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Home My WebLink About13-128 Authorization Number 13 — 1 D-y _ 1 (Office Use Only) =�.r®ri4r wlll 4. Aeon lir 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 c_ 12). 356.5040 (e/7 (319) 356-5497 FAX First Middle Last 1. Name 1 c evd r (21 kAt¢.ppt,,r 2. Mailing Address 1813 Lo we.f C9 i� 0 PI (, PU'W Liv gq 11(5)(4 rci 1 IA C13411 3. Telephone: Home 3 Ig - 4a - 9'3''6 Other: 4. Prior experience in transportation of passengers: N / 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? YL7 Type of offense Where When ren.QS 4-,C. tOWAA rk�( 3005 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? N.)0 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? N C Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? K)c 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) N6 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 certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number , 43e AA `7r? '-i-1 . 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 7 — /77-7,----- Date 6 -0 /3 �� ************************************************************************************************************************************************ STATE OF IOWA ) COUNTY OF JOHNSON ) l L Sub ribed and sworn to before me by I re.‘/U r 1�(�`e fr re r" . On this '�4 - day of 'U(v� �()1 a 1 ! ?qi s KELLIE K.TUTTLE �( cfrte, 1< / � Ig . rnmmiaSion Number 221819 Notary Public in and for the State of Iowa I Y My tC�pm i i Expires 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). ,io,,\:-,i—--7 177(//: .*-, L'L Imo' / --/-3 SignatNre of Police Chi 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. 77 yr ,4' %. � -/e. --/3 Signatur f City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 81/2" (width)and 51/2" (height) and prominently displayed to all passengers. ***********************************.,.,-, ******************************************************************************************************* Office Use Only Approved application DCI report State certified driving record Website update clerIdtaxidrivbadgeapp2010.doc 03/2013 • IOWA -�_ -"' HOEPPNER x TREVOR RAY 1813 LOWR HWY r.;,a ".89 5 ° OXFORD, IA 5 * No. 436AA7284 • - .. iss 06103/2013 EXP 07!( 12013e �V1 .T - ' Class D End 3 Ht CS-08" � Restrictions 9 NONE, Eyes BUJ A.- MED ALERT:Y D01305/20/1986 DO 869993866HT1437M2005150 • .• _ u/co q Le Jun. 7. 2013 11 : 20AM Div of Criminal Investigation I No. 6144 P. 1 41/ 13 iA•, .JI ,. t t7 UIcin viay VI IUWta ulry It No. 30/4 r. , I I rx, re,:a.'4V't:J C � Yp . s`ou� ��o�� i �� s j �§ o _ .>I+. ,.. '. • . 4 fit oryri I • • I 4,1°o —� Otappliaau1o) . To; XowiIliaisfohofCrhninalitrzesfrgat(on Prom _ din op iota rrry • support opereateneBuromr,noor CITY eisuarC O e 215-A,7th S(reeu - 4117) E., 4sra renabBTRJBT )iosMores,Iowa 60319 (ais}mall' •, TOWA CITY IOWA . 2240 (515)126-6080 $aa; I 1 , $Tion e1 319.35E-5p/7 l7EX1 R1,9—R4F-5A+97 Sion reruestfn; aaIowkCriminp1141 0 Record Cheok oh; • Last N'grae(mandAto, ' Fixat.tdama , eAda(ory) . MldhUoName(reeonveold6o) , ' • :Datoof ifirth(mgnduIory) CatliO (mt<nagtory) Boaril S'esA R,VN\mibor•Goo nIh nded) 65 -19 n = /996 amara ` Eib'sanater 1 ay 13 .9t2 0 5 • 1 11*er,lrl9forma&mWithoutanignt4wnfyarfrom.thosubfdccotrhoregne4Nya toYn)1akcrft riliahistorymord'ninynot $e,releaariimiaryOnonolvi,Chaptot'607S,iforeolnplott iffyalhrelazyreMligeklnato ,a aratyl Vir atiNys ohta&n 0 p(atcorsf�natureSS-on1 tho.subleotofOrete¢hest' O(11`yer.Rel60510;IhcrobyatveperMse(err@rlhbnhova requasdngellplelt000tt rs mYotvaorfmhiahGwtytacutdthr~'ktailG1eDa'lclon°MCr(1nrnor • ihmtrguron ono,My crhn(nalhfsmrydam cbtfOrn agmo fry ht ))Qrnay Oa rcfctacd;s 611*c4 b/YA V. r • • • T�aver&gliafiil'e;. jn/`-- - Srn; a,u Iowa Crimfral JElfstopr Record Mee Results . • wcrrvonin Asa Uh .\13 ,asearohoftho,provldedhomer clic/data ol'birthrevoalod; ' i LI No Iowa CrInthwx1Tratoty ltecord xotlnd wltOAD CI • - , .)va' row(,Criminal IllstivX0ocol atfaohed,l7Cx# 0y\ 'ONO.: n.• , Received Time Jun. 4. 2013 11 : 5' AMallo. 5719 �n. 7. 2013 11 : 20AM Div of Criminal Investigation No. 6144 P. 2 IOWA CRIMINAL HISTORY DCT 00670410 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2013/06/07 DCI:00670410 NAME: HOEPPNER,TREVOR HOEPPNER,TREVOR RAY DOB SEX RAC HOT ROT EYE HAIR SRN POB 19860520 M W 508 165 ELU SRO IA ADDITIONAL IDENTIFIERS TAT BACK TAT LF ARM TAT UL ARM TAT UR ARM CCH RECORD *** 01 ARRESTED 20050620 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA708.1 DOM ASLT-SIMPLE TRK#: 101566401 COURT DISPOSITION AGENCY: 1A052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708.2A(2) (A) DOMESTIC ABUSE ASSAULT COURT CASE ID: 06521 SMSM062208 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 101566401 SENTENCE MSP EFF DAT JAIL 2D 20050621 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 DY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFXCATION 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 tJilk Iowa Department of Transportation Office of Driver Services (Toil Free)800-532-1121 ‘*44111 PO Box 921)4,Des Moines,IA 50305-9204 515 244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 6/4/2013 DL/ID#: 436AA7284 (IA) Customer#: 4013626 Name: Hoeppner,Trevor Ray Class: D ID Status: None Address: 1813 LOWR HWY 6 RD NW Audit#: 6999386 DL Status: VAL LOT 89 Issue Date: 06/03/2013 CDL Status: None City/State: OXFORD, IA 523229259 Expiration Date: 05/20/2015 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 1813 LOWR HWY 6 RD NW Restrictions: NONE Restriction None LOT 89 Date of Birth: 5/20/1986 Supplement: Mailing City/State: OXFORD, IA 523229259 Sex: M • History Information CLEAR DRIVING RECORD Name: Hoeppner,Trevor Ray DL/ID:436AA7284 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: '4WCEk"'y `�•:... •.••711: 6/4/2013 015',A 1: IOWA ¢l 3, :,D. O. T. : t it it • of Driver A�� %Zi Office DepartmentServices Tansportation Name: Hoeppner,Trevor Ray DL/ID:436AA7284