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Home My WebLink About13-251 Authorization Number / :?1. r 1 (Office Use Only) immagliwir 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 Fir t IV)iddle Last 1. Name <' Ci 1 L/t�G rll 0 4.,./.r v2 G Cc h 2. Mailing Address L > v //t (t t/ r /"t P-I 7 1� 3. Telephone: Home Other: 3/ s— e134 r 4. Prior experience in transportation of passengers: /Pi?�S' i�I✓11,15 t cry, 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere' \>/e5 Type of offense Where When P lcTQ7— PO55, Mav-ijuao- c ri oc Itel ' 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? [SID Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? ye5 Type of offense Where When 51:7(--"PdhAri f�owes� Apt- ZvIZ 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type of offense (_ Where When Wevt, Pay P4'k+- 2 �1`�C� 2-D( 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). (OVER FOR REQUIRED SIGNATURE AND NOTARY) clerkRaxidrivbadg 03/2013 I hereby certify that have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number' ( / f c-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) Signature of Applicant c/ « Date 2-S CG 12-0 1 3 ************************************************************************************************************************************************ STATE OF IOWA COUNTY OF JOHNSON ) Subscribed and sworn to before me by ��}"� C r-� � . On this ,j. , day of WENDY S.MAYER Notary Public in(nd for the State of rwa corri—'Iyn ft..6ci 729428 My Commission Expires low 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). &725 /j gnatu of 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. �li i1il 1 %t Signatbfe-of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 '/z" (width) and 51/2" (height)and prominently displayed to all passengers. ************************************************************************************************************************************************ Office Use Only Approved application DCI report State certified driving record Website update derk/taxidrivbadgeapp2010.doc 03/2013 Iowa Department of Transportation 5• Office of Driver Services (Toll Free)800-532-1121 PO Box 9204,Des Moines,IA 50306-9204 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 10/25/2013 DL/ID#: 713YY5941 (IA) Customer#: 3382468 Name: Duncan, Scott Kendall Class: D ID Status: None Address: 1131 3RD AVE APT 2B Audit#: 6416454 DL Status: VAL Issue Date: 10/25/2012 CDL Status: None City/State: IOWA CITY, IA 522402013 Expiration Date: 10/10/2016 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 1131 3RD AVE APT 2B Restrictions: Corrective Lenses Restriction None Date of Birth: 10/10/1959 Supplement: Mailing City/State: IOWA CITY,IA 522402013 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 04/22/2012 !06/05/2012 S92 Speed IPoweshiek IA Accidents-Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 10/06/2010 595478 IA Sanctions Type Effective End ACD Explanation Occurrence JUR OUR Suspended 09/11/2012 10/24/2012 D53 'Non-Payment of Iowa Fine IA IA Name: Duncan, Scott Kendall DL/ID: 713YY5941 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. iIn witness.whereof,I have caused my signature and the seal of the Department to be set upon this document,at Ankeny, Iowa this date: ��y. ....4.4 10/25/2013 s � IOWA ▪�t :y4 a eleseetvak, Cf.D. O. T. :St it 09Ntig▪`' OfficIowa Department of Driver er Serf Services Name: Duncan, Scott Kendall DL/ID: 713YY5941 Oct. 16. 2013..10:35AM.,• „Uiv of Grimina' Investigation.... IVo. 191? I'. I • - +tom STATE_OF IOWA `" `u„ ,. ,o,,, fi' ; Criminal Record t4 ' G'heck Ni,, •,...•RequestForm -T- <. . rJ+a, -fie • • • DCI Account Number: 9967-F • • Tod. Torre Biti.dop'(4;CK htgIJ tsligation From Xdlow Cab of Iowa City . 'Suppofl Olu ione'f3u'to6u,,x"'R1oor PA Box 428' 21S•l r siren y.. ' ; - ' • Des Blokes,Tom.50319 . • Iowa City,IA. 52244 .. (515)925.6066 .. .''' • M5)725-6080:Fan ' (319)338-9777 . . • Phalle:'.- •. • . it;. (319)339-7302 I am requesting Ms Iowa Crimighl lustorz Record Check on: - ' last Name(msoe�ey) . tatpl me{m.nan •• • :>middle Name occomtmiwtd) • Date of 13irtb• ' ) Cinder Gena 140 Saco ' Number r<b ! i 01 ' . Penne OFemale I. n 36 -- 5-131516 Waiver Information:WMbouts elgaed Waiver from the subject of the request;a complete calming history.record may not he reiramblq per Code of Ilea,chapter 6923.For complete erlmloal bireoryraor(lirttormatlod;.as allowed btlaw'olwaya oblate a waivertigasfarc from the subject of the request • WalverReleace nnesralveperm[ulto tic eye ebotc NM•tstfrco j&Keit rovdcetEn lomiaimbollifwryland Ned(wins uwDMfi SIOu oferk nal • ` lnrwdpdan(DCfl Any mo ,mlb[�rydYaooncaoinsmellue6 . ��edbyauD4earereel'ccedaemmrocbylne Waiver Signature: oi�, - - •h( Iowa `Criminal Ristoy Record Check Results - (=saner) ii v5 • As of I \Q I L5 ,a search of die provided name and dare of birth revealed: • . ❑ No Iowa ethyl History Record fotmdwigs DCI • • • r Iowa Criminal History Record attapfied,DCI II nDO D • � . DCI iuitiels, ' • • DCI-77(ORDS/ttn . Received Time Oct. 10. 2013 4:38PM No. 8885 Oct. 16. 2013 10:35AM Div of Criminal Investigation No. 1512 P. 2 IOWA CRIMINAL HISTORY DCI 00560308 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2013/10/16 DCI:00560308 NAME: DUNCAN,SCOTT XENDALL DOB SEX RAC HOT WGT EYE HAIR SKN POE 19591010 M W 506 140 BLU BRO MED PA ADDITIONAL IDENTIFIERS CCH RECORD *** 01 ARRESTED 19970905 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124-401-5 POSSESSION/SCHEDULE I/MARIJUANA TRKB: 037269401 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124-40195) POSSESS CONTROLLED SUBSTANCE/SCHEDULE I/ MARIJUANA CHARGE CLASS: MISDEMEANOR CONVICTION TRIO: 037269401 SENTENCE DISP EFF DAT FINE $250 19971121 COURT COSTS 19971121 02 ARRESTED 19971007 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124-401 PO95E88ION/SCHEDULE I/MARIJUANA TRK#: 037205201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124-401 POSSESSION /CONTROLLED SUBSTANCE/SCESDULE I/MARIJUANA COURT CASE ID, 06521 SRCR045809 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 037285201 SUBSTANCE ABUSE EVALUATION SENTENCE DISE EFF DAT JAIL 10D 19950226 FINE $25019990226 PROBATION lY 19960226 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OP 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 or FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. !� DIVISION OP CRIMINAL INVESTIGATION 1/�iV) •