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Home My WebLink About14-134 Authorization Number 17.- /. �`/ - 1 (Office Use Only) .61G = EKG 4111111p rrwl al, q� ' APPLICATION FOR TAXI/MOTORIZED PEDICAB VEHICLE 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 City, Iowa S2240-1826 (319) 356-5040 (319) 356-5497 FAX First Middle Last 1. Name PCYCS 2. Mailing Address 2-C2 t\ t r' O r ZycD c_T 1-2)(4-4 z crY .34 S-2 2.. Q 3. Telephone: Home( 3 1 Wit)S c q -. `tj . c6 Other: 4. Prior experience in transportation of passengers: YQcikr- a N o-t h� -o r RED Li t- r. A& S Ku Lc- Zc r_3 -Zo ry G L* - J V LtC1U Cckb c ioc-JA U yrot...s4 20 t t 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? 6/,--L;-- C c 1-1 011,ccy 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? 47 tj Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where When S peat) co./tau i l Lo i 3, ?o 4 3 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? ,1/'Q 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) 'JO 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) c!erk/taxidrivbadg 03/2014 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number ...+JG( '546.52. 77 . 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 o --provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant a , a. DateO7. 02_ /g 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 Jp e_' 1� e S . On this day of ?�L . 5 6,0',141., I, WENDY S.MAYER ' No ary Public i nd for the State of Io • 4•;J; • My Commission Expires 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). -3/ 'V/(-7 Sign, re o+ ice Chief or designee Date YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERKS OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. Signature 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'/2" (height) and prominently displayed to all passengers. ************************************************************************************************************************************************ Office Use Only Approved application DCI report State certified driving record Website update clerWtaxidrivbadgeapp2014.doc 03/2014 • Apr.? 11. 2014410:,37AMM Div of Criminal InvestigationNo. 7343 P. 1/4 fy ay. 4n5 r. I STATE O F IOWA ' `� • u` rl . It i ro al I ' Criminal History Recoil)! Check ' i a 1.\\Qb--�',.1,-,:.:;I quest)E+orin g. • . �h ' DCI Account Number; Licog-F (If applicable) To; Iown Division of Criminal in vesitgation From; City of Iowa City Support Operations Bureau,IanFloor City Clerk's Office 215B.7't'Street 410 E.Washington Street Iles Moines,Iowa 60319 ' (515)725-6066 — —• --- — — -- — —. -Towa-City,-IA-52240- — — - _ - _ _ (615)72‘6080 Fax Phone; 319-356-5041 rat: 319.356.5497 • I am requesting an Iowa Criminal HistoiyRecord Check on: • Last Name(mandatory) First Name(mandatory) Middle Name(reeanmlended) R ' .o.. i _....._._..... . .. Date of Birth (mandeloi) ' Gentler(mandiraa Social Security Number(recommended) 0 9 . 2 3 l `I 6 7 dlliale ❑Femme 6 7 - 30 2 WaiverJizformailory:Withouta signed waiver from(he subject of the request,a complete criminal history record may not be releasable,per Codo of Iowa,Chapter 692.2.For complete criminal history record information,as allowed bylaw,always obtain a waiver signature from the subject of the request. Walver,Retease:I hereby givepermission for the above requcstlag official to conduct an/owe criminal history record chock wick the Division of Ciminet Invastigetlen(DCI). Any criminal history dela conoentingmeMet Ismolnceln yIhaDCtmay berelemedasallowed 6ylaw. Waiver Signe!fare: d I a) Iowa Criminal History Record Check Results (DCI use only) As of IA l 1 n k 1 "'C ,a search of the provided name and date of birth revealed: to . r.;r) a ; 0 Nb Iowa Criminal History Record found with DCI co-n 1 r I Iowa Criminal History Record attached,DCI# Rat-119)-•• ,• r_ .. DCI initials -1/4---. N ;rr' � received Time'7Apr. 9 0 :2014 1 :52PM No, 4660 Apr. 11. 2014 10: 37AM Div of Criminal Investigation . No. 7343 P. 2/4 IOWA CRIMINAL HISTORY DCI 00927792 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OP 1 DATE PRINTED- 2014/04/11 DCI:00927792 NAME: REYES,JOEL DOB SEX RAC HGT WGT EYE HAIR SRN POB 19670923 M W 600 360 BRO BLK LBR TX ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y TAT L ARM CCH RECORD wvw 01 ARRESTED 20110413 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE XA706.2A(2) (B) DOMESTIC ABUSE ASSAULT CAUSE BODILY INJURY/MENTAL ILLNSS TRIO: 1A0OBLUO1 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA708.2(2) ASSAULT CAUSING BODILY INJURY-1978 COURT CASE ID: 06521 SRCR093933 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 1AOOELUO1 RESTITUTION SENTENCE DISP EFF DAT TIME SERVED 7D 20110915 JAIL 7D 20110915 FINE $315 20110915 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 n Iowa Department of Transportation j '.t ' Office aDriver Services PO Box 9204,Des Manes,IA 50306.9204 (Toll Free)800.532.1121 515-244.9124 FAX:515239.193r Certified Abstract of Driving Record Inquiry Date: 4/22/2013 DL/ID#: 493AG3277IA Name: Reyes,Joel Class: 493AG3277(IA) Customer#: 5789609 Address: 2619 INDIGO CT Audit#: D II.Status: oLe 5088314 DI. V Status: AL Issue Date: 03/16/2011 CDL Status: None City/State: IOWA CITY IA Expiration Date: 09/23/2016 522406810 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 2619 INDIGO CT Restrictions: Corrective Lenses Restriction None Date of Birth: 9/23/1967 Supplement: Mailing IOWA CITY,IA Sex: M City/State: 522406810 • History Information CLEAR DRIVING RECORD Name: Reyes,Joel DL/ID:493AG3277 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: 4:2-lb. 4/22/2013 Itti IOWA D. 2JSa ile. s IH,41 01. Office of Driver Services Iowa Department of Transporation Name:Reyes,Joel DL/ID:493AG3277