HomeMy WebLinkAbout12-282CITY 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 0- -) V --
(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 /' X51- LU / &I 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?
Tvpe of offense Where . , Wt
6. Have yoxy een 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?
Type of offense
Where
When
8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years?
Type of offense
Where
When
9. Have yott dWr 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
19
_7'O
I
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)
clenOwidrivbadg 09/2012
I hereby certify have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number
1 L y . I understand that if I falsely answer any questions in this application, that this
application ma e d eniedd.. rI 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 of a sions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front
with all
of a Notary Public) I N /� rov
Signature of Appli nt ll�j Date Z `^ 2c,)/
******rtM*4*#**###*#+*#+*#+*####*#*R**RRR**************Y*RR*MRMRRYRRRMYMYfRMYYYRRMI#RRRRYY##RRRM*Y*MY**Y4R*#*YY#*#***Rf#*4####**###*#*#R
STATE OF IOWA )
COUNTY OF JOHNSON )
Subscribed and sworn to before me by 74..LS Aw(�Or✓ . On this !/ day of
'�+9 S )NDRAE FORT ['�
v i � Commission Number 759791 S„,Qk- Gr
3 yy'oTm's oo�Ires Notary Public in and for the State of Iowa
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).
Signature of Police Ohjkf 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.
:444 r/
Signat a 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
cler midrivbadgeapp= 0 doc 09/2012
Iowa Department of Transporta(roll Free) 0tion
office of Denier Selvices 515-244-9124
PO box 9204, Des Mdnes, lA 503W-9204 FAX: 515-239-183-f
Inquiry Date:
11/16/2012
ID Status:
Arthur, James Joseph
Name:
Address:
527 MEADOW ST
City/State:
IOWA CITY, IA 522455019
Mailing Address:
527 MEADOW ST
Mailing City/State: IOWA CITY, IA 522455019
Certified Abstract of Driving Record
DL/ID #: 043SS5374 (IA)
Class: D
Audit #: 6476952
Issue Date: 11/16/2012
Expiration Date: 11/17/2017
Endorsements: 3
Restrictions: Corrective Lenses
Date of Birth: 11/17/1950 .
Sex: M
History Information
CLEAR DRIVING RECORD
Customer #:
1639571
ID Status:
None
DL Status:
VAL
CDL Status: '
None
CDL Cert Status:
None
CDL Med Status:
None
Restriction
None
Supplement:
Name: Arthur, James Joseph DL/ID: 043SS5374
the cunt to I 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
Pursuant to Iowa Code §321.10, I, Kim Snook, Director of Office of Driver Services, Iowa Department of Transportation, do hereby In the that am
said office, and that I have been authorized by the Director of the Iowa Department of Transportation to so certify-
said
ertify Iowa this date:
In witness whereof, I have caused my signature and the seal of the Department to be set upon this document, at Ankeny,
l,�
11/16/20 12
g3�o�IOWA
Vig:D.
0. T. ��
4 W ..........
office of Driver Services
Transportation
4��8�
Iowa Department of
Name: Arthur, James Joseph DL/ID: 043SS5374
'Dec. 10. 2012 4:48PM Div of Criminal Investigation No. 7639 P. 1/2
' 12/09/2012 11:14 FAX 4 DCT TOR+,
STATE OF IOWA
Record Check
Criminal lilsfory r r.
R�equesC Form Fv:
DCI Account Number!
Tor Iew'a D1r1e100 of Criminal TrveedCadoo
From: Mot S TOL 1
Support operat on: Bureia,16 Floor
215 E. 76 Street
Dm MO1ate,l0wa 50319
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(5151725400 Fat
ebaae: ,(31q) 33$'
Fail .• 319 551'
Last Name (maisdAwN
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oEH``lrth ,a.na:m Gender
Data mmauo. 3tKltJ Sacur/i /PlumbG�r�y
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KralVer lrtformatlonr Wldtoul a sign waiver wafror from the eobJect orthc rcqupe, a cpntpine erlmlaol blemry reeord may nre
be tcluMDiq per Code orlowa, Chapter 692.2. For coImIeft pimlual bbloryrecord lolormatton, a allowed by law, alwa)t
obnln �afrerel atorehomtheaobectolther opt.
WdlverRelease)1Manbyeye paldWell oe�eo\or<4�11e9omcW ttduclnwwaim�l ellpaedtyf c�D.eolwhhdaAWime[l}imN.l
11"eKo a/:mtnCq• Aal'�`�Mxaydru iey,rol41Mm sinod die5llb� Rlu.cd .
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D...:,,..! r;.,. Il.. 9 7A17 11.67AN Nn 6418
a 0 1 a search of ftprovided name and dare of birth reveslt:d;
As of
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No lows Criminal History Record found adtb DCI
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History Record attached, DCI # A 0
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Iowa Criminal
DCI Wtlalsv�—
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D...:,,..! r;.,. Il.. 9 7A17 11.67AN Nn 6418
lec.10. 2012 4:49PM Div of Criminal Investigation
IOWA CRIMINAL HISTORY DCI 00192705
COURT DISPOSITION PENDING PAGE 1 OF 1
STATUS UNKNOWN DATE PRINTED -
2012/12/10
DCI:00192705
NAME 1 ARTHUR, JAMES JOSEPH
13011 SER RAC HGT WGT EYE HAIR SKIT POS
15501117 M 'W 511 190 HA2 BRO MED DC
ADDITIONAL IDENTIFIERS
CCH RECORD •^•
01 ARRESTED 19951014
AGENCY: IA0520200 IOWA CITY FD
CHARGE NO- 01 IA STATUTE IA124-401
POSSESSION SCHEDULE I
TRK#: 007761701
.COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 01
POSSESSION SCHEDULE I / MARIJUANA
TRK#: 007761701
SENTENCE DISP EFF DAT
DEFE9RI'0 JUDGEMENT 19960208
AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD
MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTZOATION, BUREAU OF
IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NOM -LAW
ENFORCEMENT AGENCIES BY THE DCI.
IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS
BVEDI N INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD
C7HE SUBJECT OF YOUR INQUIRY.
DN OF CRIMINAL INVESTIGATION
No.1639 P. 2/2