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HomeMy WebLinkAbout20-053� r 'r"IIIMkpblot 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 I vicwcucv l a.ao i euvw l.BD iAMIUMiura rAAwJU A I• •.. •. I • ... ,...—..' ,... :::: :. "r: may' "wr. . ..Wit, �t .. .'. '.1....... 1..: i... !. wil wow nr7 •.Y �!''.+1' S . '•. nr-..,aly-j -Ci�un9al . 17 Le •;If 1 I � I I I 'W, �I F'• Y 4 :1 �il � ' � t I1 ' 'T � I •' �, •� :. •• , 1�1Cj' /LA. .J7 71 R' ... .li i�_,: :.:Y• .1 I YID:: .,\ '•i ., Y.•.::nl ;':a.6:"�:a�� '!?. .,rl F''k!i •w! :k:•• alt:l:l..• !• .. :, 'i: ._yi :: .'I ir'f'�t�lrl: "�:��,,�:rl.'�.,,;, :.' ': L':, �.J I' _ .. i• ..,: .: i ,;•_• �.,� .�. ��I \ •'li.: i., .:,•r1 :.I.. '•! .4,11 ..! .I 1• .•.• fit..' ;I.,.' .:... •a '•�..• �• ....... I •y i'n , , , I. I , I, , ' •' ..' • .I 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 n, 0 ti 6 m