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Home My WebLink About14-2231 r w t CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 356-SO40 (319) 356-5497 FAX 1. Name (REQUIRED) Authorization Number /4% 07c&L (Office Use Only) 1u Lj Cob UfTakla- Cr°91'7 APPLICATION FOR TAXI / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday.) �'=P iNC2MP.L2fq fing,1rdrYmaton wifresult n�enis of the gg f�g�ai, 2. Mailing Address (REQUIRED) 3. Contact Information (REQUIRED) Email:__ 11 Cell Phone: 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense CaCC um When 6's e; W //�/' _- 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? LQ of Offense Where When C 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where When 2 __________.- _ __________ ...s 8. Has your drivers license or chauffeurs license been suspended or revoked in the last five years?- rjl ALT (OVER FOR REQUIRED SIGNATURE AND NOTARY) When j". e'dix theiname 1"5 Tr 09/2014 p hereby certifV that I have issued to me by the lova Department of Transportation a valid Chauffeur's license number _ / 2 -2 b (. �a) 3 "3 . 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 ('�"x°*°°�� „��' ��i��u�a-��--' 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. STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by jw mea . On this f. day of cnr 1-a aoyi. Public W and for the Statt of Iowa Wuaniberc 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). gnatur of Police Chief or designee 'D'i34 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. Signat re of City Clerk or designee - Z�� X'tZ�Z Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 %" (width) and 51/2" (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update C�eikrrA%IDRNBADGEAPPL92014amwded.DDC 09/2014 Irr �, i//'iu r �IOI�p00UI y y 4Q�p� 11U A T W0�t!�lV SMARTER I51P U I ('01 11AF Ri p3 SYdBNWe'°w4( JJUU me'Ivd vrvnrvYWU kI^F 'tttttr.:r$ $iiµ Ib 4aAr': �51tra/i�A'D. (1.➢ t tA' 04 "iDtuu3Akp4 *4 ' PA ?4'nk#3HY44 1'#arann: M5 M+91241 Mb 3,3°" t Eti ( i t1.. d7iUi"6^71K %4.937 %i4`4gXl`..kEA'V'tgidtlAt.?'i�:;kt3 Inquiry Daatei 10/3/2014 Name. Toomer, David Alan Address. 2742 500TH ST SW --fly/state: KALONA, IA 522479 Mailing Addresm Nailing City/Staten KALONA, IA 522479214 Celr#iifiled Abstract of IDriving (Record IaIL/II0 M 127AC6033 (IA) Custamer M 1934738 Chtew D 'ID Statuace EXP Audit Og 4671306 M. Status: VAL Issue Dateo 09/14/2010 CDL Status. None Expiration Date; 09/21/2015 CDL Cert Statex;: None Endorsements° 3 CDL Had Statu m None Restrictions: NONE (Restriction None Date of Dirttan 9/21/1956 aupplem®ntu Sex; N History Information Otatlo n Date a rcaaWdil3an Date m�P c XpWin"'1iinur Ilanpolipaair BaMtlld ;,, „�, �„ ,-- ,-�i �;�„ � r;; �- �; 9' of ✓;. .,; .,',i= w+r, ;; c �,, ,, ,+ Acciden', (Date Hurr0mr3UR 01/23/201.lp, ,..,......m ..... _,. ...„ .......,w .,, M1.G0.`u .............�...,.. ....., .... .. ,.. .I .°.m, m.,........„....,... i l./V7/20A.3 ,767955 1A Name: Toomer, David Alan DL/ID: 127AC6033 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: Name: Toomer, David Alan DL/ID: 127AC6033 10/3/2014, 10 i °°°°°° r' Office of Drive r Services Iowa Department Transportation of r, at t. 1. 2014 11,.24AM III' all YOIm a Sep, 26. 2014 1:23PM om'�Iml Div of Criminal Investigation City Clerk - C,ty of Iowa C ty 4 � YII � f (11 a 4907= e , d l Tw ft'oiu Di7vido n of COmina,°aY<'1neveAtkgot@on Svlpp®rt Opava&ngEnwe,man,1" F9.041 215 iso 7"t" 89araat Des Moines,101YA 56319 (515)725.6066 (515) 725.6090 Fax MCA on:, V;d No. 1019 P. 1/4 No.5240 P. 2 E3 DCIAccountNambu.- 110 61- C2epplloeble) From:: gi of Lows Cit City Claws Offica AAdl �. �usCn6an� B.oua �t'aaC: Iowa��Yy 1 a22d� Phone. 