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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 oi i� Lj.i ft ,, ,., per. rUVIVIV�Y�� Y'Uli 4 g.. qq wDOT '$t" W"�a..ak: ";`V.kNAT!GR I "'hWe PLE' I a..U,$4'fi,AAINTR8V"] e.urr,me�w.�mmam+mv� .,ea,iur �re Mee offbl ye'r xelVicL% FIG Say (Y2'/b4 -; If..7 iii. mes„ A M..I<SF3BS2N on"'y Owe& iW: i t. Inquiry Date: 3/27/2014 Name: Vonsteln, Mark Wayne Address: 139 HOLIDAY LODGE RD Mailing Addrs: 139 HOLIDAY LODGE RD Mailing C!tV/SMtes NORTH LIBERTY, IA 523179518 Certified Abstract DE Driving Record DL/ID 013BO2180 (IA) Class: D Audit #: 6168711 Issue Date: 07/31/2012 0$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 IIII ,rlaq, L/• LV 14 L. VLt bILY b EIx UI L VI duwa �I Iy IY0. y)yl f. L @ IIIA STATE ON IOWA IIII IIIA ,,,, VIII IIIA Crn almal Mstory Recon hec RequestForra I)CIAccountNumber; .,. (et®ppl8ae61®j lovva DIVIslon of Crimival ITtvatigation Support Operationg Bureau, V Moor 215 A Ia Street Des W01116H, Iowa 50319 (516)-W-606-6 a FaX reYn C ¢� of Iowa city_._._._._._._._.__._._._._._._._ Oty Clovk's OLrree QL®A`n�rea a 1Phone;d19 a6 u4.ft V�497 ._._._..�............. --------- Iowa .ra History record Check Resin ................�m .infll nrYr As of 51 "the, date �3 &,seadh of pro vided viame and o'f Urtb .r enrearedr E J: - ME b V) '11 na No Iowa. Criminal ffistorp Record found with DCI ^r 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