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Home My WebLink About20-0364a. Driver's License expiration date (REQL 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? Type of offense Where When 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 Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other V 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? � D 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 IDENTIFICATION NO. �Lb— O tCv 1 l t (Office Use Only) �i111®r�,l APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER CITY OF IOWA CITY (Police Department review must be made between 8 a.m. to 3 p.m., Monday— Friday) 410 East Washington Street Failure to complete the "required" information will result in denial of the application Iowa City. lorea 52240-1826 13191356-5040 Last First Middle (317) 356-5497 FAx Name(REQUIRED)we W c(1. A,fn J �S 2. Address (REQUIRED) zV, T31NSI:�r LG2G1sr� a 3. Contact Information (REQUIRED) Email: �,�P, ,[d��Ej�MGLr�,f Cell Phone: CS- Cell written communication sent via email) 4a. Driver's License expiration date (REQL 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? Type of offense Where When 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 Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other V 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? � D 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 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). I �e�gpy rtljy that I have Issued to me by the Iowa De artm nt of Transportation a valid Driver's license number $�S"I�tf-l�5l-fit (�a Issued on425- Z3 lYexplring on b7/,V( I 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 tines 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 Applican;5�6 '4 l Date U 9� STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and swom to before me by on this day of Notary Public In and for 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 Driver's license 07.4 1- zoZ 4� C f Signat re of o ce Chief or designee ) Ir. ZZ) 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. Office Use Only Approved application DCI report State certified driving record Website update QC1 ---L' -. _o -FD Date Cb,wrnttiDRwsnoGEAPPis201eem#mbd.000 04/2018 ='I9a;ai 20 iowo 2: T' Cab DCI IOWA f,,g,,2N�oo..5302 P.�112M "STATE OF IOWA CdMinai History Record Check Request Form Y • or F comnloted form.+ • ' 7gwa DlviD[oa of Criatiaal TaveYtigadoa 8apport Operations bureau, lit Floor 215 E, 7°i Street Des Z&tnes, Iowa 50319 515) 725-6066 515)725-6080 Fax .1;. 0 DCT Account Number: 9967-P Sendreaolt6IQ: (fapptiWdv) Name Ye➢div A2ab of Iowa Clty Address P.0, Boz 428 Iowa City Iowa 52244 Pdone19 3&8777 Fax 819359.4142 (ell", Q-Clµl a OFemale �. o�L xeecora kji Aa of .. \ln a 6 a U a wamh of the provided naie Iu4 .No Tqw& Csfmin4l Hi" Record found with DQ 1..I It IOWA CAMbli history Record attached DCI # .' . DQ initj&5 DCI -77 Nxdl '�:r.:, Received Time Sep. 15. 2020 1:34PM No -5082 S�4z--�f7 b�3Z7 $, '"p1•-ii%Hy,YticoNd•slupy F allldtrcd:6Ki4w, .a'. `..•-•'>�dl,•a5dvffie Dlvi9oo 04 , ';�pndUYrsld.gde cm indudt :,=,��•mcriminal ddie o�bu i tprYy results: ln revealed kba an only) rn n rn 0 m b O a a r 9 riiN z d Page I oft Sep.16.2020 2:36PM DC1 IOWA No.5302 P. 2/2 FNIR&M-1 W=4 This response can only include public criminal history data. tinder 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.coml. 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). <Z IGIN ► DOT www.iowadot.gov ShUrRTER I SIMPLER 1 CUSTOMER DRIVEN _._g DrivFr B ldwaireewon Swkoos R7 6ox 92041 Des Mines IA 613W 92N Plxxle 5K 711-9124I FaX 51'2'39-1837 Certified Abstract of Driving Record Inquiry Date: 9/15/2020 DL/ID #: 889AL5446(IA) Customer #: 6332020 Name: Quinn, Tyler lames Class: C ID Status: VAL Address: 326 N Johnson St Audit #: 3127956 DL Status: VAL Apt 1 Issue Date: 08/23/2018 CDL Status: None City/State: Iowa City, IA Expiration Date: 07/31/2025 CDL Cert Status: None 522452834 Endorsements: NONE Mailing Address: 326 N Johnson St Restrictions: NONE Apt 1 Date of Birth: 07/31/1995 Mailing Iowa City IA Sex: M City/State: 5224528J4 History Information CLEAR DRIVING RECORD Name: Quinn, Tyler James DL/ID: 889AL5446 CDL Med Status: None Restriction None Supplement: 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: Q44,05,t TT Of 74 `S9/15/2020 % Driver & Identification Services Iowa Department of Transporation Name: Quinn, Tyler James DL/ID: 889AL5446