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Home My WebLink About14-075410 East Washington Street Iowa City, Iowa 52240-1826 (3 19) 356-5040 (3 19) 356-5497 FAX First 1. Name r"' Q a 2. IMailing Address 3. Telephone: Home Authorization Number ) `t " 7� ,..�.................. � (Office Use Only) L Yl 1 o'\ tx i ' (�A 6 4. Prior experience in transportation of passengers: (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) Offier: WMI 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 11V tc, 'type of offense \ Where [ When -------- _ _------ ___________ 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years?_ \/ O 7. Have you been convicted of any traffic offenses in the last five years? r MM MM 8. Has your driver's license or chauffeur's license been suspended or revoked In the last five years? _......A When 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) rV u1 (OVER FOR REQUIRED SIGNATURE AND NOTARY) -dAnbadg 03/2014 I hereby certify that I ave issued to me by the Iowa Department of Transportation a valid Chauffeur's license number I 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 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 ; Dater'., P "5, 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 ) 4� a,,4 scribed and sworn to before me b `'��,,��N to P �� aSta. Notary Public in and for to of Iowa ***k*******4{*{{*4{{YtY****k*k**kk****{***444314****************4***k*4*4***********k*******4{t**{4*YYkY*4******************{{*****{***44{{**fh!* 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). SignatLA of Police Chief or designee Zr /Cy° °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. Sign tore of City Clerk or designee D to Taxi cab businesses are required to provide Driver Identification cards. Cards must be 81/s" (width) and 5 %1' (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update GerWtWdmmdgwpp2014.doc 03/2014 0 0 T �..� .��4"1Ad, I,f0�1,yy,y NOVE N officre Ica IP: dyer Sawk.' 's ::10 BoxK204 Des IMoirm . K 2306.9204 www'W" aI. B:i, Inquiry Date: 3/25/2014 DL/ID *i 569A]7600 (IA) Nance: Makawl, Asaad Suliman Class: D Address: 2507 WHISPERING PRAIRIE Audit : 6807976 Restriction AVE Issue Date: 03/26/2013 City/Stets: IOWA CITY, IA 522406725 Expiration tons 04/12/2018 Endorsements: 3 Mailing Address: 2507 WHISPERING PRAIRIE Restrictions: NONE AVE Date of Burnt: 4/12/1963 Mailing City/State: IOWA CM, IA 522406725 Sax: M Customer Al: 6063944 ID Statum None DL Status: VAL CDL Status; None CDL CertStatus: None CDL Mad Sterna: None Restriction None Supplement- Fail to Obey Traffic Sign/Signal Pursuant to Iowa Code §321.10, I, Kim 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. signatureIn witness whereof, I have caused my e Department to be set upon this document, at Ankeny, Iowa this date: 3/25/2014 r; L♦ ' s Iowa Department of Transportation Nams: Makawi, Asaad Suliman DL/ID: 669AJ7600 caarvilcUoinlr;ra,:ra aaiwaYo IlxiflaIrm lorf Coil I'llitr 'W Vit 10/27/2013 03/12/201 4 M14 Fail to Obey Traffic Sign/Signal .Johnson IA 12/21/2013 01/21/2014 M14 Fail to Obey Traffic Sign/Signal Johnson IA Pursuant to Iowa Code §321.10, I, Kim 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. signatureIn witness whereof, I have caused my e Department to be set upon this document, at Ankeny, Iowa this date: 3/25/2014 r; L♦ ' s Iowa Department of Transportation Nams: Makawi, Asaad Suliman DL/ID: 669AJ7600 Ma r. 18. 2014 9:04AM D v of Criminal Investigation mar. 14. zv14 [:[[rivi b Ly LierK — t,iiy-or saga ',iiy _,-.10, Criminal Ifistory ��ecord , To: Iowa Division of Criminal110'estigation Support Operations ureau, VFloor 115 F. 71" Street Des Moines, Iowa 50319 (515) 715-6046 (515)725=6080 Fax - ........m......w....,.. l asn re )u®stnzK aau,1®tlnal.:klsaS�aay Record C.... Dans .............................................. Usl. �tl&1m....(stnawam......................................................................:1.-0`iirst` Name ........ ......................... INo,536u IP. 4/5 ,iDC1 AccountNuinbear:.......Q�a� ) (if epMNtloa�No) From: City.of Norarvra rli.............. City Ciarlex Once 410.1:.waaiain on BtrWa t 1o'aa'C&I1� 00 Phone: 119,356,5041 FnxN .....519°356-54.97 Date aodmy) elfl&16a" uncw'�AwBa� ),..--............................................ .wu- Soctalo"Socter1t�1!�riilY��aA°°1:94:�r`(yaroanunncaded' ...of,:Birtill.,(M ........................................................... C5 - . 12 ,lq yy 1MNfale � eawaalas 2 ' ,,,.. � fly iverlWaf'Nftrfd/®lt r 1flthoant a ,xlf(ned wb atver from tiaoa.sahiert off tieo irerlu onk n eoxaplde orlWnel history record Knay not iso rete asalnlo, per Coale oflouwa, Chapter 892 2•, Foa°yoasa Mete orianiaaarl iaistory r000rd infolnnaiioon, as aliowkN iay law, alwvays Atnin a wvAver slanaraara.ftm the sahiectof theKreauucsg knvC.QWafta N). Waiver Qua'lkO YYla�y Gtr V'drawwd as INHOWe'd Pay awe, a search of the provided name and date of birth revealed: No Iowa G"nfrtalnal I-Hatoty Recoyd found vntla:l)Cl( 20 .(, lasaiaaallI•distoryrRecord attao.lKed,,.DC:I a ....................................................... .DellAkbitials..................: .........�... DCI -77 08/25/10) Received Time iar. 14. 2014 2:20PM No -2056 (DCi use only) ............ .wu- ara � yy ( N �