The URL can be used to link to this page

Home My WebLink About18-034Ir I I l t �.d= ®d1 CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 3S6-5040 (319)356-5497 FAX 1. Name (REQUIRED) . 2. Address (REQUIRED) 3. Contact Information (F IDENTIFICATION NO. L p -,-o 5q (Office Use Only) APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday) Failure to complete the "required" information will result in denial of the application 4a. Driver's License expiration date (REQt b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of pa 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where What happened to the charge? (Circle one) Dismissed Deferred Suspendedlead Gui Have you been arrested / charged with any traffic offenses in the last five years? When Other Type of offense Where When omJT J�-/8-fzfio What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended 0 d G ' Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? k/0 Type of offense Where When o co —C rmN 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please prove rnne(s)I^ /V o = rrre —0 M DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE C IFIEW DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVECW You must apply for an individual Department of Criminal Investigation Report (form available upon request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 07/2016 �G� J��y LCrJE r 055 / v1 F 5li5p, a-07- 091 / i-7-PT67 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number D�Aq Pi 3g issued on h expiring on I understand that if falsely answer any questions in this application, that this application may be denied. 1 agree that in making this application, 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 authorization to be a taxicab driver 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 alDate_3 • -o- '70 /,.R, =xxx=+++x+xxxxx+xx+xxxxxxxxxxxxxxxxxxxxxx=+++r:+++++++++++++++++++++++++++++xxxx+xxxxx+x+x+xx+xx+++xxxxxxxxxx+xxxxxxxx+xxxx+xxxxx+x+++x+xx++=x+++ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworq before me by I have reviewed this application, DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Driv rs cense 0J_ ZJ'� q 7 Signat Police Chief or designee Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. 7 c�igna(ure of City Cerk,9Ar designee Date ._« =x==xxx==+=====xxxx=xxxxx==x====+===x,==�+__++____===+=H====++++xxxxx,,,,,,,xxxxx,xxxxxxxxxxxxxxxxxxxxxxxxxxx+xxxxxxxxxxxxx=xx==xxxxx++xxxx CHRISTINE OLNEY = � • • • commission res MY Espi w I have reviewed this application, DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Driv rs cense 0J_ ZJ'� q 7 Signat Police Chief or designee Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. 7 c�igna(ure of City Cerk,9Ar designee Date ._« =x==xxx==+=====xxxx=xxxxx==x====+===x,==�+__++____===+=H====++++xxxxx,,,,,,,xxxxx,xxxxxxxxxxxxxxxxxxxxxxxxxxx+xxxxxxxxxxxxx=xx==xxxxx++xxxx OeM/TAXIDRN ADGEAPPL92014a ded.DOC 07/2016 Office Use Only , Approved application o n y- x M DCI report C-) [ N r State certified driving record h o Website update Grn -o m ZE r,J Y OeM/TAXIDRN ADGEAPPL92014a ded.DOC 07/2016 OMa VLl CV' r o20181:vo' i elluW CabOiv of Criminal Investigation (PAX)319338 Cruel 257 P. ruu21002 To: Iowa Division or Criminal Investigation Support Operations Bureau, In Floor 215 E. 71° Street Des Moines,.iowa 50319 (515) 725-6066 (515) 725.6080 Fax Iam to N, Request Por m L� DCI Account Number: 9967-F (If applicable) Fromt Yellow Cab of Iowa City P.O. Box 428 Iowa City, IA- 52244 Phone;(319) 338-9777 Fax: (319)339-7302 ❑Female Waiver Znfornlatlon.- Without a signed waiver from the subject of the request, a compleito'orlminal history record may not be releasable, per Code of Iowa, Chapter 692.2. For coin Plate criminal history -record Informatlon, as allowed by law, alwa obtain a waiver signature from the subiecthrthe. Ys r:�„act Waiver Release: l herby glue potmisS106 for the above riquoting ofriciet to cenduet w love criminal histotyrcoord *heck Mitt the Dlrhion of criminal Inveadgetion (04,1), Any Criminal hhrory data wnceming me that iS mainafned by tllq DCI may be roleated AS ailowc4 by law. Waiver Signature;` Iowa Criminal history Record Check Results (DCt ace only) As of I H a search of the provided flame and date of birth revealed: ❑ No Iowa Criminal history Record found with DCI N a M IOWA Criminal History Record attached, DCI # 2 (04 ggQi —+ M DCI. initials m m ::0 _ DCI -77 (08/25/10) Received Time Mar. 2. 2018 4:56PM No -5112 Mar. 6. 2016 8:56AM Div of Criminal Investigation No. 5257 P. 2/3 DCI 00264890 PAGE 2 OF 2 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 W N n m 0 Mar. 6. 2018 8:56AM Div of Criminal Investigation No. 5251 P, 3/3 DCI:00264890 NAME. NEYER,BRIAN JOSEPH DOB SEX RAC 19590523 M W IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY DCI 00264890 PAGE 1 OF 2 DATE PRINTED - 2018/03/06 MGT NOT EYE HAIR SKN POB 600 160 BLU BRO LGT IA ADDITIONAL IDENTIFIERS m C7 G �(7 CCH RECORD •�" r 01 ARRESTED/TAKEN INTO CUSTODY 19800418 a AGENCY: IA0520200 IOWA CITY PD w CHARGE NO- 01 IA STATUTE IA321-281 _ OMVUI PQ TRK#: L17978501 COURT DISPOSITION AGENCY: IAO52015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-281 OMVUI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17976501 SENTENCE DISP EFF DAT JAIL 20 19800625 FINE $500 19800625 02 ARRESTED/TAKEN INTO CUSTODY 19810124 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-A32 DRIVE UNDER SUSP TRK#: L17978601 COURT DISPOSITION AGENCY: IAO52015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-A32 DRIVE UNDER SUSP TRK#: L17978601 SENTENCE DISP EFF DAT PLEAD GUILTY 19810227 FINE $150 19810227 03 ARRESTRD/TAKEN INTO CUSTODY 19871107 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA204-401 POSE SCH I MARIJ TRK#: L17978701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA204-401 FOSS SCH I MARIJ CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17978701 SENTENCE DISP EFF AAT FINE $150 19871124 N O CD �Z m C7 G �(7 fV O r <m a ('T"j ::ZE;3' w D _ PQ Iowa Department of Transportation 41 Office d Duvw Senrxn (Tdl Free18DD332.1121 PO Box 9204, Des 14oetes, lA 50306-9204 515.244-9124 FAX: 515,2391831 Certified Abstract of Driving Record Inquiry Date: 3/9/2018 DL/ID #: 059AA1934 (IA) Customer #: 1131912 Name: Meyer, Brian Joseph Class: B ID Status: None Address: 16 METRIC RD Audit #: 8183806 DL Status: VAL Issue Date: 06/20/2014 CDL Status: VAL City/State: IOWA CITY, IA Expiration Date: 05/23/2019 County 522403002 101/26/2016 102/09/2016 I M34 Following Too Close Endorsements: Motorcycle Mailing Address: 16 METRIC RD Restrictions: NONE Date of Birth: 05/23/1959 Mailing IOWA CITY, IA Sex: M City/State: 522403002 History Information Convictions CDL Cert Status: Excepted Intrastate CDL Med Status: None Restriction None Supplement: Citation Date Conviction Date I ACD Explanation County 3UR 101/26/2016 102/09/2016 I M34 Following Too Close Johnson IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 101/26/2016 903780 IA Name: Meyer, Brian Joseph DL/ID: 059AA1934 Pursuant to Iowa Code 4321.10, I, Melissa Spiegel, Director of Office of Drivjr 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,cab Ankeny, Iowa this date: O Dy m ito- C )� N o .�.. r r m O� 1> S W 1V 3/9/2018 Iowa Q. 0. T., # ��► Office of Driver Services Iowa Department of 7ransporation Name: Meyer, Brian Joseph DL/ID: 059AA1934 N O Q C-) m =C CD -G �t7 N O "fir rn -0 D _ N