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Home My WebLink About12-007r 1 , AEP d �r"III MIW®i�Il CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX 1. Name 2. Mailing Address z z_c Authorization Number APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) 1 Middle v.na �l � /4 — err NC_ A or t 3. Telephone: Home 31 y 31 :4 31 g Other: 4. Prior experience in transportation of passengers: Ce dad Rae k I�d�d5 ckwr�-F P/4 Orel sy4Yt le /;- r/ (Office Use Only) Last / S j t e r (-odav as p,'ol jA aP 0!6 - I -e b fan 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When ca; f" peke -e_ cedar 1972 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years?14 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Tvpe of offense Where When 8. Has your drivers license or chauffeurs license been suspended or revoked in the last five years? /q Type of offense Where When 9. Have y�ou/ 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) The re- port will be mailed to the individual making the request and needs to be reviewed by the Police Chief with this appli- cation. (OVER FOR REQUIRED SIGNATURE AND NOTARY) deM/ tdrfWadg 09/2010 I hereby certify that I have is ue to me by the Iowa Department of Transportation a valid Chauffeur's license number SIO 1 a D 9 1 understand that if I falsely answer any questions in this application, that this application may be denied. I understand that if I falsely answer any of the questions in this application, that this application will 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 a license 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 /2— R^* Z O i Z +++++«4!!«RMlfM�Fk####«+«MtR4M4ffY4f#####H#R#++#+#RRf«MRR{}«4fl4RMff«MflfMflfffMfffM#M#M#Yff'N#M#4Yi##Y##FlYiNR###+«###f{RM«RR4FfM STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by V On this is day of Notary Public in and for the State of Iowa *3*#tki#t##tR}f#}###**#Y*k#kf##44RR*#}*##M#M*#3#ttikktkf4kkklkf}Rf}MkiRR#MR#i##RR###*****###*****k##*#ktik*kkkkki441fikM}1f*}f*RR#kt**##ii# I have reviewed this application, DCI report, and the State certified driving record of this applicant and have deter- mined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of residents of the City of Iowa City (Title 5, Chapter 2, City Code). Si na ure o Police Chief or designee Date Sign re of City Clerk or designee Date After Police Chief and City Clerk have approved authorized taxi driver names will be placed on the city website at icgov.org. Taxi cab businesses are required to provide Driver Identification cards. Office Use Only Approved application DCI report State certified driving record Website update dedN drvbadgeapp2010d 09/2010 CIowa Department of Transportation AO Office of Driver Services (Toll Free) 800-532-1121 PO Box 9204, Des Moines, IA 50306-9204 515-244-9124 FAX: 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 12/28/2011 DL/ID #: 901BB0938 (IA) Customer #: 5119644 Name: Salter, Joseph Vincent Class: D ID Status: None Address: 220 19TH ST NE APT Audit #: 4333050 DL Status: VAL E324 Issue Date: 05/07/2010 CDL Status: None City/State: CEDAR RAPIDS, IA Expiration 02/09/2015 CDL Cert None 524025463 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 220 19TH ST NE APT Restrictions: NONE Restriction None E324 Date of Birth: 2/9/1947 Supplement: . Mailing City/State: CEDAR RAPIDS, IA Sex: M 524025483 History Information CLEAR DRIVING RECORD Name: Salter, Joseph Vincent DL/ID: 901BB0938 Pursuant to Iowa Code §321.10, I, Kim Snook, 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 12/28/2011 IOWA.' *r4 1 rkNERgS, Office of Driver Services yvfiflAt Iowa Department of Transportation Name: Salter, Joseph Vincent DL/ID: 901BB0938 J Jan. 3. 2012 3:IOPM Div of CriTiial Investi_e:tior Submitted 2011.12.22 16:41:35.977 IOWA RECORD CHECK REQUEST To: Iowa Division of Criminal Investigation Bureau of Identification 215 E. 7th Street Des Moines . TA 50319 (515)725-6066 (515)725-6080 (fax) FORM S REQUEST (• indicates a required field) I ani re ugsrng an 101VA CRAfiNAI,1ISTORY record check on: No. 4755 P. 1; 4 Page 1 of I ACCOUNT NUMBER: 9861-F CITY CLERK - CITY OP From: CEDAR RAPIDS 3851 RIVER RIDGE DRIVE NE CEDAR RAPIDS, IA 52402 Phone 319-286-5060 Fax 319-286-5130 Contact Preference: F SEITER JOSEPTT VINCENT Last name* First name' Middle name NO Maiden/Other-Last name Volunteer 2/9/1947 M ?,20A 659 Date of Birth* Gcadcr* Social Security number' (DCI use only) RE SULIS As of 1/32012 12:09:05 PM , a name and date of birth check revealed: CCH Record Attached—X— DCI #_ 181604 No CCH Record Fouad DCT initials Waiver on File .yds-_ I hereby give permission for the above requesting official to conduct an town criminal history record check with the Division of Criminal Investigation. Any information maintained by the DCI may be released as allowed by law. SPNGProcess.asp Page 1 of 1 Criminal History Back round Check ast Name aiden Name First Name IDOB SN Selection Criteria Seiter Lose h1947 -Feb -09 96382659 Results Further research is required. Please await DCI's final response for criminal history. Please note: There may be multiple individuals with similar search criteria, requiring more research. Background Check Complete As Of 12/22/20114:41:35 PM Billing Account 9861-F Cash Deposit Currently at $1259.00 Generate PDF httns-//www_inwaonline.state.ia.us/SING/SINGSOLProcess.asnx 12/22/2011 W Jan. ",. 2012 2:10FA Div ai ',r I T i I E I Inve:tigstior IOWA CRIMINAL HISTORY DCI 00101604 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF I DATE PRINTED - 2012/01/03 DCI:00101604 NAME: SEITER,JOSSPH VINCENT DOB SEX RAC NGT WGT EYE HAIR SKIN POB 19470209 M W 510 187 BLU BRO ADDITIONAL IDENTIFIERS CCH RECORD +*i D1 ARRESTED 1972D423 AGENCY: IA0070100 CEDAR FALLS FD CHARGE NO- 01 INDECENT EXPOSURE TRA#: Z13697801 COURT DISPOSITION AGENCY: COUNT NO- 01 DISTURBING THE PEACE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: Z13697901 SENTENCE DISP EFF DAT SUSPENDED JAIL 30D 19720821 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 INFOR14ATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION No.4/hh F. Z!4