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Home My WebLink About16-257� r 1 CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa S2240-1826 (3 19) 356-5040 (3 19) 356-5497 FAX 1. Name (REQUIRED) . 2. Address (REQUIRED) IDENTIFICATION NO. )% — 5 f (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 3. Contact Information (REQUIRED) Email: qi 6i t`Y 0Z3 L Aultart� Cell Phone: 3/q ( written communication sent via email)u� 4a. Driver's License expiration date (REQUIRED) 7-2-,P- LO/,P b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of passengers: 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? yr� Where When r7ryurr cf4ae ItP))t o f!koKla 1 17%/ Ari-, 29. 19 9 /7 What happened to the chafrge? (Circle one) 7 Convicted Dismissed Deferred Suspended Plead Guilty Other Have you been arrested/ charged with any traffic offenses in the last five years? Y1(5 i. fV Type of offense Where W herf� 3 What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? ✓I 0 Type of offense Where When 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) 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) 07/2016 W4ery WGA �Ir�vP vii �� usP. Cor4l, J% A dv. l �� t? V burr9�gr� 3rd Corgly! cl 1, Ci^Ip1, mi. Cdirf Cedaf- co- arw,301 qS�f tU�lrut j fM/( Cl 0& (If? F+cf J .701,va C6-� 'Tem. �9rgss/2rn%i� 'Tvw'4 or� Oc�-- APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I herb certify that ��/ Irrr��have tissued to me by the Iowa Department of Transportation valid Driver's license number d 2 Z q� '!X issued on expiring on �2 - / :. I understand that if I falsely answer any q stions in this application, that this application' may be denied. r agree that 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 Date ff 14441f ff4lflffHHlllHflH.HlffHHfHf44H1H1f.1fffflffftlf 1Hff f f4f44f4fHHfHflflflf fllHfff f f IfH4Hi:lfflHH.HffHH4HHfHM4fHf STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed a d sworn to before me by J on this Z 7 day of ►tea � a WVUENDY 8. AAAYER Notary Public in a for the grate of low 7 .ffff..lfflf.f..,.....«.....ff 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 ity of Iowa City (Title 5, Chapter 2, City Code). license Signaturepf PdZe Chief or I -d1 b 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. Sig re of City Clerk or designee T 'Date HflfNffHlftlf lflf 11f lffffff 111f 44HH4f f 4f44H1f41fH11f!llflfff f lflf HHlH4ff4H'f4}+fHf1HHHffffHHf11f4f4f44fHHlf 1ffHff1111Hf1f f 1f Office Use Only N D Approved applicationIS DCI report State certified driving record N Website update w Clerk/rAXIDRNBADGEAPPL92014an dad.DDc 07/2016 toIowa Department of Transportation Office dCmrexSaMem (%llFree) 2.112l PO Box 9204, Iles Moines, IA 503&2704 515.244-9124 o fAK 515.239.1837 Inquiry Date: Name: Address: City/State: 11/15/2016 Marner, Jeffrey George 1012 6TH AVE IOWA CITY, IA 522406131 Mailing Address: 1012 6TH AVE Mailing IOWA CITY, IA City/State: 522406131 Certified Abstract of Driving Record DL/ID #: 960ZZ4838 (IA) Customer #: 419820 Class: C ID Status: None Audit #: 7916989 DL Status: VAL Issue Date: 03/25/2014 CDL Status: None Expiration Date: 07/28/2018 CDL Cert Status: None Endorsements: NONE CDL Med Status: None Restrictions: NONE Restriction None Supplement: Date of Birth: 7/28/1957 Sex: M History Information CLEAR DRIVING RECORD Name: Manner, Jeffrey George DL/ID: 960ZZ4838 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: 11/15/2016 IDN1A�{' D. 0. T fnLS„ro-" Office of Driver Services Iowa Department of Transporatlon Name: Marner, Jeffrey George DL/ID: 960ZZ4838 Nov.21. 2016 9:26AM Div of Criminal Investigation 11/15/2016 10:421'el low Cab of Iowa City STATV, O] Criminal Ifistory ' Request Tot Iowa Division of Criminal Investigation Support Operations Bureau, V Floor 215 Lr. 7'h Street Das Molnes, Iowa 50319 14)Z25:Q066 (618)728.6080 Ax K No. 8518 P. 1/5 (FAX)3193302703 P.002/002 IOWA tecord Clieck orf. DCI Aaoount Number: _,9967r) ' (I(appllcablc) Fromi Yellow Cab of Iowa City P.O. )3ox 4128 Iowa City, IA. 82244 (319) 336.9777 Phone) Faxl (319)339-7302 . c Male OFemaie(� Z ^ z 371 Waiver Iaforwafloffr Without a signed waiver from thesub)eot of the request, a complete criminal history record may no be roloatabie, par Code of lows, Chapter 692.2. For pornplele crlmlnIal history -record Information, aq allowed by taw, always phta In a waluor clan at, irp hnfn ilra cuh InM nrthp ren npee. WU1V8r'Beleasol I herebygiva ponnirelon for the above requesting otflatel to can duti An lowp arlmipal bttlorimaord cheat wl(h Iho Divtslcn ofCominsl Inywillailon (DCT). Any criminal hinory data cunuminq me that b nulmalned by the Di I miry be reloued w allowed by low, 1Wafvar Sign aturat I I Iowa Criminal History Record CheIn,, Results, MCI Itavonly) As of Jbi ji, a searoh of tho provided name end date of birth tovaalek . Q No Iowa Cr urinal History Record found with CI Iowa Crimi el History Record attached, DCIiI- - . r ACI Initial DOI-17 (08125/10) n,,..;„aA T;... hl„„ 19 101(. I -ULM Nn A10(, Nov.21. 