The URL can be used to link to this page

Home My WebLink About13-268 • Authorization Number 13— 0. Lob — i (Office Use Only) CZ:1114NiIhoM -ft lie On I tar APPLICATION FOR TAXI DRIVER CITY OF IOWA CITY (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 (319) 356-5040 (319) 356-5497 FAX , jFirst L Middle t 1. Name I v a5-7— OQhiA efto 2. Mailing Address IOy0 I v\'% 3. Telephone: Home Other: («'I) 3 Yl 3 3O `-qea5 4. Prior experience in transportation of passengers: IX;\i v\o. Ye,t(Ou.) Colo +r)c Orth 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? k---(3,eS Type of offense Where When X1 I CocAIvik_ \A ao0s%d00G 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? VI Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? 1A01 0\ Ted) i arKi t Type of offense Where When J 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? C� Type of offense Where When 9. Ha�eyou 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). (OVER FOR REQUIRED SIGNATURE AND NOTARY) clerk/taxidrivbadg 03/2013 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 5 I) 5 XX 5int . 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) ' /I Signature of Applicant ) Date ((` - \3 STATE OF IOWA ) COUNTY OF JOHNSON ) n Subscribed and sworn to before me by . .---)\---\ick b"- -- ,1. 'l.-j . On this atad° day of ,4-VA(f� 1NENDY S.MAYER 5 �SpmmiCc 72018 No ary Public in a for the State of I a My Commission Expires iow Z) _) , „ 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). / I4102- tria.— 2"'"G22 Sig -ture of P,cel hief 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. igna re of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8'/2" (width) and 51/2" (height) and prominently displayed to all passengers. ************,,,,,. ********************************************************************,.**********************************..***************** Office Use Only Approved application DCI report State certified driving record Website update clerWtaxidrivbadgeapp2010.doc 03/2013 I r Iowa Department of Transportation Office of Driver Senricesnes,fA 50305 (Toll Free)BOO-532-1121121 FO Box 9204,Des Ma9204 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 11/7/2013 DL/ID #: 555xx5019 (IA) Customer#: 3919725 Name: Erb, Stuart John Class: D ID Status: EXP Address: 1040 N GOVERNOR ST UNIT Audit#: 7394299 DL Status: VAL A Issue Date: 10/01/2013 CDL Status: None City/State: IOWA CITY, IA 522455922 Expiration Date: 10/08/2018 CDL Cell Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 1040 N GOVERNOR ST UNIT Restrictions: NONE Restriction None A Date of Birth: 10/8/1986 Supplement: Mailing City/State: IOWA CITY, IA 522455922 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 12/17/2006 04/09/2007 A20 ,Deferred Judgment OWI iJohnson iIA I Operating While Intoxicated Test Refusal/Test Failure Violations Occurrence ACD Explanation JUR 12/17/2006 A98 .OWI Test Failure ;IA Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Revoked 12/28/2006 06/25/2007 (A98 {OWI Test Failure 'IA IA 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: p%I! f4yr41 �a-•"•••.,4/p4r 11/7/2013 0/ � IOWA e,'.t- (C: ::C $ + 'II4F • "••"••%., Office of Driver Services ir`a —" Iowa Department of Transportation O Name: Erb, Stuart John DL/ID: 555xx5019 Nov. 14. 2013 11 : 03AM Div of Criminal Investigation No. 2151 P. 6/8 • 'NOv,, i. LUIJ 3: JOrIvI City cleric - city 01 IOWA city No. iv ) P. L/9 STATE OF IOWA ; ''% �Qrtaem {, Criminal Recordec �( a ' ;,t� .". '�i• Request Form \ • .: � History Check ° DCT Account Number: L) (ftapptloeble) To: Iowa Division of Criminal Investigation From: OITY OF IOWA CITY Support operations Bureau,1"Floor CLT? CURE'S OFFICE 215 E.7th Street 410 E WASHINGTON STREET Des Moines,Iowa 50319 (515)725-6066 IO1m cJ'y IociA-51240 (515)725-6080 tax Phone: 319-3565041 Fax: 319-356-5497 I am requesting an Iowa Criminal History Record Check on: Last Name (mandatory) First Name(mandatory) Middle Name(recommended) Date of Birth(mandalore Gender(mandatory) Social Security Number(rccommcnded), 0 6 j Male OFemale L 7 ! ^ (aci Waiver Informallon:Without a signed waiver from the subject of the request,a complete criminal history record may not be releasable,per Codo of Town,,Chapter 692.2.For complete criminal history record information,as allowed by law,always obtain a waiver signature from the subject of the req zest. Waiver Release:Ihereby givo pot-mission Porto abovo requesting olricral to conduct an Iowa criminal Itisioiyrecord chock with the Division of Criminal Invwligation(DCI). Anycriminal history dila co me ilia Is nralnialned by the DCI maybe reamed es allowed bylaw. 1 Waiver signature: WJ-'44(.1- ' Iowa Criminal History Record Check Results (Dei Use onl ) As of ll—AV---/3 t/�/3 a search of the provided name and date of birth revealed: • ❑ No Iowa Criminal History Record found with DCI- • lAl Iowa Criminal History Record attached,DCI# / 9 igt DCI initials V Received Time7N,ov. 7. );2013 3:37PM No. 4355 Nov. 14. 2013 11 : 03AM Div of Criminal Investigation No. 2151 P. 7/8 IOWA CRIMINAL HISTORY DCI 00792126 NON CONVICTION PAGE 1 OF 2 DATE PRINTED- 2013/11/14 DCI:00792126 NAME: ERD,STUART JOHN DOE SEX RAC HGT WGT EYE HAIR SKN POH 19861008 M W 600 230 BLU BRO FAR IA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y CCH RECORD •** 01 ARRESTED 20061217 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA3213.2(A) OPER VER WH INT (OWI) / 1ST OFF TRK#: 1A0000201 CHARGE NO- 02 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE TRK#: 1A0000202 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(A) OPER VEH WH INT (OWI) / 1ST OFF COURT CASE ID: 06521 OWCR070161 CHARGE CLASS: NON CONVICTION TRK#: 1A000GZO1 DRUNK DRIVING SCHOOL SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT APPEAL DATE DEFERRED JUDGEMENT 20070409 PROBATION 1Y 20070409 20071101 UNSUPERVISED UNDER DOC COMMUNITY SERVICE 50H 20070409 DISCHARGED FROM 20071109 DEFERRED JUDGEMENT COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA124.401(5) POSSESSION OF A CONTROLLED SUBSTANCE COURT CASE ID: 06521 OWCR078161 CHARGE CLASS: NON CONVICTION TRK#: 1A000GZ02 DRUNK DRIVING SCHOOL SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT APPEAL DATE DEFERRED JUDGEMENT 20070409 PROBATION 1Y 20070409 20071101 UNSUPERVISED UNDER DOC COMMUNITY SERVICE 50H 20070409 DISCHARGED PROM 20071109 DEFERRED JUDGEMENT Nov. 14. 2013 11 : 03AM Div of Criminal Investigation No. 2151 P. 8/8 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 AUT 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 SUBI1ECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION