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Home My WebLink About13-223 Authorization Number LS--14S . k 1 - 1 (Office Use Only) 41: 412V1 „41 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 1;11✓1 /u ?GSL ✓✓ere) I 2. Mailing Address -(Z.5 • 141C14/ P7/ dv4 L V,122 ,zf4 c22 e/ 3. Telephone: Home 3//-.547 9- c72- ` Other: /he- ?45 ) h 4. Prior experience in transportation of passengers: yes / ell':V, 4o: / �ArGo'S 4✓ 7" e- • Rom 601.1 0.3g* 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or el Type of offense /! ,�� Where // lOyj25yiaYl o{ 64hq i CP�� /Vavi nafo✓1 9'_/z-973-Z9-ZOGel 4;t ufe. 10, a16 hix S&ip t:ar142,5 i 1 559nf 03- 2 6-2O/1 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? NO Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? h5 • Type of offense Where When /0 RPh q4d u ih/ L 4N�j I/0767 6,„.f y � 0g- D '- 2O0? S�el&/ Zovh o✓e✓ / t✓aSk y f c>1- 4 s-6 g 2-0 11 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 4170 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) // Lgo 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) clerldtaxidrivbadg 03/2013 I hereby certifythat I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number '?l Q 4 4 l C$ . 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 ti s 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 Jts4/vDate 9-2 5 — // STATEOFIOWA ) . COUNTY OF JOHNSON ) Subscribed and sworn to before me by-0-011,IA. lctuJ C fc_--1 . On this s, tIlwr1-�ea� �.� O C4_ c��n . day of WENDY S.MAYER otary'Pubicl intbnd for the State Iowa aiwr�no�r►41441 **************************_* ****************************************************************************************************************** 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). /4------- 9 Z5/-/3 S 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. -7214"/!_'-6•11-z-'r2= - , - _ e ,'t/ c-1/ci l Signatbre of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 81/2"(width)and 5 1/2" (height) and prominently displayed to all passengers. *****************...,.************************************************************************************************************************* Office Use Only Approved application • DCI report State certified driving record Website update clerWtaxidrivbadgeapp2010.doc 03/2013 Sso. 23. 2013 2:44PM Div of Criminal Investigation No. 8118 P. I/9 Ob/10/2013 10:24 PAX • DCI IOWA 0. r. V .+r00 • STATE OF IOWA • Criminal History Record Check 5 = Request Form ';,_ • DCI Account Number, mr.pc- . Tot Iowa ptrw.a of Criminal by mtlatlo. From: Aka045 TO(' support Operation Warau,1•Floor I rjkbve..s Dr.E.7°Slnrl Da Palms,Io1m WM oVk C.*it IA E))q0 om ns 6066 -`1$ (515)725.6110 Fa • about: ,(3(qi 338• any. • Fat. • 314 SSI-Sall I am teauanln&an Iowa Criminal history Record Check Erni Middle Name(naamaeeded) Last Name tn.ed.aa) First Name(=gram) Data of Birth nrielearyy I Gj `� Gender fmtwuw7 Social �Security Number owes meed) 3 — 6, • —1179' / / 9 rids ❑Femak 2- " '7 ' 11 —115-56. WaiVer Iyformaloiv Without.Aped waiver from Hr subject of aerequest,a complete tilatioal bbioty record may pot Wraleasabt ,par rCode o llows, C w 6692.2, oFor cricket kYnfory cunt Information,as snowed by law,always MAW a r rom Waiver Release:Own*giro pwml.lasfor the stove rmuaticiffkfnlecoo&ttlotvndualblwn:corddearithSDWI:1nofC.hilnl imeal.ulon(DC1) Any obits)Wray dA coomn b tatatoDCI may is relined sr&brad by WY. • . Waiver Signature: J 6 ' 67 Iowa Criminal History Record Check Result,. laby ou QAs of -r• —,, 13 ,a search of the provided name and date of birth revealed: . • ❑ No Iowa Criminal History Record found with DCII 2 , 1i4 Iowa Criminal History Record attached,chDCI H ` 19I 1.3(n ; DCI initials U,J DCI-77(01/25/10) • Pet-Plvod Tim Sen. 14. 