Loading...
HomeMy WebLinkAbout13-210 r Authorization Number / 1 r _ 1 (Office Use Only) UZIliligarikalit *it Me Air 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 FirstMiddle 11 Last 1.4 , ( 1. Name L �� (''\ 1 (CA l („ 11, 2. Mailing Address / Z /--av 1^ - -4-151 3. Telephone: Home l l - OLO 1 Other: 4. Prior experience in transportation of passengers: ye,-> 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense WheWhen ti 4� \ �� re ULA /1S1a w H Jo tf-% c c i y-17-01 6. Have you be_en convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five Y\ years? c% p g Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where When sfCe �`n � C),Fy 41 -8/_3c1) t)�SSI4 �3U.S � � C ; / .S ��f/12- 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? q() P 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) 1.7i° 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) c, r. 03/2013 • I hereby certify that I ave issued to me by the Iowa Department of Transportation a valid Chauffeur's license number S'lJ . I understand that if I falsely answer any questions in this application, that this application maylbe/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) j r C� Signature of Applicant ' Date i I(fi(I STATE OF IOWA COUNTY OF JOHNSON ) Sujiscribed and sworn to before me by � s4--0"'"•P\\ rn -k\V ‘' n �� . On this \'-" day of ary P lic in and for the State of Iowa 713( I*t ************************************************************************************************************************************************ 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). Signat a of Pol. e 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. 2if�;��� �tiCY/00-5 Sigre of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 1/2" (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 clerk/taxidrivbadgeapp2010 doc 03/2013 r I) Iowa Department of Transportation O�, Oifice of Dever Sendces (Toll Free)600-532-1121 PO Box 9204,Des Moines IA 503204 515-244-9124 4411. FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 9/10/2013 DL/ID #: 556YY2092 (IA) Customer#: 4097299 Name: Mulvihill,Joseph Allen Class: D ID Status: EXP Address: 1205 LAURA DR TRLR Audit#: 5377148 DL Status: VAL 151 Issue Date: 07/19/2011 CDL Status: None City/State: IOWA CITY, IA Expiration 10/14/2014 CDL Cert None 522451536 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 1205 LAURA DR TRLR Restrictions: Corrective Lenses Restriction None 151 Date of Birth: 10/14/1981 Supplement: Mailing City/State: IOWA CITY, IA Sex: M 522451536 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 10/28/2011 05/08/2012 _ M75 'Passing School Bus _ _ ___ __ Johnson IA _ 02/02/2012 04/10/2012 S92 Speed (10 mph &under in 35-55 mph zone) Linn IA Accidents-Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 03/18/2011622790 IA i 10/04/2012 705727 IA Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended 10/12/2006 10/11/2007 826 Driving While Suspended, Denied, Cancelled, Revoked IIA IA , Name: Mulvihill,Joseph Allen DL/ID: 556YY2092 Pursuant to Iowa Code §321.10, I, Klm 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: grip pian ire. ' i�, 9/10/2013 BOO ,..,... 'vo_,. Office of Driver Services Iowa Department of Transportation Name: Mulvihill,Joseph Allen DL/ID: 556YY2092 • Sep. 14. 2013) 3: 30PMM, Div of Criminal Investigation No. 7511 P. 3/6 —,. ..• Ayr) i . I t I .• v I , , U I c I n v I L y vi i v o a UPLY 1111. 301)1) 1. 11Qft1../dF i„ ��• Yyry�f r7�+}� ,/��,7 y( �7�p t• di 2,0I)} • ' y `Nglh . • eyA L1.AE Oh' IOWA. qk4. Y 3i,. , � t ..a r-94y I • • brIvallna$.Z*i toicyRecord Checks b . � t,`f•• ;', ti�a`` Repe t150�➢9y .� s Is' • • ACrAocountNi1U1b r; To:. Xowablv;atonafark ina1Slxveat11atfon -Yam; cvrc' os in SnpportOperelions Puteau,1°t1}loor • Gilt eisBarS mum .215,0,9'4,5VA • 4,101 v ECEEl IDl 'ETR2Pcw , bexAvghtos,rava 50319 • (919)1214068 • -roaa an Tnva 52340 M5)126-611E10 Yat , Nona 919-956— - b'a) grg_9'a^•s4e7 Sani requostingaRToWOCrhrftnapl=listo Record Ohook any _ Las tName nynduay 'tt:gartie mrmdnfc • Wel Ella itik0 teconmwbd) . MIEN It A # 4 11 evl ' Alto o ']3ik/`h mwro Naylor(mandeid. 800hilElectn %/T`iTai ,(rcammend•. /%l .0( Snag' • Urea. se , 2Z$ 3, 973 ,- WOO yf0)Y/taylm WIffznutaASO vollr*•lyoentrio gubl&°ffheye(etes4 n cohnjTaroutlfn(ndlhtab ry recox'11iaynfot ba roTepypbffi,per Co do OExo!•/A, Cfia.04'02..2411orsolnpTafarininaThtstaryLeoorctinfolua4loh,aialtawdd$'rim 41WRya • °hfafhA ,rlyaral;naturefromihosah,eat arMoka t(asti PYd1vePSeIe,14'oflgeray$fyeprrhlssfort forgo n&awn cqn&MfofiWi1faconivolwnToyfaeddmfnnlfhtolyrat cicfiec.rwfdllllebVVT3g4ecdmioaf • , YnyesIa4r1oa(DM Any sdpitimllitlowdattaanocmfngnwfiettgigaf ee DDOimeyboro1uso4sai(Aadeyt1W. %' // Tallr.f`tgrldfuJ'ef ..•=' .. • _`` �t , D Yl/ • Iowa Crhmhirl1F%Ysto.tcvfeeoxd CheckResn k . . ' (09•vaoonlp) Ad of C- I 1 y aaehae&oftho/rovld`edmita Maid dale of6utha'eveuTod: : El NO AVIA Crkftita atoryRecordfotutdvdthDCX YOW4aknineiIl'fatflRecoydattached,DC1'4 —1 4093D Received Time Sep. 10. 2013 1 : 10PM No. 5509 ' sep, 14. 2013 3: 31PM Div of Criminal Investigation No. 7511 P. 4/6 IOWA CRIMINAL HISTORY DCI 00740930 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2013/09/14 DCI:00740930 NAME: MULVIHILL,JOSEPH ALLEN • DOB SEX RAC HGT WGT EYE HAIR SKN POB 19811014 M W 600 185 HAZ BRO FAR VA ADDITIONAL IDENTIFIERS PHOTO AVAILABLE; Y CCH RECORD *** 01 ARRESTED 20041127 AGENCY: 1A0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-561 DRIVING WHILE BARRED TRK#: 053336601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321, 561 DRIVING WHILE BARRED HABITUAL OFFENDER - 1978 COURT CASE ID: 06521 AGCR070721 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 053336601 SENTENCE DISP EFF DAT APPEAL DATE JAIL 7D 20050816 FINE $500 20050816 20060301 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 Cr