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Home My WebLink About16-266-4 CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 (319)356-5040 (3 19) 3S6-5497 FAX 1. Name (REQUIRED) _ 2. Address (REQUIRED) IDENTIFICATION NO. 11,e — 7 L-0 6 (Office Use Only) APPLICATION FOR TAXICAB I 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 -7'/ y C 3. Contact Information (REQUIRED) Email: Middle (AII written communication sent 4a. Driver's License expiration date (REQUIRED) 771 oZ�'��J b. Taxicab Business Name (REQUIRED) YdoN C46 5. Prior experience in transportation of passengers: Last Cell PhoneCIRCf q-75 `11�>3) 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere?1�Y V Type of offense Where When What happened to the charge? (Circle one) Convicte Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? �IZS Type of offense / Where / When 1�S/+I�7 �`'� �ic,�ia. �rzs,�_/�,l-�"sat✓A � ZO�y Zo/l 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? Where -r-4 When 7-- zoo6 9. Hav6you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide thgijame(*,j DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIFIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REMEW You must apply for an individual Department of Criminal Investigation Report (form available upo11 request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 07/2016 T (Z -t ;, s4r (410_' LL , =M��ti �i.LSISf �C,7lo N Na A L tr - LI ce-st Svs�o�✓ o/ // �v -1G/S - r4 1 S3+,va)- cop co , o L APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 hereby certi tha}/I have issued to me by the lowaoD�G/ iO/� of Transportation a ylid Driver's license number 7521 yt/ /7f issued on �! expiring - J�- 2/ - ZZd bb'' . 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 infrontof a Notary Public) Signature of Applicant kc"n Date /Z &17- +++++a++++++++++++++++++++++++++++++++++++m++++a++a+++++a++++++++aa++++aa++aa++aa+++++++++a++++aa++++++aa++a+++++++++++++a++a+++++++++++++++++ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by A t'..t r,. __ j • b u µ e- on this Lo day of -beer �� g P�( L C \. n I l .� . in and for the Stafe of 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). v Z ZK/ (_ 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. Sig ure of City Clerk or designee 44 ZG / ' Dat N Office Use Only o ZEh o f Approved application -ice cn DCI report r ni State certified driving record may,-,�� Website update .c^ Ge*TrAXIDRrvenoceAPPU2014eff*nded.00C 07/2016 C 4�8%j ,JIOWADOT SMARTER I SIMPLER I CUSTOMER DRIVEN wvvw.iowadot.gov Inquiry 12/6/2016 Date: Customer 5035817 Name: Dunn, Bryan J Address: 744 E 2ND ST City/State: WASHINGTON, IA Convictions Page I of 2 Office of Driver Services PO Box 9204 1 Des Moines, IA 50306-9204 Phone: 515-244-9124 1 800-532-1121 1 Fax: 515-239-1837 WwwJawadol 9ov Certified Abstract of Driving Record DL/ID #: 523532216 Mailing 744 E 2ND ST Address: D Mailing WASHINGTON, IA City/State: 523532216 Date of 8/21/1978 Birth: 1094911 Sex: M Convictions Page I of 2 Office of Driver Services PO Box 9204 1 Des Moines, IA 50306-9204 Phone: 515-244-9124 1 800-532-1121 1 Fax: 515-239-1837 WwwJawadol 9ov Certified Abstract of Driving Record DL/ID #: 781YY4818 (IA) CDL Permit Class: None Class: D CDL Permit Issue None .Johnson IA Date: 03/11/2014 Audit #: 1094911 CDL Permit None 04/02/2014 M14 Fail to Obey Traffic Sign/Signal Expiration Date: IA Issue Date: 06/21/2016 CDL Permit None dA Non -Payment of Iowa Fine Endorsements: `"`jIA Expiration 08/21/2018 CDL Permit None Date: Cr) IA 's Restrictions: Name: Dunn, Endorsements: 3 ID Status: VAL Restrictions: NONE DL Status: VAL Restriction None CDL Status: None Supplement: CDL Permit ELG Status: CDL Cert Status: None CDL Med Status: None History Information Citation Date Conviction Date ACD Explanation County JUR 01/27/2014 04/02/2014 Improper Registration .Johnson IA 01/29/2014 03/11/2014 Improper Registration Johnson IA 03/05/2014 04/02/2014 M14 Fail to Obey Traffic Sign/Signal Johnson IA 04/19/2015 05/28/2015 B51 No Driver's License Johnson dA Operating While Intoxicated Test Refusal/Test Failure Violations Occurrence ACD Explanation JUR 02/26/2006 Al2 'OWI Test Refusal IA Sanctions Type Effective End ACD Explanation Occii ignce Juh JUR Revoked 03/09/2006 03/08/2007 IA12 .OWI Test Refusal IA -:.1 Suspended 106/18/2014 07/23/2014 D53 Non -Payment of Iowa Fine IA 7 ~ A Suspended 03/16/2015 04/14/2015 ID53 Non -Payment of Iowa Fine IA --1 r—) f `"`jIA Suspended 11/30/2015 12/08/2015 D53 Non -Payment of Iowa Fine Cr) IA 's 5�, I` :IA Name: Dunn, Bryan ] DL/ID: 781YY4818 .:.