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Home My WebLink About16-089IDENTIFICATION NO. _) Lg _ n Q9 (office_ Use Only) CITY p o WA CITY APPLICATION FOR TAXICAB / MOTORIZED 410 East Washington street (Police Department review RIeen PEDIC Iowa City, lova 52240- must be made between to VEHICLE DRIVER 826 Failure to com tete the " $ a.m. to 3 p.m,, Monday (3 19) 356-5040 y— Friday) (319) 356-5497 FAX re ufred"/�forn;ationwillresultindenia/of thea lication I Name (REQUIRED) Firsi __ h Middle z Address (REQUIRED) �t I (� Y ( W FK�CU A mast 3. Contactlnformation ��It �� ZGWo C I V 1( (REQUIRED) Email. ntqlit 6, S ZZhU 4a. Chauffeur's License expiration date (REQUIRED) (All written communication sent via email) Cell Phone- b. hone ` v 7 t b. Taxicab Business Name (REQUIRED) `� � r y 6 S 6 ! 5. Prior experience in trans — � gers �SZ�. ST, 104 'mob d portationOfpassen r�wG CI t � 7rvi Ain Ulm J� �U5C1 �II�UnJ C9L dF IC S n(e 5. Have you ever been arrested / charged with any Type a misdemeanors and/or felonies in this Where State or elsewhere? NC When — What happened to the charge? 9 (Circle one) Convicted Dismissed Deferred Suspended 7. Have you been arrested / charged with any traffic offenses in the last five G T e of offense Plead Guilty Other X41 i years? / 0J uh� E�ty,r Where �I �tl�.rJn Luvrl When hatha r�/ >�- W ppened to the charge? (Circle one) 5 v� « �1 I2 H 0� I L g C gin' d Dismissed Q's � / (� Has your driver's license or chauffeur's license been Deferred espended or 'evoked in the last five Plead Guilty Other T e of offense Where Years? LJ When 9. Haveyou E ever applied to be an Iowa City taxi driver using N i1 9 a different name? U If yes, please provide the-mame(s)' DEPARTMENT OF CRIMINAL INVESTIGATION DCI DRIVING RECORD MUSTACCOMP ANY THIS APPLICATION F� AND STATE CERTIFIED You must apply for an individual De R POLICE Department of Criminal Investigation Re CHIEF REVIEW (SECOND PAGE F Port (form available upon re OR REQUIRED SIGNATURE AND guest). NOTgRy) APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby,certi that I have issued to me by the Iowa Dep rtm nt of Transportatioq a valid Chauffeur's license number �� YU 3 h issued on G d 3 I Z expiring on 1 G /10 /1 � . 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 applicati , 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 Tile 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date STATE OF IOWA ) COUNTYOFJOHNSON ) Subscribed and sworn to before me by Spp,ti �. 11J£e,)ow on this -z- Le day of A_0\ r". i ZL))1 a 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 Iowa City (Title 5, Chapter 2, City Code). Expiration date of Chauffeur's license b 20 1 l Signature of Police Chief or d nee 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. Sign$terre of City Clerk or designee ****#*xx###**#r„x*****#**********x*##***k**xx*xxi-xx#***#****#*#******************#**xxx*xxxxx###x#***x***#*****k******x**#*x*__# #*x********x** �J Office Use Only Approved application DCI report State certified driving record Website update ;v Cl. P J(IDRI OADGGPPL92o14ame,dzd.DOC 0312015 Iowa Department of Transportation AC t ce of DWK Services (Toll Frtiiib -532.1121 PO Elm: 42114, Des Maass, R 503W9204 515-244.5124 O +VC 515-23o 1$3i Convictions Citation Date Certified Abstract of Driving Record ACD Inquiry Date: 4/15/2016 DL/ID #: 433YY0367 (IA) Customer #; 980244 Name: Nealon, Sean Class; D ID Status: None Francis zone Address: 2401 HIGHWAY 6 E Audit #: 6441766 DL Status: VAL Johnson APT 3416 Sign/Signal Issue Date: 11/03/2012 CDL Status: None City/State: IOWA CITY, IA 522406788 Expiration Date: 10/30/2017 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 2401 HIGHWAY 6 E Restrictions: Corrective Lenses Restriction None APT 3416 Supplement: Date of Birth: 10/30/1969 Mailing IOWA CITY, IA Sex: M City/State: 522406788 History Information Convictions Citation Date Conviction Date ACD Explanation Coun JUR 05/12/2011 05/16/2011 S92 Speed (10 mph & Johnson IA under in 35-55 mph zone 03/04/2012 03/12/2012 M14 Fail to Obey Traffic Johnson IA Sign/Signal 04/09/2013 04/12/2013 M14 Fail to Obey Traffic Johnson IA Sign/Signal 06/22/2014 06/26/2014 M08 Fail to Obey Officer Johnson IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Name: Nealon, Sean Francis DL/ID: 433YY0367 Pursuant to Iowa Code §321.10, I, Melissa Spiegel, 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: 4/15/2016 IOWA 1 1,D. ti �.�.r,...,.�• q+1p� Office of Driver Services Iowa Department of Transporation Name: Nealon, Sean Francis DL/ID: 433YY0367 04/AP1 18• 20162 3:58PMCab Div of DYlrrindl I n v e St lgdt ion (FAX)319339A: .2107 P. 1/3/002 0STATE OF IOWA 'Criminal History Requist Form To; low', DIVIslon of Criminal invcstlgatlon Support Operntlons Burequ, V Floor 215 n. 7" Strast Des Moines, Iowa 50919 (515)725-6066 (515)'725-6080 rax NJ�.j rraiver[njormatlon, 9vilhouta by relansable, per Codo orlDSvD, Ch obtain n rvaiw, DCI Account Numbor; _9967-F 0rapplleabl O) rroml Ye11ow Cab of Iowa City P.O. Box 428 �- 101Ya City, iiA. $2244 (319) 338.9777 fhonat Fpxf (3Y9) 339-7302 .L` MA1D ❑Female ' FSA --4 c, 193- d6 -a-703 I walVOr from the Subject of fhc requeat, o complgto grlminal hlStory record may net 692.2. For complete crlmino( libloryrecord Intorsnation, as ellowad by )aw, a)wayS t of tho reouest. Waiver Release; i hereby glue penn4t Ibn ror me above raqueeung eniolpl to eanduel olCrlmlael an lna erlminel history record eneok with the Division InverllgellOn (DCS, Any orlminel hlnory data cOnOorning and Ihel if omalntelhed by Iho DCN may bo released e! allowed by Iaw, Waiver Slgnarure; As of a search of the provided name and date of birth revealed; PNo Iowa Criminal History Record Pound with DCT ❑ Iowa Criminal History Record attached, DCI 4 DCI initials, DCI -77 (08125/10) Received Time Apr. 15. 2016 2:30PM No. 2430 (DC1 uc only)