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Home My WebLink About19-027CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 356-SO40 (319) 356-5497 FAX Last 1. Name (REQUIRED) IDENTIFICATION NO.L —T-7)oZ� (Office Use Only) MAR 2 APPLICAT ON FbR�TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday) :C""';- Failure to complete 4he "ieduired" information will result in denial of the application First Middle 2. Address (REQUIRED) 3. Contact Information (R 4a. Driver's License expiration date (REQ( b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of pa 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended lead Guilty ".Other 7. Have you been arrested / charged with any traffic offenses in the last five years? V if S Type of offense Where When / What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspendedlead Guil Other 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) (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 04/2018 4 OV APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 TMENT OF INAL NVESTIGATION DRIVINGRECORD MUSTAACCOIMPANY THIS APPLICATION FOFIED R POLICE CHIEF RI TE EVIEW 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 __ l f� �} 15 3 !� issued on _3 ��% expiring on y,�ti �0/tel . I understand that iF I falsely answer any questions in this application, that this application 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 STATE OF IOWA ) COUNTY OF JOHNSON ) and g to before me by C`j Q f��e on this V1�5' day of in aril for tWState of 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 Driydr'secnse 7 Signature of o ice Chief or designee os -z3 -Z 7 c 3 - Z °1--1I 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 Office Use Only Approved application DCI report State certified driving record Website update --,�-;:0 - (Q Date dery✓rAXIMIVBADCEAPPL9201eenienaea.DDC 04/2018 410WADOT SMARTER I SIMPLER I (USTOMER DRIVEN VWVW.IOW8ti0L SOV Orrtlar a Identification Services PO Box 92041 DeskMmm iA 5030&92U Plane 5 15247-9 7 21 I Fax 515239-1837 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 None Supplement: Date of Birth: 05/23/1959 Maillnp IOWA CITY, IA Sex: M clty/State: 522403002 History Information MAR 2 g Y019 Convictions CitY Clerk Iowa City, lower Citation Date Conviction Data ACD I Explanation iCountv JUR 10112612016 102109/2016 M34 I Following Too Close I Johnson In Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 101/2612016 903780 IIA Name: Meyer, Brian Joseph DL/ID: 059AA1934 pursuant to Iowa Code §321.10, 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: Name: Meyer, Brian Joseph DL/ID: 059AA1934 3/8/2019 Driver & Identification Services Iowa Department of Transporation MAR 2 9 1019 CitY Clerk Iowa City, Iowa 03/M2r_ 13. 2019;-�3:29PM Cab DCI IOWA ffu03193382No.9952 P. 1/3J002 STATE OF IOWA CeAx"aal $istory Record Copeck. Request form Tor Iowa Division of Criminal Invesi gatloh Support operations Bureau, V' door 7'" Street Des Molnes, Iowa $0319 (515) 725-60d6 (515) 775.6080. Fax am Mal r_.._ Date . be releaseleasae'irvrrrtarlorfr without It signed ble, par Code of Iowa, Chapter t I DCT Account Number; 19967-F rlraooheeGle) Prormr Xellow Cab ofrowa Ci ty Pb- Bort 428 Iowa City, TA, 52244 (319) 338-9777 Phone: Fax: (319) 339--73-02--- L Baia lF'emale gosaP 7� er from the auNact of the regpast,'a complete criminal history rEcord may not Potate crlmlaat history record information, as allowed b� )sa,, AjKyys e r ueat, nivel' (D(:D. C; l h ntfn give part, dMioe for tha,,.above mpocsting official to cnndoct an town criminal hiMory record check with ]nvestigerion (DC7). Any eriminol history oats ameeming me Nat is taaintained by the DL7 may be tilatmin as anewcd by d w.c the Div{afpn Waiver Signatroe: �1��y� i 4WI of 3-'' 1 + a search of the provided name and date of birth revealed: 0 No Iowa Criminal history Record found with DCI " Iowa Criminal History record attached, DCI # v DCI initials C G DCI -77 (0815/10) Received Time Mar, 8. 2019 5:03AK, No. 8854 Div of cew"al (DCII nae only) NTE OF IOWA/DPS MAR 0 8 2019 = CRIMINAL INVE=ST i Mar.13.2019 3:29PM DCI IOWA No. 9952 P. 2/3 DCI;00264990 NAME; MEYER,BRIAN JOSEPH DOB SEX RAC 19590523 M W ADDITIONAL IDENTIFIERS IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY DCI 00264890 PAGE 1 OF 2 DATE PRINTED - 2019/03/13 HGT WGT EYE HAIR SKN POB 600 160 BLU BRO LOT IA CCH RECORD *** O1 ARRESTED/TAKEN INTO CUSTODY 19000418 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-201 OMVUI 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 $500 19800625 02 ARRESTED/TAKEN INTO CUSTODY 19810124 AGENCY; IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-A32 DRIVE UNDER BUSP TRK#: L17978601 COURT DISPOSITION AGENCY: IADS2015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-A32 DRIVE UNDER BUSP TRK#: 1,17978601 SENTENCE DISP EFF DAT PLEAD GUILTY 19810227 FINE $150 19010227 03 ARRESTED/TAKEN INTO CUSTODY 19871107 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA204-401 POSE SCH I MARIJ TRK#: L17976701 COURT DISPOSITION AGENCY; IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE; IA204-401 POSE SCH I MARIJ MAR2�1019 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17978701 City Cie SENTENCE FINE DISP EFF DAT IOU/� Cit., $150 19871124 mar.13.2019 3:29PM DCI IOWA No. 9952 P. 3/3 DCI 00264890 PAGE 2 OF 2 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 co non -law enforcement agencies by the DCT. 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 is not sufficient to obtain , A signed release authorization 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 to available on this site, the actual records for Juveniles may still be confidential and any confidential Juvenile records cannot be provided with this record. In order to request the release of confidential juvenile section 232,14)(18)8). records, if any, application must be filed pursuant to Iowa Code 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 r i' MAO 2 9 7019 C c