HomeMy WebLinkAbout14-146410 East Washington Street
Iowa City, Iowa 52240-1826
(3 19) 356-5040
(3i9) 356-5497 FAX
1. Name
r
Authorization Number
16I (Office Use Only)
•' • •' f !-
(Police Department review must be made
between 8 a.m. to 3 p.m., Mondayr;
3. Telephone: Harma,____� Other:
4. (Prior experience in Ilranspor)ation of
6. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? .4-A?
When
6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five
years? A_
7. Have you been convicted of any traffic offenses in the last five years?
MM
is. p tas your dnvcrs license or chauffeur's license been suspended or revoked in the last five years"? .................
Ape of offense Where When
9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s)
s
• • • •• • 0
111:4
• r • ♦ •♦
(OVER FOR REQUIRED SIGNATURE AND NOTARY)
" ditbad0 03/2014
>tve Issued to me by the Iowa Department of Transportation a valid Chauffeurs license number
,�--- . I understand that if I falsely answer anv questions in this aoolication. 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 oftfie provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front
of a Notary Public)
Signature of Applicant m °° W Date t �" 2.$
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 On this ,_J�,L _, 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).
Signature of Police Chlef`or designee
17
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.
SignaW{e of Cit Clerk
or designee
Ta:,:n ,
xi cab busin ss'es are required to provide Driver Identification cards.
(height) and prominently displayed to all passengers.
Office Use Only
Approved application
DCI report
State certified driving record
Website update
Date,
Cards must be 8 %" (width) and 5'/2"
c:ed bAdrWmdgespp2014.doc 03/2014
Nuu IN Jul, 21, 2014 3:38PM Div of Criminal Investigation
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Criniinal Mstory Recoird Check
Request Form
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Iowa. cram"raaal T.fisocrn°,y Record attached, WT. #
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STEVEN C. fdrZRAW HN E"Sf 'ANCt. 5' 2.424- 7 18 DAVO CL SAKLR
DRECTOR CHERYL VadMDE
DEPU UY MR.ECTORS
3 YEAR H KST DRY PEC,'ORAX 07189POI 4
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94S REC�tl1a"1c r S CONWICIft' NOSAND CHASH INV(U Vf.A'91;1'CFS 01W AfW Al. I OWM TO BEF DISRAMJ g3YI AW
By�
KAKERT, CHIRNSTOPHER
1809 Grantwood Dr
Iowa City, A 52749
ACAKEFIT, CHRIWOPHEFI! JOSfffl
3851 ROGER BROOKE 1131
FT SAM HOUSTON, TX 78234-0000
DRIVER I IC.ENSE i1NIFORMATKIN
Date of Elfft 0210511982
sem MALE
Eye Colan HAZEL
Driver License Number: 28014674 License Type: DL License CJass-. Cm
Date Originally Issued: 11/24/2008 Date Last Issued: 0310212009 Date of Expliatiorr: 02/05/20,15
Restrictions: Wdh Corrective Lenses
Eiridorsements:: NONE
SiAMN . WWWY WvfWx3.% ps�nlr VIAINAWY fn diw o# thp Ph"pr An wffM'wMYwwt WAS Mjff1p.~'
�.Rlr NNFORMNW10IN Jb fi W r R
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------------------------------------------------------ --------------------------------- — --- - --------------------------------------------- --.- ----- --------------------------------- 1111,11-1 .... . . --- ....................
Il dver Efigibifity: ELIGBR-E
Administrative Sbihm- NONE
12:10FENT HIS WRY �1ufM�5 faft rp Mh7ft, k C�n:,rA'AbwRV n? cral* hWk'RpMwf'
EV.N'r I CONVICno" SPEEDRING-SILPEED LINWAND ACTUAI SPE ED (VETAR. REn,. UIIT�ZED)
Offense Date: 03120/2012 Conviction Dale: 05102/2012
State [A
Referenc.e. 50215IA000
Number:
CiWV1 NO HAZMAT. NO CDL: NO
E'VENT 2 CONVICTION SPEEDING- SPEED LIMIT AND ACTUAL SPEED (GSE FAIL REQUIRED)
Offense Date: 1112112011 Conviction Date: 1212012011
State: IA
Reference STA0031403
Number:
CVJVC too HAZMA; NO CDI: NO
Did of Record
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t eirtilflied Abstract of DirivIing lltttccirtt
Inquiry Date: 6/28/2014
Name: Kakert, Christopher
Joseph
Address: 1809 GRANTWOOD DR
City/State: IOWA CITY, IA
522405959
DL/ID #: 713yy7401(IA)
Class: 0
Audit #: 0022053
Issue Dater 11/23/2005
Expiration 11/23/2010
Dates
Endorsements: None
Mailing Addrems 1809 GRANTWOOD DR Restrictions: None
Date of Birth: 2/5/1982
Mailing City/Stator IOWA CITY, 1A Sea: M
522405959
History Information
Name: Kakert, Christopher Joseph DL/ID: 713yy7401
Customer #: 4128411
ID Status: EXP
IDIL Status: None
Col. Status: None
CIIfII. Cort None
Status:
CDL Med None
Status:
Restriction None
Supplement:
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.
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f.V28/20:14
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Office of Driver Services
Iowa Department of Transportation