The URL can be used to link to this page

Home My WebLink About12-268(319) 356-5497 FAX 1. Authorization Number /a r 1 (Office Use Only) �III� v i i A Aml 0 gown '�� Telephone: Home Other:1 ) C 3 CITY OF IOWA CITY APPLICATION FOR TAXI DRIVER Prior experience in transportation of passengers: ( iV w ,� �h e- QayA qc),— (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 (3 19) 356-5040 (319) 356-5497 FAX 1. < `` First j�n-n•,ddle Last Name 7TH 0.0 , Jc;� ( c LJ 2. Mailing Address Jv ° ` O S -i— loypo, ILI,\ v 3. Telephone: Home Other:1 ) C 3 4. Prior experience in transportation of passengers: ( iV w ,� �h e- QayA qc),— �Vl vhl�u u(hdb , J2CIL y1 (� 0.vw , 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? nr) 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? Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? ND Type of offense Where When w 8. Has your driver's license or chauffeurs license been suspended or revoked in the last five years? � U 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) 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) derMuidrivbadg 09/2012 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number S 4 X x SCi j q . I understand that if I falsely answer any questions in this application, that this application may be denied. 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 t!*meswjth 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 Applican Date STATE OF IOWA ) COUNTY OF JOHNSON ) uqscribred and �wo� m to before me by o -� �� On this )�`w` day of 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). Sign?t re of P11 Chief or designee /J -119-/a 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. Signa bre of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Office Use Only Approved application DCI report State certified driving record Website update dadul dNbedgeappM1o.d. 09/2012 ATTENTION: Your permanent License/ID card will be mailed to: ERB, STUART JOHN 1040 N GOVERNOR ST UNIT A IOWA CITY, IA 52245 Your license will be mailed in an unmarked envelope. IT WILL NOT BE FORWARDED. - This temporary document / Invalid ]D days akar Issuance. 1 uance. IOWA USA ERB `, -...� 1�� 4 I� STUART JOHN Pev ON18/2010 1040 N GOVERNO U I CLA58: O-CNufleur ENDOR5EMENl9: 3Aon Cemmerdal pose wN<16 passenger i ou do not receive y IOWA CITY I 52245 your pa DL NO. 555XX5019 RESTNIC90N9: inanant LlOsnsa/ID In 21 tleys, please call ISS 11/13/2012 Exp 12/ /2012 ' 1-800-532-1121 class D. End 3 Sex for assistance. Restrictions Hgt NONE Eyes BLU lswen9s5 10/08/1986 DOB DONOR: Y ' AIR, MlLyADD 666661356ES1619M061013D g Iowa Department of Transportation Office of Driver Services (Toll. Free) OW -532-1121 PO Box 9204, Des Moines, IA 5030S-9204 515-2444124 40, FAX: 515-2394837 Certified Abstract of Driving Record Inquiry Date: 11/13/2012 OL/ID #: 555xx5019 (IA) Name: Erb, Stuart John Class: C Address: 1040 N GOVERNOR ST UNIT Audit #: 5757393 Restriction A Issue Date: 01/24/2012 City/State: IOWA CITY, IA 522455922 Expiration Date: 10/08/2013 Endorsements: NONE Mailing Address: PO BOX 933 Restrictions: NONE Date of Birth: 10/8/1986 Mailing City/State: IOWA CITY, IA 522440933 Sex: M . History Information Convictions Customer #: 3919725 ID Status: EXP DL Status: VAL CDL Status: None CDL Cert Status: None CDL Med Status: None Restriction None Supplement: Citation Data Conviction Date ACD Explanation County JUR 12/17/2006 04/09/2007 A20 '.Deferred ]udgment.DWI52 _f A 36/08/2010 ' .06/25/2010 Improper Registration 52 1IA Operating While Intoxicated Test Refusal/Test Failure Violations occurrence ACI) Explanation JUR 12/17/2006 A98 ;OWI Test Failure IIA�� 5anctlons type Effective End ACD Explanation Occurrence JUR _ JUR _ ....... . --- - __._. ....._ _ _ ........--- -. ...... ... ...... ....- --..... . __... ........_.. f.... tevoked ,12/28/2006 906/25/2007,- �A98 -;OWI Test Failure ;IA JA Name: -Erb, Stuart John DL/ID: 555xx5019 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: l,`p@.•••""a`;14� 11/13/2012 'IOWA ¢Office 3* y _ ... pC•.,• _f h�4r081VEB.r of Driver eoflTansportation Iowa Department IA DOT - Iowa City DL Station Statement Receipt: 28278624 Customer Information Name: Erb, Stuart John Attached Customers Office Information Date: 2012-11-13716:19:40.06-06:00 Location: Iowa City DL Station Eastdale Mall, 1700 S First Avenue Iowa City, IA52240 Erb, Stuart John Transaction TYPe—.�.. CDAC __... Statement Additional Charge 1.50 Product Amount DS- Pin Pad Transaction Convenience Fee 1.50 DLM Product Chauffeur 3 MISC Product Sale of Records - Certified 3919725 - Erb, Stuart John - Class D; END: 3; ; ISS: 11-13-2012; 4.00 EXP: 10-08-2013 Amount 4.00 Finance Transaction - Erb, Stuart John 5.50 Amount 5.50 Payments Paymen£Me(hod -__-_- .Paybr ......__„ Payof# _- Numbers,,_, �,__lunount Tendered,,„., 1 Pin Pad Erb, Stuart John 3919725 """""'1557 11.00 Total Tendered: 11.00 Cash Back: 0 Transaction Type: Debit Card Type: Debit CardNumber. '**—***-1557 Approval Status: True Authorization Code: 674458 Signature: If you have questions about this receipt or to dispute any amount paid, please call 1-800532-1121 Nov, 6. 2012 11:54AM Div of Criminal Investigation Oct,31. 2012 1:32PM City Clerk - City of Iowa City I 1Y ' I '/�' i'O `t CheckRequest Form xo: Xe%sanivtl(ohorCrimindilhveftat(oh Supp ort Operations Bur®au, V PreaC 218 E, 7'a Sued baslV(yfga9,%1Va SOSY9 (615) 725-doo (SIS)72B-6090 $are No. 2950 P. 1/5 No. 1916 P. L DCI A000unE N'Rmbar: ''�'o o� � � ' (jFeppl(eaD1e) prom( Cris of IMA. C= CITZ ox"an°S OB8x0E 41n a raaSxrra6M 9TF 38T TOVA C TT TOA 52240 1'ifonA(„ 2T9-9S6�Rnln7 iz9k1 mayn—a�'�,n7 „r ]aio0 B4r mnd0 Gidhdax nnaa�o) d~ v�QS''olofRlB'aoimi N17niTler(rca'orolmenaa 10 ;fi'nBve1� �ormaflo►�iV'Ilt�IaULAB(X118(Y�✓lq�Bl'iYou�.thasu6,faotoftfierec(aa9F,acomploteartm[gp[hlaforyrecordoun)�aoC haxaloesuSleyperCodeofYn(yp,chapter692.z.,vor ym r orinitnglhistaryrecordtnfozmnLloa,asalTewedbyipv7,RjRgys ohYafh n•aigei•sl na(uYeJYomtlle•A0L acdofihol esC; , W!ll�YeN.�Cei9Q•Se: I harcDys[va pnrmisy(on lDr�ho a6overequas9ag offioiAl to eandualsglo�va odmfnnl fils[otyfaoordmhackwYi hAlaAtiaron oCCrrminal YnY�sdggllon(Oc0.,4�vo((mMelntsmrydo�ded„ emin of Aflsnglntelnod6ylh�A01may6oroloasodavnlfoWa4Dyfaw. yypfVerlSYg�lddul'e; � a^ _� 1�.U7V P.ydlllllllHl•1L4.\O�\i1y.�44W1/i}4 •�/^�•V VF1 MNv��Fvw As of 111 a seazolx ofthoxx0vided>a me and Me, of Mthsevealed: X6 Thwd Cilnliria[.Hjistory kecord found With MY 1� xorgRC4imina-lMafozgPaeordeateohed,DOX# q-W-2QY )7CZibltla%s�, . •,,,""' r '(A"t 41 AAl'i I.11okm M. Cann 000),M only) Nov, 6, 2012 11:54AM Div of Criminal Investigation DCI:00792126 NAME: ERB,STUART JOHN DOB SEX RAC 19861008 M W IOWA CRIMINALL HISTORY DCI 00792126 NON CONVICTION PAGE 1 OF 2 DATE PRINTED - 2012/11/06 HGT WGT EYE HAIR SKN POE 600 230 BLU BRO FAR IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y CCH RECORD wwi 01 ARRESTED 20061217 AGENCY: XA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA321J.2(A) OPER VEH WH INT (OWI) / 15T OFF TRH#: 1A000GZO1 CHARGE NO- 02 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE TRK#: IAOOOGZ02 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(A) OPER VEH WH INT (OWI) / IST OFF COURT CASE ID: 06521 OWCRO78161 CHARGE CLASS: NON CONVICTION TRK#: 1A000GZ01 DRUNK DRIVING SCHOOL SUBSTANCE ABUSE EVALUATION SENTENCE DEFERRED JUDGEMENT PROBATION 1Y UNSUPERVISED UNDER DOC COMMUNITY SERVICE 5014 DISCHARGED FROM DEFERRED JUDGEMENT COURT DISPOSITION AGENCY: IAO52015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 06521 OWCRO78161 CHARGE CLASS: NON CONVICTION TRK$: 1A000GZ02 DRUNK DRIVING SCHOOL SUBSTANCE ABUSE EVALUATION SENTENCE DEFERRED JUDGEMENT PROBATION lY UNSUPERVISED UNDER DOC COMMUNITY SERVICE 50H DISCHARGED FROM DEFERRED JUDGEMENT No.2950 P. 2/5 DISP EFF AAT APPEAL DATE 20070409 20070409 20071101 20070409 20071109 d DISP EFF DAT APPEAL DATE 20070409 20070409 20071101 20070409 20071109 Nov. 6. 2012 11:54AM Div of Criminal Investigation No. 2950 P. 3/5 DCI 00792126 PAGE 2 OF 2 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 INVESTIOATION NO