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Home My WebLink About20-045� r CITY OF IOWA CITY 410 East Washington Street lona City, lona 52240-1826 13191356-5040 (319)356-5497 FAX 1. Name (REQUIRED) IDENTIFICATION NO. 2-0 Vu� (Office Use Only) APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday) (,T 21 >;i10:IL Last 2. Address (REQUIRED) I2 /7e,+ 3. Contact Information (REQUIRED) Email: 4a. Driver's License expiration date (REQL b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of passengers: CITY CLUK First''`r'.+ CITY. Middle Cell Phone: via 8. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? rt�— Tvoe of offense Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended c ��ther 7. Have you been arrested / charged with any traffic offenses in the last five years? de, 5 i Tawe of offense Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspends Plead Gui Other 1 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? Iv D Tvce 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) 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 hereby certlfy that I have Issued to me by the Iowa Department of Transportation a valid Driver's license number OS Wj <1 Issued on expiring on 5.)-3 -a097 . 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_ -`U�Q�y. Data—& kX#R\fY'k411%YYkXMR%%Ht%f\R#1Y XY%Y.IYh4I,IMRM1%Y%MitiRNMi%1fYXXNI%kFf kf HiRRRX1 YX%RRYRf4%RA%AH%%RRRf RRIRR,1\\AXf RfAfyHff /eMf fMiYi,l %4ilXYihl STATE OF IOWA ) COUNTYOFJOHNSON ) Subscribed and sworn 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 C S ° 7 3" Signature of Police Chief or designee Data 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. Approved application DCI report State certified driving record Website update r-9 5 rJ -ZI -2-0 --,,I -�—q Date Office Use Only CIeNTA%IaRNBn00EAPPL02010emendod.000 0412018 iww.a..w ....�.. .ow..rfLW (rM�Nq JJO Liw FAX STATE OF IOWA Criminal Mstory Record Check Request Form Mail Or Vas oampletad_�: Iowa Dlvislon of Grbdntl>}Ivetd6atloa Support opemdane 81kexn, to floor 215 E. TL Street Des Molum Iowa 50319 (515) 725-00f (AS) 7254060 Fax r NVLIVVL 1 •, 1 • a � ii � a ❑IRM I'i78' 8o21,D As of a search of the provided name and date of both rovealed: ❑ NO Iowa Q iminel History Record found with DCT Ck Iowa Qb!dtd KUtory. Record attached, ACT # Otjqft DCI initiala_5ZV DM77 (updated P&26-2036) Received Time Oct, 9. 2020 10:24AM No, 6443 --- - ow— STATE OF IOWAIDP$ OCT 0 9 2020 OF CRIMINAL Page 1 oft lO n OCT CITY, IOWA CRIMINAL HISTORY DCI 00264890 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - a020/10/14 2020/10/14 NAME! MEYRR,BRIAN JOSEPH DOB SRX RAC HOT WGT EYE HAIR SEN P08 19590523 M N 600 160 BLU BRO LGT IA ADDITIONAL IDENTIFIERS CCN RECORD •�+ 01 ARRESTED/TAKEN INTO CUSTODY 19800418 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IAS21-281 OHM TRK#: L17978501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-281 OMVVI CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17978501 SENTENCE DISP EFF DAT JAIL 2D 19500625 FINE $500 19800625 02 ARRESTED/TAKZN INTO CUSTODY 19810124 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-A32 DRIVE UNDER BUSY TRK#: L17978601 COURT DISPOSITION AGENCY: IA0520150" JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-A32 DRIVE UNDER BUSY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L17978601 SENTENCE DISP EFF DAT PLEAD GUILTY 19510227 FINE $150 19510227 03 ARRESTED/TARES INTO CUSTODY 19871107 AGENCY: IA0520100 CORALVILLE PD CHARGE NO- 01 IA STATUTE IA204-401 FOSS BCH I MARIJ TRK#: L17978701 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA204-401 POBB BCH I MARIJ CHARGE CLASS: MISDEMEANOR CONVICTION TRK#; L17978701 SENTENCE DISP EFF DAT lO n OCT CITY, DCI 00264690 PAGE 2 OF 2 FINE $150 19671124 An arrest without diepoeition 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 authorisation 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.iowase=ffender.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(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 IN C, iowA ooT SMARTER I SIMPLER I CUSTOMER DRIVEN VVVVVV.IOWCiOt gOV Dinar s idenuttaaftn "hillm PO Boz g2M I Das Mottos IA 5030692W Ph" S1S2"91261Faa.513239-1837 Certified Abstract of Driving Record Inquiry Date: 10/9/2020 DL/ID #: 059AA1934(IA) Customer #: 1131912 Name: Meyer, Brian Joseph Class: B ID Status: None Address: 16 METRIC RD Audit #: 3719766 DL Status: VAL Issue Date: 03/27/2019 CDL Status: VAL City/State: IOWA CITY, IA Expiration Date: 05/23/2027 CDL Cert Status: Non -Excepted 522403002 Intrastate Endorsements: Motorcycle CDL Med Status: None Mailing Address: 16 METRIC RD Restrictions: CDL Intrastate Only Restriction None Supplement: Date of Birth: 05/23/1959 Mailing IOWA CIN, IA Sex: M City/State: 522403002 History Information Convictions Citation Date I Conviction Date ACD Ez Ianation lCounty JUR 101/26/2016 102109/2016 M34 lFollowing Too Close Johnson IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date I Case Number JUR 101/26/2016 903760 IA 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: 1020 OCT 21 FIs; 10: 1 CA � Oji GLF-lh Name: Meyer, Brian Joseph DL/ID: 059AA1934 10/9/2020 01 C,2 Driver & Identification Services Iowa Department of Transporation