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Home My WebLink About14-162410 East Washington Street Iowa Cit 1 2240-1826 (313)° N-SO40 (389) 3S6-5497 FAX Authorization Number_ 'uesg— (Officefi Use Only) Department F between 8 a.m. to 3 p.m., Monday — Friday.) 2. Mailing Adc 3. Telephone: 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 11 y.o QE.2ffxum W.I.h.21.2 WM 6. Have youa convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? li 7. Have you been convicted of any traffic offenses in the last five years? f 8. Has your drivers license or chauffeur's license been suspended or revoked in the last five years? _ • * ` WM 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) 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) darklUmdrivbacky 03/2014 I hereby certify that Ihave issued to me by the Iowa Department of Transportation a valid Chauffeurs license number o 5�j 2CX 11 L... t p . 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 examdn y and all records and documents relating to this application, and I further agree that, if a license is granted, to comply at as 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 Date ""' if 1 ....._.........._.. .. 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 fS24 ox,n.. PqA p r — On this J "f - -"Lj ,_ day of "'.'" °" Notary Public in bbd for the State of l6wa �t� „. C`amrer��a�an VVidm4ar'rNa.F S um�lt,lAil�tuIv�ur 1 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). �.. Signa re of Pc,jGe hlef o"rdesignee ..................................f..........J/:�..../............................................................................. 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. Signat re of City Clerk or designee Date 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 appilcation DCI report State certified driving record Website update CerMwdddvbadeeapp2014.doc 03/2014 Aug, 12. 2014 2:52PM Div of Criminal Investigation No.6844 P. 1/1 1111111 nV S. V. ZVIT IV•4Jnm i ly VIcln to if UI IVNR Vit NU. IVLV P. '[1111[[ IIIII� STATE OFI en,minal. History eco er Request Forni DCYAccouhtNumbev .., ... .... = (NQuswya � idp Too Yowva ))[vision a@`t;'siwaaai 1'awvcA, igafmi Frornt...._Uy !' oawa �°kr.�...................................._........._..: 215 � tl TP' reek�oNaa[611R�ooku awAlnLlDae.... kN5 ............&.. ......... ,.�.. 'OasyYrtat�ue�pTo,�la °�&9.i➢[9 11g,t080 Fax Phoue: 319 J56,5941. Fax. 39.9-M-5497 _a.....W:1111111AW..1N.::1n..II8 ILUlif V INIVA 1. .aVi"' ".e6. ,R.�..tlGI��N. .uI.iIL"w (DCiVse onl>� As of i a sevumh of the provided name and date of bhfh xewaled: D I:owaa. Crla°nairaal M>at,aiy Y..eeoad;found with DC1 Iowa, a1minil Mstnry Recordattached, M1.......................................................................... ,.J N:1CM:'" de'l.............. ,. nCT-77 tow 1101 Received Time Aug. • 2014 10:41AM No. 6654 I I J1Fffi fl�i ,I /yawi��6�9Cu��f Office at fArawavnsemnes F10 Ilk= .,^4rtII V tr s IR&Wf um, 1A1uCI3M-'.t:A61'<6 7"4wusarauu Sib 744.0124I W4i F %112' k A °r.: tAb 't83? b) t!ddVPa.xwwWnk.4p'i v Cesip ti iied Abstrack of IDlrrlitelling lRecritlrrd Irngrullvy Dates 8/5/2014 DL/ID g! 554XXII46 (IA) Names Megeff, Ryan David Class! C Addveass 2401 HIGHWA`f 6 E APT Audit #! 7858634 1211 Issue Dale: 03/07/2014 CRY/State. IOWA CITY, IA 522406777 Expiration 03/20/2019 Datae IPiandolreeamentes NONE MAellteng Address: (.40!1 01IGIIBNAY 6 E AFT Ikextrictionsc Connective (Lenses 1.2.1.1. (Date of 18awltfn! 3/20/1979 Mailing City/Statas IOWA CITY, IAA 522406777 Sex! M tfisimmy Information Connvictlons C'.usheare!r w:: 1332238 IS st stuea None let. Sta'ataum VAL COL Status:: None CIIAIL Cart Statum None COI.. IWieq Staatuaa'a None Iltestriotion None Supirw aaernt: CiteVan lDaaGd_ BPav Coli . Polon LL2 e Co opo amid ,.9exln i.rtanmIn, INC., pi/i1➢/24...... to/l7 /......... I..nP2 II"a011 tan cr g6...lhie:6e4Alma%auv P:.msalsnV .leatuur,¢vuv Aha Accidents - Accident involvement indicated does NOT mean the leallvidaud was at fault or given a citation. Dru,'m!u 4D1,l6I+A00 tl 2 Case i'Iaua' b ev' ..,,,�.._... ,,.,.. w.. �. .__.._. .. .......... ticsaa P 114 Name: Megeff, Ryan David DL/ID: 554X0(1146 Pursuant to Iowa Code §321.flp, I, (Orn 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 th[s Is a true and accurate copy of an offidal 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 mused my signature and the seal of the Department to be set upon this document, at Ankeny, Iowa this date: Narrow Magaff, Ryan Dnvid PAL/IDs .55'4XX1146 s r8F Office of Driver Services Iowa Department of Transportation Narrow Magaff, Ryan Dnvid PAL/IDs .55'4XX1146