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Home My WebLink About20-050CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (319) 356-SO40 (319) 356-5497 FAX 1. Name (REQUIRED) 2. Address (REQUIRED) _ IDENTIFICATION NO. 2-0-C)S-D (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) Failure to complete the "required" information will result in denial of the application Last First r. / Z>,G2 -tea F)i c7 lel Fr fd_n;l' F,. t7 Middle 3. Contact Information (REQUIRED) Email:�M2 TZ3Od� giKoll I �ell Phorie:]5)T-3-21`Z� 4T (All written communication sent via email) 4a. Driver's License expiration date (REQUIRED) Z 0 b. Taxicab Business Name (REQUIRED) 16 5. Prior experience in transportation of passengers: -%X I T)F—I V E lR )s WA C I T" ' 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? Tvoe of offense Where When' NiiSDLt>r(�r�170� CO¢AI-v (L L , ,) What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Gui`l I Other 7. Have you been arrested/ charged with any traffic offenses in the last five years? O 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? 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) 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). I hereby certify that I h ve issued to me by the Iowa Depart of Transportation a valid Driver's license number c5-7�A bT R) E3 issued on m nexpiring on I ( -) h Z oZ Q 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,jof Pe City Code. (Needs to be signed in front of a Notary Public) gignature ..... /i/n�u% State of Iowa Division of Criminal Investigation 215 E. 71h Street Des Moines, Iowa 50319 Phone: 515.725.6066 Fax: 515.725.6080 Iowa Criminal History Record Check Walk -In Request Your name: v I�> 1 L`f 0�j Address: 3 10 N- G F, e?- E S i. Ci /State/Zi L SZ -3 1 Phone Number: 3 I 9 -321 .z 4 Requesting an Iowa record check on: Fill in all shaded areas. Last Name Apellido (mandatory) First Name Primer Nombre (mandatory) Middle Name Segundo Nombre (recommended) Date of Birth Fecha Nacimienlo (mandatory) Gender Genero (mandatory) Social Security Number (recommended) ale ❑Female?�,�L�,g�� 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 concerning me that is maintained by the DCI may be released as allowed by law. I understand this can include information concerning completed deferred judgements and arrests without dispositions. *This form (DCI -83) is the only approved release authorization orunfor this purpose.* 1 Release Authorization Signature XKA� Results ,,,,Ipltllllllllllllll/IIIIgM1, 91 USL Uh1V G t%% As of ti0 �la� a03C� a name and date of birth check>avei} Jaz 0 o Di (-') m ❑ No record found e` A`IoV/G cr �1„jnaI�»'"" Record attached, DCI # 31 a 31� nistr:ry results _ N D z o \ �� v In v l DCI initials l(�(�( -i Receipt n lama,,,,,, Y r\' n Number of requests 1 /x $15.00 per last name = Total amount $_ Method of payment: ✓/cash money order check # MasterCard or Visa (Lust 4 digits) Cardholder's name DCI initials 4 DCI -83 (01/09/19) ' IOWA CRIMINAL HISTORY DCI 00312314 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 3 DATE PRINTED - 2020/10/16 DCI:00312314 NAME: METZLER,DAVE METZLER,DAVID MILTON DOB SEX RAC HGT WGT EYE HAIR SKN POB 19581116 M W 600 150 HAZ SDY MED IA ADDITIONAL IDENTIFIERS CCH RECORD *** O1 ARRESTED/TAKEN INTO CUSTODY 19831126 N AGENCY: IA0570000 LINN CO SO O CHARGE NO- 01 IA STATUTE IA321-281 I� 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-PROS 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 OWI 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 10D 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 0 N O 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 DCI 00312314 PAGE 2 OF 3 DISP EFF DAT 19940928 19940928 19940928 19940928 ASSLT W/INTENT COMMITT SEX ABUSE NO INJURY CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 032253001 RESTITUTION SENTENCE DISP EFF DAT PLEAD GUILTY 19990526 FINE $500 19990526 PROBATION 2Y 19990526 SUSPENDED 2Y 19990526 An arrest without disposition is not an indication of guilt. This record maintained by the Iowa Division Of Criminal Investigation, Bureau Of ,tea Identification is a public record but can only be released to non -law enforcement agencies by the DCI. i m. it 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 EA Cdo! J10WA00T SMARTER I SIMPLER I CUSTOMER DRIVEN www.iowadot.gov Driver & Identification Services PO Box 9204 1 Des Moines, IA 503069204 Phone, 515.244-91241Fax: 515-239.1837 Certified Abstract of Driving Record Inquiry Date: 10/21/2020 DL/ID #: 075AA1861 (IA) CDL Permit Class: None Customer #: 1984143 Class: D CDL Permit Issue None Suspended 11/23/2020 08/19/2021 Fail to Post Security for an Accident -Owner Only IA IA Date: Name: Metzler, David Milton Audit #: 8637174 CDL Permit None Expiration Date: Address: 310 N GEORGE ST Issue Date: 11/21/2014 CDL Permit None Endorsements: Expiration Date: 11/16/2020 CDL Permit None Restrictions: City/State: NORTH LIBERTY, IA Endorsements: Chauffeur ID Status: None 523179671 Mailing 310 N GEORGE ST Restrictions: Corrective Lenses DL Status: VAL Address: Restriction None CDL Status: None Mailing NORTH LIBERTY, IA Supplement: CDL Permit Status: ELG City/State: 523179671 Date of Birth: 11/16/1958 CDL Cert Status: None Sex: M CDL Med Status: None History Information Convictions Citation Date 07/16/2019 Conviction Date 07/23/2019 ACD Explanation S92 Speed (10 mph & under in 35-55 mph zone) JUR County IA Johnson Sanctions Type Effective End ACD Explanation JUR Occurrence JUR Suspended 11/23/2020 08/19/2021 Fail to Post Security for an Accident -Owner Only IA IA Name: Metzler, David Milton DL/ID: 075AA1861 (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: Name: Metzler, David Milton DL/ID: 075AA1861 (IA) 10/21/2020 d91121�)L A&t�i Driver & Identification Services Iowa Department of Transportation Fam 431009 .Mllilh� IUVVADOT SMARTER I SIMPLER I CUSTOMER DRIVEN David Milton Metzler 310 N GEORGE ST NORTH LIBERTY, IA 523179671 www.iowadot.gov Driver & Identification Services PO Box 9204 1 Des Moines, IA 50306-9204 Phone: 515-244-9124 1 Fax: 515-239-1837 Cust No: 1984143 Sanction No: 4168970 DI -No: 075AA1861 Accident No: 1188156 Date: 10-30-2020 The suspension of your Iowa motor vehicle registration privileges due to Fail to Post Security for an Accident -Owner Only has been rescinded and removed from your Iowa driving record. You are eligible to register motor vehicles in Iowa. If your privilege to operate motor vehicles has been withdrawn in another jurisdiction, you may be required to provide clearance information from that jurisdiction. You must present your certified birth certificate or valid passport at the time you appear at a driver license service center If you wish to reinstate to a commercial license. Driver & Identification Services