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Home My WebLink About13-139 Authorization Number - )3C) e � r 1 (Office Use Only) iii. ;awn t inriable.II ' de®1�,1 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 Cit , lo . 52240-1826 - , 356-504049/ ' 6=54' •X First 1 Middle_ _fLast 1. Name S `4,-...J.-4—. 0to ) S s `� 2 ► \ e '` 2. Mailing Address ° C:7I 4=' S - V-4- p+. # 3. Telephone: Homk3 1 G().2 e/4 — •";L-1 7 Other: 1 4. Prior experience in transportation of passengers: �� t- tt S, -tali! a 2; u .e IZ 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? y Q Type of offenseWhere When `}1 6. Have you ben convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? r7 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? L-• '‹ Type of offense Where When CI -Z-0 W r)-- t, 11- .j,_ Cli fi/ O /a, 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? tIN-' '7 Type of offense Where When 9. Have you ever applied be an Iowa City taxi driver using a different name? If yes, please provide the name(s) <9 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 cert that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 1 0, 9LQ . I understand that if I falsely answer any questions in this application, that this application may b le . d. I understand that if I falsely answer any of the questions in this application, that this application will be denied. I agree th 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) 2I ' Signature of Applicant S�--� S , Date /3 t_ C' ±4-1L,—, -S 1_,) (-e/c-p7s/3 iir STATE OF IOWA ) COUNTY OF JOHNSON ) (--' tj Subsc ibed and sworn to before me by �\ 16(( On this Zti day of L iu (' 1. -1) �— r Ye < <« i i< .�,5r^,s KELLIE K.TUTTLE. .) otary Public in and for the State of Iowa iaw�_ **************************************************** **** ************************************************************************************** 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). i n/of 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. i/l/f---/-,',--1.4--- • , 3Signate 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 derk/taxidrivbadgeapp2010.doc 03/2013 fllowa Department of Transportation Office of Driver Services (Toll Free)800-532-1121 PO Box 9204,Des Manes,IA 5O3O6-9204 515-244-9124 FAX.515-239-1837 Certified Abstract of Driving Record Inquiry Date: 6/20/2013 DL/ID #: 769YY3916(IA) Customer#: 699878 Name: Strlbley, Stephen Louis Class: D ID Status: None Address: 2028 9TH ST APT 2 Audit It: 5217755 DL Status: VAL Issue Date: 05/11/2011 CDL Status: None City/State: CORALVILLE, IA 522411525 Expiration Date: 05/15/2016 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 2028 9TH ST APT 2 Restrictions: Corrective Lenses Restriction None Date of Birth: 5/15/1952 Supplement: Mailing City/State: CORALVILLE, IA 522411525 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation _ County JUR 09/11/2012 10/09/2012 '.592 Speed 52 IA Name: Stribley, Stephen Louis DL/ID: 769YY3916 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: Iv C ir.-111 6/20/2013 (;3zZ4 +',�p"•••"S` Office of Driver Services �"wk.. Iowa Department of Transportation Name: Stribley, Stephen Louis DL/ID: 769YY3916 Jun. 24. 2013, 1 : 10PM, Div of Criminal Investigation No. 7979 P. 3/5 %m in, LV. Lyij J•JVI11 vllr vIcln vllt VI IVYYQ Vlly IYV. _LAW I . • • • • • .. . • • / • ,.a STAM ®F IOWA. T.4' y1 ` •S .td..‘: .l1 1 • •vc kyf a�a : read. iIsoeeora Cheek , tJ Ile)! RequetFor74-,, , `0= � Ck I . . ACecount 'smbr7 160)4 :-P . OteppIfflb of • . To: Sown fl trsloheta rninn9114VAetfgaSa t Fro mI CTPt OE -cm A GaTF • Support OpersSens]3uroAV,.t'Ibioor • an cxsRKWS OM= 215 E.7'1 Sireoa • 410 R_ yiaton boa bSgine.t,Iowa 50319 ( 1 17s'(o66 • TOWA GX!IZ rnla9. 52g4O (615)/2.1-60110 gnrc , ?honor 319-1 6a1 . / _. , bbX! R19-9'S6—ih.47 I Am cautioning anToWa Crhninaiflisto Record Molt on; • , ' Last Milne Amigo ' Yfr3e1N'am.e •md"are dd1oN!me feu auleedad) �`- p , Li / ems-/ --.S .,4--4v,* 2_ 0 ut i S . xiit°ofk'iirtit(mandarolq) Q6i 1(erJnwt r ') 8Ueda lilotYnitYNIM lOtOccommen641 SAC 5 Q ' Naciale ' ElPeliti BIB </ c-.- — s--r - 610_ 1ruYePJ' formation Wnhoutanignedw&'yorAornffiostabileoiofthoregneaE,4comp/efe•otflidnalfilsfaryreoordmnymat bo rologgeflo,p or Code OEYoWY,Cflapter•692.2.dor co>rjnTofgdr1nVoEaMut oryreooYdMformedloh,nu aItowea By/A%MIWAys • o$±Aattt; ,giver afgnalurePohl tltosuhladte1Theronlfast,' . ffifrgN.121erafryait hetcb51n'a padnlnron ILratoahovorequat!tngoafa1Al to conduct onfoWo oleo!hlsloryceoocdehukwith U IcDhislon ofC,tmfnel . loYesttgetton 0300,43wodnaindhratotygaol r fngnconmaimatn1otned4$'heAelmpy to rafoosadns r towYcdby1'hW. l9afverSYgxature; Fc �a „u Iowa CS Thpl JWstorvflecordi Chock,Rostttfi0 , • Ooomonb) Al of 4—.1W-13 ,y a seso1l of the provided name and data ofbMKI - hxoyea1ed� •I . CI No 7dwit din)InaIIiato yR.ecordfoundwitDCX t J a Iowa Criminal Thtor Record attached,DC!# 3 cacti / 1 Received Time Jun. 20. 2013 3:3 431-o iC690 ,?ii • Jun. 24. 2013 1 : 10PM Div of Criminal Investigation No, 7979 P. 4/5 • IOWA CRIMINAL HISTORY DCI 00340221 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2013/06/24 DCX:00340221 NAME; STRIBLEY,STEVE LOUIS DOB SEX RAC HGT WGT EYE HAIR SKN POB 19520515 M W 507 155 HA2 BRO MED IA • ADDITIONAL IDENTIFIERS CCH RECORD *'wt • 01 ARRESTED 19851128 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA123-46 PUBLIC INTOX TRK#: 1.29294001 COURT DISPOSITION AGENCY: IA052015.7 JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA123.46 CONSUMPTION / INTOXICATION CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L29294001 SENTENCE DISP EFF DAT PLEAD GUILTY 19851128 WINE $20 19851128 COURT COSTS $20 19851120 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OW GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTXOATION, 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 \4