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Home My WebLink About12-2214+��®r�� CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX First 1. Name 2. Mailing Address _ 3. Telephone: Home z S E &I'L. lei 52y-677, 4. Prior experience in transportation of passengers: Authorization Number /,!2 — Qw (Office Use Only) APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) Sf Other: Last 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? C Where S1, ,q 6. Have you convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years Tvpe of Offense Where 7. Have you been convicted of any traffic offenses in the last five years? ' _� 5 Tvoe of offense �7 SONG' divi 9 �L" O>/C✓ Where When When 8. Has your drivers license or chauffeur's license been suspended or revoked in the last five years? Tvpe 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) defMa idriWadg 09/2012 I hereby 9erti ha I h�v� issued to me by the Iowa Department of Transportation a valid Chauffeurs license number: i 101 Y }S I understand that if I falsely answer any questions in this application, that this application mag 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 C'� �\ Date 1-2,5:;-2012— STATE Zd Z01Z STATE OF IOWA ) COUNTY OF JOHNSON ) f scribed and swgrn t) before me by JckoGr rcr o ( -T— I t�hisn2 day of t �� KELLIE K. TUTiLE 'P S �� ` o ission Number 221819 Notary Public in and for the State of Iowa My om WE ITIJ *Y3##Y#iff#kIHYY#H#H#Hf##iff#Y##Y#*Yk#R3###3*#*R**#A3#*3*#*R#####****RR##h###ff#1fif11331#3YffltHf#3ff#f Y#Rf#RkikY*#**#h#****k*RR##RiR#**}R 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). 1=1 Elf= T_7-- �-ao-ia Date YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. Signsture of City Clerk or designee Taxi cab businesses are required to provide Driver Identification cards. Office Use Only Approved application DCI report State certified driving record Website update 9-,Zai-�2- Date d�im; baaqeaPP2010.a 09/2012 Page 1 of 1 Iowa Department of Transportation AM Office of Driver Services (Toll Free) 800-532-1121 PO Box 9204, Des Moines, IA 503DG-9204 515-244-9124 FAX: 515-239-1337 111114011 Certified Abstract of Driving Record Inquiry Date: 9/6/2012 Name: Correia, John Paul Address: 625 E BURLINGTON ST ). 0. T.:S APT 1 City/State: IOWA CITY, IA r 522405053 DL/ID #: 764YY4118 (IA) Class: A Audit #: 5765898 Issue Date: 01/28/2012 Expiration 03/06/2014 Date: Endorsements: LT Mailing Address: 625 E BURLINGTON ST Restrictions: NONE APT 1 Date of Birth: 3/6/1979 Mailing City/State: IOWA CITY, IA Sex: M 522405053 History Information Convictions Customer #: ID Status: DL Status: CDL Status: CDL Cert Status: CDL Med Status: Restriction Supplement: 4241957 None VAL VAL Excepted Interstate None None Citation Date Conviction Date ACD Explanation County JUR 04/14/2009 05/08/2009 S92 :Speed (10 mph & under in 35-55 mph zone) 44 IA 04/29/2011 05/08/2011 S92 Speed 92 dA Name: Correia, John Paul DL/ID: 764YY4118 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: -•:?%b 9/6/2012 IOWA `a°8 t ). 