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Home My WebLink About15-286.�r 1 III � I + MWlwi�� CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (3 19) 356-5040 (319)356-5497 FAX 1. Name (REQUIRED) - IDENTIFICATION NO. /!j —a F� LO (Office Use Only) APPLICATION FOR TAXICAB / 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 First 2. Address (REQUIRED) 1%G..S 3. Contact Information (REQUIRED) Email: CG.5SA 6N 4a. Chauffeur's License expiration date (REQ Middle (All written communication sent 2 -o2 - Last Cell Phone: b. Taxicab Business Name (REQUIRED)_Ati✓ 5. Prior experience in transportation of passengers: 6. Have you ever been arrested / charged with misdemeanors d/or felonies in this State or elsewhere? Ty ;7pe of offense / /T Where When ToSSFSSiB✓I OY �_.n/I Jj� •'4f S nim-11Q11a j ��nt/ ��!/IJ r'^��O% 7 What happened to the charge? (Circle one) Convicted Dismissed Deferre Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? K3 Type of offense Where When �'cLG4 dYc.� ,'✓1 z7 ��f t wt5�'n i/�in5�,`' 2L9111Z 1312-1 1 What happened to the charge? (Circle one) Suspended Plead Guilty Other B. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? .9 Type of offense Where When 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please ft ovl2le the name(s�- DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATECERTftED i k DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF RUIEW You must apply for an individual Department of Criminal Investigation Report (form available upo request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 02/2015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 ct�,s5 A 6PL I hereby certify hat I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number �GNY�' ,I issued on 2-1 / expiring on 3-6- LZ . 1 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 appli tion, and I further agree that, if authorization to be a taxicab driver is granted, to comply at all times with all of the provisv�Title 5, Chapter 2, -Of the City Code. (Needs to be signed in front of a Notary Public) Signature of ApplicantJ 6Q"__/ Date / `Zy_ STATE OF IOWA ) COUNTYOFJOHNSON 1 Subscribed and sworn to before me by k P t1C(2 1 on this ;2 day of Ate- 20,5 _ . WENDY S. MAYER Notary Public in a for the State of 'ommission Expires I 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 lova City (Title 5, Chapter 2, City Code). license or designee Vie. 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. Signa of City Clerk or designee J/ j Sz i5 Dat r� Office Use Only Approved application 9 r DCI report State certified driving record Website update o CD C MIDRivanoceaPPrs2otaamwded.Doc 03/2015 C 401 Jiu"'""VUA[)0T } �v °t 5,Av i c s w a d cs to v SM"' Tct IIinPLe{i I CUSS ,�F�r ,i'WrF',s Inquiry 11/24/2015 Date: l:rplanation Customer 4241957 9: NONE Name: Correia, John Paul Address: 1425 1/2 EASTVIEW DRIVE City/State: CORALVILLE, IA 52241 Mailing 1425 1/2 EASTVIEW Address: DRIVE Mailing CORALVILLL, 1A 52241 City/State: Date of 3/6/1979 Birth: Sex: M Convictions Of fire of Driver Sefvlcrs. PO Bo: x€74. Des Momes, IA. 50', 7J6-5204 Phone: 5,15-244-9124 f EOC 532 1 21 i. Fay. 515,205-1857 www_i0wndet. goy Certified Abstract of Driving Record Dli *: 764YY4118 (IA) CDL Permit Class: None Class: A Audit #: 7781533 Issue Date: 02/11/2014 Expiration 63/06/2022 Date: l:rplanation Endorsements: LT Restrictions: NONE Restriction None Supplement: 'IA History Information CDL Permit Issue Date: CDL Permit Expiration Date: CDL Permit Endorsements: CDL Permit Restrictions: ID Status: DL Status: CDL Status: CDL Permit Status: CDL Cert Status: CDL Med Status: None None None None None VAL VAL ELG Non -Excepted Intrastate None Cmitior; Date (;4nvlctlon Date ACS' l:rplanation County .3UR 04/29/2011 05/08/2011 592 Speed Washington 'IA 11/25/2013 12/05/2013 592 Speed