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HomeMy WebLinkAbout14-071 Authorization Number /9 - 7 I P 1 (Office Use Only) —Pw 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 L s C 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 ?v Q1 i C-• l\ 'L-3?c-- - `6t/V 6- C ill lice ,b H 1 '5 (9,A? . C -1.)>S7 -0( 4 C ( r y k6 U t ( 1 lit g 6. have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five '`Q-� i r1 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 !ow —1—) —) ************************************************************************************************************************************************ 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). filow ".ir-- Signae of Pol;.e v hief or designee Date i/tv 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 y xvvww0 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 4n... L1. LV11 1 1 V z ° ` STATE OF IOWA e ` f1 nca , V `r :; ',.:,,-, id 7 i,. Criminal HistoryRecord Check RequestForn!\11ov ;li Vs t 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& �`,( t v- d • 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: �' r c- z t wT, N Vr Ci No Iowa Criminal History Record found with DCI 7 ; .T ik Iowa Criminal TIistoryRecord attached,DCI# 3k(42.149 z f„ b r ._ 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 n