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HomeMy WebLinkAbout14-130� P � CITY OF IOWA ITY 410 East Washington Street a__City,_Jntxa.,,,"S2240-1826 �..,,19) 356-SO40 ,{3 (319)""9-5`0="54„97 FAX 1. Name First 'k -'j X.. (Police Department review must be made between 8 a.m. to 3 p, mom 2. Mailing Address. ' d5 __� � � _ -`>--- 3. Telephone: Horne- f 9"e� "/ .4 (4 4-7 4. Prior experience in transportation of passengers:, --,-'5--C.4 Last � b I O� tfp) 5. Have you ever been convicted of any misdemeanors andfor felonies in this State or elsewhere? °k ]ypg ref offense pre VV�uev, — -o: " i 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? Type of Offense Where When 0 7. Have you been convicted of any traffic offenses in the last fmre years? 'Ty(re ssf c9f rive Where When n ?ff a .�..�..�.. 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type 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) C7 DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIFIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW (OVER FOR REQUIRED SIGNATURE AND NOTARY) dWMmk1%'bad9 0312014 Y/ I hereby cgrtify that I hav issued to me by the Iowa Department of Transportation a valid Chauffeur's license number `� ,tea 1 („ I understand that if I falsely answer any questions in this application, that this application may a Wnied. 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 Publ3 9 f Applicant ..,.. - Date—' Signature o. A licant f.�. YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CI 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 4atq�gOn this —.P (J.t�uA,. day of P .............z.a..°...W y d.� Notary Public in and for the State of to a �m my s. MAYL- V y NumUdr r^2r�R2r� k.... ..n._.. , X 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). Signat�o Po o Nhief 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. Signature oCtyClerk or designee fs � ....... a .. 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 application DCI report State certified driving record Website update c ae&UAdrNbadgwpp2014.doc 03/2014 iU ADOT ti�� ✓oia„r. 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W t. ?.. w6 �� ra0e .., P .E.1! 4 i E e d iWIFN�MNN`IAOVYOOIJiW4W19WNNWWWIuwww�WwYd NWmu�l%�WS!uu'Wuummu (MUts, ofDrtvrt rvira.- PC) Glax iE."C94 ,Des Manes, iA 69.:gS@"rva:M4 PhWwe 61! 44-:4124 lw.I`C53Z-1121 Yra8r 5,5-m".^�66-99:8'.t 1WWW_LhV eix0 gQt Inquiry Date; 6/19/2014 DL/ID #: 769YY3916 (IA) Customer at: 699878 Name: Stribley, Stephen Louis Class: D ID Status: None Address: 2028 9TH ST AFT 2 Audit 4: 5217755 DL Status: VAL Issue Date: 05/11/2011 CDL Status: None City/State: CORALVILLE, 1A Expiration 05/15/2016 CDL Cort None 522411525 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 2028 9TH ST AFT 2 Restrictions: Corrective Lenses Restriction None Date of Birth: 5/15/1952 Supplement: Maliing City/State: CORALVILLE, IA Suez M 522411525 History Information il'd9h V;ourlan Cabin Con%icVon II'au;ate ACD Exp anaUon di^oavaaty 7UR 0%1 tl,PilDtl.2 1,✓,1iI091201,2 9"„r SMu+ryed :11uhuv,son 1A Name: Stribley, Stephen Louis DL/ID: 769YY3916 h y Transportation to r 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, Stribley, Stephen Louis DL/ID. 769YY3916 6/19/2014 u4 *„ Is l Office of Driver Services Iowa Department Name, Stribley, Stephen Louis DL/ID. 769YY3916 6/19/2014 °11 Jun.23. 