The URL can be used to link to this page

Home My WebLink About16-258� r �` lull CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 (3 19) 356-5040 (319)356-5497 FAX 1. Name (REQUIRED) . 2. Address (REQUIRED) IDENTIFICATION NO. (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 Last -' I/ 3. Contact Information (REQUIRED) Email: xt"'011 x A- 62! 74 'L, Cell Phone: -3 9 Sg7 S�z� (All written communication sent via email) 4a. Driver's License expiration date (REQUIRED) _ b. Taxicab Business Name (REQUIRED) rI A 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? Where e^447s/ What happened to the charge? _(Circle one) onv�lct Dismisse '"Def eerrDef d Suspended Plead Guilty Other Have you been arrest'ev—charged with any traffic offenses in the last five years? Yn O// What happened to the charge? (Circle one) Conviqt-ed __-Di9missed Deferred Suspended Plead Guilty Others 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? D Type of offense Where When N 9. Have you ever applied to bean Iowa City taxi driver using a different name? If yes, please provide4he=rjlame(s) Ply 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 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I here ce�rt/ify that have issued to me by the Iowa De a ent of Transportatio a alid Driver's license number y�0 %/ y l� issued on 02 expiring on Zug? I understand that 'rf I falsely answer any questions in this application, that this app ion may be denied. II g�aking 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 4Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date — STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by Jn�r� P. C, �OL on this day of k I_.1 a.. L,nr � _I I — 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 Driver's license O 3 . oro • Z022, Signature of Polog Chief or designee 4/•7,3.x.0/6 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. Signat f City Clerk or designee 33 -.3 n/6 Date '.1 s? •.�.....•r.....m.H............x.ra».........h....wee.............H....k........r.H..........h. se..+r..m: ..+.....+. —+ I Office Use Only N Approved application DCI report State certified driving record Website update OeiWrA%IDRIVBADGE PP 2014am do .DOC 07/2016 CAlt"'d 410WADOT SMARTER I SIMPLER I www.iowadotgov LE CUSTOMER DRIVEN Office of Driver Services PO Box 9204 1 Des Moines, IA 50306-9204 Phone: 515-244-91241800-532-11211 Pax. 515-239-1837 w Jowadof.gov Certified Abstract of Driving Record Inquiry Date: 11/23/2016 DL/ID #: 764YY4118 (IA) Customer #: 4241957 Class: A Name: Correia, John Paul Audit #: 7781533 Address: 1425 1/2 EASTVIEW DRIVE Issue Date: 02/11/2014 CDL Status: VAL Expiration Date: 03/06/2022 City/State: CORALVILLE, IA 52241 Endorsements: LT Mailing 1425 1/2 EASTVIEW DRIVE Restrictions: NONE Address: Restriction None Mailing CORALVILLE, IA 52241 Supplement: City/State: Date of Birth: 3/6/1979 Sex: M History Information Convictions CDL Permit Class: None CDL Permit Issue None Date: CDL Permit None Expiration Date: Explanation CDL Permit None Endorsements: 12/05/2013 CDL Permit None Restrictions: IA ID Status: None DL Status: VAL CDL Status: VAL CDL Permit Status: ELG CDL Cert Status: Non -Excepted Intrastate CDL Med Status: None Citation Date Conviction Date ACD Explanation County JUR 11/25/2013 12/05/2013 S92 Speed Johnson IA 01/24/2014 .02/11/2014 S92 Speed Johnson IA 08/17/2014 09/21/2014 S92 Speed Johnson IA Name: Correia, John Paul DL/ID: 764YY4118 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: ' pENICIf �°`o I%k •�7�/��y� 11/23/2016 r-'^ IOWA 'M �]/f p ; Q � .' D. O. T. Vis' N y�i�Bf ORIVEB q�®J\/ Iowa eof Driver Departme Department Services Name: Correia, john Paul DL/ID: 764YY4118 IoiNov. 