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Home My WebLink About13-092 • • Authorization Number /` - /a7_ i i (Office Use Only) --...f�..6— i .Ill i i11w®d�,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 -Iowa 52240-1826 ,A-30F356-5040_,) `f/ (319) 356-5497 FAX AA /7 Fist 1 q 1 Mi vd�le ‘ /Last� , 1. Name v1 r‹ f VV r( e v i ttiY} 2. MailingAddress C Hort C.•t o Kd /V 0 L r 523� � 1 �l � 1 � t , Ti 7 3. Telephone: Home Other: (3j ( C() h -� L 4. Prior experience in transportation of passengers: ( (4 r re 11 t I/ c C� V ) Ver i 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? C S ` T cWC( Type of offense Where When C iC4SS () RI \Nft6 LYJL1y J-C-)0/(:( CItYt Pi 0 /i4 Cii f 7:75 2ov0 6. Have you r convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? i 1 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Yes T e of off nse WhereWhen 5 fe>-e in c Lo i City, � A /iji(r/ I2 Fc,1 I r() cYbQ stor ci(i 0 /1/c)0 h Li bPrl-y,.T4 13- 00� 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? IVO Type of offense Where When 9. Hayyou ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) "vu 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) :.Ic ad 03/2013 I hereby ceitify, tt I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 9 C' 1 b b "Z_I W() . 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) K �� /_g_t_2-j.:1 Signature of Applicant / PH --Q4 Date 2//tz,ay-Zf...—PZ/Z164) ._ ****,,,,,. * ,,,.*****************************************************************************************************......******************** STATE OF IOWA ) COUNTY OF JOHNSON ) `- I{ Sub cribed and sworn to before me by , V O r,� Vr yls-te I . On this day of 1t i KELLIE K.TUTTLE C� /C c 4" a Commission Number 213;1.:,:.�„ry Public in and for the State of Iowa My i ba taw � ************************************************************************************************************************************************ I have reviewed this application, DC, 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). �- ,23 -1) 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. / - 7 1G- 4' . /=1 L-' - - /J Signa re 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 clerkitaxidrivbadgeapp2010 doc 03/2013 .ARTS Page 1 of 1 I Iowa Department of Transportation As Office of Driver Services (Toll Free)808-532-1121 PO Box 9204,Des Moines,IA 50305-9204 515-244-9124 444111111. FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 4/23/2013 DL/ID #: 013BB2180 (IA) Customer#: 678915 Name: Vonstein, Mark Wayne Class: D ID Status: None Address: 139 HOLIDAY LODGE Audit#: 6168711 DL Status: VAL RD Issue Date: 07/31/2012 CDL Status: None City/State: NORTH LIBERTY,IA Expiration 12/07/2015 CDL Cert None 523179518 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 139 HOLIDAY LODGE Restrictions: Corrective Lenses Restriction None RD Date of Birth: 12/7/1972 Supplement: Mailing City/State: NORTH LIBERTY, IA Sex: M 523179518 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 02/07/2009 '03/02/2009 iM14 Fall to Obey Traffic Sign/Signal 52 IA 08/19/2012 09/18/2012 S92 Speed 52 IA Name:Vonstein, Mark Wayne DL/ID: 013BB2180 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: *0lf ' 0:.. .