HomeMy WebLinkAbout14-0941. Name
2. Mailing Address J-
3.
3. Telephone: Home
FAI
(Police Department review must be made
between 8 ,.m Monday
(Officee
5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? e S
nMg of offense Where 18ten
AvV,
6. Have you convicted of operating a motor vehicle while under the Influence of alcohol or drugs in the last five
years?
Tune of Offense ALere When
7. Have you been convicted of any traffic offenses in the last five years?
8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years?
r�
9. Halyepu ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s)
(OVER FOR REQUIRED SIGNATURE AND NOTARY)
derk4mdrWao 0312014
�r �F ;1y t I have issued to me by the Iowa Department of Transportation a valid Chauff'eur's license number
licaioo m b 1 understand that if I falsely answer any questions in this application, that this
h
app' y e 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 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.., �/��t Date j "
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 swim to before me by � � � i W m� On this L#,. T A� 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).
s
Signatry of Po hie"f or designee
el _I li
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.
Signaturb of City Clerk or designee
Date
Taxi cab businesses are required to provide Driver identification cards. Cards must be 8'/a" (width) and 5'/:"
(height) and prominently displayed to all passengers.
Office Use Only
Approved application
DCI report
State certified driving record
Website update
c1erWtWddvbadQeapp2014.doc 03/2014
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Inquiry Date: 3/27/2014
Name: Vonsteln, Mark Wayne
Address: 139 HOLIDAY LODGE RD
Mailing Addrs: 139 HOLIDAY LODGE RD
Mailing C!tV/SMtes NORTH LIBERTY, IA
523179518
Certified Abstract DE Driving Record
DL/ID 013BO2180 (IA)
Class: D
Audit #: 6168711
Issue Date: 07/31/2012
0$piradon 12/07/2015
Date:
End® menta: 3
Restrictions: Corrective Lenses
Date of Birth: 12/7/1972
Sege M
Data
Name: Vonsteln, Mark Wayne DL/ID: 013082180
ID Stamm
None
DL statue:
VAL
CDL Statuin
None
CDL Cart Status: None
CDL Med Status: None
Restrictions None
Supplements
n!u7R
Pursuant to Iowa Code 4321.10, I, rim 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.
In witness whereof, I have caused my signature and the seat of the Department to be set upon this document, at Ankeny, Iowa this date:
Name: Vonstein, Mark Wayne DL/ID: 013BB2180
3/27/2014
=4,wv
Office of Driver Services
Iowa Department of Transportation
°III Illu Ma r. 31' 2014 11:14AN1N Div of Criminal Investigation, No, 6294, P. 1/3
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STATE ON IOWA
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RequestForra
I)CIAccountNumber;
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lovva DIVIslon of Crimival ITtvatigation
Support Operationg Bureau, V Moor
215 A Ia Street
Des W01116H, Iowa 50319
(516)-W-606-6
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reYn C ¢� of Iowa city_._._._._._._._.__._._._._._._._
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Iowa .ra History record Check Resin
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No Iowa. Criminal ffistorp Record found with DCI
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Iowa CzImM Riekory.plecord netached, DU #...... �OAft5l�
,. DCQ..Mala
'Ma
eceived Time— r.17.-2014— 2:WK-No..6149........
Mar, 31. 2014 11:14AM Div of Criminal Investigation
IOWA CRIMINAL HISTORY DCI 00609915
FELONY CONVICTION PAGE 1 OF 2
DATE PRINTED -
z014/03/31
DCI :00609815
NAME; VOUSTEIN,MARX
DOB SEX RAC HGT WGT EYE HAIR SKN POB
19721207 M W 506 210 BRO BRO PAR, IA
ADDITIONAL, IDENTIFIERS
SC L LEG
CCH RECORD afs
01 ARRESTED 19991110
AGENCY; IA0520100
CORALVILLE PD
CHARGE NO- 01
:ICA STATUTE IA708-4
WILLFUL INJURY
TRK#+ 035757901
CHARGE NO- 02
IA STATUTE IA708.2(3)-2
ASSAULT - USS/DISPLAY OF WEAPON
TRK#: 035757902
COURT DISPOSITION
AGENCY: ZA052015J
JOHNSON CO DIST COURT
COUNT NO- 01
IA STATUTE YA708.4(2)
WILLFUL INJURY - CAUSING BODILY INJURY
CHARGE CLASS: FELONY
CONVICTION
TRK#= 035757901
RESTITUTION
SENTENCE
DISP EFF DAT
RESIDENTIAL FACILITY
:365D
2000:11222
FINE
$750
20001222
SUSPENDED PRISON
5Y
20001222
PROBATION
3Y
20001222
PRISON
5Y
20001222
COURT DISPOSITION
AGENCY: lAOS201SU
JOHNSON CO DIST COURT
COUNT NO- 02
IA STATUTE IA708.2(3)-2
ASSAULT /USH/DISPLAY
OF A APON-1.989
COURT CASE ID; 06521
PECRO53425
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#a 035757902
SENTENCE
DISP 13FIF DAT
FxMR
$500
20001222
SUSPENDED PRISON
2Y
20001222
PROBATION
2Y
20001222
PRISON
2Y
20001222
PROBATION EXTENDED
TO 12/22/03
20021222
WITHOUTAN ARREST
DIVISIONMAINTAINED BY THE IOWA
PUBLICIDENTIFICATION IS A M BUT CAN ONLY BE M TO MON-LAW
NFORCEMENT AGENCIES BY THE DCI
* ,0
0.6294 P. 2/3
Mar. 3 1. 2014 11:15AM Div of Criminal Investigation No, 6294 P. 3/3
AMED 014 WF TION FURNISHED. WE CANNOT CONFIRM DIX DENY THAT THE RECORD
COVERS THE SUBnCT OF YOUR INQUIRY.
DIVISION OF CRIMINAL 1XV88TIGATION