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Home My WebLink About12-278+. MIIM®re:Il .rte_ CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX 1. Name 2. Mailing Authorization Number / � X16 (Office Use Only) APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m, to 3 p.m., Monday — Friday.) 3. Telephone: Home Other. 3 / c% 5 12, `)F 2 '-Y' y 4. Prior experience in transportation of passengers: 3 Zell/ 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? P Type of offense W ere When � i//crii(,ur1G� ///rc/r'y�OD 1 '17 3 6. Have you been convictpd of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? Tvoe of ffense Where When 7. Have you been convicted of any traffic offenses in the last five years? T S 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? i719 Tvoe 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) clerk mldrivbadg 09/2012 I hereby certi that I have issue�'to me by the Iowa Department of Transportation a valid Chauffeurs license number % /� /� t 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) 1�7___;„ Signature of Applicant � ��/� Date / g STATE OF IOWA ) COUNTY OF JOHNSON ) scribedand swom to before me by l�ar eiifr' On this iP14— day of x�' Kc u� Notary Public in and for the State of Iowa— ,,a Ccmmissw Nber n1819 '`''tt umMy Co missi Exp'ree f1H*#f##kk##4kkk*R##RR*kR*RRf#*#t4#44f�H*** fie*H***k*RkRRk*Rk#Rkkk#*******#RR*R#R#RkkR**Rk#R*RR****RR*Rk#it*ifi*iifkf4f111#YR 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 ure of PIT I hief or designee /a- 4/1-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. / 4Zf� k . k 1� Signature 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 lc�—/o —102 Date rJerR .idrwbe ,.,2010 eoc 0912012 w -� Iowa department of Transportation iI Office of Driver Services (Toll Free) 800-532-1121 PO Box 9204, Des Moines, IA 50306-9204 515-244-9124 FAX: 515-239-11137 Inquiry Date: 12/6/2012 Name: Meler, Mark Allan Address: 1031 290TH ST City/State: ATALISSA, IA 527209641 Mailing Address: PO BOX 132 Mailing City/State: ATALISSA, IA 527200132 Convictions Certified Abstract of Driving Record DL/ID #: 075AA0689 (IA) Class: D Audit #: 3722832 Issue Date: 09/23/2009 Expiration Date: 09/18/2014 Endorsements: 3 Restrictions: NONE Date of Birth: 9/18/1954 Sex: M History Information Customer #: 1683236 ID Status: None DL Status: VAL CDL Status: None CDL Cert Status: None CDL Med Status: None Restriction None Supplement: Citation Date Conviction Date ACD Explanation County SUR 10/07/2012 11/05/2012 S92 Speed 52 IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number SUR 01/18/2009 500760 IA Name: Meler, Mark Allan DL/ID: 075AA0689 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: yr""'••:!�'4� 12/6/2012 IOWA% D. O. 9f '••••"$�= Office of Driver Services Iowa Department of Transportation Name: Meier, Mark Allan DL/ID: 07SAA0689 4ec. 6, 2012 8:17AM Nov. 27. 2012 10:17AM Div of Criminal Investigation City Clerk - City of Iowa City AT Di0jL1-0WA— (�rcnm iluai.l story Record Check Requeg Form T6; XotYablvlalohofCr7mina1Xh•Ve2tlggt1oh Supporl 0p eratlons.RUrC,'AV,1" Y+toor 215D, 7'n S(rcoC DesA/iglrle9,Sowa So319 (919) 725.6066 (513)925-60ea Vat Cheok No.7028 P. 1/6 No. 3032 P. 2 DOIAcoolltttNil mbor, `{oba'- ' (IPapyfic96 0)^ 1!roM: 7TY oF TWA r: TZ 01,ja 01 EF L" 9 0-RUGEi 410 E. WARMa OTS 9'[' BT XOV CITY gRA M 40 phone: �1a_g� _3nG1 VAYJ _ 319 45ta--q4Q7 1)�e /'Pr Al as lqz� /� N . Pat 01DIrth meadelc Q9haer(maudato) SOeffll5eOftf NtiirtIo rceonunork1w 1,57 — !�, 4/ Wile 72 - 6 14� -j irt4veYXr{JOrMa11017:Withoutasfgaedpvglyo�11omthasubjecko�ihoYegnnsP,ocomplotecrim(npIhtsforyresardmaynot ba, rolepsabio,porcoda oEYo^Chaj?W69142,Voreu arlmfnalhletoiyrccordlnCarmntloh,a�alIowedbylAwr,gltvays �aiYBT.iiBi3(fS'B: Y AcroDyallo pormisslon tDrlhoa6oyenques(r8g olltolpl to rortduof a1 Towa ctlminaf hl,mryreco�5cheok whh 51aD1lalon oPcriminal rVosrrgauon(DOD. MyarfmMelAlncotyaaioeoeoom( 61 smalnt edEyihobt)fmoybofolcnsodaaalloweQAyln�V. Iowa UrblibalHiatopy'Recbrdt 4,ilaME68M PC) woonly) Aa of l a' S' I a a sehteh bf the,provlded name �rY date oibix'tlza'aveaYcd: ' �( N'oZowaC1;Dainall�iaCoryZtecord5'bundwitlxDCI �`,;, •••�_ -; io'�G�lminaliitsfoz�•Redoxdattaohed 1JC>;# � Sid �� `.'::° _-, :,, � �r rra m oi14n nN Dec. 6. 2012 8:17AM Div of Criminal Investigation DCI:00189118 NAME: MEIER,MARX ALAN MSIER,MARK ALLEN DOB SEX RAC 19540918 M W ADDITIONAL IDENTIFIERS GLASSES SC L KNEE SC R KNEE 01 ARRESTED 19730306 IOWA CRIMINAL HISTORY DCI 00189/18 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2012/12/05 HGT WGT EYE HAIR SKN POE 511 200 BRO BRO MED IA CCH RECORD w'"" AGENCY: IA0820200 DAVENPORT PD CHARGE NO- 01 DELIVER MARIJUANA TRK#: L07626701 COURT DISPOSITION AGENCY: IA082015J SCOTT CO DIST COURT COUNT NO- 01 IA STATUTE IA124.407-(3) CONTROLLED SUBSTANCE / P099E99ION/MARIJUANA - 1993 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L07626701 DISP EFP DAT SENTENCE SUSPENDED JAIL 6M 19731030 19731030 PROBATION 02 ARRESTED 19910507 AGENCY: TA0520200 IOwA. CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK#: L07626801 COURT DISPOSITION AGENCY: IA052015LT JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2 OPER VEH WH INT OHI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L07626801 DISP EFF DAT SENTENCE 21) 19910627 JAIL $600 19910627 FINE CREDIT 14/TIME SERVED 7H 19910627 03 ARRESTED 19951111 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI 2ND OFFENSE TRK#: 022560101 COURT DISPOSITION No.7028 P. 2/6 , ec. 6. 2012 8:17AM Div of Criminal Investigation DCI 00189118 PAGE 2 OF 2 AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(B) OPER VER WR INT (OWI) / 29D OVV8NSE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#t 022560101 SENTENCE DISP EFF DAT JAIL 7D 19960221 FINE $750 19960221 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 OP FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS EASED ON INFORMATION FURNISHED, WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INOUIRY. DIVISION OF CRIMINAL INVESTIGATION No.7028 P. 3/6