%/ y 4/23/2013 s'' IOWA `ts D. O.T. ,,-2,.. II� s ��f DRIVER..::- IowaDepartment of Driver ervice of nsportation Name: Vonstein, Mark Wayne DL/ID: 013882180 http://172.29.254.55/drivers/reports/customerhistory/certifieddrivingrecord.aspx 4/23/2013 Apr. 18. 2013 2:48PM Div of Criminal Investigationpi No. 0612 P. 2 Apr. 15. 2013 10: 14AM City Clerk City of Iowa City, No, 3392 , P. 2 , , vNI uAagini, J SI'An OP y�/�VVA f'�so� � ;+ ti .,�'t,'ry C1mitidd.Rist® 'yReeo;rdCheck ;4at"At'pi,' �4. Y`'13 r , ,wc)' 'e( esit Varna t.4,:o– ote 1 mil +nt • ACTAcotntNumber: " DDd -F • Qtag• tlifnbj 'z'o: Iowa M lslcuorcriminalnrostlgatroh From: emit of IOWA OM sapportogsrallonsriuronu,l'I>aToor GTTt OL$gff'S Ofl]cg 215E,7'h Eked • 410 E. raAsrirlacroaT STRrEP De9141ohtes,Ya1VA 50319 ` • (915)726.6066 OAA, air' Iowa. 52340 mots-eon'' X707: • M• and: 119-•'56 5041 ' kaki cs19-35F.-51.47 I am requesting[IDIOM Crhnfnalfis(orylEdcord Cheek Dm • LAatNati o niendetdo • Ftrggwame(md„deaa) Middle Nano rarnmac'tdnd) • . Von S:teih /ionic V�c�yne Dn. of irtl (mrndolorq) . Gondar(n,arrdam aerial&eeuif( Minder rcoommcnded) • WO d 72 'Slate ' d 'ema e 1131 ; Nig A'er gformallow viitato ufaalga aWg 'oxfeomthesnhJeatoftharepal Cra rompio16cYTlvinaThisto rymord myna t iia 1'o1es9pbTe,)dor COcla bEYo}VA,Chaptok'69'4,2,roll coloopietarindlnnlhiatozy recodInformatlon,a.eallayed d 6yThvw,nth/flys Obtal ,YA1VOraPnafarairon mane coca the ke'lint; , 13/471310kefearei lIltrcbygri'a p6,fnfssrdn rbrlhoiboVdrdgaav/ngatlfctdl to WhddolsrtYowo odmionl history teconTodeokeili tlMnildean OPGI}nino: • 4va+ttdndon(Del). ttgyortnllnefiifttolvdar4(t`roem(a(agnwhatlsmato 'nod yiho ny6a )lo odosdlfo�vodbytn�'r. W ifiversYgnatadel f (Th• � . 'join CramhiaiRisjory Reorat chock Resnit . ."1091—if;onb) As of L111S 1I \) ,assure::of the.provlded name and.date ofbirthSbvealad: ' CI N'olam adminalTXistutylecordfound with EC/ . r.r ri IOCPdL4im1`nail'-llstozylZacord stCeah � � edrDCZ� (00c\1, DC Thiels 'b oe.el „ed T:ma_anr 11 _941)_1n• IGdar_Id, nnG1 - Apr. 18. 2013 2:48PM Div of Criminal Investigation No, 0612 P. 3 IOWA CRIMINAL HISTORY DCI 00609815 FELONY CONVICTION PAGE 1 OF 2 DATE PRINTED- 2013/04/18 DCI:00609815 NAME: VONSTF.IN,MARK DOB SEX RAC HGT WGT EYE HAIR SKN POB 19721207 M W 506 210 BRO BRO FAR IA ADDITIONAL IDENTIFIERS SC L LEG CCH RECORD *** 01 ARRESTED 19991110 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA708-4 WILLFUL INJURY TRK#: 035757901 CHARGE NO- 02 IA STATUTE /A708.2(3) -2 . ASSAULT - USE/DISPLAY OF WEAPON TRK#: 035757902 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708.4 (2) WILLFUL INJURY - CAUSING BODILY INJURY CHARGE CLASS: FELONY CONVICTION TRK#: 035757901 RESTITUTION SENTENCE DISP EFF DAT RESIDENTIAL FACILITY 365D 20001222 FINE $750 20001222 SUSPENDED PRISON SY 20001222 PROBATION 3Y 20001222 PRISON 5Y 20001222 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA708.2(3)-2 ASSAULT /USE/DISPLAY OF A WEAPON-1989 COURT CASE ID: 06521 FECR053425 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 035757902 SENTENCE DISP EFF DAT FINE $500 20001222 SUSPENDED PRISON 2Y 20001222 . PROBATION 21( 20001222 PRISON 2Y 20001222 PROBATION EXTENDED TO 12/22/03 20021222 AN ARREST WITHOUT DISPOSITION XS 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 BY THE PCI. IN JE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS Apr. 18. 2013 2:48PM Div of Criminal Investigation No. 0612 P. 4 '- BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION