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Home My WebLink About14-214 Authorization Number l y-021 Li I 1 (Office Use Only) APPLICATION FOR TAXI/MOTORIZED PEDICAB VEHICLE DRIVER CITY OF IOWA CITY (Police Department review must be made between 8 a.m.to 3 p.m., Monday—Friday.) 410 East Washington Street Iowa Cit Iowa 52240-1826 Failure to complete the "required"information will result in denial of the application (319) 56-5040 (319) 356-5497 FAX First , / cehil_ Middle / 1. Name (REQUIRED) V' LVt ( f"ICcol 2. Mailing Address(REQUIRED) c ,OO -5Urim1 1 .5± � tam ( :7j ,, - 4 5-2z740 3. Contact Information (REQUIRED) Email: e CII/! vlhc'2, (9_ 014.1 /j,Cd,1/Cell Phone: 4V j4"S �Q'* 4. Prior experience in transportation of passengers:/ x d oe N'51.15 fetgi 5ervlc� <t co ( e e. hdt drl✓ih .Oh 'a o - -... a te I I.c 4 i n 1+ x12 5 - v1} ' P( }t v t «}r-b etAe1 5. Have you ever been convictdd of ny misdemeanors and/or felonies in this State or sewhere? IVO 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? 1 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Yt 5 Type of offense Where When Ex p ree, Ulc C e elcc'a.5 RoetoAll , Tx y72,1f/1 Ra.L1 Sfrp S(�//,1^ Mt. Pa - T ztzl8 rki 8. Has your driv'er's dense or chauffeur's license been suspended or revoked in the last five years? 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 CHIEE,REVIW You must apply for an individual Department of Criminal Investigation Report (form availabie:-upon\cequest (OVER FOR REQUIRED SIGNATURE AND NOTARY) �-, 09/2014 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number . 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) I / — 1 iZ / Signature of Applicant 'AAAw Date VA 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. STATE OF IOWA COUNTY OF JOHNSON ) Subscribed and sworn to before me by Vl , L. /4j G. 11 . On this cis/tn./v:0 day of 6"`f wENnv Notary Public in 2'd for the State el Iowa s mAyER ommission Number 729428 ;oil �y Commission Expires `� Ex u ******************** 7 ********* ************************************************************************************************* 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). 44'� Sig ture of ":lic GYtielf 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. Sign; ure 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 Clerk TAXIDRIVBADGEAPPL92O14amended.DOC 09/2014 SMARTER I SIMPLER I CUSTOMER DRIVE Office of Driver Services PO Box 9204 i Des Moines,IA 50305-9204 Phone:515-244-9124[800-532-1121 i.Fax:515-239-1837 wv w_iowadot.gov Certified Abstract of Driving Record Inquiry Date: 9/13/2014 DL/ID#: 841AK4923 (IA) Customer#: 6269626 Name: McGill,Vincent Earl Class: D ID Status: None Address: 200 S SUMMIT ST Audit#: 8414923 DL Status: VAL Issue Date: 09/04/2014 CDL Status: None City/State: IOWA CITY, IA 52240 Expiration Date: 05/13/2019 CDL Cert Status: None Endorsements: 2 CDL Med Status: None Mailing Address: 200 S SUMMIT ST Restrictions: NONE Restriction None Date of Birth: 5/13/1963 Supplement: Mailing City/State: IOWA CITY, IA 52240 Sex: M History Information CLEAR DRIVING RECORD Name: McGill,Vincent Earl DL/ID: 841AK4923 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: 414 a ! .!4�4, 9/13/2014 %4. IOWA�14. rr 6 .;D. 0. T. s Office of Driver Services y � Iowa Department of Transportation g, Lr Q, Name: McGill, Vincent Earl DL/ID: 841AK4923 C'lc) N .7<r -0 Fri N *•�. rte' c/orms TEXAS DEPARTMENT OF PUBLIC SAFETY J'�T5805 N. LAMAR BLVD-BOX 4087-AUSTIN,TEXAS 78773-0001 A �,;, www.dps.texas.gov ° DRIVER LICENSE DIVISION 512-424-2600 STEVEN C.McCRAW EN ESPANOL 512-424-7181 DAVID G.BAKER DIRECTOR CHERYL MacBRIDE DEPUTY DIRECTORS CERTIFIED HISTORY RECORD: 09/05/2014 - THIS TYPE OF RECORD WILL REFLECT COMPLETION OF A DRIVING SAFETY COURSE. - THIS RECORD REFLECTS CONVICTIONS AND CRASH INVOLVEMENTS THAT ARE