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Home My WebLink About13-148 Authorization Number 13- 1+g I r 1 (Office Use Only) Cailg1114;2gibittl ..a ft. iwilr®'g� APPLICATION FOR TAXI DRIVER CITY OF IOWA CITY (Police Department review must be made 4 1 0 East Washington Street between 8 a.m.to 3 p.m., Monday—Friday.) Iowa City, Iowa 52240-1826 _(319) 356-5041L Cikkc tic/O L (319) 356-5497 FAX / Firs_ I t addle Last 1. Name ,,QQ,, (( 1, / `,� /,,��11 2. Mailing Address`Q�IRO I cS�vot�� l e. • 1)4 C , I 1 Dvtie1 3. Telephone: Home *Sl l 1-H �50.... ► Other: 4. Prior experience in transportation of passengers: 6tr(,irL, 'tzx( -r /L- rr. , ail ,/ ictvr=s . 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? '•. ? Type of offense Where When c 0T4 Z Sch4d. � 1 sub. n[ars A 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the ast five years? NO Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? A.)0 Type of offense Where When - 8. Has your drivers license or cnauffeur's iicense been suspended or revoked in the last five years? Mo Type of offense Where When 9. Havty u 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) clerk/taxidrivbadg 03/2013 I hereby certifythat I hive issued to me by the Iowa Department of Transportation a valid Chauffeur's license number /Li?) A-rr 1U . 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) �7 Signature of Applicant •I /- Date ? I ^ I� J\frija+ I STATE OF IOWA COUNTY OF JOHNSON ) n Subscribed and sworn to before me by R-2 C14{/ Je t n.L . On this /d day of 1-i t t! ( Z_D/ • o s SONDRAE FORT z Commission Number NotaryPublic in and for the State of Iowa M Commission Expirespines 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). .l� • SignatYire of •.lice ' ief or designee ate 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. Signature of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 81/2" (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 2 Iowa Department of Transportation .�} Office of Driver Services (Toll Free)800332-1121 PO Box 9204,Des Moines,IA 50306-9204 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 7/11/2013 DL/ID #: 143AC9022 (IA) Customer#: 2692377 Name: Jeune, Reathel Diane Class: D ID Status: None Address: 846 BASSWOOD LN Audit#: 5844323 DL Status: VAL Issue Date: 03/08/2012 CDL Status: None City/State: IOWA CIN,IA Expiration 07/24/2017 CDL Cert None 522465813 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 846 BASSWOOD LN Restrictions: NONE Restriction None Date of Birth: 7/24/1975 Supplement: Mailing City/State: IOWA CITY, IA Sex: F 522465813 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 11/20/2009 :12/13/2009 592 'Speed Johnson IA • Name:Jeune, Reathel Diane DL/ID: 143AC9022 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: ta• A,� 7/11/2013 MI IOWA : ; dr ss;DM. T. /4.-0 hie isOffics owaeDepartment of Driver ooflTransportation Name:Jeune, Reathel Diane DL/ID: 143AC9022 Jul: 8. 2013 11:43AM CDiv of Criminal Investigation. NNo.,8303 pi. „3/,6 • • • 0 Y0 54, O 'okra 1 f" i.`. , .r� . - STAB'. �' 010IOWA. - �;,� tif„lM -, r� �,llgt gd, 1h $ � -r'' ��>71gla1tn sE® � eoor� � eol� 'ap".:400M :' t,�• quest Forza V- 0n `,,r • ✓$holydoic•. n • DCX.tl.cconntalumber `rlt'ODa^ F To; XoMabfMYI(0hofQrtminalXnvastrgilUoh proms ern' oF' TVA OT7Q - swportOpera trans Parana,111.dtaor can ctggK'S OFFxcg • 2X5E,7j1'Slreat 41a it. AAgaTrrGTabf S'aagT Desh4yinas,rowa 60319 ' OS)12,16164 • TOWA out WA_ 52740 (618)7g-6000 lra e Afloat 919-•950-,5041 • _ Yam, 9T9—c54-.5497 I em requesting artlova Cern innTFTTs(ory Xocord Choi(on; , Lad Name rend,(eda • .EirstName ago • M(ddleName oaamu)eadsa] - Grg(.A nrhooj',$fi h(mmdlroay) Gehdextrnatagto?) &ootttlgeo)ritt Til/Aber(eoommende) I.i I / c Ch axe ' 14 AO' , b 5'Q1 17) __ Wiliv- 1'rim1Na1Iori0inhoutasfgaelfv/divertomthesubjectotthordquast)a4omplntaottw(nAlhls(aryrelloramnynob beralorrsdble)porCoda AZXOIVA,Chapter 69?Z.Worcoblpfata•crintfnMThtstnryrtoordlnfoYfnntfon,asalIW 6gmwrlAlfinya - obtain awaiver Ana tura lyon>titkesubfaeaofthe regi'ast: TVairerketso's 1horaay$iyapermletirriErlhoaboyenarstr ortor9t(acndtotnare actooerArrto)ymeadhecft/tftliaAlfgioaear d! , rnYastigatToa(DOD.AnyednoballdalarydeardOnpom A.t n%JhAtfemeTntalnedh�ronnOlmaoyt>'tohavodasaltave� ' LJ rtal i"Qb3'1A FruiVAPSdgna6uYe; �` _ r �ord et . ,jaw. CrimfnAi JW2tosev.keJar 1.. ChaCk ResuUa , ' oct afa onN) • Ale of 7—W-5 xasegooh o!tbo,providadname did dello o2b1). 'avaa1ed: ' � y • I:d b1'o1bw JurigabgistolyRecord found with DCr , .: AXos m1IaroqReoordauaoJied,XCt1? V/VIV9 • in Received Time Jul. 1. 2013 4+28P�'/4o. 7813 l9" Jul. 8. 2013 11 :43AM Div of Criminal Investigation No, 8303 P. 4/6 IOWA CRIMINAL HXSTORY DCI 00414149 MON CONVICTION PAGE 1 OF 1 DATE PRINTED- 2013/07/08 DCI:00414149 • NAME: CRAIG,REATHEL DIANE DOB SEX RAC MGT WGT EYE HAIR SRN POE 19750724 F W 508 215 GRN BLN FAR IA ADDITIONAL IDENTIFIERS SC ABDOM SC L HND SC R HND TAT R WEB CCH RECORD w*v 01 ARRESTED 19981003 AGENCY: 1A0520200 IOWA CITY PD CHARGE NO- 01 TA STATUTE IA124-401(5) FOSS :ICH I - MARIJUANA TRK#: 044561501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124-401-5 • P033 CONTR SUBSTANCE SCHEDULE I-MARIJUANA CHARGE CLASS: NON CONVICTION TRK#: 044561501 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19981223 COURT COSTS 19981223 PRORATION 1Y 19981223 DISCHARGED FROM 20010205 DEFERRED JUDGEMENT 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 HE RELEASED TO NON-LAW ENFORCEMENT AGENCIES EY THE DCX. 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 Orda