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
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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,
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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.