ALLOWED TO BE DISPLAYED BYLAW. REQUESTED BY: MCGILL,VINCENT 200 S.Summit St. Iowa City, IA 52240 MCGILL,VINCENT EARL 1410 W 9TH Date of Birth: 05/13/1963 MT PLEASANT,TX 75455-0000 Sex: MALE REPORT OF APPROVED DRIVER EDUCATION COURSE. Eye Color: BROWN DRIVER LICENSE INFORMATION Driver License Number: 09471850 License Type: DL License Class: C Date Originally Issued: 06/09/1978 Date Last Issued: 09/20/2013 Date of Expiration: 05/13/2019 Restrictions: NONE Endorsements: NONE STATUS INFORMATION Driver eligibility reflects a person's eligibility to drive at the time this document was requested. Administrative Status details additional notes related to the person's record that do not affect driving eligibility. Driver Eligibility: ELIGIBLE Administrative Status: NONE G_S EVENT HISTORY This section displays information relating to convictions,crash involvement,and safetyypurses coroleted. A ».._,. EVENT 1 CONVICTION DISPLAY EXPIRED LICENSE PLATES Offense Date: 04/24/2014 Conviction Date: 07/21/2014 County: C)-< NCKW ttt State: TX —' 2 CMV: NO HAZMAT: NO CDL: `<ffT Na m EVENT 2 CONVICTION RAN STOP SIGN Offense Date: 04/18/2014 Conviction Date: 04/29/2014 - City: MOUNT State: TX ry PLEASANT CMV: NO HAZMAT: NO CDL: NO Pursuant to the authority contained in the Texas Rules of Evidence 902,Section 4,and Transportation Code,Section 521,I,JoeAnna F. Mastracchio, do hereby certify that I am the custodian of driver records of the Driver License Division,Texas Department of Public Safety. The information contained herein is true and correct as taken from our official records. This is to certify that notices of convictions for the traffic law violations and incidents of motor vehicle accident involvement are received and recorded,along with the official action by the Department of Public Safety,in the computer records of VINCENT EARL MCGILL. In Testimony Whereof,I hereunto set my hand and affix the Seal of the Department of Public Safety of the State of Texas on 09/05/2014. Page 1 Sep: 17. 2014 10 : 01AM Div of Criminal Investigation ,No. 9900 P. 1 ■ , 0,,m�r°,I` STATE OF IOWA ti .f a f rC 1vj *13 A CrcD truirrad . Iilitorcy Record Cheek. r- 'a IOWA' :: . t! s .. s ` / I e � le5t ' rill � - g ‘ ' / ' � � ;�, fi \i• lYiR1{i%!tid' r41-p ' 4 DCI Account Number: VOD —i--- (if applicable) To; lours Division of Criminal Investigation From: City of Iowa City Support Operations Bureau,1Sk Floor City Cleric's Office 215 E.7'"Street 410 E.Washington Street Des Moines,Iowa 50319 , (515)725-6066 Iowa City, IA. 52240 (515)7254050 Fax Phone; 319-396-5001 Fax: 319-356-5497 I am requesting en Iowa Criminal fistety kecord Check on: . . Last Name (mandatory) First Name(mandatary) Middle Name(recommended) /11 ilii l v 14'1 C_P—v�`� a-+(' Date of Birth(mandatory) . _Gender Smandatory) Soe1RI Secutity Number(recommended) 5/l3 /t 3 ffNf ire 0Female lin- .3 9 — 790 5' ' weriperinforlturtion:Without a signed waiver from the subject of the request,acomplete criminal history record may not be releasable, per Cade of Iowa,Chapter 692,2,For complete criminal history record information,as allowed by law,always obtain a waiver si'nature from the sub rect of the re•nest. . Waiver Release:7 hereby give permiselon for the a ova requesting official fo conduct an Iowa criminal history record check with the Division et Criminal Investigation(DCI). Any criminal history data concealing i e Ulat is maintained by the DC1 moy be released as allowed by law.• � ��-. Waiver Signature: "—^ 4J ,Uec lm 1111- `lv n`- - I Iowa Criminal 1istory Record Check Results (Del use only) . As of___2 , a search of the provided name and date of birth revealed; No Iowa Criminal HistoryRecord found with DCI 7T = r� , _ • 4'—i1 -� .,..y �'p `� 0 Iowa Criminal History'Record attached,DCI# - • -• RI 1 DC1 initials 6 r•:, • Received Timey,Se_h. 11_02014 8 09AM No, 628