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Home My WebLink About13-174 Authorization Number /.3 1 7L( —' 1 (Office Use Only) MeiQa��,l 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 52240-1826i _1 356-50�GJ�ai 8/7 C(313TM-5497 FAX First Middle Last 1. Name /717/2_ .jr / r /VO ft e 2. Mailing Address .Z O `/ IT e 5 s f /�ir?�' 5S 1 O LC' 3. Telephone: Home Other: j-,„-79?- 4/6E) 4. Prior experience in transportation ofpssengers: Dv u c Ta X i I 11 % 7 7,/ rr r M f'i C rA cc" q b - - r I I y s ► .., 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? i)/,, Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? (V Type of offense Where When 8 Has your driver's license or chauffeur's license been suspended or revoked in the last five years? /V/a 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/() 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) cler1 taxidrivbadg 03/2013 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number . ? /24 (( '7 ? . 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 G!-�c t,�,e, ),y- n,� Date g/ //3 STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by ile.4e..,.; c .t (Tcv,ti,.t,r . On this day of 4-4.-«,.7“.‘t 14 o i514 — —SONDRAE FORT rt � .sates Commission Number 15.9791 4oMy Commission Expires Notary Public in and for the State of Iowa 3J7/. tf 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). Xi- Ai Signat re of Police ief or esignee 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 5'/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 Page 1of1 • Iowa Department of Transportation iOffice of Driver Services (Toll Free)800-532-1121 PO Box 9204,Des Manes,IA 5030fi-9204 515-244-9124 IIIIIIP • FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 7/26/2013 DL/ID #: 431XX6179 (IA) Customer#: 240738 Name: Toomer, Maurice Jr Class: C ID Status: None • Address: 204 IVES ST Audit#: 6438154 DL Status: VAL Issue Date: 11/02/2012 CDL Status: None City/State: KINROSS,IA Expiration 07/09/2015 CDL Cert None 523358680 Date: Status: Endorsements: NONE CDL Med None Status: Mailing Address: 204 IVES ST Restrictions: NONE Restriction None Date of Birth: 7/9/1948 Supplement: Mailing City/State: KINROSS,IA Sex: M 523358680 History Information CLEAR DRIVING RECORD Name:Toomer, Maurice Jr DL/ID: 431XX6179 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: ptNClf p Ill: �$t. *�4, 7/26/2013 , IOWA %.0% a .0DOT.•:gh . � , S' yicefDriver Services y � wDepartment of Transportation Name:Toomer, Maurice Jr DL/ID:431XX6179 7/26/2013 i .• , : —A L906 'oVt'NH6£: l l £lOb . C 'lnr ! 1 :paa�a�;_ C.C bh'2; 2/.. a tgz ,urs z • � ��:10 C(`paga,3�l�pao�a �cxo e eun g�.o . � , u tooa /Co t�CTlT1 nO�P 2Y as[[ )gitF[tr(>�vKo(o�l jj I porno)aorTyyTxq;oesappuoeareupaplaoxd'otp,TOT A/9Fe4 C\ IIID' go R.? ecru om(0r„) , ' r;IX1610',V 097 p.aoRa .A.Zo1 Farrago vac' - 4lA • S / • r cusgpuaipiri aoJ:lq amAo4olite painolulcaMiewowlrAfwouopplok,Ctols polivinw'UodlVoneelsmur 190.1ug3$llgff9yr rflfl:fo p)oroiVom pomp,ontoltmlenploi of JdpogoThmsaryeoxvnogoaglay u9JrsjgnpaamiVkovJ a,p,wyp2•„p,ixJrn . 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I 6faS 5atgjrtoltlo (sa{[ aor$zo u �t1i'.Xa uzo �ooutio �SLZ a ,�oollltrC'nGaxn�sctOpuaodo9.rodcTns • ago '9110.0 ILO .5a,to iwac• topfll4S4U lbvivo JOUOJSJoJgttWWX CO,) . • • ' h (�1g�altas.0 .. • . . ._ ,a• Y sa311101$31n0001;IPa • . . r t14 4.,1 at(k, c Jr ��gt"p'• I. off_q,R nbgg� , ,,, • , ,.,, 1J_t, c ';�ft c `?, i 1.;1 .• llo2T a ]p.$o gyi'�', os&rja 1 ixii..up f!1�; J/aui, �' 1S I , - . . —- - .1 .. ' .. v - , • - a L._ , • , • .I ' 1 1 , ; - • • Z `d.- /0•Lf:0N • ' ,: . '1,1.1.2, VQJ"1,0 .6111 ' -Bi Ail -6i19 1A1Nah: 14' C IAa'•di'r -nq • • £1/t 'd 9091 'AN .. 1 uo 1Esi }samuI reu !w! ao 0 n! 0•• •WV£1 :6 '£106 '9 1nV .1 , Aug. 6. 2013 9: 14AM Div of Criminal Investigation No. 1606 P. 5/13 IOWA CRIMINAL HISTORY DCX 00349339 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2013/08/06 DCI:00349339 NAME: BUTCH TOOMER,BUTCH ' TOOMER,MAURICE JR DOB SEX RAC HGT WGT EYE HAIR SRN FOB 19480709 M W 511 170 BRO BRO MED IA ADDITIONAL IDENTIFIERS CCH RECORD *** 01 ARRESTED 19860716 AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO- 01 IA STATUTE IA321-261 OWI TRIO: L30591501 COURT DISPOSITION AGENCY: IA092015J . WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE IA321-281 OW/ CHARGE CLASS: STATUS UNKNOWN TRK#: L30591501 SENTENCE DISE EFF DAT PROBATION 19661031 DEFERRED SENTENCE 19861031 02 ARRESTED 19930114 AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO- 01 IA STATUTE IA236-12 ASSAULT CAUSING INJURY TRK#: 004901501 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- 01 IA STATUTE IA708-2-4 ASSAULT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 004901501 SENTENCE DISP EFF DAT JAIL 20 19930701 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINEDTHE IOWA DLVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICA�S 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 • • • 1-1- (97 • ATTENTION:Your permanent License/ID card will be mailed to: TOOMER, MAURICE JR 204 IVES ST KINROSS, IA 52335 Your license will be mailed in an unmarked envelope. IT WILL NOT BE FORWARDED. ---,This temporary document becomes _ Invalid 30 days after issuance. "1\0/ IOWA' _ I c USA - - , 0/ IA �{* "a rru �� • I.� I r ,�flll DRIVER TOOMER ..r 1.846.. - _ '�+ MAURICEJR Rev 07126/2011 cuSS:OCbaulleur I 2041VES5T " - - ENDORSEMENTS:3416n ccome,cMpasspn<,6paae 9a if you don trereive ^ KINROSS;IA 335 �-' � RESTRICTIONS: - your10n21days '. ,t IDLNo.431XX6179 please m6._ •d isa 08/13/2013 DM 09! 013, 1-800-532-1121. - i - I M?�` for assistance F dr Q '.Endl$ Sec 1Mr . - RestricBR tion +- H9t BR 4 ; I NONE 4 .Eyes O • . 01109/1946 :x%-.. ria -00807/09/1948118 VERIEYPRESNCEOFPAPER WATERMARK HOLO TOLIGHTTO VIEW'._ DD 472386698TM139M0907160 • LssQ - 0h - E 6icTh 0,,a 8b6L/60/L r10?it 080a �I i rag ah,40E/60/10 con..°zL 3oNo°sero i 6itg t£b1N,Qir : szs y, SSpa 1S S3A! MH 60Z I 8! 30! ` " . Sry30h 83A18p VAAOI • • 1 4