HomeMy WebLinkAbout20-053� r
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CITY OF IOWA CITY
410 East Washington Street
Iowa Ci1p. Iowa 52240-1826
(3 19) 356-5040
(319) 356-5497 FAX
1. Name (REQUIRED) _
2. Address (REQUIRED)
IDENTIFICATION NO. 9.0- OS/,�
(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)
Last
First
Middle
3. Contact Information (REQUIRED) Email:
(All writtan communication sent via email) Cell Phonal
4a. Driver's License expiration date (REQUIRED) _G U I ' �� �3 \\
b. Taxicab Business Name (REQUIRED) 1�P .la
r ,
;
5. Prior experience in transportation of passengers: }a r J
6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere?
Tune of offense
Where
When
What happened to the charge? (Circle one)
Convicted Dismissed Deferred SuspendedPlead Guil Other
7. Have you been arrested/ charged with any traffic offenses in the last five years?
Tyne of offense Where .t
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? /lo
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)
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),
7oon8I hereby certify that I have Issued to me by the Iowa Yep rtment of Transportation valid Driver's license number
e'n,t
weranyque that jn making derstandthis hatif I
allowageexamine any and all records and
relating to this application, and I further agree that, IP authorization to be a taxicab driver a granted, to comply at all
times with all of the provisions of Title 6, Chapter 2, of the Clty Code, (Needs to be signed In front of a Notary public)
Signature of Applicant�g���
MMM*M*FFh*rtMF*IFFFMFFF*iY*FMMFFh*iRX*M*1M**XFYI**YXY*kFF*FM*****MF**MXFFFFFFF*FM**M**FFFFikFM*MMFFM*****YMY**Y*M*Y**,YF,1F*M1t
STATE OF IOWA )
COUNTY OF JOHNSON 1
Subscribed and sworn to before me by
on this day of
'FRM*FY*YF*YUtr*M*h***MMFFM*MY,**FFMMYrk*FFFM*kF*6*F***F4 _
F*MM*lM4Xi,1**M*M*MMM*MMYM*FMMM*MFMM*}**
I have reviewed this application, DCI report, and the State certifled 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 real.
dents of the City of Iowa City (Title 6, Chapter 2, City Coda).
Expiration date of Driver's license
SIgnaturWo olice Chief or designee b Z Z
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 ATE LISTED BELOW,
L2e�jlf'eS
'
Signature of city Clerk or d Ignee 10 I � I21
Date
Approved application Office Use Only
DCI report
State certified driving record
Webalte update
0I*dWrAWRIMDOEAPPL920 10m ded,DOC
04/2018
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Received Time`:Ocf. 20 .'2020 3:23PM No. 0127:
IOWA CRIMINAL HISTORY
MISDEMEANOR CONVICTIONS ONLY
DCI:00209152
NAME: TOONER,DAVID ALAN
DOB SEX RAC HGT WGT
19560921 M W 511 200
ADDITIONAL IDENTIFIERS
SC CHIN
SC R KNEE
CCH RECORD ••f
01 ARRESTED/TAKEN INTO CUSTODY 19750203
AGENCY: IA0520000 JOHNSON CO SO
CHARGE NO- 01
DRIVE UNDER INPLURNCE/LIQUOR
TRK#: L10173201
DCI 00209152
PAGE 1 OF 3
DATE PRINTED -
2020/10/23
EYE HAIR SKN POB
BRO BRO MED IA
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 19060716
AGENCY: IA0920000 WASHINGTON CO 50
CHARGE NO- 01 IA STATUTE IA123-46
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
JAIL 21)
03 ARRESTED/TAKEN INTO CUSTODY 19901103
AGENCY! IA0520200 IOWA CITY PD
CHARGE NO- 01 IA STATUTE IA321J-2
owl
TRK#: L10173501
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTE: IA321J.2
OPER VEH WH INT OWI
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L10173501
SENTENCE
1f O
DISP EFF DAT,:, �Z^ N ,.
19860717 -D 4
'• F
U
DISP EFF DAT
JAIL 2D
FINE $500
CREDIT W/TIME SERVED 14H
04 ARRESTED/TAKEN INTO CUSTODY 19901103 A
AGENCY: IA0520000 JOHNSON CO SO
CHARGE NO- O1 IA STATUTE IA321-263
LEAVE SCENE OF ACCIDENT
TRK#: L10173601
COVRT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- O1 IA STATUTE: IA321-261
LEAVE T1tE SCENE OF PERSONAL INJURI ACCIDENT
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#; L10173601
SENTENCE
JAIL 10D
CREDIT W/TIME SERVED 14H
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 DIST COURT
COUNT NO- 01 IA STATUTE:
OWI/2ND OFFENSE
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: L10173701
SENTENCE
JAIL 30D
FINE $750
06 ARRESTED/TAKEN INTO CUSTODY 19931126
AGENCY: IA0520200 IOWA CITY Pr)
CHARGE NO- 01 IA STATUTE IA321J-21
DRIVING WHILE REVOKED
TRK#! 006588001
COURT DISPOSITION
AGENCY: IA052015J JOHNSON CO DIST COURT
COUNT NO- 01 IA STATUTE: IA321J-21
DRIVING WHILE REVOKED
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: 006586001
SENTENCE
JAIL 2D
DCI 00209152
PAGE 2 OF 3
19910214
19910214
19910214
DISP EFF DAT
19920214
19920214
DISP EFF DAT
19930129
19930129 h
Yr
DISP EFF DAT
19940304
4
O
N
FYy
DCI 00209152
PAGE 3 OF 3
FINE $250 19940304
An arreet 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
232.197(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 CRLMINAL INVESTIGATION i
4.
�, IOWA DOT
www.iowadotgov
SMARTER I SIMPLER I (USTOMER DRIVEN
Dnm & WaM 11111, &eR tNfYION
PO Bon SIM I On Moines. U WSW4M
Phone: 31544691241 Fee: 515-MIC37
Certified Abstract of Driving Record
Inquiry Date: 10/20/2020 DL/ID #: 127AC6033(IA) Customer #: 1934738
Name: Toomer, David Alan Class: D ID Status: EXP
Address: 2742 500TH ST SW Audit #: 9285470 DL Status: VAL
Issue Date: 07/28/2015 CDL Status: None
City/State: KALONA,IA Expiration Date: 09/21/2023 CDL Cert Status: None
522479214
Endorsements: Chauffeur 3 CDL Med Status: None
Mailing Address: 2742 500TH ST SW Restrictions: Corrective Lenses Restriction None
Supplement:
Date of Birth: 09/21/1956
Mallin yy KALONA, IA sex: M
CIII ate: 522479214 ru
History Information n q
Accidents - Accident involvement indicated does NOT mean the'indivi'dual was at
fault or given a citation.
Accident Date
Case Number
IUR
01 29 2016
904490
IA
Name: Toomer, David Alan DL/ID: 127AC6033
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:
10/20/2020
F Ni/ III III I �SO.
Driver & Identification Services
Name: Toomer, David Alan DL/ID: 127AC6033
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