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Home My WebLink About12-227Authorization Number /a --.� -2 r 1 (Office Use nly) APPLICATION FOR TAXI DRIVER CITY OF IOWA CITY (Police Department review must be made 410 East Washington Street between 8 a.m. to 3 p.m., Monday — Friday.) Iowa 40-1826 19)356-50401 ��)� 356-5497 FAX First Middle Last 1. Name A. -a , rT ?,xr 'L'aS� r 2. Mailing Address ISt3 Lo� Old 3. Telephone: Home Other: 30t-a-70-yyvl 4. Prior experience in transportation of passengers: R,A r , r P C 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 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?yvD Type of Offense Where 7. Have you been convicted of any traffic offenses in the last five years? i2aCl;—,ye_s Type of offense 5 8. Has your drivel's license or chauffeurs license been Where Type of offense Where When When or revoked in the last five years?y\ o When 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) V'\ o DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIFI LL. 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) derWtexidriv g 06/2012 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number f 3I b A t�4 _ 1 �1 . 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 all rec ds and documents relating to this application, and I further agree that, if a license is granted, to comply at all tim- with all a provisi s of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) // �� Signature of Date 0 a STATE OF IOWA ) COUNTY OF JOHNSON ) // ) /_ S ribed and orn before me by Ch ri S7D )e r I 0 rm1f,"C- 17 On this Z5��day of ssyyyyD o� I —T—T,�'IA4 EWE K. TUTTLE Commission umber 227819 �C C<l•'e /r <C J�CrP My cp p �?SoIE fPirlis Notary Public in and for the State of Iowa R*****f*R#44444#*************R*4RR44R41f4##t*##*####*####*####*#***#*R#*R*RR******RRR##RRltflfffRR*t4*RR4f##Yf#f1###****#*R**R*****RR4RR**4R*4R4 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). ignatof Police Chief or designee � / pe . . I tj/ gignature of City Clerk or designee Date 9- a 5 - /0Z., Date NOT VALID UNTIL Police Chief and City Clerk have approved and authorized taxi driver names 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 derW1VdM,bad2WM2G10.tl 06/2012 0 Iowa Department of Transportation Office of Driver Services (Toil Free) 800-532-1121 PO Box 9204, Des Moines, IA 50306-9204 515-244-9124 FAX: 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 9/6/2012 DL/ID #: 318AE4399 (IA) Customer #: 5447662 Name: Parmenter, Christopher Class: D ID Status: VAL 03/17/2012 Scott S92 Speed 52 IA Address: 1813 LOWER OLD HWY 6 Audit #: 3753846 DL Status: VAL NW LOT 252 Issue Date:,;. 10/02/2009 CDLStatus: None City/State: OXFORD, IA 52322 Expiration Date: 11/05/2014 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 1813 LOWER OLD HWY 6 Restrictions: NONE Restriction None NW LOT 252 Date of Birth: 11/5/1976 Supplement: Mailing City/State: OXFORD, IA 52322 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County IUR 08/05/2009 09/08/2009 iS92 Speed 52 IA 03/17/2012 05/01/2012 S92 Speed 52 IA Accidents - Accident involvement indicated does NOT mean the Individual was at fault or given a citation. Accident Date Case Number IUR 10/31/2009 537734 IA Name: Parmenter, Christopher Scott DL/ID: 318AE4399 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: """•:;�%'V sop- I, 9/6/2012 D. 0. O.T.' (/�J ..BIDE.. Office of Driver Services N��„_�� Iowa Department of Transportation Name: Parmenter, Christopher Scott DL/ID: 318AE4399 'i Sep. 19. 2012, 3:491`� Div of Criminal Investigationy iNo.5174 IP. r•ir v �1/�3 I. 2b; YowabhlsleriorCt'fminalYnVes(iggt[oh Support Operations aurcau,11I.Moer 215D. 11h streot bosbtpInca, ro}rra 50319 (515) 729.16W (575) 925-6090 $ax 9 ,STATE O1; Iib '. •\ �11�'4rl . 1.. I 1 . te1v n�.@ • pi,�yp ACTA000unENumhnr: ' QPeppl(cab e)� FfomY rrry nF IOWA .Ta_ CITT CLERK'S Ovgm 410 'R. W.M. NG�mi STRitg•i' rQWA CITY 70F1A $2240 Mena) q7 g 356-5041 kvaxt �Ta..aa�_aaa7 �O.S-� � i0 I �aIB ' ��+'BIT1a7B I � (�i�•% .' / S ' ya 4 Zl _ YiyeW pijoriHrlflortcWlthautaeignedY'a}Yerhahtthosu6JectotEhoregnesF,ae0mplofaolimfnaT1i3toryraeordnlay3lop ralsaaablo,percoda of1olyn,Chopter69xt Viorcolu i'arlminitThlstolyreeorrYlnformittloq,asAllowed Vyn%\,atlrpys Watber.V 6rO(lYgc Irmrcbygrve permle9forl YOV02118e110n (pro- ,tt,\y orimYttsllthlary data o/oi WalParSR.estaluxe: 1 ro\Ya cdminal bistotyteootd oheak\eitls,riebNislorr of Criminal I 6 roicescd xllowcd 6yY1W. Iowa /criminal Matory lzeca)'d (Checkwelts As of// d a search of tho �a ovided name and dOta oPSilih-revealed: EJ NoTowaCrJminalliistoxyZterordthlandwith DCT I Iowa Cr YAPI Mfol Record attached, DCI # O y )Da Received Time Sep. 1. 2012 3:44PM No.2873 only) -J r•ir v —� • ell, , O.-� I Sep.19. 2012 3:49PM Div of Criminal Investigation IOWA CRIMINAL HISTORY DCI 00490458 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2012/09/19 DCX :00490458 NAME: PARMENTRR,BRUNO PARMENTER,CRRISTOPHER SCOTT DOB SEX RAC HGT WGT EYE HAIR Sm BOH 19761105 M W 600 195 BRO ELK LER CA ADDITIONAL IDENTIFIERS SC HEAD SC R HND Sc R LEG Sc R THOR CCH RECORD *r+ 01 ARRESTED 19941119 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA713-68 BURGLARY 3RD TRK#: 012454001 COURT DXSP051TION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA713.6(A) BURGLARY/ 3RD DEGREE COURT CASE ID: 06521 FECRO36621 CHARGE CLASS: NON CONVICTION TRH#: 012454001 SUBSTANCE ABUSE EVALUATION RESTITUTION SENTENCE DISP EFF DAT RESIDENTIAL FACILITY 365D 1.9950519 DEFERRED JUDGEMENT 19950519 COURT COSTS 19950519 PROBATION 730D 19950519 COMMUNITY SERVICE 40H 1995051.9 DISCHARGED FROM 20080608 DEFERRED JUDGEMENT 02 ARRESTED 19960514 AGENCY: XA0480000 IOWA CO SO CHARGE NO- 01 IA STATUTE IA714-1-4 THEFT 4TH/ BY DECEPTION TRK#: 019623401 COURT DISPOSITION AGENCY: IA048015J IOWA CO DIST COURT COUNT NO- 01 IA STATUTE IA714-2-4 THEFT BY DECEPTION/ 4TH DEGREE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#c 019623401 RESTITUTION SENTENCE DISP EFF DAT No.5114 P. 2/3 Sep -19. 2012 3:49PM Div of Criminal Investigation No.5114 P. 3/3 FINE COURT COSTS DCI 00490455 PAGE 2 OF 2 $250 19960516 19960516 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 PURNISHZD. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION