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Home My WebLink About13-230 Authorization Number 1.3 -a O p o j (Office Use Only) ozO Aram:. AnoivtiVisit.,1 Aiwa ocillr CITY OF IOWA CITY APPLICATION FOR TAXI DRIVER (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 First Middle Last 1. Name `hit 11 1 t M I u T D KI AA -r 12 2. Mailing Address 7 D < gc L / 94 Co 4(.V I G L 3. Telephone: Home Other: 3 2 1 - Z 44-4 4. Prior experience in transportation of passengers: Z_. I 04O I g,t V 0-ra- 7 ({ (7_s - etri L w CA- c -114 e L A-C-7- 4 A3YAtd1 Z YON • F�(�'x'Q,.1 5. Have you ever been convicted of any misde s and/or felonies in this State or �rAl rocs o17 `J �A�eOx. Type of offense Where I ....._._.•WWgera-,..- {� AVt -- 6. Have you b en 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? 4 -ji 1:1 G 14 tr.7) Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? N C, 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) ! 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) cleriJlaxidrivbadg 03/2013 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number . r7Z S A. / Vv ! . 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 provisio s of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) ��/� Signature of Applicant ` . . ! AJ '\ /I Al. ,JA. Date l j�"t- 13 STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by -0 p1<,V 1 iii*::lto�•. 1,4,..at-r j..4 On this 1 - day of dam ` "r.3 L � J -P%- M. . 41% WENDY S.MAYER Notary Public in a d for the State of I a s L.0 t WTW1* O .0.. Expires 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). if Signat e of Polit 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. 21 • ?,c.,,,e,z.z..,) les 7/ /, .1,- /cwil Signa re of City Clerk or designe Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 '/2" (width) and 5 '/z" (height) and prominently displayed to all passengers. *************************AAA A******************************************************************************************************************* Office Use Only Approved application DCI report State certified driving record Website update clerWlaxidrivbadgeapp2010.doc - 03/2013 Iowa Department of Transportation lifC83 Office of Driver Services (Toil Free)800-532-1121 PO Box 9204,Des Manes, IA 50306-9204 515-244-9124 IIIIP FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 10/1/2013 DL/ID #: 075AA1861 (IA) Customer#: 1984143 Name: Metzler, David Milton Class: D ID Status: None Address: 310 N George Audit#: 3937766 DL Status: VAL Issue Date: 12/11/2009 CDL Status: None City/State: North Liberty, IA 52317 Expiration Date: 11/16/2014 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 310 N George Restrictions: Corrective Lenses Restriction None Date of Birth: 11/16/1958 Supplement: Mailing City/State: North Liberty, IA 52317 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 09/17/2008 10/17/2008 M70 Improper Passing Johnson IA 04/25/2009 06/17/2009 S92 Speed Johnson IA 08/12/2011 09/14/2011 F04 Seat Belt Violation Johnson IA 09/03/2011 09/27/2011 S92 Speed (10 mph&under in 35-55 mph zone) Johnson IA 05/29/2012 06/20/2012 S92 Speed Johnson IA 08/03/2012 08/29/2012 F04 Seat Belt Violation Johnson IA 03/31/2013 04/29/2013 N63 Driving Wrong Way on One Way Street Johnson IA Name: Metzler, David Milton DL/ID: 075AA1861 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: o, ENICtf,,,,,1 ,......oifr ,i10/1/2013 4. IOWA Ali : clirdroi.orp„ elefeostexk O. T. ',y 0f' ..1t Office of Driver Services �<<��\ORIYER,__ Iowa Department of Transportation Name: Metzler, David Milton DL/ID: 075AA1861 • SNS Of PUgi�c State of Iowa y4,t. or Ip41 . s Division of Criminal Investigation z wQ q� 215 E 7th St 2 '- IOWA Des Moines IA 50319 y Ph.515-725-6066 Fax 515-725-6080 -4. "•° .,•'''• ;�' 150,2, 4,P. AN- - Iowa Criminal History Record Check °e,"IN .4. Walk-In Request Your name:_j_JAV) 1J IVL MEI-2_ /.... e K Address 3) O 1. e ti R 6, E City/State/Zip N Ll geR / .' WA SZ317 Fill in all shaded areas. Phone# 5 /7. -3Z. 1 - 24a 4 Requesting an Iowa criminal history record check on: Last Name Apellido(mandatory) First Name Primer Nombre(mandatory) Middle Name Segundo Nombre(recommended) Iu.ETZLC K T A J i9 M 1L-ro Date of Birth Fecha Nacimiento(mandatory) Gender Genero(mandatory) Social Security Number(recommended) I j ^ r t` /Qse Male ❑Female +83 -74- g t G� waiver Signature Firma(If the request is on yourself,please sign. If the request is on someone else,write N/A.) / That ?44 . 1/44,L_ -5,,,tAs_ Results DCI USE ONLY As of 9- 30 1.3 , a name and date of birth check revealed: ❑No record found %Record attached, DCI # 31 P.3 /y DCI initials_9-,0 Receipt Number of requests / x $15.00 per last name=Total amount$ l.,0 d Method of payment: Aicash CI money order ❑check# ❑MasterCard or Visa Cardholder's name Last 4 digits of MC or Visa _. DCI a name a9 , Credit Card Number# Exp. Date ' IOWA CRIMINAL HISTORY DCI 00312314 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- 2013/09/30 DCI:00312314 NAME: METZLER,DAVE METZLER,DAVID MILTON DOB SEX RAC HGT WGT EYE HAIR SKN POB 19581116 M W 600 150 HAZ SDY MED IA ADDITIONAL IDENTIFIERS CCH RECORD *** 01 ARRESTED 19831126 AGENCY: IA0570000 LINN CO SO CHARGE NO- 01 IA STATUTE IA321-281 OPER WHILE INTOX TRK#: L25116101 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE IA321-281 OMVUI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25116101 SENTENCE DISP EFF DAT FINE $300 19831126 PROBATION 6HRS CRED-PROB TIL 020885 19831126 SUSPENDED 2D 19831126 CREDIT W/TIME SERVED 19831126 02 ARRESTED 19890405 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI 2ND TRK#: L25116201 COURT DISPOSITION AGENCY: IA052O15J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J-2 OWI 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25116201 SENTENCE DISP EFF DAT JAIL 10D 19890628 CREDIT 7 HRS/PAY SURCHG FINE $750 19890628 03 ARRESTED 19940807 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI 2ND TRK#: 006445901 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- DCI 00312314 PAGE 2 OF 2 01 IA STATUTE IA321J-2 OWI 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 006445901 SENTENCE DISP EFF DAT JAIL 15D 19940928 FINE $750 19940928 PROBATION 1Y 19940928 SUSPENDED 35D 19940928 PAY SURCHG 04 ARRESTED 19981125 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA709-4 SEXUAL ABUSE 3RD DEGREE TRK#: 032253001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA 709-11 ASSLT W/INTENT COMMITT SEX ABUSE NO INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 032253001 RESTITUTION SENTENCE DISP EFF DAT PLEAD GUILTY 19990526 FINE $500 19990526 PROBATION 2Y 19990526 SUSPENDED 2Y 19990526 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 OF 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 OF CRIMINAL INVESTIGATION