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Home My WebLink About13-105 Authorization Number I I O Le% — i (Office Use Only) 4"r PI seuzugy 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 (319) 356-5040 (319) 356-5497 FAX First Mi dleLast 1. Name Vr4/itey Lvar`ci0 'Ar/):lurr2� 2. Mailing Address 2 x'76 6//iC'KhA9 / /eO y(4/' acs c - Y G(-71-,12--/4 Le/ 3. Telephone: Home -.3/r Other: 3/9' trl,6' SS3 4. Prior experience in transportation of passengers: rle/' ' L' �4i3 20O 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When 6. Have youleen convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? C. Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? }/-e5 Type of offense Where When 6" Q1 -0o6tr4 -ars 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 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) 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) derk/taxidrivbadg 03/2013 I herebyi/certi _Oat I have issued to me by the Iowa Department of Transportation a valid Chauffeur's licenses number . I understand that if I falsely answer any questions in this application, that tl!is 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 = f �Z �%C"u' Date l j7 ************************************************************************************************************************************************ STATE OF IOWA COUNTY OF JOHNSON ) SAscribed and swopi, to before me by NA am t'S Le n La- . On this day of ()1 . ( (fe X l *0 ,J'�'� KELLIE K.TUTTLE Notary Public in and for the State of to ;'6,410Lar,„inaaiu,I Nu libel 221019 0.• My Co misspn Ex ires -2 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 he detrimental to the safety, health or welfare of residents of the City of Iowa City(Title 5, Chapter 2, City Code). / /\RiLc Cyt /4/ . � -L. .J / / 3 Signature of Police Chief or designee Date YOU ARE NOT VALID TO DRIVE A TAXI I IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver n mes are placed on the city website at icgov.org. uu/� Sig t re of ity k or de ignee /K /f,Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 '/z" (width)and 5 /" (height)and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update clerkttaxidrivbadgeapp2010.doe 03/2013 Page 1 of 1 r 11‘ Iowa Department of Transportation #.. Office of Driver Services (Toll Free)800-532-1121 PO Box 9204,Des Moines,IA 50306-9204 515-244-9124 ille FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 5/2/2013 DL/ID #: 0826/30656 (IA) Customer#: 1563118 Name: Lenihan,James Edward Class: 0 ID Status: None Address: 2976 BLACK DIAMOND Audit#: 4630118 DL Status: VAL RD SW Issue Date: 08/27/2010 CDL Status: None City/State: IOWA CITY, IA Expiration 03/03/2015 CDL Cert None 522408454 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 2976 BLACK DIAMOND Restrictions: NONE Restriction None RD SW Date of Birth: 3/3/1960 Supplement: Mailing City/State: IOWA CITY, IA Sex: M 522408454 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 06/27/2009 07/22/2009 592 Speed 79 IA 12/16/2012 01/09/2013 S92 Speed 52 IA Name: Lenihan,James Edward DL/ID: 082BB0656 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: -YIfp � �8 0 5/2/2013 **: IOWA °t.D. O• T : acema 1 . ' 0 ' %#- Office of Driver Services ' aowcDepartmrSrviceansportation Name: Lenihan,James Edward DL/ID: 082680656 5/2/2013 pay. 8. 2013 1 : 58PM (Div of Criminal Investigation, NNo 2513 P. 1/1 I • .E `, STATE OF IOWA `.`►:'p. :.it':::,arm\JJJ- Criminal History Record Check e( ' :I • P'':!. i . . Repast Form yG `;' •!''�:,' I , DCI A000untNambor; At(Im- F ' , 6rappllcrbie) To: Iowa Division or Criminal Investigation From% CITY OF TOW& CTTP Support Operations Bureau,laPloor CITY CLERIC'S ()VETCH 2151.7'h Streat 410 E. WASHTht&TON sTRER,T Des Koine,Iowa 50319 - (515)7256066_ 701a CUT _100A. 52240 (515)725-6090 }'ox Phone; 319-356-5041 ' Pax ato—aSF—SA 97 I am requesting an Iowa Criminal Iiisto)ykecord Check on: Last Name(mandivory) First Name(mandatory)'- - - Middle Name(recommended) • G r/V Z 4 N --fit MET9 . EV iivaroe' . Date of Birth(msi detoly) Gender(manmlory) S/o/cia1'SeeurityNumber(tezonuoended) f/AC'Ml7°71 1 "/ CO �NTaTe (]belnalc `"r gee— ggr"G775" . WaiverInforination:without a signed waiver from the subject of the request;'a complete criminal history record quay not be releasable,per Code of Iowa,Chapter 697.2,For coingtete criminal historyrecord luformution,au allowed by law,Always ' obtain a waiver signature from the subject of the request, - •• ' : • WaivCs.fie%pre!rhorebvglyEacmtiaslonPncl6o.ehavarrquestingofilclalio-coaductiaoScriminalalslye 000rd-ohwkwilMhuDivlslon-0t-G7{m(nai loves ligatton(DCi). Any criminal history due eonaemingmothat Itmslniallledbythe Del msybemlcasedasallowed byl9W. • . Waiver Signature: ' A_:2;r Q .li Ar/v - . a , e 2 • 5.—F—/5 IIowaa Criminal History Record Check Results - • (DCtuse only) cJ As of r 0 "/5 , a search of the provided name and date of birth revealed: • W No Iowa Criminal Ilistoty Record found with DCI /`❑ Iowa Criminal History Record attached,DCI ii = • . • r� DCI initials . 4 • . nrr_aa(nsrocn n) Received Time May. 2. 2013 3:45PM No. 2119 . Authorization Number j, r 1 (Office Use Only) iiiigIIIVV:IN..1 '` OaC rim Il 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 (319) 356-5040 (319) 356-5497 FAX First Middle , Last VF�/ 1. Name itey �1 terci�"ce, ' -es):hclrr1� 2. Mailing Address 2 C(76 o KI2/f�9kKokte led �a'L`''a'C/ 7 - -.X. '/ 3. Telephone: Home 7 ‘' S T - E'' -o Other: `eil 6M6' ri S-P 4. Prior experience in transportation of passengers: y-e//°w ° 20c)ir c--04-b( 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? (V o' Type of offense e Where When 6. Have you een convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? 0 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? ye, Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? f r 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) DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) RI IOWA `_' j DRIVING RECORD MUST ACCOMPANY THIS APPLICAT — - --:D =' DRIVER LICENSE –_ - -� � LENIHAN _— - " — You must apply for an individual Department of Criminal Investigatioi JAMES EDWARD '- "!"' 2976 BLACK DIAMOND`RD SY{� _ (OVER FOR REQUIRED SIGNATURE IOWA CITY,IA 52240 11- oL No 082880656 '` ss 0x727/201 0 EXP.." 4 , k Class D x _ � �� RestricGans3 - x�� ' p NONE -Y Eyes 6LU Gerk/tazidnvbadc .. P7 4 DOB 03/03/1 '' .4 ' - - - - DD 846301180LJ0910M030315p