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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
Fir :..a• - Last b
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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)� _ _
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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)
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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
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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
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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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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:
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?�'lOQ''• '••�•tDe�PIlfff 12/31/2013
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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-•
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STATE OF IOWA.
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Criminal History Record Check -
"" , Request Form
DCI Aaemm►Number 3g3 PzL
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Dee Moines,IoW. 50319
0251 7s6065 r V( 338• V14(515)73560811 Fel Phone; r`3
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torn -,lleotin: an Iowa Crlminel film.' Reaped Check on: •
Last Nome =Mew �S�rj rrlJ
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Deader minden Social Send Number mm, .
Dale of Birth m.r� ) �2g-e, 6-
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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.
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As of -/.5- U Li,a search of the provided name and dote of birth revealed:
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ki Iowa Criminal History Record attached,DCI N a g I
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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