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Home My WebLink About19-038N � r CITY F IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319)356-5040 (319) 356-5497 FAX Last / 1. Name (REQUIRED) 2. Address (REQUIRED) _ IDENTIFICATION NO. ria_ Office Use Only) APR 2 6 1019 APPLWkOkLTR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police D98 _ r, e w 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 TZ First I'D L/ Middle L- TO eN 3. Contact Information (REQUIRED) Email: j_j4A4.-{ Z- 300& 9Mcx I t , Co"N Cell Phone: -51 ' S-4 ! 7SZ!;;- (All S(All written communication sent via email) 4a. Driver's License expiration date (REQUIRED) / 1 " 16- 2026 b. Taxicab Business Name (REQUIRED) 17 ( 61 -7—C 4 5. Prior experience in transportation of passengers: I lls Is Niy loth *A -r- n)z IvING ra rs (N .-raw4 elrl Z, L I M O E, F— 'Go (z MMZ12f go—rT- 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Type ofoffense Where When .M(f OC-MEA-Nar2 - Sw Ayj0 Cop AL v lL LL 42T2 0 W,T- s Li,„ C, T—C, TCso t q/ 9y What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guil^tyI Other 7. Have you been arrested/ charged with any traffic offenses in the last five years? 1 v 0 Type of offense Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? 0 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 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE eE1tTIFIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FORAF§)ICE CHIEF REVIEW 6b Z019 You must apply for an individual Department of Criminal Investigation Report 4 f? gvailable upon request). `''rk iowa City, Iowa Iereby certify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number 7�t Pl I R e I issued on I1-7 l -zo 14expiring on I I / 6 -zO L o . 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 PiQvisions of Title 5, Chapter?, of th9 City Code. (Needs to be signed in front of a Notary Public) Signature of STATE OF IOWA ) COUNTY OF JOHNSON ) Date - 2 Subscribed and sworro,� to before me by :�GU�'rJ/ d�• a Z. 19.,r on this _ day of 1 ;l,")1c.? 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 riv 'cense Sigpa ure of Police Chief or designee 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. ofCity Clerk or Office Use Only Approved application DCI report State certified driving record Website update <A-z'w at Clea(Tn IDRNSADGPAPPLe201ea�.DOC 04/2018 , Al AVAi� QJ10WAD0TFILED �R2 61019 www.lowadoi~g� SMARTER I SIMPLER I CUSTOMER DRIVEN C lo,k Dlly/ra Iowa PO Bou 92011 Des Alolrets IA 50J06 Rhone 51544491241 Fax 515-2W1837 CLEAR DRIVING RECORD Name: Metzler, David Milton DL/ID: 075AA1861 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: Name: Metzler, David Milton DL/ID: 075AA1861 4/23/2019 C� Driver & Identification Services Iowa Department of Transporation Certified Abstract of Driving Record Inquiry Date: 4/23/2019 DL/ID #: 075AA1861(IA) Customer #: 1984143 Name: Metzler, David Class: D ID Status: None Milton Address: 310 N GEORGE ST Audit #: 8637174 DL Status: VAL Issue Date: 11/21/2014 CDL Status: None City/State: NORTH LIBERTY, IA Expiration Date: 11/16/2020 CDL Cert Status: None 523179671 Endorsements: Chauffeur 3 CDL Med Status: None Mailing Address: 310 N GEORGE ST Restrictions: Corrective Lenses Restriction None Supplement: Date of Birth: 11/16/1958 Mailing NORTH LIBERTY, IA Sex: M City/State: 523179671 History Information CLEAR DRIVING RECORD Name: Metzler, David Milton DL/ID: 075AA1861 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: Name: Metzler, David Milton DL/ID: 075AA1861 4/23/2019 C� Driver & Identification Services Iowa Department of Transporation State of Iowa Division of Criminal Investigation 215 E. Ta Street Des Moines, Iowa 50319 Phone: 515.725.6066 Fax: 515.725.6080 Iowa Criminal History �' � E U Record Check Walk -In Request Your name: I AVit> 1 L d AJL Z L Address: M I Q lay