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Home My WebLink About19-073VIII � �t 12 pn CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 356-5040 (319) 356-5497 FAX 1. Name (REQUIRED) 2. Address (REQUIRED) _ IDENTIFICATION NO. 19=T2 ::� -4 (OfficeUseT- -. ) I , APdLICA71l ' R TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday) _ _. 2019 GCT -7 AM It: 41 CITY CLLt\'r\ Last IN`17#/NCITY.�rst Middle �U.7y P/' JO+✓i rte' LIa SooS�St„/ 3. Contact Information (REQUIRED) Email L,)cXrr';r Pell Phone: Z14 (AII written communication sent via mail) r 4a. Driver's License expiration date (REQUIRED) 9-�2f - ln.3 b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of passengers: 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? ZZI S Where When 'S t What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offense What happened to the charge? (Circle one) Where When Convicted Dismissed Deferred Suspended Plead Guilty Other ✓fib 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Type of offense Where When Or 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 Page 2 APPLICATION FOR TAXICAB VEHICLE DRIVER DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIFIED p�- DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW_ IL ED You must apply for an individual Department of Criminal Investigation Report (fo Mable upon request). 'table -7 AMj1:47 I hereby certify that I have issued to me by the Iowa Department of Transportation al;d 1 �r�lv license number issued on expiring on 'r' 1 / r n y lerstand that if falsely answer any questions in this application, that this application may be denied. I agre— a that m8ki ;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 l� M Z Date STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by on this y day of C7�kaba�_ 202n. ArWA( ASHLEY AJAY-PLA , Notary Public i a &Mr the S*t4 of Iowa rows MY Commission Expires July --14,2020 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 Drivficepse U 2 Z Signa, olice 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. 1919 Office Use Only Approved application DCI report State certified driving record Website update )0--7-I1� Date CIeA MIDRIVBADGE WL92018emen .MC 04/2018 eo.1h.2U19 11:OOAM DCI IOWA 09/iarcvia voao rrnvwCnb QW03193382Nw' 1122 P'r.41021002 J. STATE `, r • � � Qr)".1nixtalHistory 111 .1 rlis f '1 1 11 CITY CLERK i'!%'yrt To: Iowa Dlvblon of Criminal Investigation Support Operations Bureau, I" ),door 215 N. 7'h Street Dos Moln es, Iowa 50319 (515)72'5-6066 (515) 725-6080 Fax am requesting ext Gast Name 1m of DCI Account Number: _9967-F - (t(applloable) Frotat X011ow Cab of Iowa City k.0, Box 428 Iowa City, IA• 52244 Phone: (31 '7 31�j Fax: (319 " -7902 Iq� 35`1 yly 1 •omale ❑Rtemale '{ 9.z '--IB - 01I ZS rr atver injormarlon: without a signed Waiver from the subject of the regpest, a oomplgta 47riminal history record ay not m be releasable, per Code oflowa, Chapter 692 m.2. For edlate erlminal histo obWln a waiver al nature from the sub eethh'of the r uest r1, record Information, aA allowed by Jaw, always Waiver )Zcleasc:l h=by glvepermttsloo fnrth[,,above requemIna otaoltl to conduct w inwa oruninal historyrmord ohmk with thc Division otCrim'ural Invesueation (DCI). Any criminal hisrory day oencaming mo that is rnslnuihod by ffie DM may be roleeeed A; .'i owoii by law, Waiver Sl nature; 7''�� ` A s of �� 4 searo�; of the provided'na= and date of birth revealediti` No Iowa Criminal History Record found with DCI Iowa Criminal Fl 0010 Raoord attached,'DCs DC); initials 'A C— DCI-77 (0W5110) Received Time Sep. 1B. 2019 6:29AM No. 9726 ek �tuit.�rr n Sep• 25. 2019 11:01AM DCI IOWA No. 1122 P. 5 IOWA CRIMINAL HISTORY DCI 00209152 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 3 DATE PRINTED- DCI:00209152 2019/09/25 FILED NAME: TOOMER,DAVXD ALAN DOB SEX RAC HGT WGT EYE HAIR .9 KN POB 2019 OCT -7 A1411: t� 19560921 M W 511 200 BRO BRO MED IA CITCLERK CITY,101' AObITIONAL IDENTIFIERS 10WA 1^., —�C—BF[IN SC R KNEE CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 19790103 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 DRIVE UNDER INFLUENCE/LIQUOR TRK#: L10173201 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: OPERATE MOTOR VEHICLE UNDER INFLUENCE _ CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L10173201 SENTENCE DISP EFF DAT JAIL 10D 19791120 02 ARRESTED/TAKEN INTO CUSTODY 19860716 AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO- 01 IA STATUTE IA121-46 PUBLIC INTOX TRK#: L10173401 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT 'COUNT NO- 01 IA STATUTE: IA123.46 CONSUMPTION / INTOXICATION CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L10173401 SENTENCE DISP EFF DAT JAIL 