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HomeMy WebLinkAbout13-115 Authorization Number ' 3 I ) - 1 (Office Use Only) ��..®At iggs sin NW APPLICATION FOR TAXI DRIVER CITY OF IOWA CITY (Police Department review must be made 410 East Washington Strcct between 8 a.m.to 3 p.m., Monday—Friday.) Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX First 1. Name de,' 2. Mailing Address 97 ( (//1s1'11iU� 1ctY\ f'.cb )cl s 3. Telephone: Home 3 19' 13 6 - 6 2 3 ( Other: ((�� 4. Prior experience in transportation of passengers: f y eUt r� "U�( aV C'ID S 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where . When C)vJ y �'o f'F� 1,} .g-, 'A ) ( KG( 6. Have you b en convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? /V Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? ,, „e> Type of offense Where /Y When SPS 7ObOci Cry � y - aq rc .ear ` .r Ci 9 - 2 0 - )( 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 0 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) 410 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) clerkRaxidrivbadg 03/2013 , I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 13 ! R 44410 Z . 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 provisio'// of Titl- 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) 7 Signature of Applicant 4 i - . ���ili Date 7 `/ ( )3 STATE OF IOWA ) COUNTY OF JOHNSON ) uoscribed and sworn to before me by �1C? ►1�c rc _ On th•is ).711 day of e k i,,A) c _0 I?). , -- • . .i" ( ; L /c.( (-(1_(` . I KELLIE K.TUTTLE Notary Public in and for the State of Iowa s t,ommrssion wumuer 221019' My co ri sion x it s .e(; ****************************************************** **** ************************************************************************************ 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). /1'" /7• '1401,3 Sig ture of olice ief 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. cs,-. \3\ . " ;Asj_ S- '-k 1\' .1:A_-- Sig : urz.of CitiClerk or signe Date Taxi cab businesses are required_ provide Driver Identification cards. Cards must be 8'/2" (width) and 5'/z" (height) and prominently displayed to all passengers. ************************************************************************************************************************************************ Office Use Only Approved application DCI report State certified driving record Website update clerk/Iaxidrivbadgeapp2010.doc 03/2013 Iowa Department of Transportation Office of Driver Services (Toil Free)M-532-1121 PO Box 9204,Des Moines,IA 503(16-9204 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 5/15/2013 DL/ID #: 013864402 (IA) Customer#: 495098 Name: Oxenford,Joel Stewart Class: B ID Status: None Address: 14749 KEOKUK Audit#: 4294361 DL Status: VAL WASHINGTON RD Issue Date: 04/22/2010 CDL Status: VAL City/State: KEOTA,IA 522488594 Expiration 04/15/2015 CDL Cert None Date: Status: Endorsements: NONE CDL Med None Status: Mailing Address: 14749 KEOKUK Restrictions: NONE Restriction None WASHINGTON RD Date of Birth: 4/15/1960 Supplement: Mailing City/State: KEOTA,IA 522488594 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County 7UR • 03/17/2009 05/14/2009 4592 Speedmm, _.... _.....557._...._.. IA 07/08/2011 09/20/2011 N83 :Improper Start 52 :IA Name: Oxenford,Joel Stewart DL/ID: 013864402 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: =eiti. E;l,,o %e., • /�ale 5/15/2013 • ( IOWA :z% ?o :o4 r r $_.D. O.L si II Of 11tI�YE..p." Office of Driver Services aaa.. a— Iowa Department of Transportation Name: Oxenford,Joel Stewart DL/ID: 013884402 Apr 4. 20134 4:22PM Div of Criminal Investigation - DCI IOWA 908 IldP. 908 LI I • STATE OF IOWA `"' :; Criminal History Record Check • ', I Request Form • DCI Account Number: 43/5-Re -{- fitencwme) To: Ion DNWoeofCriminal lovestlgadoa • " From: }M&VteS 10.X1 Support OperatbauBoren,i Floor ��jkbvdr.e Dr. 213 E.t e�Street Des)71Sid 6,fom 30319 00e C,1.( _ , I A s�.}9 O (513)723-6066 �'lIL( (515)7256050 baa (3191 335- may' phoml F.al, . (319 SSI•SS9`I am requesting an kmwa Criminal Histo Record Check on: - Last Name(aaeuoryi J First Name(mada ny) Middle Name essommmded) - • ©Xeart`�or� Soe"� - S Date of Dirthiriseolsei h Gender(awdwy) Social Security Number(reoeemenea ©y• )5.— GD PMale- OFemale 4eS-Ido" qc1 "[ Waiver h(/ormallea:without a signed waiver from Me abject of tie ngaeit,■complete Magma binary record may not be releasable,per Code of lon,Ck.pmr 692.2.Pot gymblete criminal binary record lnformElea,u allowed by law,Awes obtain a new rimatoreI ccjijpsubject of Ire recant. Waiver Release)b.vM do pamlusm far IS r>,ero n>t„a:ils o:ncal toc0MVcinform cnrdndNewly lroord cicckaid,0e wrblon of Otani lnvesdp oo(np)-Any attain.]!Alm dss •• /•w. • G DC)eay••n- ..odlawed th,l.w. • WatpnSknalare: Ar:. ..- , AIN., /,-./ I Iowa Criminal History Record Cheek Result‘ (oClun only) As of y'Lid 3 . ,a search of the provided name and date of birth revealed: 0 No Iowa Criminal History kccord found with DCI , Iowa Criminal History Record atteehed,DCI it '39 t�3 J S al / ;'. DCI initials cdh„4, PJ DCI-77(08/2!/10) • • • Received Time Apr. 1. 2013 11: 12AM No. 8851 I r. 4. 2013 4:22PM Div of Criminal Investigation No. 8950 P. 4/6 • ' IOWA CRIMINAL HISTORY DCI 00397552 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- OCI:00397552 2013/09/04 NAME: OXENFORD,JOEL STEWART DOB SEX RAC HGT WOT EYE HAIR SKN POB 19600415 M W 510 150 BLO RED FAR IA 19600514 ADDITIONAL IDENTIFIERS CCH RECORD *** 01 ARRESTED 19091111 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRO: 1.37091701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2 • OPER VEH WH INT OWI CHARGE CLASS: MISDEMEANOR CONVICTION TRICK: L37091701 SENTENCE DISP EFF DAT JAIL 2D 19900125 FINE $500 19900125 CREDIT W/TIME SERVED 60 19900125 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 HOT CAN ONLY BE RELEASED TO NON-LAW ENFORCEMENT AGENCIES BY THE DCI. • IN THE ABSENCE OP FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BAS NFORMATION FURNISHED, WE CANNOT CONFIRM OR DENY THAT THE RECORD COVER SUBJECT OF YOUR' INQUIRY. DIVISI N OF CRIMINAL INVESTIGATION