2014 12:35PM Div of Crim nal Investigation IIII IIIII vvL I .. LVIT L. VVI III VI IJ' UIe IY� bJty UI IUWa VILy Illj III III i IIII IIIII IIIII s fIt a i rli I rel A IIIIUIai iily 4 V Record C To; Iowa DIV191011 of Crllninal Iuvatigaflon support Operatioua Bureau, V Floor 215 E, 7i4 Rota Dem Ivlolnes, Iawa 90319 (515)125-6066 (515) 725 6os0 Fax sten ae ntcrtgAn Iowa t:,ael nh .....................&.._........ • .. ....................... ....."• .............................. a w... Daft of 7111p tln llrsedar D ......................... ••••• ............................... Rzoord Che&kk 0o,Y3177 PP. L1 DCI?docountldulnber: Lto0-a, (L— pfapplicable) Ykorn: 1.1, rtak:Town ..Ci . .............................._..................... �...:. ...................... City Clerk's W: ffico 610:R Washington Street Tawaa Cit.. y, IA .52140 Phone, 11.9-156-504 •, ••..,., ••..................................„ Pax; :31.9^066^i549'7 nasindauowla,� „•_,..._....._............ �190c1.1.1 aw'b RafMaNded .... . . W aytl ao wa ro plxcalf2altt wmouat wa slli ned waiver k'rdxmn tU subicat of the rc alaneat„ as c:an:lulala.ti+ cl h nlnal lalalton•,y sacord aliaty not be raleasaalble, per e: nde of lows, Omptar 692.2, Jerk- m;9�p, p@a,�e evinropl asal Ua6dorV record l ntol°nmdon, As allaawald by law, alhvmys olallalla o n�maMvea^ailfralaltap'Ma 1h�oln klusaalnlrolset rcal`llaa^ resaaurc^.adm WOtper.kaYalase; Iberoby glye permission ror the above regnesling ofalal to eoaduct an Iowa erietioal history recard check with the Division aMilat,aal Invwligation(DCO. Any odpilival Iffainy data conceffifiagme 11161 k malatamed by the DCJ maybe released Ai allowed by 141Y. '4........... .......... 1%�'��1.rogy,.adall'lel^ln:� �.� � '�.gA., ..................................... I........ --_____.... .... � a a.a,. m.. _.., . ............................................................................................................................................................... ... . .........:... tuici ... Iowa Criminal I���tl:�••: %colt'. ��.ec�C. "flat,+' of, _ _ .., u" �" �:°^� rd soaarJn, of the provided name and data of birth revealed 0 No Iowa 011ninal J.1islot y RLcm d fo%all.d with DCT .. rs Iowa Criminal History Record attached, DCI fi 3 l Received TimelJun, jy��•'1014 2:05PM No. 3023 Jun.23. 2014 12:35PM D v of Criminal Invest gat,on IOWA CRIMINAL &IISTOR'Y DCI 00340221 MISDEMEANOR CONVIC71ONS ONLY FAGS 1 OF 2 TE PRINTED - 2014/06/23 RiC:I:OOi4.0221 NAME: STRIHLEY,STEVA 'LOU'r,S DOB SEPI .RAC HGT WET EYE HAIR SKIN POR 19.5.20.51.5 M W .507 1.55 HAS 13RO 14ED IA ADDII°:I01'.SAL .IDE'N'1I1.71ERS CCH RECO3a'0 www AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA. STW UTE IA123-46 PUBLIC INTOX TRK: L29294001 Q„"49Ni.0.MT DIAPOS1"N^:¢0N AGENCY: XA052015J JOHNSON CO DIST COURT COUNT NO- 01 :IA STATUTE IA123.46 CONSUMPTION / INTOXYCATION CHARGE SS: MISDEMEANOR CONVICTION TRK#: L29294001 SENTENCE 1XI:SP EFF DAT PLEAD GUILTY 19051120 FINE $20 19851128 COURT COSTS $20 19851128 AN ARREST WITHOUT DISSPCOSITIO14 IS NOT AN :INDICATION OF' GUILT„ THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, )BUREAU OF IDENTIFICATION :IS .A PUMsD.IC RKCORD BUT CAN ONLY BE RELEASED TO NON -LAW ENFORCEMENT AGENCIES 9Y THE DCI, IN THE ABSENCE OF FINGERPRINTS VOR POSITIVE IDENTIFICATION THIS RECOM IS BASED ON INFORMATION FURNISHED, WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION X -- No. 3177 P. 2