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Home My WebLink About20-016r IDENTIFICATION NO. 20 — 0 1 (o r 1 (Office Use Only) 1 _ APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday) CITY OF IOWA CITY 410 East Washington street Failure to complete the "required" information will result in denial of the application Iowa City, Iowa 52240-1826 (319) 356-5040 Last First Middle (319) 356-5497 FAX 1. Name (REQUIRED) �a rC �/ I I' o � N De x4e r 2. Address (REQUIRED) e N bi b✓y 5-+ "+ -7 1C) A Sway S 3. Contact Information (REQUIRED) Email:12` ) , yd b"r] 0,3 sOP, I.,(, u'N Cell Phone: 311 - 3 3)- B-7 7 C (All written communica ion sent via email) 4a. Driver's License expiration date (REQUIRED) b. Taxicab Business Name (REQUIRED) Ve II b w L a(;� 8'1- -toula C(l 5. Prior experience in transportation of passengers: S 9-f "-s J aX• a r wed' 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or -elsewhere? - Type of offense Where h What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspendedlead Guil 7. Have you been arrested / arge th any traffic offenses in the last five years? Type of offense ectr.. What happened to the charge? (Circle one) Convicted Dismissed Where ,�o,r (-0-1\ Other When %J.')-o)i� Deferred Suspended ead Guij4d Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? NO 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) D PAGE AND 04/2018 Po bt i t �—n 't0� I��Sncdt+-� ('o.9 -irl- T ...,�. r What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspendedlead Guil 7. Have you been arrested / arge th any traffic offenses in the last five years? Type of offense ectr.. What happened to the charge? (Circle one) Convicted Dismissed Where ,�o,r (-0-1\ Other When %J.')-o)i� Deferred Suspended ead Guij4d Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? NO 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) D PAGE AND 04/2018 Page 2 APPLICATION FOR TAXICAB VEHICLE DRIVER 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). herebertify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number U -5A A 6 9 6 issua-d on +2 /a-2101Savnirinn nn -1 1,4 In n1 4 I .....:a , falsely answer any questions in this application, that this application may be denied. I agrees a hat 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 t�q City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant I ��U / Date ? a Y gO a O STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by on this 2`1'�� day of ASHLEY A JAY-PLATZ Notary Public in n r t a a v t4 Commission Expires _ IOWr^ 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, healttf* welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of J?river's finse C, 7 - / S Zc zZ az -z-1-1-lZe Signat 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. city Office Use Only Approved application DCI report State certified driving record Website update Date CIeiWTA%IDRIVMDGE PPL9201BamenE d.DOC 04/2018 , J,eAeb_20_2020j:,10:.13AMClb DCI IOWA F 3M 2No_ 0948 P. .'021002 STATE OF IOWA Criminal History Record Check Request Form r IQ Iowa Division of Criminal Investigation Support Operations Bureau, 1" Floor 215 E. Tb Street Det Motuat, Iowa 30319 (515) 725.6066 (515) 725-6081 Fax DCI Account Nurnber; 9967-F ({fappllablo) Send results to; Name CICY Address P.O. Box 428 IOWA, CHNIOWA 52244 1 Phone 19 331-9777 Fax 31"59-4142 c: r:� As ofo1iil �A� O a search of the providod name and date of birth re" ,040.1 ' i -J NO Iowa Criminal History I2eeord found with DCI ST/{TE OY'IOWA/DP5 �gE� 14 2020 Iowa Criminal MgtWy Record attached, DCI f51 O (10INAL INVEST DCI initials ❑nuc::,,;;:.:: ,. DCP7 (opiated 06-26-2o18) Page 1 on Received Time Feb. 14. 2020 3:02PM No.0211 �°feb.20.2020 10:14AM DCI IOWA No -0948 P. 2 IOWA CRIMINAL HISTORY DCI 00622510 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 1 DATE PRINTED - 2020/02/20 DCI;00622530 NAME: EARRY,WILLIAM DEXTER DOR SER RAC HGT WGT EYE HAIR SKN POB 19670215 M W 509 220 BRO BRO MED MD ADDITIONAL IDENTIFIERS CCH RECORD ..a 01 ARRESTED/TAKEN INTO CUSTODY 20000612 AGENCY: IA0520000 JOHNSON CO SO CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK#: 042157401 COURT DIOP091TION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J.2(A) OPER VEH WE[ INT (OWI) / BER MISD / IST OFF CHARGE CLASS: MISDEMEANOR CONVICTION^C; TRK#: 042157401 SENTENCE DISP EFF DAT JAIL 2D 20000720 ATT DDS SA EVAL m FINE $500 20000720 C>_�Sz 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, 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.iowasexaffender.com/ . However, even though Some information is available on this mite, 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(16). 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 LZ It It iOWADOT SMARTER I SIhSPI.'ER! CUSTOMER DRlyETI WVA%('lowadtat gc v DtW&r & Ident@ricaition Sagvkes lO Gov=4 I Des Manes, IA 653C6 -WW Phcne 5Vs 744-912b Fax SIr 2°..&•F837 Certified Abstract of Driving Record Inquiry Date: 2/14/2020 DL/ID #: 435AA6946(IA) Customer #: 3350447 07/27/2018 Name: Barry, William Class: D ID Status: EXP Dexter Address: 720 N DUBUQUE ST Audit #: 9658988 DL Status: VAL APT 7 Issue Date: 12/22/2015 CDL Status: None City/State: IOWA CITY, IA Expiration Date: 02/15/2022 CDL Cert Status: Norte 522451925 Endorsements: Chauffeur 3 CDL Med Status: NorA r Mailing Address: 720 N DUBUQUE ST Restrictions: Corrective Lenses Restriction - - ,Nonee APT 7 Supplement: n-{ N Date of Birth: 02/15/1967 -- M ^`-- Mailing IOWA CITY, IA Sex: M �f'I p Ty City/State: 522451925 �Y History Information r, Convictions Citation Date Conviction Date ACD Explanation County 3UR 07/27/2018 08/12/2018 S92 Speed (10 mph & Linn IA under in 35-55 mph zone Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date I Case Number IUR 07/23/2019 1125010 IA _ Name: Barry, William Dexter DL/ID: 43SAA6946 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: Barry, William Dexter DL/ID: 43SAA6946 2/14/2020 Driver & Identification Services Iowa Department of Transporation N u N C.D n y^— =i N