The URL can be used to link to this page

Home My WebLink About15-085i r CEO CITY OF IOWA CITY 410 East Washington Street f-a!y CTlv._hwa 52240-1826 f9) 3566-504-0 QI9 75-T97 FAX r 1. Name (REQUIRED) 1 2. Address (REQUIRED) _ IDENTIFICATION NO. / S— D F)5 (Office Use Only) APPLICATION FOR TAXICAB l MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday) Failure to complete the "required" information will result in denial of the application 3. Contact Information (REQUIRED) Email: 4a. Chauffeur's License expiration date (R b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of pa Middle sent via email) Cell 6. Have you ever been arrested I charged with any misdemeanors and/or felonies in this State or elsewhere? Yes Type of offense What happened to the charge? 7. Have you been arrested Where with any traffic offenses in the last five years? What happened to the charge? (Circle one) 8. Has your driver's license or chauffeur's license been suspended or revoked in the When 2.Goo Type of offense Where When 9. Have ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) w DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIFIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW You must apply for an individual Department of Criminal Investigation Report (form available upon request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 0212015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby certify that I have issued to me by the Iowa De rtm nt of Transportation a valid Chauffeur's license number !Erb Q�I "� issued on 2d2xpidng on(Z/ . I understand that if I falsely answer any questions in this application, that this application may 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 authorization to be a taxicab driver 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/ 4 Wzl _ V C/ V 1 RfA,� Date STATE OF IOWA ) COUNTY OF JOHNSON ) Subscrib d and an to before me by f0. \rK ILA-)- \Jo, a A:P tvy on this day of S. MAWR Notary Public in have reviewed this application, DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Chauffeur's license 2 1 ( S Signat re of PoVe C f or designee Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. Signature of City Clerk or designee Office Use Only Approved application DCI report State certified driving record Website update O cn ro ' Date O cierWTAXDRivenDG�PLszoi�.DOC 03/2015 cn ro Gli cierWTAXDRivenDG�PLszoi�.DOC 03/2015 C410WADOT SMARTER I SINIPLl t" I CUSTOMEF 4RIVE'N Office of Driver Services PO Box 9204: Des Moines, IA 5G306-9204 Phone_ 515-244-4124 1 800-532-1121 1 Fax 51 -1-E39-IP37 wvinuJowai gov Certified Abstract of Driving Record Inquiry Date: 4/14/2015 DL/ID #: 013BI32180 (IA) Customer #: 678915 Name: Vonstein, Mark Wayne Class: D ID Status: None Address: 139 HOLIDAY LODGE RD Audit #: 6168711 DL Status: VAL Issue Date: 07/31/2012 CDL Status: None City/State: NORTH LIBERTY, IA Expiration Date: 12/07/2015 CDL Cert Status: None 523179518 Endorsements: 3 CDL Med Status: None Mailing Address: 139 HOLIDAY LODGE RD Restrictions: Corrective Lenses Restriction None Date of Birth: 12/7/1972 Supplement: Mailing City/State: NORTH LIBERTY, IA Sex: M 523179518 History Information Convictions Citation Date Conviction Date ACD Explanation County IDR 08/19/2012 -- 09/18/2012 - - - 592 Speed -- ---Johnson 4A Name: Vonstein, Mark Wayne DL/ID: 013BB2180 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. 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: �: •""••:!411 4/14/2015 IOWA '.*%,, W. D. 0. Ta 1 �•f Office of Driver Services fr4--4 iwv�rr.