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Home My WebLink About13-096 • Authorization Number I q4 — 1 (Office Use Only) mss ..®0' iiMw14171r 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 MiddleLast 1. Name \ -- t--(e 2. Mailing Address Z(cD t R t N U i G- C I T Y , S i S?? e-1 O • Cc i 10 3. Telephone: Home .31 \ 9 3(r_.) • .? cps Other: 3 (q • b3 I 3 q AQ 4. Prior experience in transportation of passengers: C 1 T"( Y E L�L u.) C C1 S 1R)J (t./6.17.- 2.0 1 \ tlC..201 \ 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? YE S Type of offense Where When Y(1t5detnvErx v)or orrM. AK u.364 ouiA c <Ty r S('st.clt'f AP1 Q L 4 Zo k re lc-)(1 ` i l 5T3Qv ,TE Xyl Iqf ` c;-( 'C ; C t nizf2? j: 19(1(, 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? tx!O Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? NO Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? N 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) 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 hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number - Ho(1 rAcc 3? 1 . I understand that if I falsely answer any questions in this application, that this application may e 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 Date 5 a - c.)t3 ************************************************************************************************************************************************ STATE OF IOWA ) COUNTY OF JOHNSON ) S b cribed and sworn to before me by X32-C c'�� . On this o�'`� day of 7 } ,- -o / .A. a"1 KELLIE K.TUTTLE r� /� %. ----/-(:-(e. ( i o '; Commission Number 221819 Notary Public in and for the State of Iowa 1? 74,...: My t✓on rr i5aiui•E/ CO, : IOWA _ _L **************************************************** ******************************************************************************************* 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). srOzz _ gnature ohief 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. Signature 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 derMaxidrivbadgeapp2010.doc 03/2013 Apr. 30. 2013 2: 50PM Div of Criminal Investigation No. 1684 P. 6 • ! •Apr. 23. 2013 12: 15PM . City Clerk - City of fowa City , No, 3409 P. 2 i • • • , • ,�,. ,� 8 ,�VAt,E+ OF IOWA ; ',F - , '1 �. '2 q` C iraind. sto�'yRecord Cheek , Ata��ty�zai:; • --k—ccX . DCXAt)ocunt Number: 400 _ F , (ropplicnblo) To; XOWAA1VfaLOh Of CryminallWesUgAt(on .l•15aMt CM OF TOTJL mire Support Opera/Tong Burro ir,1°I.floor an =WS ofJGE 213rv,7rhStreet • 41n R_ gasu t7GT01`Y'STR1 5! btohdplgea,Iowa 50319 ' (815)08.06V IOWA CITY IOWA SuIc0 (515)726-d080 Yat Aone; 379--156—.5of1 V'aXI �1q-35S—SA97 I Am.requessting,'ax Iowa Criminal History Record Cheok on: • • ' Last Mine(niendnlory) ' First N'ara9(mandatoq) MfddlaName((ecomweatcdi R��e s apt?. 1 - ' ' Pato o$Dirch6n rdemry Glolder(mandgloryl Social Sowow Nllmber(reeammende4 oci - 2 3. - 1 °t (07 Stale ' 1-rom' are `-f o.' h 7 • 3 o2 L wiliysi'f,Jarmark y;Without aaf$ndaWeltiov'Atm dmBuhl ootoftharequeah,a rompfateolflahnalhistory wort!may net _ b 5 Yoh124 ht, por Code oCIowa,Chapter 6.923.14'or comploiq'ortcfnolhisforYreeord into-mit"aa Banked d tr,,im Alt/h,: • obtafhAy(awar signatureriomtko.sublett area reg4at • WidgeNRede(LP811nerdyafsopesmltsfOntbtthoabovaYepuetlfogot(fsldltotondoolwrlotcacdmfnalfdsiotyfeco(dchecklythlhaDlinfenofCrtmindr • YnvosrfgattonCOCO.suryorkin lhfsrotyeaelonromfrrghrolhstldmalnroldedbwrhoAQrmbyborolcnvodasollowcdbymy, Wit lyerNg/gr Ng/gra/re; 44 _.„. . e ' • Iowa Criminal kwsto.nrfle ercci Ch ec,Y Ro lig, , i mei nr0ont» Aa of Li-30.13asearchof'thy.p.rovidcdnamaanddate ofbirth,reveaked ' CI No lima exvninelk1)siory Record fomndwith.DCE , • :r TO1Ira Criminal Mafoxy Record attached,Daftga9.301,2 , r bCCauitlals !�t A)ir. 30. 2013 2:50PM Div of Criminal Investigation No. 1684 P. 7 . 1 IOWA CRIMINAL HISTORY DCI 00927792 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED- 2013/04/30 DCI:00927792 NAME: REYES,JOEL DOB SEX RAC HGT WGT EYE HAIR SRN POB 19670923 M W 600 360 BRO BLK LBR TX ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y TAT L ARM CCH RECORD *** 01 ARRESTED 20110413 AGENCY; IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA708.2A(2) (B) DOMESTIC ABUSE ASSAULT CAUSE BODILY INJURY/MENTAL ILLNSB TRIO; 1AOOBLUO1 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA700.2 (2) ASSAULT CAUSING BODILY INJURY-1978 COURT CASE ID: 06521 SRCR093983 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1AOOBLUO1 RESTITUTION SENTENCE DISP EFF DAT TIME SERVED 7D 20110915 JAIL 7D 20110915 FINE $315 20110915 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OP 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 1 Orr411 Iowa Department of Transportation Office a Drnrer Services (Tal Free)800-532-1121 PO Box 9204,Des Moines,IA 503069204 515-244-9124 FAX 515-239.1837 Certified Abstract of Driving Record Inquiry Date: 4/22/2013 DL/ID#: 493AG3277(IA) Customer#: 5789609 Name: Reyes,Joel Class: D ID Status: None Address: 2619 INDIGO CT Audit#: 5088314 DL Status: VAL Issue Date: 03/16/2011 CDL Status: None City/State: IOWA CITY,IA Expiration Date: 09/23/2016 CDL Cert Status: None 522406810 Endorsements: 3 CDL Med Status: None Mailing Address: 2619 INDIGO CT Restrictions: Corrective Lenses Restriction None Supplement: Date of Birth: 9/23/1967 Mailing IOWA CITY, IA Sex: M City/State: 522406810 History Information CLEAR DRIVING RECORD Name: Reyes,Joel DL/ID:493AG3277 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: 1, (f "4` 4/22/2013 .c% . .4(CJ:Ma 44 � Office of Driver Services Iowa Department of Transporation Name: Reyes,Joel DL/ID:493AG3277