-. „- -17 s 12/6/2016 Page 2 of 2 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: Name: Dunn, Bryan 1 DL/ID: 781YY4818 ••'"---••{! , 11 1122//66//2016 IOWA . D. 0. T.,'Z PF`ONIIIEF S� Office of Driver Services �.,,,... Iowa Department of Transportation 12/6/2016 5, 2016011:07AM cab Div of Criminal Investigation No. 8641 P. 1 '•" —' (FAX)31933821— ,J02/002 A STATE OF IOWA Criminal History Record Check 4 Request Form 3� DCI Account Number: _9967-rG (IleppOo"ble) Tot Iowa Division orcrimlaal Investigation Froml Xellow Cab Of Iowa CI Support Operation$ Bureau, 1" Floor F.U. Box 428 213 X 7'" St root Das Moine$, Iowa 8031➢ Iowa City, L4. 52244 (515)725.6066 (518)'725-6000 Fai -- (319) 130.9777 Phone: Fax: (319) 339-7302 Z( IQ�g I 2Male Cl Female 1390 eq .137 WatverinJormafion: Without a signed waiver from the subject or the request, a compipte criminal history record may not be releasable, per Code of Iowa, Chapter 692.2. For eomolete criminal hl►toryreeord Information, as allowed by law, always obtaln a waiver signature from the subleci of the reouesr. WOlver RdlitaSd: I hcrcby alta paralission rat the Above requesting omeial to conduct an lave erlminel hlaoryresets eheok wllh the Dlvlslan of Crlminel Inrntlpaon (DCq, Any criminal history dere toneamina me the, 13 malhlatned by the DCI Ally be releefAd u allowed by few. Wafvdr Stgnafurd, Iowa Criminal History Record Check Results (act ase only) As of ].I }S alb a search of the provided name and date of birth revealed; ❑ No Iowa Crlminel History Record found with DCI tem^ Iowa Criminal History Record attached, DCIAJ DCI initials DCI.77 (08/25/10) Rtceived Time Nov. 26. 2016 8:18PM No. 8959 _ Dec. 5. 2016 11:07AM DCI:00671169 NAME: DUNN,BRYAN J DOBSEX RAC 19780821 M B ADDITIONAL IDENTIFIERS TAT LF ARM Div of Criminal Investigation No. 8647 IOWA CRIMINAL HISTORY DCI 00671169 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2016/12/05 HGT WGT EYE HAIR SKN POB 601 155 SRO ELK MI CCH RECORD *** 01 ARRESTED 20020525 AGENCY: IAD920100 WASHINGTON PD CHARGE NO- 01 IA STATUTE IA708-1-1 SERIOUS ASSAULT TRK#: 055431901 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE: IA708.2(S) ASSAULT COURT CASE ID: 08921 SRIN006617 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055431901 SENTENCE TIME SERVED 15D JAIL 15D 02 ARRESTED 20030717 AGENCY: IA0570100 CEDAR RAPIDS PD CHARGE NO- 01 IA STATUTE IA321-560 DRIVING WHILE BARRED TRK#: 502165601 COURT DISPOSITION AGENCY: IA0570150 LINN CO DIST COURT COUNT NO- O1 IA STATUTE: IA321.561 DRIVING WHILE BARRED HABITUAL OFFENDER COURT CASE ID: 06571 AGCRO51938 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 502165601 SENTENCE FINE $500 03 ARRESTED 20060226 DISP EFF DAT 20021204 20021204 DISP EFF DAT 20030730 AGENCY: IA0570100 CEDAR RAPIDS PD CHARGE NO- O1 IA STATUTE IA321J.2(2)(A) OWI/1ST OFFENSE TRK#: 503470501 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- O1 IA STATUTE: IA321J.2(A) OPER VEH WH INT (OWI) / 19T OFFENSE COURT CASE ID: 06571 OWCRO65835 P. 2 r ,_ Dec, 5. 2016 11:07AM Div of Criminal Investigation No. 8647 P. 3 DCI 00671169 PAGE 2 OF 2 CHARGE CLASSs MISDEMEANOR CONVICTION TRK$; 503470501 DRUNK DRIVING SCHOOL SENTENCE DISP EFF DAT TIME SERVED 20060802 FINE $1000 20060802 JAIL 7D 20060915 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 03 IA STATUTE: IA719,1(1)A INTBRFERENCE WITH OFFICIAL ACTS COURT CASE ID: 06571 OWCR06583S CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 503470503 SENTENCE DISP EFF DAT FINE $250 20060802 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 lic---.,, O � n j