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Home My WebLink About14-023 •► Authorization Number / -023 � r t (Office Use Only) AIMPMININ CIL Ark III %I INS=I gifir 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 Middle :illi/1-6-e-11 �( e-11 Last 1--Name (.1 --- / 2. Mailing Address ,�ZUp- /9 �T �� /¢/J� E 32'T re ‘/ -p/c1/5--- 1 �-zyd 3. Telephone: Home a/ / • 3 -' 3/ 0 Other: � 4. Prior experience in transportation of passengers: 3 t il''S t Yrbrt c 41411/� C�k 4'c Q t , KS /-d re/ 1 u 7,/e_ tl 6 i-7 S, 5-CI i/ S 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offenseWhere When d �x uv-e Cb-4 r its /4 ._ -z3 - /9 '7 Z_ 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? n( 0 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? NC, Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? A 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) ✓�i G� 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) 03/2013 r I hereby certify that ihave i sue t e 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) Signature of Applicant Date 34 larxi s2 (5 ( ************************************************************************************************************************************************ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by j e,<., v Sp ; +� . On this ,C-ELL_ day of Notary Public in Rd for State Ipwa`— S � WENDYb.MATC.R i . Commission Number 729428 My_commission Expires ******* i1 i*** ,r�r.7, .u.t ******t************************************************lknit***********************************itieft************* 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). dif ____ - . /4 1/// - ignatu olice Chief 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. 1 CC�.Gft/N/ `K , ._71i1// t , .- I f igna e of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 '/2" (width)and 5 Y2" (height)and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update derkitaxidrivbadgeapp2O1O.doc 03/2013 uec. [J. al) [MUNI uIV 01 Idirnindl invesrigaLion 111.). 7100 r. v[ Page i ui l 1 - Submitted 2013-12-I815:52:15,900 mit.�� IOWA RECORD CHECK REQUEST • Ss" , FORM 5 k„4au;-t • ACCOUNT NUMBER;9861-F To; Iowa Division of Criminal CITY CLERK - CITY OF Investigation From: CEDAR.RAPIDS Bureau of Identification - 101 First Street SE • 215 E.7th Street CEDAR RAPIDS , IA 52401 Des Moines , IA 50319 (515)725-6066 Phone 319-286-5272 (515)725-6080 (fax) • Fax 319-286-5130 • Contact Preference:F • • • R]QUEST (* indicates a required field) I am requesting an rQyyA CRIMINAL HISTORY record check on: ' SRITER JOSEPH YIN&ENT. Last name* First name* Middle name • Maiden/Other Last name Volunteer 2/9/1947 IVI 296382659 Date of Birth* Gender* Social Security number* • (DCI use only) RESULTS - • • As of 12/23/2013 12:40:51 PM,a name and date of birth check revealed: CCH Record Attached X DCI# 00181604 No CMRecord Found • DCT initials Waiver on File,_ I hereby give permission for the above requesting official to conduct an Iowa criminal history record check with the Division of Criminal Investigation.Any information maintained by the DCI may be released as allowed by law. • • Received Time Dec. 23. 2013 2: 13PM No. 3673 httns://wehanns.inwa.vov/sinrradmin/FaxReauest-asnx 12/23/2013 Vet.. LJ. CVIJ L, IUIIII vlv UI jIIIIIIUaI IlIYC LIoal1UII HU. IVU I . L/ L IOWA CRIMINAL HISTORY DCI 00161604 • MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 • DATE PRINTED- - 2013/12/23 DCI:00181604 NAME: SEITSR,JOSEPH VINCENT DOE SEX RAC MGT - WGT EYE HAIR SRN POB 19470209 H W 510 187 . .BLU BRO • ADDITIONAL IDENTIFIERS CCH RECORD '** 01 ARRESTED 19720423 • AGENCY: IA0070100 CEDAR FALLS PD CHARGE NO— 01 • INDECENT EXPOSURE TRIO: Z13697801 COURT DISPOSITION AGENCY: COUNT NO— 01 . DISTURBING THE PEACE CHARGE CLASS: MISDEMEANOR CONVICTION TRT(#: 213697801 SENTENCE DISP EFF DAT SUSPENDED JAIL 30D ' 19720821 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATIiI/ S A PUBLIC RECORD EUT CAN ONLY BE RELEASED TO NON—LAW ENFORCEMENT 16' IES 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 • Received Time Dec. 23. 2013 2: 13PM No. 3673 1« Iowa Department of Transportation Office of Driver Services (Toll Free)800-532-1121 PO Box 9204,Dos Moines,IA 50306-9204 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 12/17/2013 DL/ID#: 901880938 (IA) Customer#: 5119644 Name: Seiter,Joseph Vincent Class: D ID Status: None Address: 220 19TH ST NE APT E324 Audit#: 4333050 DL Status: VAL Issue Date: 05/07/2010 CDL Status: None City/State: CEDAR RAPIDS,IA Expiration Date: 02/09/2015 CDL Cert Status: None 524025483 Endorsements: 3 CDL Med Status: None Mailing Address: 220 19TH ST NE APT E324 Restrictions: NONE Restriction None Date of Birth: 2/9/1947 Supplement: Mailing City/State: CEDAR RAPIDS, IA Sex: M 524025483 History Information CLEAR DRIVING RECORD Name:Seiter,Joseph Vincent DL/ID: 901660938 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: = AEHICif p�Giy =$t. (p y 12/17/2013 4 IOWA,hS o: oy is‘ n, • lI'',pf jig Iowa Department ofDivTransportation Services nsportation Name: Seiter,Joseph Vincent DL/ID: 901880938