HomeMy WebLinkAbout14-071 Authorization Number /9 - 7
I P 1 (Office Use Only)
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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 e � '� t` c c‘
1. Name r V L� t) 5MIddIV r . JV 11
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2. Mailing Address 7•Z1 I A- 5 S ,
3. Telephone: Home3 z--7--,) 0'5 & Otter:
4. Prior experience in tr sportation of passengers: --4`J C c.4 d) �`I f '_fl _
5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? -T 3 vV
Type,of offense Where When
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6. have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five '`Q-� i
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years? o Ct q-c‘ch-o
Type of Offense Where When
7. Have you been convicted of any traffic offenses in the last five years? 5 0 e dy'e 5
Type of offens r Where hen
5 C.e4 ( t'�G VIA r i -F -i 2 2 7 '20 1 3
8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 0 0
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)
no
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)
deriltaxidrivbadg 03/2013
I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number
C7 3 Cr , ki-7a -7 . 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 -'1 • the provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front
of a Notary Public)
Oh , A -44 'j IZ
Signature of Applicant / Date I J
STATE OF IOWA )
COUNTY OF JOHNSON )
Subscribed and sworn to before me by i")..i c_� C� i i,A-6-t,1 t . On this 1 g--0L- day of
P(. is-ck, .
4.9-141fF WENDY S.MAYER Not Publicme �Cin� for
�
0 7 fnmmiss!on Numt)ef 7_9425 ry
• My Comm!ss!on Expues
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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).
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Signae of Pol;.e v hief or designee Date
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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.
Signatur. of City rk or designee bate
Taxi cab businesses are quired 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
derkttaxidnvbadgeapp2070 doc 03/2013
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SMARTER I SIMPLER I CUSTOMER DRIVEN .pow dotov
Office of Driver Services
PO Box 9204 I Des Moines,IA 50306-9204
Phone:515-244-9124 1800-532-1121 I FaX:515-239-1837
www_iowadof-gov
Certified Abstract of Driving Record
Inquiry Date: 3/12/2014 DL/ID #: 083CC4727 (IA) Customer#: 1074835
Name: Junttila, Bruce George Class: C ID Status: None
Address: 724 19TH ST SE Audit#: 5165856 DL Status: VAL
Issue Date: 04/19/2011 CDL Status: None
City/State: CEDAR RAPIDS,IA Expiration Date: 04/21/2016 CDL Cert Status: None
524032743
Endorsements: NONE CDL Med Status: None
Mailing Address: 724 19TH ST SE Restrictions: NONE Restriction None
Date of Birth: 4/21/1963 Supplement:
Mailing City/State: CEDAR RAPIDS,IA Sex: M
524032743
History Information
Convictions
Citation Date Conviction Date ACD Explanation County JUR
04/14/2005 03/0_9/2006 A20 Deferred Judgment OWI _ 'Linn _ _-IA /
12/01/2012 102/22/2013 ,592 (Speed !Johnson IA g
Operating While Intoxicated Test Refusal/Test Failure Violations
Occurrence ACD Explanation JUR
04/14/2005 A98 !OWI Test Failure ;IA 1
Sanctions
Type Effective End ACD Explanation Occurrence JUR JUR
Revoked 08/26/2005 02/22/2006 1A98 OWI Test Failure IA W _ jIA i
Name:Junttila, Bruce George DL/ID: 083CC4727
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:
Rik] 3/12/2014
IOWA *0 or
' D. O.T.
y,�4y`f TC— Iowa Department eofiTransportation
' Jan: 27. 2014111 : 17AM CDiv of `Criminal �Investigation NNo. 7698 PP. � 2/5
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° ` STATE OF IOWA e `
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nca , V `r :; ',.:,,-,
id 7 i,. Criminal HistoryRecord Check
RequestForn!\11ov ;li
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BCE Account Number: YOne/ 1—P
(tt.pplloebic)
Tot Xowa blvisloll orCriminal Investigation From; City of Iowa City
Support Operations Bureau,li"Floor City Clerk's Office
215 E.7th Street 410 k Washington Slveet
Des Moines,Iowa 50319
(515)725-6066 Iowa City, IA 52240
(515)725-6080 Fax
'Phone: 319-356.5041
Fax: 319-3564497
•
I am requesting an Iowa criminalXlistoryRecord Check on:
Last Name(mmdatory) First Name(mandetoty) Middle Name(rocomntutdcS)
Date of Birth(mandeloty) Gender emendatory) Social Security Number(recommended)
q z► i (0.3 -rni ®Fvmsle �{- 79 s g- �a 6
Waever „formation:Without a signed 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 inibrmatloh,as allowed bylaw,always
obtain a waiver signature from the subject of the request.
Waiver Release:iherebygive pemrlselonfortheabove requesting official loco . et an Tows orintinalhistory record check witstheDivhlonofCrimiinal
investigation(DCI). Any criminal history data cope gmo that ismainlal ed to ih. I ay beaeleas••a,allowed bylaw.