F_ ST.Ic City/State/Zip: LI a E 2 5 - Phone Number: 1 Ol .3 21 Z Requesting an Iowa record check ore APR 2 6 Jag City Clerk wa City 1(?wa Fill in all shaded areas. Last Name Apellido (man�ddrauryo) FirName (mandatory) Miiddllle NameSegundo Nombre (recom mended) ��L LGf� /PrimerNombre T-mevst stI/) I> M)L_—TO I%J Date of Birth Fechu N amiewo (mandatory) Gender Genero (mandatory) Social Security Number (recommended) 19S 8 Male ❑ Female 483=14-g�j Release Authorization: without a signed release from the subject of the request, a complete criminal history record may not be releasable, per Code of Iowa, Chapter 692.2. For complete criminal history record information, as allowed by law, obtain a signed release from the subject of the request. I hereby authorize an Iowa criminal history record check on myself with the Division of Criminal Investigation (DCI). Any criminal history data conceming me that is maintained by the DCI maybe released as allowed bylaw. I understand this can include information concerning completed deferred judgements and arrests without dispositions. 'This form (D -83) is the only approved release authorization form for this purpose.* Release Authorization Signa a,,,,,, Results * ton . / Q)(1 USE ONIY `a,.,"` o As of ') a name and date of birth check 1 v4�led� '• � O v „ a + hs a 075 ': ❑ No record found d to• R S o „ �S�,r Record attached, DCI # 'Lf �$ •��••., Go _ v •�••P� o �l� y DCI initials *"N...a,,nsmwt^�` �, Receipt Number of requests �_ $15.00 last x per name = Total amount $ Method of payment: cash money order check # MasterCard or Visa Cardholder's name (Last 4 digits) DCI initials DCI -83 (01/09/19) IOWA CRIMINAL HISTORY DCI 00312314 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 3 DATE PRINTED- DCI:00312314 2019/04/18 NAME: METZLER,DAVE METZLER,DAVID MILTON DOB SEX RAC HGT i WGT EYE HAIR SKN POB 19581116 M W 600 150 HAZ SDY MED IA ADDITIONAL IDENTIFIERS CCH RECORD *** O1 ARRESTED/TAKEN INTO CUSTODY 19831126 AGENCY: IA0570000 LINN CO SO CHARGE NO- 01 IA STATUTE IA321-281 OPER WHILE INTOX TRK#: L25116101 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-281 OMVUI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25116101 SENTENCE FINE $300 PROBATION 6HRS CRED-PROB TIL 020885 SUSPENDED 2D CREDIT W/TIME SERVED 02 ARRESTED/TAKEN INTO CUSTODY 19890405 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 ONI 2ND TRK#: L25116201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J-2 OWI 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25116201 SENTENCE JAIL IOD CREDIT 7 HRS/PAY SURCHG FINE $750 03 ARRESTED/TAKEN INTO CUSTODY 19940807 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI 2ND TRK#: 006445901 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO --01 IA STATUTE: IA321J-2 DISP EFF DAT 19831126 19831126 19831126 19831126 DISP EFF DAT 19890628 19890628 FILED APR 2 6 1019 Iowa Cit, Clerk Y Iowa i OWI 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 006445901 SENTENCE JAIL 15D FINE $750 PROBATION lY SUSPENDED 35D PAY SURCHG 04 ARRESTED/TAKEN INTO CUSTODY 19981125 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA709-4 SEXUAL ABUSE 3RD DEGREE TRK#: 032253001 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA 709-11 ASSLT W/INTENT COMMITT SEX ABUSE NO INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 032253001 RESTITUTION SENTENCE PLEAD GUILTY FINE $500 PROBATION 2Y SUSPENDED 2Y DCI 00312314 PAGE 2 OF 3 DISP EFF DAT 19940928 19940928 19940928 19940928 DISP EFF DAT 19990526 19990526 19990526 19990526 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. F/LE® APR 2 61919 City Clerk Iowa City, Iowa /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 still 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 FILED APR 2 6 2019 City Clerk Iowa City, Iowa vision ofe o S `` (O , !J/s. h'd c, � r !?4E`On Section W'm