9011 10:79AM No. 6691 Sep. 23. 2013 2:45PM Div of Criminal Investigation No. 8118 P. 2/9 IOWA CRIMINAL HISTORY DCI 00561136 FELONY CONVICTION PAGE 1 OF 2 • DATE PRINTED- 2013/09/23 DCI:00561136 NAME: CORREIA,JOHN PAUL CORREIA,JP JP DOB SEX RAC HGT WGT EYE HAIR SKN POB 19790306 M W 600 140 BRO BRO FAR FL ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y SC PACE TAT BACK TAT L NNP TAT L WRST TAT NECK TAT R ARM TAT R HND TAT R WRST TAT UL ARM TAT UR ARM • CCH RECORD *** 01 ARRESTED 19970912 AGENCY: IA0440200 NEW LONDON PD CHARGE NO- 01 IA STATUTE IA124-401B POSSESSION WITH INTENT TO MANUFACTURE TRKt: 012502301 COURT DISPOSITION AGENCY: IA044015.7 HENRY CO DIST COURT COUNT NO- 01 IA STATUTE IA124-401-1D PROHIBITED ACTS CHARGE CLASS: NON CONVICTION TRKO: 012502301 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19980126 COURT COSTS 19980126 PROBATION 4Y 19980126 DISCHARGED FROM 19980126 DEFERRED JUDGEMENT 02 ARRESTED 20040329 AGENCY: 1A0440100 MT PLEASANT PD CHARGE NO- 01 IA STATUTE IA124-401-5 POSSESSION MARIJUANA TRKR: 055187001 COURT DISPOSITION AGENCY: IA044015J HENRY CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(5) POSSESSION OP A CONTROLLED SUBSTANCE COURT CASE ID: 08441 SRIN010677 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055187001 Sep. 23. 2013 2:45PM Div of Criminal Investigation No. 8718 P. 3/9 DCI 00561136 PAGE 2 OF 2 LICENSE REVOKED ' SUBSTANCE ABUSE EVALUATION . • SENTENCE DISP EFF DAT SUSPENDED JAIL 180D 20040406 JAIL 180D 20040406 FINE $250 20040406 03 ARRESTED 20110326 AGENCY: IAO440100 MT PLEASANT PD CHARGE NO- 03 IA STATUTE IA4538.12 DRUG STAMP VIOLATION TRKit: JFOO1EM03 COURT DISPOSITION AGENCY: IA044015J HENRY CO DIST COURT COUNT NO- 04 IA STATUTE IA4535.12-A FAILURE TO AFFIX TAX STAMP - 1993 COURT CASE ID: 08441 FECR006587 CHARGE CLASS: FELONY CONVICTION TRIO: JF001EM04 SENTENCE DISP EFF DAT FINE $750 20111017 PROBATION 2Y 20111017 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 SE RELEASED TO NON-LAW ENFORCEMENT AGENCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS EASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION Iowa Department of Transportation 191 Office of Driver Services (Toll Free)800-532-1121 PO Box 9204,Des Manes,IA 50306-9204 515-244-9124 Illie FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 9/25/2013 DL/ID #: 764YY4118 (IA) Customer#: 4241957 Name: Correia,John Paul Class: A ID Status: None Address: 625 E BURLINGTON ST APT Audit#: 5765898 DL Status: VAL 1 Issue Date: 01/28/2012 CDL Status: VAL City/State: IOWA CITY,IA 522405053 Expiration Date: 03/06/2014 CDL Cert Status: Excepted Interstate Endorsements: LT CDL Med Status: None Mailing Address: 625 E BURLINGTON ST APT Restrictions: NONE Restriction None 1 Date of Birth: 3/6/1979 Supplement: Mailing City/State: IOWA CITY, IA 522405053 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 04/14/2009 05/08/2009 592 Speed (10 mph&under In 35-55 mph zone) Henry +IA 04/29/2011 05/08/2011 592 Speed Washington IA Name: Correia,John Paul DL/ID: 764YY4118 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: VtNjCIf 4>' ,$::' ..4" 9/25/2013 W ? Z' or di:0aI,��f g8n W., IowaDepartmentfDrier eof ServTranspices Name: Correia,John Paul DL/ID: 764YY4118