�' Iowa Department of Transportation Name: Vonstein, Mark Wayne DL/ID: 013BB2180 AP r. b. 2U14 9:58AV U i v of C(im;naI investigation No. 4614 P. 1/3 Fra M. uIly 01 1CW& cry Clerk oPrlce 319 3666697 04/0e/201s 19!04 N006 P.002/0o2 -I(A7i `'n OF IOWA p CriMilla➢ ll',ri§ilolrY Rn®rrd Check Request Form s� DCI Account Number: (if applicable) To: Iowa Division of Criminal Investigation Support Operations );ureal, I" Floor 315 E. 7nl Street Des h/folues, Iowa 50319 (515) 725-6066 (515)725-6090 Fax I am reome9tinv an Iowa Criminal History Record Check oil: From: City of Iowa City City Cleric's Office 410 E. Washington Street Iowa City, JA 52240 Phone: 319-356.5041 Fail 319-356-5497 Last Name mandarnry) First Name (nrood wry) Middle Name (reconweaaed) of 1 _ r: I WarC Date of Birth (mandatary) Gender n+andaior SecurityeNumber (recommended l2-711c7z Elmale ❑Female (Social WaiverIrnformalion, Without a signed waiver from the subject of the request, a complete criminal history record may not be releasable, per Code of Iowa, Chapter 692.2. For com let criminal history record information, as allowed by law, always obtain a waiver signature from the subject of the request. Waiver Release; l hereby give pumission rot die above requesting official to conduct an Iowa uhninal history record check w41h are Division of Criminal ntaitiby the DCI may be released W allowed bylaw, tnvestigt6on (DCO. Aly criminal history data cnncaming me than is maii�nd Waiversi.-ftetfure: �4,0 I iIaz IA Iowa Crifm-inal $iistory Record Check Results (ocl use only) As of 1 _b 1- 1 , a search of the provided naive and date of birth revealed: _ r: I '2;;j _ No Iowa Criminal History Record found with DCI M7., r.n 1 C11 ,ta c3y yX Iowa Criminal History Record attached, DCT 9 6N 8(S T c v � v DCI initiais w r a- DCI -77 (08/25/10) Received Time Apr, 3, 2015 10:58AM No. 4499 M Apr. 6. 2015 9:58AM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00609815 FELONY CONVICTION PAGE 1 OF 2 DATE PRINTED - 2015/04/06 ncl:oo6o961s NAME: VONSTRIN, MARK DOB SEX RAC MGT WGT EYE HAIR SKN POB 19721207 M la 506 210 SRO BRC FAR IA ADDITIONAL IDENTIFIERS SC L LEG CCH RECORD .*• 01 AAR98TED 19991110 AGENCY: IA0520,,00 CORALVILLE PD CHARGE NO- 01 TA STATUTE IA709-4 WILLFUL INJURY TRK#: 035757901 CHARGE NO- 02 IA STATUTE IA706.2(3)-2 ASSAULT - USE/DISPLAY OF WEAPON TRK#: 035757902 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA708.4(2) WILLFUL INJVRY - CAUSING BODILY INJURY CHARGE CLASS: FELONY CONVICTION TRK#o 035757901 RESTITUTION SENTENCE DISP EFP DAT RESIDENTIAL FACILITY 365D 20001222 FINE $750 20001222 SUSPENDED PRISON SY 20001222 PROBATION 3Y 20002222 PRISON 5Y 20001222 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA708.2(3)-2 ASSAULT /USB/DISPLAY OF A WEAPON -1909 COURT CASE ID: 06521 FECRO53425 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 035757902 SENTENCE OISP EFF DAT FINE $500 20001222 SUSPENDED PRISON 2Y 20001222 PROBATION 2Y 20001222 PRISON 2Y 20001222 PROBATION EXTENDED TO 12/22/03 20021222 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO MON-LAW ENFORCEMENT AGENCIES BY THE DCI, IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE \`RECORD \! No -4614 P. 2/3 Apr. 6 2015 9'58 AM Div of Criminal Investigation No, 4614 P. 3/3 COVERS THE SUBJECT OF YOUR INQUIRY. 01VISION OF CRIMINAL MRSTICATION Julie Voparil (�T-` °gam From: Julie Voparil Sent: Tuesday, June 30, 2015 9:49 AM To: 'Zepppfein@yahoo.com' Subject: Taxi Driver I.D. Attn: Mark Vonstein As of June 1, 2015 Red Line Cab was no longer operating as a taxi business. Your taxi driver identification card for this business is no longer in effect. If you choose to drive for a currently licensed taxi business you will need to have a new identification card specific to that business name, and have a new photo taken. Julie Voparil Deputy City Clerk City of Iowa City 410 E. Washington Street Iowa City, IA 52240 (319)356-5040 � r , CITY OF IOWA CITY UNESCO CITY OF LITERATURE