2016 9:26AM Div of Criminal Investigation IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY D;0 1808 NAM', R�JEFF MARNER, JEFFREY QHOROE DOB SEX RAC HOT WGT EYE 19570728 M W 508 14S ERO DCI 00371888 PAGE 1 OF 4 DATE PRINTED - 2016/11/21 HAIR SKN POB BRO MED IA ADDITIONAL IDENTIFIERS CCH RECORD www 01 ARRESTED 19880212 AGENCY; IOWA CITY PD CHARGE NO- 01 DRIVE UNDER SUSP TRK#: L33711601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: DRIVE UNDER SUSP CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L33711601 SENTENCE PLEAD GUILTY PAY SURCHG FINE $100 COURT CO 02 ARRESTED 19900429' AGENCY: IOWA CITY PD CHARGE NO- 01 IA STATUTE IA708-2 ASSAULT CAUSE INJURY TRK#: L33711701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA708-2 ASSAULT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L33711701 SENTENCE PLEAD GUILTY JAIL 2D 03 ARRESTED 19931116 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA321A-32 DRIVE UNDER SUSPENSION TRK#: 007511501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: DRIVE U/SUSP CHARGE CLASS: MISDEMEANOR CONVICTION DISP EFF DAT 19680229 19880229 19880229 DISP EFF DAT 19901005 19901005 No. 8518 P. 2/5 . Nov.21. 2016 9:26AM Div of Criminal Investigation DCI 00371080 PAGE 2 OF 4 TRK#: 007511501 SENTENCE DISP EFF AAT FINE $250 19940318 SUSPENDED 30D 19940318 REVOKED 15 DAYS JAIL 19940830 04 ARRESTED 19940401 AGENCY: IAO$20100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA713-6A BURGLARY 3RD TRK#: 009698501 CHARGE NO- 02 IA STATUTE IA321A-32 DRIVING UNDER SUSPENSION TRK#: 009696502 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA716-7 CRIMINAL TRESPASS CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 009698501 SENTENCE DISP EFF DAT PLEAD GUILTY 19940830 JAIL Sr) 19940830 CONCURRENT 19940830 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA321A-32 DRIVE U/SOSP CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 009698502 SENTENCE DISP EFF DAT JAIL IOD 19940830 CONCORRENT 19940830 FINE $250 19940030 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 04 IA STATUTR: IA714-2-5 THEFT 5TH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 009690504 SENTENCE DISP EFF DAT JAIL 5D 19940830 CONCURRENT 19940030 05 ARRESTED 19960430 AOENCY: 1AD160000 CEDAR CO SO CHARGE NO- 01 IA STATUTE IA716-6 No. 8518 P. 3/5 Nov.21. 2016 9:26AM Div of Criminal Investigation CRIMINAL MISCHIEF -4TH TRK#: 019981501 COURT DISPOSITION AGENCY: IA016015J CEDAR CO DIST COURT COUNT NO- 01 IA STATUTE: IA716-6 CRIMINAL MISCHIEF 5TH DEGREE CHARGE CLASS: MXSDEMEANOR CONVICTION TRK#: 019981501 RESTITUTION SENTENCE JAIL 30D COURT COSTS CREDIT FOR TIME SERVED 06 ARRESTED 19961107 AGENCY: TA0160000 CEDAR CO SO CHARGE NO- 02 IA STATUTE IA710-7 FALSE IMPRISONMENT TRK#: 019979902 COURT DISPOSITION AGENCY: IA016015J CEDAR CO DIST COURT COUNT NO- 02 IA STATUTE! IA170-7 FALSE IMPRISONMENT CHARGE CLASS; MISDEMEANOR CONVICTION TRK#: 019979902 SENTENCE PLEAD GUILTY JAIL 32D CREDIT 32 DAYS SERVED FINE $250 PROBATION lY SUSPENDED 148D MENTAL HEALTH EVAL;NO CONTACT 07 ARRESTED 19951027 AGENCY: IA0520200 CHARGE NO- 01 ASLT W/INJURY TRK#: 044589101 COURT DISPOSITION IOWA CITY PD IA STATUTE IA700-2-2 AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA708.2(2) ASSAULT NO INTENT OF INJURY - 1978 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 044589101 SENTENCE JAIL 24D FINE $250 DCT 00371880 PAGE 3 OF 4 DISP EFF DAT 19970117 19970117 DISP EFF DAT 19970117 19970117 19970117 19970117 19970117 19970111 DISP EFF DAT 19991007 19991007 No. 8518 P. 4/5 Nov.21. 2016 9:27AM Div of Criminal Investigation DCI 00371888 PAGE 4 OF 4 COURT COSTS 19991007 08 ARRESTED 19990105 AGENCY: lAOS20200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA708-11 STALKING TRK#: 045062001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA706.11(2)(B) STALKING 2ND OFFENSE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 045062001 SENTENCE DISP EFF DAT FINE $500 19991007 COURT COSTS MENTAL HEALTH TRTMT 19991007 PROBATION 730D 19991007 SUSPENDED 2Y 19991007 09 ARRESTED 20031016 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA70B.7(3) HARASSMENT -2ND DEGREE TRK#: 100962601 COURT DISPOSITION AGENCY: IAD52015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA709:7(3) HARASSMENT / 2ND DEG. - 1989 COURT CASE ID: 06521 SRCRO66746 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100982601 SENTENCE DISP EFF DAT AMEND AND TRANSFER 20031126 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 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 M' No.8518 P. 5/5