Johnson IA 01/24/2014 .02/11/2014 .592 Speed Johnson IA 08/17/2014 09/21/2014 592 Speed :Johnson IA Name: Correia, John Paul DL/ID: 764YY4118 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 he set upon this document:,.cat Ankeny, Iowa this date Nr ' 11/24/2015 IOWA 4y t�Nov. 23y 20152, 3:19PM Div of Criminal I i v e s t i g a t l o o per ]Oren /I 1650' P_ I STATE OF IOWA Criminal History Record Check " Request FOM To: Iowa Diaidon of criminal lovgpganon Support Operatinns Bureau, I" Floor 2151;- 70 Stmt Des Malnes, tam 30319 (515)735-6066 (515) 72S-6000 Fox I am requeatinit an Iowa Criminal Mstory Recani rheeir aa= DCIAccouotNumber: '{383-R, (ihpplluble) From;-MAY'crs �Rxl I) 4 Sia-e„s Dr. Phone: 313 33r- I F= 311 55I - A Sa,H o Last Name (aendew II First Name mws Middle Name r�, , 1, I�, c. Date of Birth jmmdom, Gender .amw Social Securl Number moeunmlded -.. / MMsle ❑Female G.L/' �/ .. x�%��•'' n al9ar druvrrnarivnf N'rteaat a elgnod welver from the enbjeet er the requgt, a complete criminal bLtory Mord may not be releatebte, per Code of lam, Chapter692 t. For COMMIlIty crimta■l history record lofarm.tioa, u.pawed by taW, dwe a Waiver Release_ i hmby pra Inrom�non (DCI). WmInim r"t r0' wnYgVgYp AnycamhWhluydw /b'.ieWlrmfiee"rb1jwrceonDdCoId=rnYtboo,hleclmam�dal hohdInovryedrtqepNl%wtD. cka h L iTivi,ion orenmitil Walver Sirnoture. -1; • — —'�� (0CI wa odY1 As of a search of the provided name and date of birth revealed: a ❑ Me Iowa Criminal History Record found with DCI : 4^ -A Iowa Criminal History Record attached, DCI # S�p !* i 36 ri? AClInitials mm�+� Received Time Nov, 18, 2015 10:21AIM No. 1310 No v. 23. 2015 3,19PM Div of Criminal Investigation No. 1656 P. 2/5 IOWA CRIMINAL HISTORY DCI 00561136 MISDRREANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2015/11/23 DCI:00561136 NAME: CORRRTA,JOHN PAUL CORREIATJP JP DOB SEX RAC HOT WGT EYE HAIR SKN PDH 19790306 'M W 600 140 DRO BRO FAR - FL ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y SC FACE TAT BACK TAT L HND TAT L WRST TAT NECK TAT R ARM TAT R HND TAT R WRST TAT UL ARM TAT VR ARM CCH RECORD **' O1 ARRBSTRD 19970912 AOENCYT IA0440200 NEW LONDON PO CHARGE NO- 01 IA STATUTE YA124-401B POSSESSION WITH INTENT TO MANUPACTORK TRK#: 012502301 COURT DISPOSITION A09NCY: IA044015J HENRY CO DIST COURT COUNT NO- D1 IA STATUTE: IA124-401-1D PROHIBITED ACTS CHARGE CLASS: NON CONVICTION TRK#: 012502301 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19980126 COURT COSTS 19980126 PROBATION 4Y 19950126 DISCHARGED FROM 19950126 DEFERRED JUDGEMENT 02 ARRESTED 20040329 AGENCY: TA0440100 MT PLEASANT PD CHARGE NO- 01 IA STATUTE IA124-401-5 POSSESSION MARIJUANA TRK#: 055107001 COURT DISPOSITION AGENCY: IA044015J HENRY CO DIST COURT COUNT NO- 01 IA STATUTE: IA124.401 (5)^- POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 08441 SRIN0ID677 CHARGE CLASS: MISDEMEANOR CONVICTION _ .7 TRH#T 055157001 r_;� Nov. 23, 2015 3:20PM Div o1 Criminal Investigation No, 1656 P. 3l5 LICENSE REVOKED SUBSTANCE ABUSE EVALUATION SENTENCE SUSPENDED JAIL 1801) JAIL 180D FINE $250 03 ARRESTED 20110326 AGENCY: IA0440100 CHARGE NO- 03 DRUG STAMP VIOLATION TRK#: JP001EM03 COURT DISPOSITION AGENCY: IA044015J COUNT NO- 04 MT PLEASANT PD IA STATUTE IA4538.12 HENRY CO DIST COURT TA STATUTE; IA453B.12-A FAILURE TO AFFIX TAX STAMP - 1993 COURT CASE ID; 08441 FECR006587 CHARGE CLASS: NON CONVICTION TRK#; JP001EM04 SENTENCE DEFERRED JUDGEMENT FINE $750 PROBATION 2Y DISCHARGED FROM DEFERRED OUDOEMENT DCI 00561136 PAGE 2 OF 2 DXSP.EPP DAT 20040406 20040406 20040406 DISP EFF DAT 20111017 20111017 20111017 20130418 AN ARREST WITHOUT DISPOSITION IS 240T 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 NON -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 COVERS THE SUBJECT OF YOUR INQUIRY, DIVISION OF CRIMINAL. INVESTIGATION II mss+ G ,r _ CO