Waiver Signature: Atm_ IP*0 US& �`,(
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•
Xowa Criminal History jecord Chet; Result§ (DC!use only)
As of -2. 1-I ;<;
1 I , a search of the provided name and date of birth revealed: �'
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Ci No Iowa Criminal History Record found with DCI 7 ; .T
ik Iowa Criminal TIistoryRecord attached,DCI# 3k(42.149 z f„ b
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DCI initials
Received Time�Jan. 21. )2014 11 : 12AM No. 1016 �`
Jan: 27. 2014 11 : 17AM Div of Criminal Investigation No. 7698 P. 3/5
IOWA CRIMINAL HISTORY DCI 00314849
MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 3
DATE PRINTED-
2014/01/27
DCI:00314849
•
NAME: JUNTILLA,BRUCE GEORGE
JUNTTILA,BRUCE GEORGE
DOB SEX RAC HOT WGT EYE HAIR SRN POB
19630421 M W 601 300 BLV BRO MED IA
ADDITIONAL IDENTIFIERS
CCH RECORD +t•
01 ARRESTED 19840211
AGENCY: IAOS20200 IOWA CITY PD
CHARGE NO- 01 IA STATUTE IA123-46
PUBLIC INTOX
TRIO: L25499201
CHARGE NO- 02
URINATING IN PUBLIC
TRIO: L25499202
•
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO D1ST COURT
COUNT NO- 01 IA STATUTE, IA123-46
PUBLIC INTOX
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L25499201
SENTENCE DISP EFF DAT
PLEAD GUILTY S DOLL COSTS 19840416
FINE $55 19840416
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 02
URINATING IN PUBLIC•
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L25499202
SENTENCE DISP EFF DAT
PLEAD GUILTY 8 DOLL COSTS 19840416
FINE $17 198404/6
02 ARRESTED 19851123
AGENCY: IA0520200 IOWA CITY PD
CHARGE NO- 01 IA STATUTE IA123-46
PUBLIC INTOX
TRK#: L25499301
CHARGE NO- 02 IA STATUTE IA719-1
INTERFERE W/ACTS
TRK#: L25499302
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTE IA123-46
PUBLIC INTOX
CHARGE CLASS: MISDEMEANOR CONVICTION
Jan•. 27. 2014 11 : 17AM Div of Criminal Investigation No. 7698 P. 4/5
DCI 00314049
PAGE 2 OF 3
TRK#: L25499301
SENTENCE DISP EFF DAT
PLEAD GUILTY 20 DOLL COSTS, PAID SURCHG 19860213
FINE $100 19860213
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 02 IA STATUTE IA719-1
INTERFERE W/OFF ACTS
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L25499302
SENTENCE DISP EFF DAT
PLEAD GUILTY 20 DOLL COSTS, PAID SURCHG 19860213
FINE $100 19860213
03 ARRESTED 19900316
AGENCY: IA0570000 LINN CO SO
CHARGE NO- 01 IA STATUTE IA321J-2
OWI
TRK#: L25499401
COURT DISPOSITION
AGENCY: I24057015X LINN CO DIST COURT
COUNT NO- 01
PUB INTOX
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L25499401
SENTENCE DISP EFF DAT
PLEAD GUILTY PAID SURCHG 19900713
FINE $100 19900713
COURT COSTS 19900713
04 ARRESTED 19900712
AGENCY: IA0570100 CEDAR RAPIDS PD
CHARGE NO- 01 IA STATUTE IA713-3
BURGLARY 2ND
TRK#: L25499501
. COURT DISPOSITION
AGENCY: IA057015J LINN CO DIST COURT
COUNT NO- 01
CRIM TRESPASS
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L25499501
SENTENCE DISP EFF DAT
PLEAD GUILTY 19910131
JAIL 10 19910131
COURT DISPOSITION
AGENCY:
Jan. 27. 2014 11 : 17AM Div of Criminal Investigation No. 7698 P. 5/5
DCI 00314849
PAGE 3 OF 3
IA057015J LINN CO DIST COURT
COUNT NO- 02
INTOX
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L25499502
SENTENCE DISP EFF DAT
JAIL 1D 19910131
05 ARRESTED 20050414
AGENCY: IA0570100 CEDAR RAPIDS Pb
CHARGE NO- 01 IA STATUTE IA321J.2(2A)
OWI 1ST
TRK#: 503022801
COURT DISPOSITION
AGENCY: IA057015J LINN CO DIST COURT
COUNT NO- 01 IA STATUTE IA321J.2(A)
OPER VEH WH INT (OWI) / 1ST OFF
COURT CASE ID: 06571 OWCR061060
CHARGE CLASS: NON CONVICTION
TRK#: 503022801
DRUNK DRIVING SCHOOL
SUBSTANCE ABUSE EVALUATION
SENTENCE DISP EFF DAT
DEFERRED JUDGEMENT lY 20060310
PROBATION 1Y 20060310
COMMUNITY SERVICE 20H 20060310
DISCHARGED FROM • 20060929
DEFERRED JUDGEMENT
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 TS
BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD
COVERS THE SUBJECT OF YOUR INQUIRY.
DIVISION OF CRIMINAL INVESTIGATION
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