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Home My WebLink About14-076 Authorization Number I "i — _ (Office Use Only) 4.1inell MAT APPLICATION FOR TAXI 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 52240-1826 (319) 356-5040 (319) 356-5497 FAX First 1. Middle Last 1. Name J457fh Gr€.WI am s 2. Mailing Address 1 Cog Aber At/v/41,6104 ci iy A 3. Telephone: Home 1 — !~ 1/g 7 Other: 4. Prior experience in transportation of passengers: N/A • 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When r Stain( Vfelotfi '11 A ` i. f vbl i.c 1 vrtcX 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? /V e Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? Type of offense Where When Fo -) +b Obey *44C(e c. f?�� ;ha egr8J�d/t.o 01.61 A/ O t/li2//3 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type of offense Where When H' '.'ilOev' V//ltd-er . A rte,-) - ()le S'A22 / '/ i1 � �1sa /3a/tl 9. Have you ever applied to be an,towa 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 CHIEF REVIEW You must apply for an individual Department of Criminal Investigation Report(form available upon request). (OVER FOR REQUIRED SIGNATURE AND NOTARY) clerk/taxidrivbadg 03/2013 I hereby certify th t I haye issued to me by the Iowa Department of Transportation a valid Chauffeur's license number It 0 A i 4o 2 . I understand that if I falsely answer any questions in this application, that this Y 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/ � /' Date V2:7/16/ 16/ ************************************************************************************************************************************************ STATE OF IOWA ) COUNTY OF JOHNSON ) cribed and sworn toi before me by V oS-e p k t_-_ /a_. LA. .S . On this .2-77 " -day of �� ) .�.ct ; c_ K (L ( ( (,e ,, "1 K LLIEsill K.TUTTLE ^^IIota Public in and for the State of Iowa Commissicn'�Jumhr771819` ry •1 my I yrExes ************************************************ ****** * ************************************************************************************ 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). e---/-/. - /�`',' ;7, ,7,4*/' Sign;ture of lice of or designee Date YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S 0-VICE. Authorized taxi driver names are placed on the city website at icgov.org. "). /.&11.4„.1,efix,,, )11: /el?) . .-.-' - ,:‹.? 7 - /d7/ Sign- ure of P CI:- 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/taxidrivbadgeapp2010.doc 03/2013 • co i ,,. www,iowadot. ov SMARTER I SIMPLER I CUSTOMER DRIVEN g Office of Driver Services PO Box 9204 I Des Moines,IA 50305-9204 Phone:515-244-9124 1800-532-1121 I Fax:515-239-1837 www.iowadotgov Certified Abstract of Driving Record Inquiry Date: 3/12/2014 DL/1D#: 96CAAB052(IA) Customer#: 5150355 Name: Evans,Joseph Gregory Class: C ID Status: VAL Address: 1509 ABER AVE APT 1 Audit#: 7809741 DL Status: VAL Issue Date: 02/20/2014 CDL Status: None City/State: IOWA CITY,IA 522464715 Expiration Date: 01/10/2022 CDL Cert Status: None Endorsements: NONE CDL Med Status: None Mailing Address: 1509 ABER AVE APT 1 Restrictions: NONE Restriction None Date of Birth: 1/10/1990 Supplement: Mailing City/State:IOWA CITY,IA 522464715 Sex: M History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 12/17/2008 01/11/2009 D72 Fail to Have Vehicle Under Control Johnson IA 07/05/2009 08/12/2009 592 Speed IL 07/02/2010 08/16/2010 M14 Fall to Obey Traffic Sign/Signal Johnson IA • 03/09/2013 04/12/2013 M14 Fail to Obey Traffic Sign/Signal Johnson IA Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Suspended 10/20/2009 01/17/2010 W01 Habitual Violator IA IA Suspended 08/23/2010 03/08/2011 B63 Fail to Refile 5R22 IA IA Suspended 04/30/2011 10/19/2011 863 Fall to Refile SR22 IA IA Name:Evans,Joseph Gregory DL/ID:960AA8052 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: -CV,-• •!�0 3/12/2014 ,,,.e, J .O. iS a ,/� 44Office of Driver Services 0�1j� Iowa Department of Transportation Name:Evans,Joseph Gregory OL/ID:960AA8052 Mar, 18. 2014 9: 03AM0 Div of Criminal Investigation No. P. 1/5 mar. IJ. LU 14 4: LJrl Illy LIerI — t, i tY UI Lund Illy IVU. 47UY 5367 I. L STATEwith O '., "J ' 7\<;, Criminal History Record Check '.i lmvA'1 I Ili, I .;40: i RequestForm .:\frr , • DCI AccountNumborl_ t/aoi•P (ifeppllcable) To; Iowa Division of Criminal Investigation From: City of Xowa City Support Operations Bureau,i'r Floor City Clerk's Office 215 It.7111 Street _410 F,.Washington Street Des Moines,Iowa 50319 Iowa Cllr TA 52240 (515)725-6066 (515)725-6080 Fax - Phone: 319-356-5041 Fax: 319.366-5497 I am requesting an Iowa Criminal history Record Check on: LastasrName(mandatory) First Name(mendatoy) Middle Name(recommended) L'VOn$ `J�sef'1 ojregory Date of Birth(mandatory) Gender(mandatory) Social Security Number(recommended) 000/1110i iiviale ['Female gist—TT-egg? Waiver Information:Without a sighed waiver from the subject of the request,a complete criminal history record may not • be releasable,per Code of Iowa,Chapter 692,2.For complete criminal history record information,as allowed by law,always obtain a waiver signature from the subject of the request. Waiver Release:I hereby give permissionfortha above requesting Acid to conduct an Iowa criminal history record check with the Division otedminal investigation(DCI), My cdnind history data eoneemingme lint it maintained by rho UCimay ho released os allowed by law. Waiver SIgffature: \ 1 • i 4 _ Iowa Criminal History Record Check Results (Dcruseonly) �1v i1 As of \ O \\`1a search of the provided name and date of birth revealed: =; 3 r ``) sic•: ❑ No lona Criminal History Record found with DCI rn 2, _3 v) c�( Q 2: • J_ Iowa Criminal History Record attached,DCI al '._Q a1 7-C> t`+ > r-- • DCI initials. o_ __ :.._J T:_.--AA_ - 75 —101A— d ,11olrM„ LA01 . •Mar. 18. 2014 9: 04AM Div of Criminal Investigation No. 5367 P. 2/5 . ' IOWA CRIMINAL HISTORY DCI 00706929 COURT DISPOSITION PENDING PAGE 1 OF 2 STATUS UNKNOWN DATE PRINTED- 2014/03/15 • DCI:00786929 NAME: EVANS,JOSEPH GREGORY DOg SEX RAC HOT WGT EYE HAIR SRN POB 19900110 M W 510 150 BLU BRO FAR IA . ADDITIONAL IDENTIFIERS PHOTO AVAILABLE: Y TAT LF ARM TAT RE ARM CCH RECORD *** O1 ARRESTED 20060621 AGENCY: IA0520200 IOWA CITY PD . . CHARGE NO- 01 IA STATUTE IA724.4(3) (B) 00 ARMED/KNIFE BLADE 5 TO 0 - 1989 TRK#: 1A004G501 'COURT DISPOSITION • AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA724.4(3) (B) tlO ARMED/KNIFE BLADE 5" TO 8" - 1989 COURT CASE ID: 06521 SRCR083772 CHARGE CLASS: NON CONVICTION TRK#: 1A0040501 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 20081015 PROBATION 1Y 20081015 • SELF SUPERVISED. REVIEW 4- • 15-09. $315 CIVIL PENALTY DISCHARGED FROM 20090428 DEFERRED JUDGEMENT 02 ARRESTED 20130426 AGENCY: IA0520200 IOWA CITY PD • CHARGE NO- 01 IA STATUTE IA453B.3 TAXABLE SUBSTANCE-POSSESS OR DISTRIBUTE W/O TAX STAMP TRK4: 1A000LP01 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE IA453B.12-A FAILURE TO AFFIX TAX STAMP - 1993 COURT CASE ID: 06521 FECR101571 TRK#: 1A00GLP02 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT $750 CIVIL PENALTY 20131004 PROBATION 2Y 20131004 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON-LAW ENFORCEMENT AGENCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS • .Mar. 18. 2014 9: 04AM Div of Criminal Investigation No. 5367 P. 3/5 � • BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVE$TIOATION