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Home My WebLink About18-050� r 1 CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 3S6-5040 (3 19) 3S6-5497 FAX Last 1. Name (REQUIRED) 2. Address (REQUIRED IDENTIFICATION NO. I!a —Q 65-r) (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 First Middle 3. Contact Information (REQUIRED) Email: m 0, , co vv\ Cell Phone: -F> M-54 l -1 S Z S (All written communication sent via email) 4a. Driver's License expiration date (REQUIRED) I I- I V- z O 2 0 b. Taxicab Business Name (REQUIRED) R 16 to 0,4R 61 Prior experience in 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where &? A -Z / W When 'r r- O t, T :Z • n TCS 0 �19 L( What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? _Type of offense Where When WaamA UTA4 4 h)ysWA�l Ctrl !1 A2)�-r S -r: 3-31 �a 13 What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five Via? b gI Type of offense Where cb'-te JTZ 9. Have you eve4 applied to bean Iowa City taxi driver using a different name? If yes, M FAVI FOR 04/2018 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 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). I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Drivers license number t`)7 �A A � R , I issued on 1 12 t- )-+ expiring on ) j -16 20 2 0 . I understand that if I falsely answer any questions in this application, that this application may 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 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 Date STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by �V, �_M I�-10-t 2.1— on this 3 C> day of .+► f -Z t�'t J3 v 1 have reviewed this application, DCI report, and the State certified driving record of this appldAve dMined that i there is no information which would indicate that the issuance would be detrimental to the sa al#wr we� of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). o <m -v m Expiration date of er' nse Z �7 Signatu of Police Chief or designee Bate �r- 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. Office Use Only Approved application DCI report State certified driving record Website update `t-30-1 k-'- Date 'Date OwkrrAXIDRNBADGEAPPL92018amended.DOC 04/2018 State of Iowa Division of Criminal Investigation 215 E. 7" Street Des Moines, Iowa 50319 Phone: 515/725-6066 Fax: 515/725-6080 Iowa Criminal History Record Check Wa14_ln Ao....o�* Your name: y E'2 Address- 310 L G S Ci /State/Zi Ll iLe-r-gplZ-51 Phone #• z Reauestine an Iowa criminal history t .rnrrl rherlr rr- Fill in all shaded areas. Last Name Apeuido (n-ndatnry) First Name Pftm ,Yambre (ma dahny) Middle Name segundoNambre (,eeommended) sTZ L 6P, ':I:)A-V y �,) M (1_ -FO N Date Of Birth Fecho Nacimi—w (mandatory) Gender Genera (mandatory) Social Security Number (recommended) _ l 4-93 �+-7cj1 19 Q ' ! ,' — ' 1 Q r� p S XMale ❑ Female _ Waiver S' ature Firma (if the request is IV you,setf, please ME!. If the regaest is on someone else, write N/A) 1 Results DaUSE OWY As of �' �' `g , a name and date of birth check revealed: ❑ No record found 3�a3i�I Record attached DCI # -� a DCI initials Receipt o r ' o�rn - o rn Number of requests x $15.00 per last name = Total amount $ I 0 0 IV Method of payment: cash money order check # 3' MasterCard or Visa (Lao 4 digits) Cardholder's nanpe _ DCI initials Credit Card # DCI -83 (09/09/10; Revised 10/1/10; form reviewed 08/11/14) Exp. Date IOWA CRIMINAL HISTORY DCI 00312314 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- DCI:00312314 2018/04/17 NAME: METZLER,DAVE METZLER,DAVID MILTON DOB SEX RAC HGT WGT EYE HAIR SKN POB 19581116 M W 600 150 HAZ SDY MED IA ADDITIONAL IDENTIFIERS N o_ O �n CCH RECORD •�* Ol ARRESTED/TAKEN INTO CUSTODY 19831126 w O AGENCY: IA0570000 LINN CO SO - CHARGE NO- 01 IA STATUTE IA321-281 = N OPER WHILE INTOE D w ON TRK#: L25116101 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-281 ONVUI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25116101 SENTENCE FINE $300 PROBATION 6HRS CRED-PROB TIL 020885 SUSPENDED 2D CREDIT W/TIME SERVED 02 ARRESTED/TAKEN INTO CUSTODY 19890405 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI 2ND TRK#: L25116201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J-2 OWI 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25116201 SENTENCE JAIL 10D CREDIT 7 HRS/PAY SURCHG FINE 5750 03 ARRESTED/TAKEN INTO CUSTODY 19940807 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI 2ND TRK#: 006445901 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J-2 DISP EFF DAT 19831126 19831126 19831126 19831126 DISP EFF DAT 19890628 19890628 N o_ O �n m 'V ■1 C-) �(7 w O r m - rn = N D w ON ONI 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 006445901 SENTENCE JAIL 15D FINE $750 PROBATION lY SUSPENDED 35D SENTENCE PAY SURCHG ARRESTED/TAKEN INTO CUSTODY 19981125 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA709-4 SEXUAL ABUSE 3RD DEGREE TRK#: 032253001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA 709-11 ASSLT W/INTENT COMNITT SEX ABUSE NO INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 032253001 RESTITUTION SENTENCE PLEAD GUILTY FINE $500 PROBATION 2Y SUSPENDED 2Y DCI 00312314 PAGE 2 OF 2 DISP EFF DAT 19940928 19940928 19940928 19940928 DISP EFF DAT 19990526 19990526 19990526 19990526 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. I DIVISION OF CRIMINAL INVESTIGATION Gw N O O m c l�-G ca m rn CMJ I VITA Q �]T Driver & Identification Service P.O. Box 9204, Des Moines, IA 50306-9204 Inquiry 4/19/2018 Date: Customer 1984143 Name: Metzler, David Milton Address: 310 N GEORGE ST City/State: NORTH LIBERTY, IA Convictions Certified Abstract of Driving Record DL/ID #: 075AA1861 (IA) CDL Permit Class: None Class: D Audit #: 8637174 Issue Date: 11/21/2014 Expiration 11/16/2020 Date: Endorsements: Chauffeur 3 Restrictions: Corrective Lenses Restriction None Supplement: History Information CDL Permit Issue None Date: CDL Permit 523179671 Mailing 310 N GEORGE Si Address: None Mailing NORTH LIBERTY, IA City/State: 523179671 Date of 11/16/1958 Birth: None Sex: M Convictions Certified Abstract of Driving Record DL/ID #: 075AA1861 (IA) CDL Permit Class: None Class: D Audit #: 8637174 Issue Date: 11/21/2014 Expiration 11/16/2020 Date: Endorsements: Chauffeur 3 Restrictions: Corrective Lenses Restriction None Supplement: History Information CDL Permit Issue None Date: CDL Permit None Expiration Date: None CDL Permit None Endorsements: CDL Permit None Restrictions: ID Status: None DL Status: VAL CDL Status: None CDL Permit ELG Status: CDL Cert Status: None CDL Med Status: None Citation Date Conviction Date ACD Explanation JUR County 03/31/2013 04/29/2013 N63 Driving Wrong Way on One Way Street IA Johnson Name: Metzler, David Milton DL/ID: 07SAA1861 (IA) Pursuant to Iowa Code §321.10, I, Darcy Doty, Driver & Identification Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records held by the Driver & Identification 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. co _o In witness whereof, I have caused my signature and the seal of the Department to be set upon this 80cumen�t Ankeny, Iowa this date: DC7 "7 —1 -:8—• / PtyEMt Or ' , ■ 4/19/2018 o IV l d9c� w o�iej4l ooc�N,e� Driver & Identification Services Iowa Department of Transportation