., gym, .0 ...... wa � 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