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Home My WebLink About12-103First Middle Last 1. Name ��i Grra�i �/V ;tI119 X/ 2. Mailing Address 24 7, /�d� IJP f S� 3. Telephone: Home b 0 Other: 4. Prior experience in transportation of passengers: ow CR v 12---/I 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 9Y O Type of offense Where When 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years?_ l� Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? T e of offens Where When P�9�0��, 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? n/O Type 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) M9 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) deh/tmidrivbadg 09/2010 Authorization Number iW—/o3 i 1 (Office Use Only) CITY OF IOWA CITY APPLICATION FOR TAXI DRIVER (Police Department review must be made 410 East Washington Street between 8 a.m. to 3 p.m., Monday— Friday.) Iowa City, Iowa 52240-1826 5(( 19) 56-5040 (319) 356- .< First Middle Last 1. Name ��i Grra�i �/V ;tI119 X/ 2. Mailing Address 24 7, /�d� IJP f S� 3. Telephone: Home b 0 Other: 4. Prior experience in transportation of passengers: ow CR v 12---/I 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 9Y O Type of offense Where When 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years?_ l� Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? T e of offens Where When P�9�0��, 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? n/O Type 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) M9 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) deh/tmidrivbadg 09/2010 Od2�30b5—� I he c rtjfy that I have issued to me by the Iowa Department of Transportation a valid Chauffeurs license number ti 0 g� 06 y6 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— ^ — / 2 -- STATE STATE OF IOWA ) COUNTYOFJOHNSON ) Subscribed and sworn to before me by JAra 2 s ten: 41h On this / � — day of 07o J- RA Comm s1sioDNmbber 11791 S mncl¢.c �^`d 1' My Commission E>o 1nie Notary Public in and for the State of Iowa *#t*#*#f4kf######RkRRYR4RR4**44#*#**#**#**##*#ff#fYYR#*#**RR***R*#RRRk*RR**R#*RR*R*RRR*RRRk*RRRRk#RRRkkRR**R*kRkk*RRRRRk*RkR*kRRRRk*RRRk***RR**Y 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). SigSig a� olice Chief or designee Date 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 dRmn=aibedp8pp2010.a 0912010 Iowa Department of ps s A FAX: 515-239-1 •r Bax 9294,rtes Moines, 515-244-91 1,1111110 ;' Certified Abstract of Driving Record Inquiry Date: 4/12/2012 DL/ID #: 082BB0656 (IA) Customer #: 1563118 Name: Lenihan, James Edward Class: D ID Status: None Address: 2976 BLACK DIAMOND RD Audit #: 4630118 DL Status: VAL SW Issue Date:( 08/27/2010 CDL Status: None City/State: IOWA CITY, IA 522408454 Expiration Date: 03/03/2015 CDL Cert Status: None ' Endorsements: 3 CDL Med Status: None Mailing Address: 2976 BLACK DIAMOND RD Restrictions: NONE Restriction None SW Date of Birth: 3/3/1960 Supplement: Mailing City/State: IOWA CITY, IA 522408454 Sex: M History Information Convictions cltation Date Conviction Date ACD Explanation County JUR 06/27/2009 - - .07/22/2009 X592 .,!Speed (79 _IA r. Name: Lenihan, James Edward DL/ID: 082BB0656 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: Name: Lenihan, James Edward DL/ID: 082BB0656 ........X"14 4/12/2012 IOWA?° ). 0. T.Ski ^'pR. L7#PA�� Office of Driver Services Iowa Department of Transportation 0 .May.. 11. 2012) 1.: 3.8. P M1 "AfIff k'11 Div of Criminal Investigation . — . . . . .. —.1 — —.— -11Y 8TAT9 (OT YOWA briminaMstory Record Cheek I RequeAt Form TO: Support OperaEtans aareu r, far Noor 216 B, 7,4 sfroot :5031P (51a) 7204110 (615) 126-6080 YA No.4506 P. 2/3 ,IV. LJUY I . z 41 , , Alit, DOI AooO11jatMMb8j-; q-cx — F- - 410 E, VAOIOWT027 STRY�9T�4�7� (i7 TOFIA 52210 3?Ytonq _ '419-356-1041 - • )Iffy! 119-356=54&7,-�. . WTFN VAAAAAAL%"A (6.C)vF-0 bn1y) -a search 6i'thoprovided name and date o5AjhxOVc As of TJM%Xo :1bWa Q-1mflint 111stoxy Record folmd, w1th DCI u I Tom ))Cl# ;eTN�lvey'Y'y. CeTime ay. 7. 2012 2;47PM No. 6150 I