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....
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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
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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
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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
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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
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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.
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Iowa Criminal I���tl:�••: %colt'. ��.ec�C.
"flat,+' of, _ _ .., u" �" �:°^� rd soaarJn, of the provided name and data of birth revealed
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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