The URL can be used to link to this page

Home My WebLink About13-017I r , CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 1356-5040 —111_11�4 (319) 356-5497 FAX First 1. Name 2. Mailing Address I0�7 fr'.,anrl.lu AuG. Authorization Number APPLICATION FOR TAXI DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) Middle 3. Telephone: Home 319- 93L- r%4a i Other: Last 13-/-7- (Office Use Only) 4. Prior experience in transportation of passengers: /A ears %! uC-k�/ hno SS a �c> l3- 11Po.r 5 trcko- 5m-II-ryole, r w,l'it 2a6sc9af 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? e/Q Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? .0 O Type of offense Where When 8: Has your drivel's license or chauffeur's license been suspended or revoked in the last five years? V O TVDe 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 STAT E�-- DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR P CE CHIEF REVIEW You must apply for an individual Department of Criminal Investigation Report (form available upon request) The re- port will be mailed to the individual making the request and needs to be reviewed by the Police Chief with this appli- cation. (OVER FOR REQUIRED SIGNATURE AND NOTARY) deNtl drivbadg 09/2012 I hereby certifythat I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license, number /53 a R ri /S / . 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 �C /� iJa�/_ Date / a $ y 3 STATE OF IOWA ) COUNTY OF JOHNSON ) Sub cribed and sfjAworn Lo lfg{e me by O �� ✓L Gk- k 112 r On tthiis(/QZ2f' " day of I— KELLIE K. TUTTLE .. _- l u ' 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). �� yV Signature dT Police Chief or designee J- -7f /3 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 Taxi cab businesses are required to provide Driver Identification cards. Office Use Only Approved application DCI report State certified driving record Website update Date derlNaridnMa g.pp=0d 09/2012 IOWA UPPP 1027 FRIENDL DLn, CITY, 10451 0 ' a��Io.153BB0451 i iss 0111812013 Exp 0211 12013 sex Glass D End 3 HAL Hesnic lions Eyas NONE D0 8 0 211 111 97 0 DD 76628406OW1216N110215p USA IA CsJ W 1 3D W-0 Iowa Department of Transportation Office of Driver Services (foil Free) SM -532-1121 PO Box 9204, Des Moines, iA 503t)5-9204 515-244-9124 1440 FAX: 515-233-1837 Certified Abstract of Driving Record Inquiry Date: 1/17/2013 DL/ID #: 153BB0451 (IA) Customer #: 4345100 Name: Habner, Johnny Nell Class: C ID Status: None Address: 1027 Friendly Ave Audit #: 4108825 DL Status: VAL Issue Date: 02/18/2010 CDL Status: None City/State: Iowa City, IA 52240 Expiration 02/11/2015 CDL Cert None Date: Status: Endorsements: NONE CDL Med None Status: Mailing Address: 1027 Friendly Ave Restrictions: NONE Restriction None Date of Birth: 2/11/1970 Supplement: Mailing City/State: Iowa City, IA 52240 Sex: M History Information Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number .JUR .___ _.. .._...._..___..... _. _.. _.. ........ __—_.._..... ... _...__.___.__._..— .... _......_ .. _.....__. _._. .. ....... .._.__. 02/01/2008 424066 .IA Name: Habner, Johnny Neil DL/ID: 153BB0451 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 he set upon this document, at Ankeny, Iowa this date: =0V1llIC[f ��pyi �' IOWA•';; *'s �h�p • •SE@_: phf 0 NER,_ Name: Habner, Johnny Nell DL/ID: 153BB0451 1/17/2013 F Office of Driver Services Iowa Department of Transportation Jan.25. 2013 11:33AM Div of Criminal Investigation No,0936 P. 2/3 daA.IA zv13 11:7JAM City Clerk - City of Iowa City No, 3155 - P. 2 .ATX Off' IOWA. cklmMax,wdory.Record check 1 ' yp��pyyyQ ly�� M �-, ''• , _ 4 l?C>:�1,000uhCl�7umher; �-1� ' p epplrrnDlcl 2b; 10%VAMgblouorcrrhlibglyh'Ya9Ngadoh %YOm1 CITY or I= 'my Support operallons)9groult,JLtirloor CITY MEAVS 0INVE 216R7'DSfreot ._4'rn R- WAM MXO)N STPMT De M91nar)yo:va 50319 (913) 729.6066 `Io17A MTT (616)1264060 $ale khona; 4n9-956-5041 Yax: -amun♦•f w.....7.a.,e h..l-. A._f rr!w_�._r,.__J nl. r_ __ ' . -/1 bo Ydloslable, per Codo 0 WfthoOf n sf�nod tt+p jyox tom thesu6jeat of tho YequesP, a eorrLp)eEo cPfialnpf hlstol'y record luny not YAWA, ChApter 692.2,Y'aY om to & 16r1ni (n oil Aktoryre, eordErrl'okmAtfoh,aaallowod by]AYir ArVjAys . rt•,,,,..xo enl.rwwa wu'ok., ..w...:_a• IraAwAdyltSgrlA�r�nygivaprr�ttnfohtDrthooDovnregvwunpomofelto ConduoLoglowq edmfnafhlalotytaerd�ecKlVilh IAsAPrishn olcQmfnol W0119e11e1,(MID.ycr7minalAlctetydol nGcm�fn,�m�q��/)u7amelntOfnjk\d\Ayt6�ollo�l/m�/eyborotusadasmmwedEyiAw, CIYHY.4'fk3ln'lllYB:�.li� "�. \V l i ---'C !•� _ .� .. -. �+n nw..- .•-�. ..a+.au vva y xwvwvaµ �aayy q, JlO�l1 U1 A8 Of a5-�3 . a seatoT9 0fthe,provided name and data of biithleveaTed: N•o 7oWa G1lminaLI37stoly�teaozd>Po9uld W:Ifh1�CY •.:,:' � -_ a �; � " %rya C5•im1na11Tst0xyR0e0rd attached, DCT;✓# ZQ Q � ��'=� N '• ]7rw��iflal C/ rir:Y_ h nArr5nnt Receive {ime' Jan. 17. 2013 11:53AM No. 2225 0 25, 2013 11:33AM Div of Criminal Investigation IOP1A CRIMINAL HISTORY DCI 00408083 FELONY CONVICTION PAGE 1 OF 1 DATE PRINTED - 2013/01/25 DCI:00408083 NAME: HASNER,JOHN' HABNER, JOHNNY NEIL DOB SEX RAC HGT WGT EYE HAIR SKN POB 19700211 M W 510 160 BLU SRO MED CA ADDITIONAL IDENTIFIERS TAT L ARM 01 ARRESTED 19900726 AGENCY: IA0520200 CHARGE NO- 01 THEFT -2ND TRK#: L28309801 COURT DISPOSITION CCH RECORD *** IOWA CITY PD IA STATUTE IA714-2-2 AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA714.2(2) THEFT 2ND DEGREE - 1978 CHARGE CLASS: FELONY CONVICTION TRK#: L38309001 RESTITUTION SENTENCE SUSPENDED PRISON 5Y PROBATION 2Y 02 ARRESTED 19990410 AGENCY: IA0920200 IOWA CITY Pb CHARGE NO- 01 IA STATUTE IA124-401 POSSESS SCHEDULE I/ MARIJUANA TRK#: 040213601 biSP EFF DAT 19901130 19901130 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124-401(5) POSSESSION SCHEDULE I/ CONTROLLD SUBSTANCE/MARIJUANA CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 040213601 LICENSE REVOKED SENTENCE FINE $250 COURT COSTS DISP EFF DAT 19990625 19990625 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 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 No.0936 P. 3/3 311