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HomeMy WebLinkAbout12-269� r 1 CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 9 356-5040 (319) 356-5497 FAX Authorization Number APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) (Office Use Only) .✓ First Middle Last 1. Name 1� air y >o<eAA CoLP ti u 2. Mailing Address 1/ 4/6 4,),f 6 /A;= )2,2 3. Telephone: Home 773-259-27,W Other: 4. Prior experience in transportation of passengers: 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 11i.. 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? No Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? v 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) ,V '° 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) cleWta idMadg 09/2012 I L/S 7, that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license numbef Z J / . 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 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—//- /S ' 2 - STATE STATE OF IOWA )\ COUNTY OF JOHNSON 1 S bscribed and sworn to before me by CL 1e_.(y%_cL y� . On this 1 rJ` ` day of i�a� KELLIE K. TUTRE Notary Public in and for the State of Iowa '' is io Expl s My o 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). 15--, Sigi6ature 61f Police Chief or designee 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. Sign re 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 Date dsBtl iddmadgea,201 0. do 09/2012 nl Nor 7.2012 9:17AM n.:• I• c.IL II. VLI1111 Div of Criminal Investigation V.,y vl bin bl%Y V1 IVVa VILY C>t°imbai.Mstory Record Check Request Form TO 33 UWAblvlstgnOfCriminal Th1vae11gatfoh Sqportoperations%renu,1" Plaae 215,.. VhSireot 1)sVh1ip1dgj0wf, $0319 0,5) 7314"d (598) X25 -60H0 Xta7c Cheok on: - a - NNou..L7122 17 fP. �2 DCIAccountMnabor; o0a^ F Nrom; C) -TY OV YO[aA Ozx� aT7 OxOV9 OFFxCE 4711_X, VASHT GT09 STREET T07A CTTY 101YA52 40 IrM 413.-AVLi9_gQ.97 ?z /�, 9 7 - ho YO10939bla) por coda c0avnj Chaptor691.'..V`o'rCO'4 hora9aasubla"percodac0avntChaptor69z2.parcoM To('arintinaThisEory�'ceordlndormatlotr,aaalTaWBdEylpwr,A(wpyg l�nItV01'.�B�Bn4'8: YAcrc�y@fve permisaf0a fOt IhvaOnYe Yegtiesting omeiei fo Londpo! Nl%WL ttlminalbislorytecaldt/teckwna IRaD�dslon prCrlm(nal rtlYasrfgnl(on (pCh. Anv trfminafhlumry data 6pntomingmooine7smslmolnedf�tlr"ll01mpy6e Yolcarod aaslfo�rtd 6yfay. J YYGL VAAAAAALILJA L. ULUA Yd.`IGq;U.LVA. u..LAVk;^ A% OU{LtiY , � �1 Ufa anly) As of a search bfthopxo•vided name and dato oX'b1xfhs0Vea1ed: Ind No Iowa Cziminol Hiator Record found wlthDCI � xowaG`riminAT�fiatozgRecordattaohcd,JbCz# 1 . J7CI iuitials�� • Deceived Time -'Noy. 1. 2012 11:02AM No. 6346 CAIowa Department of Transportation Office of Driver Services (Toll Free) OW -532-1929 PO Bax 9204; Des Manes, IA 3U6 9ZZ 744 515-23 FAX: 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 11/1/2012 DL/ID #: 457AF2271(IA) Name: Coleman, Barry Joseph Class: D Address: 1445 WESTVIEW DR Audit #: 5639315 Restriction None Issue Date: 11/18/2011 City/State: CORALVILLE, IA 522411031 Expiration Date: 03/28/2015 Endorsements: 3 Mailing Address: 1445 WESTVIEW DR Restrictions: NONE Date of Birth: 3/28/1972 Mailing City/State: CORALVILLE, IA 522411031 Sex: M History Information Convictions Customer #: 5739037 ID Status: VAL DL Status: VAL CDL Status: None CDL Cert Status: None CDL Med Status: None Restriction None Supplement: Jitatlpn Date - Conviction Date ACD Explanation County JUR 17/24/2012 i0B/14/2012 ;M14 Fail to Obey Traffic Sign/Signal i52 SIA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. i Accident Date Case Number JUR .__...._.... .....I.... ._._.. - . ..._--_._...-- - .._.___. . _ ..... ........ ..:__..._.._.... __ __._..._ _ .. . ,......T.I .. 03/05/2011 X621527 SIA j Name: Coleman, Barry Joseph DL/ID: 457AF2271'" 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 Servicds; 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. I , .' . I I . . . Iq.wltpess,whereof,.I have caused my signature and the seal of the Department to be set upon this document, at Ankeny, Iowa this date: A.......Zj -1, tr ; IOWA %01 o?D: 0: T.?if cf �r Office of Driver Services Iowa Department,of Transportation Name: Coleman, Barry Joseph DL/ID: 457AF2271 44 .,ralie Voparil From: Julie Voparil Sent: Monday, June 29, 2015 12:30 PM To: 'Pam Smith' Subject: RE: Case #1224399 Thanks you for that clarification on last name. Christopher Fenton was listed as an authorized taxi cab driver from 11/20/12 through 11/20/13. Julie Voparil Deputy City Clerk City of Iowa City 410 E. Washington Street Iowa City, IA 52240 (319) 356-5040 it r 1 MAI CITY OF IOWA CITY UNESCO CITY OF LITERATURE From: Pam Smith [mailto:psmith@corporatescreening.cwm] Sent: Monday, June 29, 2015 12:15 PM To: Julie Voparil Subject: RE: Case #1224399 Hello, The name of ther person we are trying to verify is Christopher Fenton. Do you have any records for this individual? Thank you. From: Julie Voparil [mailto:Julie-Voparil@iowa-city.org] Sent: Monday, June 29, 2015 11:35 AM To: verifications Subject: Case #1224399 We searched our archived files for taxi driver name "Christopher Senton" from 2011 to 2013 years. Our records show no record of this person being a taxi cab driver.