0. T.:S r Office of Driver Services 081... y..... Iowa Department of Transportation Name: Correia, John Paul DL/ID: 764YY4118 9/6/2012 oq/SeP•_19_ 20127 3._39PM Div of Criminal Investigation DCI IOeNo:3610 P•_103/003 STATE OF IOWA Criminal History Record Check Request Form Ta: lows Dirblon otCrlelnsllavntlpatlas Support Operallow I3uree■, 0 Floor 313 F. 70 stroct Des Makes, Iowa 50319 (515)725.6066 (515) 715.6M FIX DCl Account Number:3� B3 -� (xe:pllreNe) From: W1arc.STAxi �`' Ski•„ Or• • olaR � 5.39 v Phone; ,(31a) 336• any Fant. - .319 5SI- a 1 aM nnIvw,l u,uu,u rmwh LastNometm dw •�...., .. -^•--^ - FlnlltNrrame MlddleName �o�/CSA J nr1 V Dateofl3irtb &nder(manam Sxla�&CUrl Nrmber 3--67�% L17Mak OFemala Z 6 1 �(—�s5tp WalvsrjearnW ien. wilbue a tipedwaiver from thesobloct ofthe ngaot, a eompideertminal hftary reool.t may not be retesuble, per Cale of lows, Chapter 6922. For em eri®fad history record Waroontloo, at allowed by 4w, always obtak a wdrer slostare iron the sub est of the rWFWL Waives Re/dgr2:IWftlow pamlmnnresewetovurcqueoataxid.rnc&Am imnhnh,lNary=rddeckwithtcPlrblohofClimbW ImzrIp"= Any 01MW KWW alta renCRgbft dulhsulonhrdbyfhh DCimgterk&WUellnwe WIsw. WnlvrrSfgnarurr. `�f - G�a.� J - As oP�1L, a search of provided name end date of revealed: " ro rli ,• II ❑ No Lawn Criminal History Record found with DCI Iowa Criminal History Record attached, DCI N_ DCI initials -4k Received Time Seo. 6. 2012 4:30PM No.3088 Sep.19. 2012 3:39PM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00561136 FELONY CONVICTION PAGE 1 OF 2 DATE PRINTE1)- DCI:00561136 2012/09/19 NAME: CORREIA,JOHN PAOL CORREIA,JP JP DOB SEX RAC HGT WGT EYE HAIR SKN POB 19790306 M W 600 140 BRO BRO FAR FL ADDITIONAL IDENTIFIERS SC FACE TAT BACK TAT L HND TAT L WRST TAT NECK TAT R ARM TAT R HND TAT R WRST TAT UL ARM TAT UR ARM PHOTO AVAILABLE; Y CCH RECORD •*• 01 ARRESTED 19910912 AGENCY: IA0440200 NEW LONDON PD CHARGE NO- 01 IA STATUTE IA124-4018 POSS WITH INTENT MANUFACT TRK#; 012502301 COURT DISPOSITION AGENCY: 1AD44015J HENRY CO. DIST COURT COUNT NO- 01 IA STATUTE IA124-401-1D PROHIBITED ACTS CHARGE CLASS: NON CONVICTION TRK#; 012502301 SENTENCE DEFERRED JUDGEMENT COURT COSTS PROBATION 4Y DISCHARGED FROM DEFERRED JUDGEMENT 02 ARRESTED 20040329 AGENCY: IA0440100 MT PLEASANT PD' CHARGE NO- 01 IA STATUTE IA124-401-5 POSSESS MARIJUANA TRK#: 055187001 COURT DISPOSITION AGENCY: IA044015,7 HENRY CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 08441 SRIN010677 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055107001 DISP EFP DAT 19980126 19980126 19980126 19960126 No. 3610 P. 2 Seu.19. 2012 3:39PM Div of Criminal Investigation LICENSE REVOKED SUBSTANCE ABUSE EVALUATION SENTENCE. SUSPENDED JAIL 180D JAIL 160D FINE $250 03 ARRESTED 20110326 AGENCY: IA0440100 CHARGE NO- 03 DRUG STAMP VIOL TRK#: JPOOIEM03 MT PLEASANT PD IA STATUTE IA453B.12 COURT DISPOSITION AGENCY: IA044015J HENRY CO DIST COURT COUNT NO- 04 IA STATUTE IA453B.12-A FAILURE TO AFFIX TAX STAMP - 1993 COURT CASE ID: 00441 FECROO6507 CHARGE CLASS: FELONY CONVICTION TRK#; JF001EM04 SENTENCE PROBATION 2Y SUPERVISED $750 CIVIL PENALTY DCI 00561136 PAGE 2 OF 2 DISP EFF DAT 20040406 20040406 20040406 DISP EFF DAT 20111017 20111017 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 DCT. 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 No. 3610 P. 3