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HomeMy WebLinkAbout14-010 , Authorization Number I-f - 10 r 1 (Office Use Only) -Amon 110"" rica gra, U4VIII ti gtAmm all&I .""161116.. 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 Fir :..a• - Last b • 1. Name— �'= _:i►a-- c I�G `X14► i nTro, ��i i ► alIMILSIMIAIL 2. Mailing Address / r e 4 c) r 1 A e _ i 2 ,i► 3. Telephone: Home 3 I Cl '35 ( —26 / 6 Other: ` 4. Prior experience in transportation of passengers: ��. _ _ , _ c-J -2, C_ �1/ moi _ �c)� _ _ ,_3 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? /1/1 ) Type of offense Where When 6. Have you b, n convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? / k v Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? (V v Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? /C J 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 f6T, 1J 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) GerknaKldrlvbadg 03/2013 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number () , S S 6 -) . 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 th- rovisiors of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) 1Dat (/ Signature of Applica — ' _ f/ 'Y , 5-- 1 IP r fir — STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by ---TCi A1,Ps J Ar'Cl.tw`; . On this / �k day of )td-kw co (L 7 ,11/ . �� WENDY S.MAYER �," " • ' �� . 28 Notary Pu:li /n and for the Ate of Iowa t; .r -: �My Commission Expires `= low „..,1 n ***** ****,*****************.***,,t******:t**********************.****.******************************.*************************************** 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). �il � //S=/1/ Signa re of Poli•-- N ief 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. Si nat City Clerk 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 cleri taxidrivbadgeapp2010 doc 03/2013 Iowa Department of Transportation a+ Office of Driver Services (Toll Free)800-532-1121 PO Box 9284,Des Moines,IA 50306-9204 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 12/31/2013 DL/ID A: 043555374(IA) Customer S: 1639571 Name: Arthur,James Joseph Class: D ID Status: None Address: 527 MEADOW ST Audit x: 6476952 DL Status: VAL Issue Date: 11/16/2012 CDL Status: None City/State: IOWA CITY,IA 522455019 Expiration Date: 11/17/2017 CDL Cert Status: None Endorsements: 3 CDL Med Status: None Mailing Address: 527 MEADOW ST Restrictions: Corrective Lenses Restriction None Date of Birth: 11/17/1950 Supplement: Mailing City/State:IOWA CITY,IA 522455019 Sex: M History Information CLEAR DRIVING RECORD Name:Arthur,James Joseph DL/ID:043555374 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: .�a1t 't U E `' ?�'lOQ''• '••�•tDe�PIlfff 12/31/2013 IOW %tri :tr, v. 1. IS 014 040,041, Irlitt��'a g�0 of Diver Servces IoweaDepartment ofi iTransportation Name:Arthur,James Joseph DL/ID:043555374 . -r pct Io:No. 0651 P. I/31 . 0l,Jan..15:_ 201412 9., 19AM Div of Criminal Investigation I2r-• • STATE OF IOWA. < r , Criminal History Record Check - "" , Request Form DCI Aaemm►Number 3g3 PzL • Frim; l�VlaraSTaxi To: row+P„U°Operation.geresY.l°ettearotlon 1. 54t"ev.s �r soPPa �v 2ts F.7"Binet 00.4 t. A 5ayi 0 Dee Moines,IoW. 50319 0251 7s6065 r V( 338• V14(515)73560811 Fel Phone; r`3 • Parr. 31 II 551-11a-1 r,_ torn -,lleotin: an Iowa Crlminel film.' Reaped Check on: • Last Nome =Mew �S�rj rrlJ I�RTF( __ SAs M Deader minden Social Send Number mm, . Dale of Birth m.r� ) �2g-e, 6- /_L� g j a Qreppple (L �-- -•-- ramareOS wal yes Jrtformwflon:Without a elgeed waiver from the subject or the request,'complete criminal Watory record be rmineable,per Code of Iowa,Chapter 693.3.For WARM ottani history record Ietormattao,as allowed by law,etwaye obtain a*Oyer s :^ate retreat the Sub ectof her-•a: onlelil w eoaearlm Iowa Ambit(hinow cord chhwt't.h.M131ohlee ofcdrals1 Iorl for So rates . . , (. to mlroeeaudlsuadMLw. WaWe1101/P ) nYhamindve d.r `•., ;OM Is Sod fnvaapeon(Ddl•MY erumnJ lauwy � '+ .. t�.- - ---.- - -- • WalyerS&iI t�lr I o Crilmina—Histortr Record Cheek Its Ma use only) As of -/.5- U Li,a search of the provided name and dote of birth revealed: C7 c al el- MCD IP a rri Ell No Iowa Criminal History Record found with 15C � —J- 1 ki Iowa Criminal History Record attached,DCI N a g I Q 5r :6 Da initials 2:1r` D 4 DCI.77(08/25/10) • Received Time Jan. 13. 2014 11:50APM No. 6536 . - Jan. 15. 2014 9:20AM Div of Criminal Investigation No. 0657 P. 2/3 IOWA CRIMINAL HISTORY DCI 00192705 COURT DISPOSITION PENDING PAGE 1 OF 1 STATUS UNKNOWN DATE PRINTED- ' 2014/01/15 DCI:00192705 NAME: ARTHUR,JAMES JOSEPH DOE SEX RAC HOT WGT EYE . HAIR SRN POB 19501117 M W 511 190 HA2 BRO MED DC ADDITIONAL IDENTIFIERS CCH RECORD •** 01 ARRESTED 19951014 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124-401 POSSESSION SCHEDULE I TRK#: 007761701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 POSSESSION SCHEDULE I / MARIJUANA TRK#: 007761701 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19960208 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 Or 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