2D 19860717 03 ARRESTED/TAKEN INTO CUSTODY 19901103 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK#; L10173501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA3219.2 OPER VEH WH INT OWI CHARGE CLASS: MISDEMEANOR C,0XVICTION TRK#; L10173501 SENTENCE DISP EFF DAT Sep -25-2019 11:01AM DCI IOWA No. 1122 P. 6 DCS 00209152 PAGE 2 OF 3 FILED �0�LED CHARGE NO- 01 IA SStATUTE IA321J-21 DRIVING WHILE REVOKED TRK#: 006595001 COURT DISPOSITION AGENCY: XA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J-21 DRIVING WHILE REVOKED CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 006550001 SENTENCE DISP EFF DAT JAIL 2D 19940304 2019 OCT - 7 A1111:47 JAIL 2D 19910214 FINE $500 19910214 CITY CLERK CREDIT W/TIME SERVED 14H 19910214 IOWA CITY. IOWA -04 ARRESTEDfTAXFEN fNTO-GVSTODY-1-9303-L03-A AGENCY:. IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321-263 LEAVE SCENE OF ACCIDENT TRK#: L10173601 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-261 LEAVE THE SCENE OF PERSONAL-INJURY ACCIDENT CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L10173601 SENTENCE DISP EFF DAT JAIL 10D 19920214 CREDIT W/TIME SERVED 14H 19920214 05 ARRESTED/TAKEN INTO CUSTODY 19921001 AGENCY: IA0920000 WASHINGTON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI/2ND OFFENSE TRK#: L10173701 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO D1ST COURT COUNT NO- 01 IA STATUTE: OWI/2ND OFFENSE CHARGE CLASS, MISDEMEAMOR CONVICTION TRK#: L10173701 SENTENCE DISP EFF DAT JAIL 30D 19930129 FINE $750 19930129 06 ARRESTED/TAKEN INTO CUSTODY 19931126 AGENCY: TA0520200 IOWA CITY PD CHARGE NO- 01 IA SStATUTE IA321J-21 DRIVING WHILE REVOKED TRK#: 006595001 COURT DISPOSITION AGENCY: XA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J-21 DRIVING WHILE REVOKED CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 006550001 SENTENCE DISP EFF DAT JAIL 2D 19940304 sea.25.2019 11:01AM DCI IOWA No. 1122 P. 7 DCI 00209152 PAGE 3 OF 2019 OCT -7 AMy; 48 FINE $250 19940304 1 CLERK ITY An arrest without disposition is not an indication of guilt. This /0rscla/TrIOWA maintained by the Iowa Division.0£ Criminal Investigation, Bureau Of —Td�nCY�'icgti'To7i`�.-s–a–ptlby,Y�'Y'e'c'oX'd–btTt�an�lnl:y–b'e–re'1-ea's'e'd–to–rron=l .. 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 thin 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(1B). Additionally, criminal history data concerning convictions for certain Juvenile sex offenses can be found on the Iowa Sex Offender Registry: http://www.iowasexotfender.com/ , However, even though some information in 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 (rust 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 . ARTS Page 1 of 2 CJ10WA00T SMARTER I SIMPLER I CUSTOMER DRIVEN OWE ot ll" 3�1� r9=4 woBox �DesWoi4es1M58CiDfr9204 Phofte Sa#tuGitd;�f'i.'";3'15.239.1837 Inquiry 10/4/2019 Date: Customer 1934738 Name: Toomer, David Alan Address: 2742 500TH ST SW Certified Abstract of Driving Record DL/ID #: 127AC6033 (IA) CDL Permit Class: None Class: D Audit #: 9285470 Issue Date: 07/28/2015 History Information CDL Permit Issue Date: CDL Permit Expiration Date: CDL Permit Endorsements: CDL Permit Restrictions: ID Status: DL Status: CDL Status: CDL Permit Status: CDL Cert Status: CDL Med Status: None None None None EXP VAL None ELG None None Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date JUR Case Number 06/10/2015 IA ,863060 01/29/2016 IA' '904490 Name: Toomer, David Alan DL/ID: 127AC6033 (IA) Pursuant to Iowa Code §321.10, I, Darcy Doty, 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: 10/4/2019 d9 c�b!L �� Driver & Identification Services Iowa Department of Transportation http://172.29.254.55/drivers/reports/customerhistory/certifieddrivingrecord.aspx 10/4/2019 Expiration 09/21/2023 Date: City/State: KALONA, IA 522479214 Endorsements: Chauffeur Mailing 2742 500TH ST SW Restrictions: Corrective Lenses Address: Restriction None Mailing KALONA, IA 522479214 Supplement: City/State: Date of 9/21/1956 Birth: Sex: M History Information CDL Permit Issue Date: CDL Permit Expiration Date: CDL Permit Endorsements: CDL Permit Restrictions: ID Status: DL Status: CDL Status: CDL Permit Status: CDL Cert Status: CDL Med Status: None None None None EXP VAL None ELG None None Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date JUR Case Number 06/10/2015 IA ,863060 01/29/2016 IA' '904490 Name: Toomer, David Alan DL/ID: 127AC6033 (IA) Pursuant to Iowa Code §321.10, I, Darcy Doty, 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: 10/4/2019 d9 c�b!L �� Driver & Identification Services Iowa Department of Transportation http://172.29.254.55/drivers/reports/customerhistory/certifieddrivingrecord.aspx 10/4/2019