2. 20160 1: 00PM Div o1 Criminal Investigation .DCI lorNo-6650 P. 3 �- Una S'T'ATE OF IOWA Criminal History Record Check Request Form Tat lows Dmolon erCrlm(aal Iavestlinuoa Rapport Operations Bureau, P Roar 21 S L 70 street Do Mobm, Iowa 19719 (515) 725.60" (Sig) 1254M Fax I am ,vx.U"ino an Inwa ('.ri,nlnel 5416. D... OL -L DCI AtxOum Number.A30 ^ FL .-{— 7 yq�wete) Fromt �atrLrS 10.111 ll4 54If.VC^ Qr. -owe n S any o -- Fhaae; ,(314 338- a9y Feet.. 319 351- Leet Name Fria Name Middle Nrme Coir ' .-1oV1V1 �olvL Daft of Binh Geadhr Social seentriq Number , 3 — - 19 79 Male Female ZG q WaiW? lormadon: Without a stped waiver hom the Subject oftbe request, a complete trialed bblory record may not be r*106mblr, per Code of Iowa, Chapbr 6912. For Malft criminal history record leformatloa, u allowed by bw, always abuilagwalveroloolurefrom asubjectaftherearmagi, Wa1wrRelease; lsaelryat"vaawimthr*a.eo que11. oarcLlbamdalonlowncdw atlhWeyromrdchece*mtooivbkdalredmtnd tnvufiprlal (110). AnyatmYW hta" do 16rmels, the 00 my M Missed m dtanot by live. Walmer sisfidure: Iowa Criminal Mtory Record Check Results (txr�ee.l» As of --j, "Z I (0 a wA h of the provided name and date of birth revealed: , ❑ No Iowa Criminal History Record !bund with DCI •r_, Iowa Criminal History Record aaaohed, DC1 N�,, DCI W c; 6CI-77 (0925/10) i.• w Received Time Oct. 26. 2016 11:02AM No.6621 Nov. 2. 2016 IAA PM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00561136 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- DCI:00561136 2016/11/02 NAME: CORREIA*JOHN PAUL CORREIA.JP JP DOB SEK RAC MGT WGT EYE HAIR SKU POB 19790306 M W 600 140 BRO BRO PAR PL 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 UR ARM CCH RECORD *�W 01 ARRESTED 19970912 AGENCY: XA0440200 NEW LONDON PD CHARGE NO- 01 IA STATUTE IA124-401B POSSESSION WITH INTENT TO MANUFACTURE TRW 012502301 COURT DISPOSITION AGENCY: IA044015J HENRY CO DIST COURT COUNT NO- 01 IA STATUTE: LA124-401-1D PROHIBITED ACTS CHAROE CLASS: NON CONVICTION TRK#T 012502301 SENTENCE DEFERRED JUDGEMENT COURT COSTS PROBATION 4Y DISCHARGED FROM DEPERRED JUDGEMENT 02 ARRESTED 20040329 AGENCY: IA0440100 MT PLEASANT PD CHARGE NO- 01 IA STATUTE IA124-401-5 POSSESSION MARIJUANA TRK#: 055167001 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 SRIN010677 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055187001 DISP EFF PAT 19980126 19980126 19980126 19980126 No -6650 P. 4 .. .-, TZ Y N W c .b Y Nov.'2. 2016 1 : 0 1 P M Div of Criminal Investigation DCI 00561136 PAGE 2 OF 2 LICENSE REVOKED MT PLEASANT PD s SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT SUSPENDED JAIL 160D 20040406 JAIL 180D 20040406 FINE $250 20040406 03 ARRESTED 20110326 AGENCY: YA0440100 MT PLEASANT PD s CHARGE NO- 03 IA STATUTE IA453B.12 DRUG STAMP VIOLATION TRK#: JFOOIEM03 COURT DISPOSITION W AGENCY: IA044015J HENRY CO DIST COURT COUNT NO- 04 IA STATUTE: IA453B.12-A FAILURE TO AFFIX TAX STAMP - 1993 COURT CASE ID: 00441 FECROO6587 CHARGE CLASS: NON CONVICTION TRK#: JFODIEM04 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20111017 FINE $750 20111017 PROBATION 2Y 20111017 DISCHARGED FROM 20130416 DEFERRED JUDGEMENT 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 DCT, 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 ra No. 6650 P. 5 s CT W ..