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Home My WebLink About19-021CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 3S6-5040 (319) 356-5497 FAX Last 1. Name (REQUIRED) 2. Address (REQUIRED IDENTIFICATION NO. f C� � O „Z r (Office Use Only) APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday— Friday) Failure to complete the "required" information will result in denial of the application First Middle 3. Contact Information (REQUIRED) Email: c 'nn k<t-a` riy��. C Lr✓1 Cell Phone: 317-160-667,57 (AII written comm i tion sent via email) 4a. Driver's License expiration date (REQUIRED) _ b. Taxicab Business Name (REQUIRED) Yr llo 5. Prior experience in transportation of passengers: -,23- 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When 6A VT Z. �yy- t5M What happened to the charge? (Circle one) victed Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offense Where When -jo16 What happened to the charge? (Circle one) Convicted ismissed Deferred Suspender-f'Iead.JJty---Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? ND Type of offense Where When 9. Have you ever applied to bean Iowa City taxi driver using a different name? If yes, please provide the name(s) AND 04/2018 1 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 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). I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number ''O%q 3!, issued on 4,/expiring on 5--2, 1 `j S��/. 1 understand that if I falsely answer any duestions in this application, that this appical tion may 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 authorization to be a taxicab driver 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 -3 -1 c( -XP? MAR 1 91019 111f1iY14HHfH1H1HHfiO`IifYfHlffyyYY}H11H11H1111f 1f H1HfY-FlR11f14#11f YkI STATE OF IOWA ) COUNTY OF JOHNSON ) pp Subscribed and s,%orn to before me by \G � ! on this I-1+� day of the State of Iowa I have reviewed this application, DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Dflv license Signature of Police Chief or designee C)3-7�-rq Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. of City Clerk or Office Use Only Approved application DCI report State certified driving record Website update 3 1��\ , Dat rA@ nAXIDRIVBADGenPPLe201ea.de .DOC 04/2018 03&r_ 13_ 2019 j- - DCI IOWA J<urSTATE OF • , CeXtuilaa.1 HIStOrY Record �0 �y^Request Porm To; XOw4 D"lon of Criminal Invet.g■tion Support Operations BUreau, I" $joor 21S E. 7'" Sirdet Des Molner, Iowa 50319 , (515) 725-6odd (515) 7256080. Pax "a A . rt. a3-s� rraiver,(11JormaiJon: 'Without 4 signed be releasable, per Code of Iowa, Chapwr i ffAX)31933e2N°_ 9952 P. 1/3002 , I)CX Account Number: 9967-P ' ( (if applicahi/) Promt Yellow Cab ofYowa Ci ..W. z;ox 4z0 i Iowa City, IA. 52244 (319) 338-9777 --- Phone: Fax: ' (319) 339-7502 Middle Vaal I.91VIaIe .0�'emale I11{ 7 � 8ta !oC) � ar from the aubJeet of the regpest, a dam Plate criminal history rticorii manot Pot te acriminal hlstory.recorit in(ortnaiion, ai allowed h� lacy, y e Always r arr, a . WQLY8r AeleaSe; I hamhy Bove ptrin(ssioe for [h lnvenigedon(DOO. My criminal histo da[a eon 4;+bove requestin6 offiriel to conduct an tows criminal bimq,nco,y chock with the Divhlop of Criminal ry earglQg me. that is maintaincd by the DCI may be teleaaad a aaowcd by law. W¢fYet.5lgt<gttrre: As of a search of the provided name and dale of birth revealed: Q No Iowa Crilriitial history R600rd found with DCI — Iowa Criminal 119ory record attached,'DCI # DCI ii3i4als C li DCT -77 (08125/10)... • „ Received Time Mar, 8, 2019 5:63AKINo, 8854 DIV (DCII uce only NTE OF IOWA/DPS MAR 0 8 2019 CRIMIN4LINVEST I I Mar. 13. 2019 3: 29 PM DCI IOWA IOWA CRIMINAL HISTORY DCI 00264890 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- DCI:00264890 2019/03/13 NAME: MEYER,BRIAN JOSEPH DOB SEX RAC HGT WGT EYE HAIR SKN POB 19590523 M W 600 160 BLU BRO LGT IA ADDITIONAL IDENTIFIERS CCH RECORD +++ 01 ARRESTED/TAKEN INTO CUSTODY 19000418 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-281 UNVUI TRK#: L17978501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-281 OMVUI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17978501 SENTENCE DISP EFF DAT JAIL 2D 19800625 FINE $S00 19800625 02 ARRESTED/TAKEN INTO CUSTODY 19010124 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-A32 DRIVE UNDER BUSP TRK#: L17970601 COURT DISPOSITION AGENCY: 1AD52015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-A32 DRIVE UNDER BUSP TRK#: L17979601 SENTENCE DISP EFF DAT PLEAD GUILTY 19810227 FINE $150 19810227 03 ARRESTED/TAKEN INTO CUSTODY 19871107 AGENCY: IADE20100 CORALVILLE PD CHARGE NO- O1 IA STATUTE IA204-401 POSS SCH I MARIJ TRK#: L17978701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA204-401 POSS OCH I MARIJ CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17979701 SENTENCE DISP EFF DAT FINE $150 19871124 No. 9952 P. 2/3 Mar.13.2019 3:29PM DCI IOWA No. 9952 P. 3/3 DCI 00264090 PAGE 2 OF 2 An arrest without disposition ie 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. This response can only include public criminal history data. Under Iowa law, most juvenile records are confidential. Confidential juvenile court records, if any, cannot be included in this response. A signed release authorization is not sufficient to obtain this information from the Division of Criminal Investigation. In order to request the release of confidential juvenile records, if any, an application must be filed pursuant to Iowa Code section 232.147(18). Additionally, criminal history data concerning convictions for certain juvenile sex offenses can be found on the Iowa Sex Offender Registry: http://www.iowasexoffender.com/ . However, even though some information is available on this site, the actual records for juveniles may @till be confidential and any confidential juvenile records cannot be provided with this record. In order, to request the release of confidential juvenile records, if any, an application must be filed pursuant to Iowa Code section 232,147(18), 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 C� i T www.i()wadot.gov SMARTER I SIMPLER I CUSTOMER DRIVEN Driver & itim ication services PD fax 92041 Des Moines. IA 503D&M Phone, 51&254-9124 I Fax -515-239-1837 Certified Abstract of Driving Record Inquiry Date: 3/8/2019 DL/ID #: 059AA1934 (IA) Customer #: 1131912 Name: Meyer, Brian Joseph Class: B ID Status: None Address: 16 METRIC RD Audit #: 8183806 DL Status: VAL Issue Date: 06/20/2014 CDL Status: VAL City/State: IOWA CITY, IA Expiration Date: 05/23/2019 CDL Cert Status: Excepted Intrastate 522403002 Endorsements: Motorcycle CDL Med Status: None Mailing Address: 16 METRIC RD Restrictions: NONE Restriction Supplement: None Date of Birth: 05/23/1959 Mailing IOWA CITY, IA Sex: M City/State: 522403002 History Information Convictions Citation Date Conviction Date ACD 1:: 111 lanation Count 3UR 01/26/2016 02/09 2016 M34 Followin Too Close Johnson IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Name: Meyer, Brian Joseph DL/ID: 059AA1934 Pursuant to Iowa Code 4321.10, I, Darcy Doty, Director of Driver & Identification Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records held by Driver & Identification 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: