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Home My WebLink About12-092� r CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX Fir 1. Name 4II 2. Mailing Address 7 7 3. Telephone: Home I�(- �f 36 4. Prior experience in transportation of passengers: Authorization Number ��— / 2— (Office Use Only) APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) Other: 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 7V4 5 Type of offense Where 6. Have you lconvicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? X F Type of Offense Where 7. Have you been convicted of any traffic offenses in the last five years? y top When When 200 8. Has your driver's license or chauffeurs license been suspended or revoked in the last five years? Type of offense Where When 9. Have you ever applied to bean 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) deddtaxidmbadg 09/2010 I hereby certify that I have issued o me by the Iowa Department of Transportation a valid Chauffeur's license number ell 3 g1 yC / O 2 f� 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 pr�ns Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date%�s` STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by �04( D"Jorr1- On this a'5 day of ♦ a[ SONDRAE FORT .S9T z°O® r. Commission Number 158797 My C.nmmi'cj. F,mimi Notary Public in and for the State of Iowa fklfRR!lfllfflftlfff4!!flllflfftilllik43tf44tk}kkk%kkRRR#RRR1lftlffttiifkif*k**kRRR*R*!RRllfffft4k##4kR*kk**RRR*1RRtlflfiifffkfik**3*R*k*RfRRRRR 1 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). iii'/ �Y�� Signature of Police Chiefor designee // Signature of City Clerk or designee y- =.z Date �5—� 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 derklt.&vbad.eapp2010d 09/2010 Iowa Department of Transportation ILA Office of Dfiver Services (Toll Free) OM -632-1121 PO Box 9204, Des Mines, lA 50305-92(34 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 4/25/2012 DL/ID #: 013BB4402 (IA) Customer #: 495098 Name: Oxenford, Joel Stewart Class: B ID Status: None Address: 14749 KEOKUK Audit #: 4294361 DL Status: VAL WASHINGTON RD Issue Date: 04/22/2010 CDL Status: VAL City/State: KEOTA, IA 522488594 Expiration Date: 04/15/2015 CDL Cert Status: None Endorsements: NONE CDL Med Status: None Mailing Address: 14749 KEOKUK Restrictions: NONE Restriction None WASHINGTON RD Date of Birth: 4/15/1960 Supplement: Mailing City/State: KEOTA, IA 522488594 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County IUR 03/17/2009 ._. .05/14/2009 .. .S92 -Speed .. 52 .. ,,.. IA, 07/00/2011 09/20/2011 . N63 ;Improper Start ,52 IA Name: Oxenford, Joel Stewart DL/ID: 013BB4402 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: S+'""••:!p%1, 4/25/2012 `°, IOWA%o o: x' D. 0. p�i•'ORI S= Office of Driver Services ',= Iowa Department of Transportation Name: Oxenford, Joel Stewart DL/ID: 013BB4402 Aur. 12. 2012 12:01PM Div of Criminal Investigation No -4379 P. 5/6 t". , , LOWON WV9Z:01 1102 '01 ',dy awi j I)W aoaa Lx STATE OF IOWA, r; Criminal History Record Check " Request Form To: Iowa Mblon of Crimloal IOro31120101L Support Operetlou Bureau, l" Floor 215 F- 70 street Da fdolaes, Iowa 50319 (SIS) 725.6066 (515)725.6050 FBI ,. �.K....�.7...mM1l.nlnel trla�nw Aen....t r`J,er4 ,w,•� i1Cl Aowunt Number, W3 -F(- -••� (11"Pelkwal Prowl _ iM&rC*15 I Rkl 1I6 54vtAi 0r• Lut Name Firat Name now4 MlddleNamerRmema,oea n ' A Jaz 1-5 Date of Birth Gunder mown 8odal Security,Number (ox ocaeadee 4- 15, Male ❑Female 7 5'76~ (J 11 Walver lnfarm idon: WNboMI a elgled walver from the subject of the r gaeat, a complete criminal blrtery record may not be releauble, per Code of Iowa, Chapter 692.1. For MdWk(a eNmfed Wary record Information, as allowed by law, always opigin I wpilverfliplogrutt ftom The suDectofthe re urn. warlyer)3elea9e;lharbr Nn pdmlabh rbrd. n4awwoo m an UM h" ty NchictwMWAiristonorctiidw lnrmllpuon(Dcr) Acyo11mW1NHaydan 2214 C u to bylaw. WalvarSJgnarure: .Lown k.rlmlgal rilatury 1lCGUM a..alcult jmraplta (Damm only) As of 41h911a search of the provided name and date of birth revealed; F" ❑ No Iowa Criminal History Record found with MI = j Iowa Criminal history Record attached, DCI q O�- DCl initials='r Cn .,..,.. . Apr.12. 2012 12:01PM Div of Criminal Investigation IOWA CRININAL HISTORY DCI D0397552 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED - 2012/04/12 DCI:00397552 NAME: OXENFORD,JORL STEWART DOB SEX RAC HOT WGT EYE HAIR SRN POB 19600415 M W 510 150 BLU RED FAR IR 19600514 ADDITIONAL IDENTIFIERS CCH RECORD **• 01 ARRESTED 19591111 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK#: L37D91701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA32IJ-2 OWI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L37091701 SENTENCE DISP EFF DAT JAIL 2D 19900125 FINE $500 19900125 SRCHRG CREDIT W/TIME SERVED 611 19900125 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 7 No. 4379 P. 6/6 a