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Home My WebLink About12-040r �r'lll� CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 (319) 3S6-5040 (319) 356-5497 FAX 1. Name 2. Mailing 3. Teleph 4. Prior e Authorization Number APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) /�_) _L -o (Office Use Only) 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? CS T e of offense II �nt II If I1 C ( Where / When \ of o n� '�� Y`d�luff C h�11 J�bS� (2ur CLh1 cta0�/ 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? IN O Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? �S Type of offense Where When 50- 4 ou. oil 8. Has your driver's license or chauffeurs license been suspended or revoked in the last five years? i1 t7 Tvoe 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) 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) cleWtaxidnvbeeg 09/2010 I here��}}YY ��eerti that have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number `t3`I `W . I 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 A records and documents relating to this application, and I further agree that, if a license is granted, to comply at all time; witqall of the provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Date •aaeaeaaaaaaa++.waaa+aaaaeaaaaaaaaaaaaaraaaaweaw+aaaaa++eaeaaaaaaaawaeaa�eeaaaa+yaaa++aaek+aaaaaaeaae+,aaaaaaaaaaaaaaaaeeaaaaaaa+aaaaa+aeaawa+wxaa STATE OF IOWA ) COUNTY OF JOHNSON ) _-- _ n . $ubscrjped and swom to fore me by 1C t r rr-rC-\- . On this day of lix--444 „m,er zOta Public in and for the State of Iowa ;q Com ssio Expu LLC 1 ! J 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). SS�ignnature of PolicEkRhief or designee de�signeeee Sign re of City Clerk or designee ems,- /7^- /002— Date 02 Date C2-/ 5 - /a 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 dwMn dwbad�W2010.� 09/2010 �r iowa uepartment oT i ransportation Office of Driver Services (Toll Free) 8M-532-1121 PO Box 9204, Des Moines, lA 5031[16-9204 515 244-9124 FAX: 515-239-1837 Inquiry Date: 2/14/2012 Name: French, Joseph Dean Address: 1506 Spruce St City/State: Iowa City, IA 52240 Mailing Address: 1506 Spruce St Mailing City/State: Iowa City, IA 52240 Convictions Certified Abstract of Driving Record DL/ID #: 434ZZ0188 (IA) Customer #: 2286220 Class: D ID Status: None Audit #: 3296027 DL Status: VAL Issue Date: 05/12/2009 COL Status: None Expiration Date: 05/15/2013 CDL Cert Status: None Endorsements: 3L CDL Med Status: None Restrictions: NONE Restriction None Date of Birth: 5/15/1979 Supplement: 06/20/2011 Sex: M 52 IA History Information Citation Date Conviction Date ACD Explanation County IUR 02/02/2006 02/20/2007 •S92 ;,Speed .52 IA 01/30/2008 02/26/2008 _ :S92 Speed :52 IA 09/26/2008 10/31/2008_ ._ ... .__ B51 No Driver's LicenseV �.u.__. ..__ 52 IA 06/07/2009 _ 07/14/2009 µ _ S92 'Speed _ _ 52 _ IA 05/23/2011 06/20/2011 S92 Speed 52 IA Name: French, Joseph Dean DL/ID: 434ZZ0188 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: 2/14/2012 IOWA �Ne"�4 ). 0. T..: =41V O"A Office of Driver Services Iowa Department of Transportation Name: French, Joseph Dean DL/ID: 434ZZ0188 oz Feb. 10 .201211 1223PM Div of Criminal Investigation No. 6817 P. 4/5 + DCI IOWA 191005/000 6 STATE OF IOWA Criminal History Record Check - Request Form Tal Iowa Division of Crimleal Investigation support Operations Barna, le Floor 215F. 7" street Dardatnea,lowa 56310 (515) 72a• M (315) 735 6010 Fn DCI Account Number, 9595-pr- From: 595-FGFiom: W1ayr.5 TAxI Phones Fnr. • .319 551-P1 r ,.....�r.....d.....r h....e /41..Inn1 t77e,na. nw.•n„t !'hnn4 nn�I � . . Leat Name a abaWy Filet Middle Name omnancasog �YCVIGI� `Name c1o5e �2aw Date of Birth mmao Gender Social Number ,aa O JC^ S^ I I 1 xMak pScouNo OFeroak Waiver 1"Armallon: Without 0lived wdrer flem the subject of the regent, a Complete Criminal Watery record May net be vatelluble, par Code ollown, Chaptet PZX For comQilI! crimbal history mord iaformatlor, as allowed bylaw, always ebl#ta ■ wdrer re from lis! auD of the pat. Waiver Release.,Ibmbydwpww&Ina On90ora aatISE osala antowsckavalhWornaaaM4bedcwllhdisDivision araueinsi reseullalonOX4 Aoycd01100 ayeruraaraalnane r6 PClmge„daneoaaatrowaetylaw. Walv"Signature: IBM tzlialual MIDEX n corn qi ass;K EmusWtb (nCsan mdyl ; At of a soarro o rovided nano end data of birth revealed: 13 No Iowa Criminal History Record found with DCI , 1A Iowa Criminal History Record attached, DC1 N�3 DCI Received Time Feb. 6. 2012 12:06PM No. 2611 i v Feb. 10. 2012 12:23PM Div of Criminal Investigation No. 8811 P. 5/5 V DCI:00783918 NAME: FRENCH,JOE FRENCH,JOSEPH DEAN DOB SEX RAC 19790515 M W IOWA CRIMINAL HISTORY NON CONVICTION DCS 00783918 PAGE 1 OF 1 DATE PRINTED - 2012/02/10 HGT WGT EYE HAIR SKN POB 600 230 BLU BRO FAR IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y TAT BACK TAT L CALF TAT R CALF TAT RF ARM TAT UL ARM TAT UR ARM CCH RECORD ••� 01 ARRESTED 20060625 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124-401-1D PROHIBITED ACTS/INTENT/DELIVER/ MARIJUANA TRKA: 101950001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.410 CONTROLLED SUBSTANCE/DELIVER/ACCOMMODATION/MARIJUANA COURT CASE ID: 06521 FECR076942 CHARGE CLASS: NON CONVICTION TRK#: 101950601 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20061207 PROBATION 1M 20061207 DISCHARGED FROM 20070803 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 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