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Home My WebLink About14-099Authorization Numlaer 1 (Office Use Only) yv�A(L%5 I (Police Department• between 8 a.m. to 3 p.m., MondayFriday.) 1. NarrYe ........_ .__ ... )gy m u-.w�d tl ...... 2. Mailing Address....... � C� . �= � � �� .y........._ �k0 � o._ .. �°P �.a C-_ .._......_._ �� _ ...-� � ._. 3. l elephone: Homal:I:....... , k i..."_..o, W Other: ............r......... '�w-rc, .... ._ CAL @"4bbtM' 4. IPrior experience in transportation of passengers:.. ar. a� 5 � _ _ .. 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Y-( u -i 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years?_ O LMq of Offense When 7. Have you been convicted of any traffic offenses in the last five years? Wien 8. I -I W your drivers license or chauffeur"s license been suspended or revoked in the East five years? 0 Tyoe 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) + r • • O-,0 (OVER FOR REQUIRED SIGNATURE AND NOTARY) dedftwaI 0312014 I hert��eb�r ce !fy thakI have issued to me by the lov✓a Department of Transportation a valid,Chauffeues license number t..�. 'tt �i 1 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 a I records and documents relating to this application, and I further agree that, if a license is granted, to comply at all time w th 11 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 '`' " YOU ARE NOT VALIDth DRIVE A'" -A Cl IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE QTY CLERK'S OFFICE. Autho ed, taxi river names are placed on the city website at icgov.org. STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and swom to before me by On this day of m � otary Public Nano for the Sta a of Iowa 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). ,I ----------(-I/ p• d Signatu1111 7ceoffhief 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. Signat re of City Clerk or designee Dat 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 deddta) ddvbadaeepp2o14.dw 0312014 0 wAp r. 21. 2014211: 35AM rQ� Div of Criminal Investigation DCI 10P.5854 P.� 3/4 .�3 STATE OF IOWA Criminal I-Hotory Record Check Request Form R( Vx U�-- D5.16- 19 ��d�err �rrg��w � �e��re � reu emvrr a� benrelamamedhm, w cmdo of InvomoMo 612, WoA Soo N DC1AcwwwNumkn PC .. ¢drm p Piaosoe :(314 3317 Fmin,.�4 356' e�WNR C4 UM Graw ff"llug, a tw000k clambaki 1261 rthabOds 10TWIMMOGNO soMaG 4%MeMMY& V am M my be MkMwd M dnvd W W.0 As of Al— ._ D wwh DE'Rhud provided wroo and date of b5nh vom;hed; No Iowa CrRenaiaak Mawy Rwrd found with DO bwa y GAminal TIS ay Record attached, ed, DC19,,. C DCg iniahoia _ — -� _ Received Time Apr. 17. 2014 12:48PM No.5619 rah :s' Apr,21. 2014 11I5AM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00783918 NON CONVICTION PAGE 1 OF 1 DATE PRINTHD- DCI:00783910 2014/04/21 NAME: PRSN .JOY FRENCH,JOSIMPH DEAN DOS S C HGT WGT EYE HAIR sm POB 19790515 N W 600 230 BLU BRO PAR IA ADDITIONAL IDENTIFIERS TAT BACK TAT L CALF TAT R CALP TAT RF ARM TAT UL ARM TAT UR ARM PHOTO AVAI7& BLE. Y .;♦ AGEGCT:♦1 IOWA CITY RD CHARGE 1 ♦ t ♦ PROHIBITED,: 0 COURT BO ; AQENCY: IA052015J JOHNSON CO DIST COURT COUNT 1 01 IA STATUTE IAI24410 CONTROLLED 1 ,: O r' CONVICTIONCOURT CASE ID: 06521 PECR076942 CHARGE CLA28t NON O00 SENTENCE DISP EPP DAT DEFERRED JUDGEMENT 20061207 PROBATION 1M 20061207 I)XSCHARGED FROM 20070003 DEFERRED UNDOEMENT AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION,OF ENFORCEMENTIDENTIFICATION 19 A PUBLIC RECORD OUT CAN ONLY HE RELEASED TO NON -LAW M COVERSWRV ON INFORMATION FURNISHED. WE CANNOT CONFIRM Olt DENY WAT THE NECORD DIVISION OF ♦' a IIIa IIID M1iir tiiuO . , ° i to ° � �DI I IT61 mo 53 i W21 , 9 U4, U64IW INS„ .03lk.1a2.I� 515 244-9124 V / IliilmJ. gym 'U9dWlf r.�p ,..AliipElSGFiI�F,2lYC.Ttl of Transportation to so certify. In witness whereof, I have caused my signature and the seri of Paha Deimrtnient to be set upon this document, at Ankeny, Iowa this date: Pqo14lml�ii"S 4l22l2014 If �. ll luwrymry A MquUg0w i✓rvm We N.. iiam'u�ll Office of Driver Services Iowa Department of Transporation Certified Abstract of IDriving Record InNulry Dame 4/22/2014 DL/Ink #; 4342Z0166 (IA) Customer #: 2266220 Name: French, Joseph Clasac D ID status, None Dean Address: 1506 SPRUCE ST Audit0 6649312 DL Status: VAL Issue Datm 04/09/2013 CDL Status. None City/ tee IOWAIA Expiration D 05/15/2016 CDL Cert tum None 522406030 Endomemenlim 3L CRS. Mod Status- None Mailing Addrewn 1506 SPRUCE sir Restricithamn NONE Restriction None Supplamento Date of Birth. 5/15/1979 Mailing IOWA CITY, lA Sax. M City/State: 522406030 History Information r.�p ,..AliipElSGFiI�F,2lYC.Ttl of Transportation to so certify. In witness whereof, I have caused my signature and the seri of Paha Deimrtnient to be set upon this document, at Ankeny, Iowa this date: Pqo14lml�ii"S 4l22l2014 If �. ll luwrymry A MquUg0w i✓rvm We N.. iiam'u�ll Office of Driver Services Iowa Department of Transporation Nomm Frendn, Joseph Dean OL/M 434ZZ0188