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Home My WebLink About14-001 Authorization Number / - - (Office Use Only) 4,7a Ares=Air 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 Mile t 1. Name . /2 . 7V/ ,1 _ )7i‘ 2. Mailing Address Po l3'x „La'te--4' 3. Telephone: Home Other:,3/ 9 5/2- ,02 4. Prior experience in transportation of passengers: spy",/ —(-4 C‘,kJ /q s / 7 Gc//ttP / 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? cite-' Type of offense � Where When PD 4e;e4 o / 1/ar,rbc6,y,� 1773 (' . ) / 9 9 S 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years?", 62 Type of Offense Where When 7. Have you been convicted of any traffic offenses in the last five years? U- (• Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? /". 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) f?� 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) derkitaxidrivbadg 03/2013 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number U ( f2' rvi `j . 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) i!Signature of Applicant / 'z; Date ttc, 01 .?d/ v STATE OF IOWA COUNTY OF JOHNSON ) Subscribed and sworn to before me by ‘CC\ter\` \ , \\1\(z-A ex-- . On this ►. c\ day of cry v nr� '.**,k0 . \_ otary l ublic in and for the State of Iowa -7tT, 11 ***********************************,************************************************************************************************************ 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). /- as -i1/ Sig ture of 'o 1e C 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. - I- . 3 -) Signature of 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 derWtaxidrivbadgeapp2010.doc 03/2013 Iowa Department of Transportation Office of Driver Services (Toll Free)800-532-1121 i • PO Box 9204,Des Manes,IA 50306-9204 -9124 FAX,515-239515-244-1837 Certified Abstract of Driving Record Inquiry Date: 1/2/2014 DL/ID #: 075AA0689 (IA) Customer#: 1683236 Name: Meier, Mark Allan Class: D ID Status: None Address: 1031 290TH ST Audit#: 3722832 DL Status: VAL Issue Date: 09/23/2009 CDL Status: None City/State: ATALISSA, IA Expiration 09/18/2014 CDL Cert None 527209641 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: PO BOX 132 Restrictions: NONE Restriction None Date of Birth: 9/18/1954 Supplement: Mailing City/State: ATALISSA, IA Sex: M 527200132 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 10/07/2012 11/05/2012 S92 Speed Johnson IA Accidents-Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 01/18/2009 500760 IA 03/12/2013 730061 IA Name: Meter, Mark Allan DL/ID: 075AA0689 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: v lafo ,010? !x/84, 1/2/2014 s�' IOWA '?° a itattera 1 :D. O. T. •e• hr,it,e, "Of aorOffice of Driver Services ORNtA,_= Iowa Department of Transportation Name: Meter, Mark Allan DL/ID: 075AA0689 Nov. 20. 2013 4: 27PM, Div of Criminal Investigation No. 5830 P. 1/3 Nov; e,4• [uli Y: LiHIVIlly( Jerk bl [yr 01 lona ll [y No. 4uy/ 1'. 7 rSTATEOF IOWA l �1', �; `r/Or -1VCriminal History Record Cheek .:?'(:::,:;t9 n.' 'n . .`- '4 Request Form 54 DCI Ac count Number 'JOL-0,2C (it applicable) To: IOWA Division of Criminal Investigation From: CITY OF IOWA CITY Support Operations Bureau,r'FIoor CITY CLERICS S MICR 215 E.1"Street 410 E NASHINGTON STREET Des Moines,Iowa 50319 (515)725-6066 Int . . (515)726.6060 Fax Phone: 319-3565041 Fax: 319-356-5497 I am requesting an Iowa Criminal Nistot Record Check on: Last Name (mandatory) First Namesmandatory) Middle Name(rccommeadea) e (r 4 /G%l ct ek 7. /a n Date of Birth(mandatory) vender(mandatory) Social Security Number(rccommemee) 9' r /7— C PMa1e ❑b'emale yr/ r ] Z. " 6 / ,6 Waiver X1j0)rati0n:Without a signed waiver from the subject of the request,a complete criminal history record may not be releasable,per Code of Town,Chapter 692.2.For complete criminal history record Information,as allowed by law,always obtain a waiver signature from the subject of the request, Waiver Release:I hereby give permission for the above requesting oftciat to conduct an Iowa criminal historyrecord check with the Nola Ion of Criminal Investigation(DCI). Any criminal history data concemingm -th. - • eined by the DClmaybe released a; , . edb WaiverStgnature:> . Iowa Criminal Bistor y Record Check Results (DCIusc only) As of " — 2-0 4 3 , a search of the provided name and date of birth revealed: 0 No Iowa Criminal History Record found with DCI 4 • • Iowa Criminal History Record attached,DCI# g ) l5 . LCI initials C in, Received Time7'Nov, 14. [Q013 9: 21AM No. 2138 Nov. 20. 2013 4: 27PM Div of Criminal Investigation No. 5830 P. 2/3 • , IOWA CRIMINAL HISTORY DCI 00169110 MISDEMEANOR CONVICTIONS ONLY PAGE 1 Off 2 DATE PRINTED- 2013/11/20 DCI:00189118 NAME: MEIER,MARK ALAN NEIER,MARK ALLEN DOB SEX RAC HOT MGT EYE HAIR SKN POB 19540910 M W 511 200 BRO BRO MED IA ADDITIONAL IDENTIFIERS GLASSES SC L KNEE SC R KNEE CON RECORD *** 01 ARRESTED 19730306 AGENCY: IA0820200 DAVENPORT PD CHARGE NO- 01 DELIVER MARIJUANA TRK#: L07626701 COURT DISPOSITION AGENCY: IA082015J SCOTT CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(3) CONTROLLED SUBSTANCE / POSSESSION/MARIJUANA - 1993 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L07626701 SENTENCE DISP EFF DAT SUSPENDED JAIL 6M 19731030 PROBATION 19731030 02 ARRESTED 19910507 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK#: L07626001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2 OPER VEH WH INT Owl CHARGE CLASS: MISDEMEANOR CONVICTION TRIO: L07626801 SENTENCE DISP EFF DAT JAIL 2D 19910627 FINE $500 19910627 CREDIT W/TIME SERVED 7H 19910627 03 ARRESTED 19951111 AGENCY: 1A0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI 2ND OFFENSE TRK#: 022560101 COURT DISPOSITION Nov. 20. 2013 4: 27PM Div of Criminal Investigation No. 5830 P. 3/3 DCI 00109115 PAGE 2 OF 2 AGENCY: IA0520153 JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA3213.2(B) OPER VEH WH INT (OWI) / 2ND OFFENSE CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 022560101 SENTENCE DISP EFF DAT JAIL 7D 19960221 FINE $750 7.9960221 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 IS EASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUEJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION OC)