The URL can be used to link to this page

Home My WebLink About17-045CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 5 2240-1 82 6 (3 19) 356-5040 (319) 356-5497 FAX 1. Name (REQUIRED) 2. Address (REQUIRED: IDENTIFICATION NO. 1 �{ ' Q !fr (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) EmaiCr,rap.I 4-kV.ZA�,TLA ze-) MCell Phone: (All written comer unication sent via email) 4a. Driver's License expiration date (REQS b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of passengers: 7 Yr, LA.., 'A F,110 LC-) �t 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When cte Dismissed Deferred Suspended lead Gut Other Have you been arrested / charged with any traffic offenses in the last five years? Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended 2e d Guil . Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? / V 0 Type of offense Where When . u 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the' nanfpjs) A 1 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 hereby certify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number � fQ 14 3 L/ issued on f � expiring on 5Q 3-Qoj 9 . I understand that if I falsely answer any questions in this application, that this application may be denied. I 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 Title5, pter 2, of the City Code. (Needs to be signed in front of a Notary Public) J Signature of Applicant Date 3 - (2J - / 7 f 1f f„!.!!f 1fH,f!11HH.1,HlHHH11fl11H1H1111f}HH1H1111Hf'f hf 4!lif.f 11!!11 f 11H1H1f f 11H,Hlf ff,,.!!f 111l11f-f.,lHH1ff.1HlHH,1f Hf STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by s i n T. on this L Z day of 1A e f C)A --Z--O r`7 . 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). Expirati n dat� `s cense 7 ZS 3/ 23Ll I Si at re oV"oliceMhief or designee Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE TH INE %R F720M THE DATE LISTED BELOW. �17 Sign? ___,,,lee Datel HHHllHflffYf-11f1f f f 1111HHNH1Hf1fY'1ff11HH1H1flf 1HHHffif!!lHl11HH1HHHHHHH11HfHflflltfffNffllfYf I�If1f iffft�`ftllff!'lflf Office Use Only Approved application DCI report State certified driving record Website update GM✓TAXIDRIVBADGEAPPL92014am do .DOC 07/2016 Iowa Department of Transportation Office d Dam Services {Tdl Ffee► SDMU.11121 PO OW 9204, On Yoetes, iA 503069204 515.244-9124 FAX 515.239.1037 Certified Abstract of Driving Record Inquiry Date: 3/13/2017 DL/ID #: 059AA1934(IA) Customer #: 1131912 Name: Meyer, Brian Joseph Class: B ID Status: None Address: 16 METRIC RD Audit #: 8183806 DL Status: VAL Issue Date: 06/20/2014 CDL Status: VAL City/State: IOWA CITY, IA Expiration Date: 05/23/2.019 CDL Cert Status: Excepted Intrastate 522403002 Endorsements: L CDL Med Status: None Mailing Address: 16 METRIC RD Restrictions: NONE Restriction None Supplement: Date of Birth: 5/23/1959 Mailing IOWA CITY, IA Sex: M City/State: 522403002 History Information Convictions DateICConviction Date I ACD Explanation County 3UR ICltation 101/26/2016 102/09/2016 IM34 Following Too Close I Johnson IIA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Caw Number ]UR_ _ 01/26/2016 903780 IA Name: Meyer, Brian Joseph DL/ID: 059AA1934 Pursuant to Iowa Code 4321.10, 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 andaecurate 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. ' f In witness whereof, I have caused my signature and the seal of the Department to be set upon this document, at Ankeny, Iqwa l ; 0 this date: 3/13/2017 D. 0. �•y Office of Driver Services Iowa Department of Transporation Name: Meyer, Brian Joseph DL/ID: 059AA1934 Ma r. 15. 2017 3:15PM Div of Criminal Investigation No. 5777 P. 3/5 d3/12/2017 07:10Yellow Cab of Iowa City (FAX)3MM2708 P.003/003 STATE OF IOWA Criminal HistoryRecord \\Request1 DCI A000unt Number: _9967-F (If epplloeble) Tel town plvldon orCrlminel Investigation From: Yellow Cab of Iowa Cla Support Operations Dureau, ill Floor P.O. Box 428 215 E. 7"Street Des Moines, Iowa 50319 Iowa City, IA., 92244 (515)725.6066 ax (319) 338.9777 Phona: Fax: (319)339-7302 I am reouesting an Iowa (Criminal History Record Check on: Last Name (mandatory) First Name (mandato Middle Name (rcwmmctided) ey Date of Birth mmdatcry) Gender (manamo Soeial,Securt Number rosommended 3 8cP-60 Waiver Information. Wlthe ut a sign td waiver from the subject of the request, a eompleite arlminai history record may not be releasable, per Code of Iowa, Chapter 692,2, For goopipletj criminal hlstory•record information, as allowed by law, always obialn u walvar sign &I U re from the s ub.1 act of the req uost. Waiver Release: I hereby give permlu(on rar the above rejuelling ofno111 to oondYel an lows erhelnal hlr(ory record check wllh the Division of Criminal Invullgation (DCO. Any criminal hlnory lieu eoaoomlbg me Intl It meinulned by the DCI may be released as allowed by law, Wp/var Sfgnafrirel (DCI use only) As of --31 I .� I I� a search of the provided name and date of birth revealed: ❑ No Iowa Criminal History Record found with DCI t,j Iowa Criminal history Record attached, DCI 0=2 CLY DCI initials„_. DC1.77 (09/25/10) D._,,:...A T: -. 11.. II 0n,1 1. tnAll ll. C9n0 Mar.15. 2017 3:15PM Div of Criminal Investigation DC1:00264890 NAME: MEYSR,RRIAN JOSEPH DOB SER RAC 19590523 M W IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY DCI 00264690 PAGE 1 OF 2 DATE PRINTED - 2017/03/15 HGT WGT EYE HAIR SKN POB 600 160 BLU BRO LOT IA ADDITIONAL IDENTIFIERS CCH RECORD +++ 01 ARRBSTBD/TAKEN INTO CUSTODY 19800418 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-281 OMVUI TRK#: L17970501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-281 OMVUI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#; L17978501 SENTENCE DISP EFF DAT JAIL 2D 19800625 FINE $500 19800625 02 ARRESTED/TAKEN INTO CUSTODY 19010124 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE XA321-A32 DRIVE UNDER SUSP TRK#- L17978601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE. IA321-A32 DRIVE UNDER SUSP TRK#: L17978601 SENTENCE DISP EFF DAT PLEAD GUILTY 19810227 FINE $150 19810227 03 ARRESTED/TAKEN INTO CUSTODY 19871107 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA204-401 POSE BCH I MARIJ TRK#: L17978701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA204-401 POSE BCH I MARIJ CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17978701 SENTENCE DISP EFF DAT PINE $150 19871124 No. 5777 P. 4/5 Ma r. 15. 2017 3:15PM Div of Criminal Investigation No. 5117 P. 5/5 DCI 00264890 PAGE 7 OF 2 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF QUILT, 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 SUBaECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION C C.1-7