31.9456-4041 VAX- i.5-396-1497 TVdaie u.......f Fem aic; Wa1»ue:'jdiv„�o1"m dn9ops, Without a sl�sned'Wxolaer $fl om tho arubjpc: Q1,a R nequesg, acohiptmta ven a I eRA hiliIarlry record Inway not bo rdleasab6a, per Cade of Ja'svo;, Chapter 6,,912, Por, egmpjtfl§ orNlreul M hutory Irec urd AlaPormna'tRala,„ .as aGGavred by taw, aWayru obtain. a Waiver sllanaluNVO.Pramn. tlfae,andkfect adtdYa regaaest. Rh her. Refeirrse.-lisarnbyp.,"[ve pe atdvCoe fht *abovonarg¢ueenbagr a980,rRto con dud. an rnwea erkvvah Ytee),7 kIaa ofOntaInd lYavxatl&ryaaYaarx Q®tn&}. a�xst/ r,.xquul@YYuP Irdsrnay dorsa caa+�eauNacy*Ea'aa uYua[ xsrcmwaaruawnede�+n0em �td..°1Aprayr bu weYwaa"r,„9 as alBowcaq kroy Waev. , �a.searcho£thoprovidednameanddataofbirth>�vesled .As of" I 10 No Iowa Criminal History Recoxd found with WI low& Cxl Bernal ilisroly kt ecoxd attachpA DCI j, e° ....�........ Yv b�Clidlit&aIl� � Oct. 1. 2014 1104AM Div of Criminal Investigation IOWA CRIMINAL HTSTORY DCI 00209152 M71::GIIMOIEAXOR COMVICTZONS ONL'.T PAGE I OF 3 DATH PR.INT,8.D- 2071.4/':I.O/01 DCI :002091.52 NAME: TOOMERBDAVID ALAN D013 SEX RAC NUT WGT EYE HAIR Sm 'POE 19560921 M W 1e11 200 DRO BRO MED IA A.Dg1:I'11'10NA.L IDENTIFIERS SC CHIN SC R KNEE CCH RECORD *** 01 ARRESTED 19780203 ENCY: IA0520000 JOHNSON CO SO CHARGE NO— 01 DRIVE UNDSR INFLUENCR/LIQUOR TRK#: L10173201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 OPB 'TR MOTOR VEHICLE RR INFLUENCE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L10173201 SENTENCE JAIL IOD 02 ARRMS TED 19060716 AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO— 01 IA STATUTE IA12!146 PUBLIC INTOX TRK#: L10173401 COUNT DISPOSITION AGRNCYe IA092015J WASHINGTON CO DIST COURT COUNT NO— 01 IA STATUTE IA123,46 CONSUMPTION / INTOXICATION CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L10173401 SENTENCE JAIL 2D 03 ARRESTED 19901103 AGENCY: IA0520200 IOWA CITY VP CHARGE NO— ,01 'IA. STATUTE 1&'.12:1.,:1`...2 OWI TRK#: L10173501 COURT DZBPOBI'.ri°PON AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO— 01 IA STATUTE :1A321J,.2 OP9K VER WH INT OWY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L10173501 DI9.7P EFF DAT 19791120 DISP.RIFF DAT 19116,07::1.9 1' f 0r,t. 1. 2014 11�24AM D of Criminal Inve0 igat on DCI 00209152 MM 2 OF 3 SENTENCE DISP EFF DAT JA.I II:� 2D 199/0214 EINE $500 :19910:214. CREDIT W/TIME S)MVPD 14H :5.9910214 04 ARRESTED/9901103 A a, AGENCY: IA0520000 JOHNSON CO SO CHARGE NO— 01 JCA STATUTE IA321.-263 LEAVE 9CRXH OF ACCIDENT TRK#e 1,20:11.73602 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321-261 LEAVE THE SCENE OF PERSONAL I.M.TURY ACOXDENT CHARGE ASS; MISDEMEANOR, CONVICTION TRK#: L10173601 SENTENCE DISP EFF DAT JAIL 10D 19920214 CREDIT W/TIME SERVED 14H 1992025.4 05 ARRESTED 19921001 AGENCY: IA0920000 WASHINGTON CO $0 CHARGE NO- 61 IA STATUTE IA321J-2 OWI/2ND OFFENS19 TRK# t 1.10173701 COURT DISPOSITION AGENCYY IA092015J WASHINGTON CO DIST COURT COUNT NO— 01 OWI12ND OFFENSE CHARGE CLASS! MISDEMEANOR CONVICTION TRU: L10173101 SENTENCE DISP EFF DAT JAIL 30D 19930129 FINE p50 19930:829 06 ARRESTED 19931136 AGENCY; IA0520200 IOWA CITY 9T1 CHARGE NO- 01 IA STATUTE IA321J-21 DRIVIN® WHILE REVOKED TRK= 006500001 COURT DISPOS:I'.TION AGENCY: IA052015J TOHNSON CO DIST COURT COUNT NO— 01 IA STATUTE IA321J-21 DRIVING WHILE REVOKED CHARGE CLASS! MISDEMEANOR CONVICTION TRM 006599001 No. 1019 P. 3/4 a, dct, I . 2014 111,:25AM D v of Cr minal lnvest,gation k 1019 P. 4/4 DCI 00209152 PAGE 3 OF 3 DISP EFF DAT 2D 19940304 $250 19540304 AN ARREST WITHOUT DISPOSITION 19 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 POR POSITIVE IDENTIFICAT:[ON 191115 RECORD 9:s BASED ON INFORMATION FURNISHED, WLr CANNOT =FIRM OR DENY THATT THE WXCOST.) COVERS THE SUBjSCT OF YOUR IWOUlpy,, DIVISION OF CRIMINAL INVESTIGATION -vj