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CITY OF IOWA CITY
410 East Washington Street
Iowa City, Iowa 52240-1826
(3 19) 356-5040
(319) 356-5497 FAX
First
1. Name slv
2. Mailing Address =�2 O 4;? ifW74' S
Authorization Number
APPLICATION FOR TAXI DRIVER
(Police Department review must be made
between 8 a.m. to 3 p.m., Monday - Friday.)
Middle
3. Telephone: Home 3 1 CI - 2 c% r - 7 Other:
4. Prior experience in transportation of passengers: / (2 t r -
Last
ice` --�) COe(4)a
IV
/2- -/�_)c
(Office Use Only)
5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere'? Q S
Type of offense Where When
6. Have you bgen convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five
years? ry o
Type of Offense Where When
7. Have you been convicted of any traffic offenses in the last five years? W 0
Type of offense Where When
8. Has your drivers license or chauffeur's license been suspended or revoked in the last five years? 0
Type of offense Where When
9. Have you ever applied to bq an Iowa City taxi driver using a different name? If yes, please provide the name(s)
0
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)
c1eWWidrivbedg 09/2010
I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number
I understand that if I falsely answer any questions in this application, that this
application may bet i? . I understand that if I falsely answer any of the questions in this application, that this application will
be denied. I agree that n 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
Stz , S
STATE OF IOWA
COUNTY OF JOHNSON
Date
Syb cribed and sworn to before me by etic S- f I/e Ll On this o) 7 day of
26 1Z
KELLIE K. TUTTLE ��_C !�-
$ Commission Number 22Iel otary Public in and for the State of Iowa
ow "�
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).
--�27,
Date
6--2-7-12-
Date -.z7-/2-
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.
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Office Use Only
Approved application
DCI report
State certified driving record
Website update
ded idri edgeapp2010, c 09/2010
�r Jun, 4. 201"2) 2:19FN Div of Criminal Inv estigationy
. ..
No -7548 P. 1/2
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STATE OP IOWA
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loci Initials
Received time$ ay, 25. 2012 2:53PM No. 70
Jun. 4. 2012 2:20PM Div of Criminal Investigation
IOWA CRIMINAL HISTORY DCT 00340221
MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1
DATE PRINTED-
DCI:00340221 2012/06/04
NAME: STRIBLEY,STEVE LOUIS
DOB SEX RAC HGT -WGT EYE HAIR SKN POB
19520515 M W 507 155 HA2 BRO MED IA
ADDITIONAL IDENTIFIERS
CCH RECORD ***
01 ARRESTED 19851128
AGENCY: IA0520200 IOWA CITY PD
CHARGE NO- 01 IA STATUTE IA123-46
PUBLIC INTOX
TRK#: L29294001
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTE IA123.46
CONSUMP'T'ION / INTOXICATION
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L29294001
SENTENCE DISP EFF DAT
PLEAD GUILTY 19851120
FINE $20 19851128
COURT COSTS $20 19851128
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 DC1.
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
0
No.7548 P. 2/2
'44M*3Iowa Department of Transportation
Office of Driver Services {Toll Free) WU-532-11129
Pt? Box 9294, Des Moines, 1A 543UE-92D4 595-244-9124
FPJC:595-239-9837
Certified Abstract of Driving Record
Inquiry Date:
5/25/2012
DL/ID #:
769YY3916(IA)
Name:
Strlbley, Stephen Louis
Class:
D
Address:
2028 9TH ST APT 2
Audit #:
5217755
Restriction
None
Issue Date:
05/11/2011
City/state:
CORALVILLE, IA 522411525
Expiration Date:
05/15/2016
Endorsements:
3
Mailing Address:
2028 9TH ST APT 2
Restrictions:
Corrective Lenses
Date of Birth:
5/15/1952
Mailing City/State:
CORALVILLE, IA 522411525
Sex:
M
History Information
CLEAR DRIVING RECORD
Name: Stribley, Stephen Louis DL/ID: 769YY3916
Customer #:
699878
ID Status:
None
DL Status:
VAL
CDL Status:
None
CDL Cert Status:
None
CDL Med Status:
None
Restriction
None
Supplement:
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:
Vit"^au7/j 4� 5/25/2012
IOWA , *''s 4
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0. T..-.- '
r L••�a::•S` Office of Driver Services
—' Iowa Department of Transportation
Name: Stribley, Stephen Louis DL/ID: 769YY3916