The URL can be used to link to this page

Home My WebLink About21-015CITY OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240.1826 (319)356-5040 1319)356-5497 FAX 1. Name (REQUIRED) . 2. Address (REQUIRED) IDENTIFICATION NO. Z,' b j"7 (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 "reouired" Information will result in denial of the application Last First Middle 3. Contact Information (REQUIRED) Email: 4a. Driver's License expiration date (REQUIRED) _0!5"` AW b. Taxicab Business Name (REQUIRED) V I /o . 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) W19"91 Convicted Dismissed Deferred Suspended Plead Gul Other Have you been arrested/ charged with an traffic offenses in the last five / I erk 9 Y years? AiD ,B,_ _ Type of offense What happened to the charge? (Circle one) Where when 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? 2 L9 Tyoe 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) 04/2016 Page 2 APPLICATION FOR TAXICAB VEHICLE DRIVER DEPARTMENT OF CRIMINAL INVESTIGATION (DCI] REPORT AND STATE IED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHHIEFIEF REVIEW You must apply for an individual Department of Criminal Investigation Report (form available upon request). er I hereby certiry that I have issued to me by the Iowa Department of Transportation a valid Driver's understand that bif I issued on expiring on G�23' G5ci AA 4 3 / (cation may be denied. I agree that in making this application, I falsely answer any questions In this application, that this app Y records and consent to allow agents or employeesof the City of I owe city, ee that if authorizations of be alt taxicab drivels s granted, to comply at all documents relating to this app 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 Date 3 `)6 2 Signature of Applicant .r.v #}k RtRtk,#f##k4. ..-•----._---_ MAR 19 2021 STATE OF IOWA ) COUNTY OF JOHNSON ) C Clerk day of Subscribed and sworn to before me by -a"�i��slca in ve have reviewed application DCI report, and the State certified driving rilsicant and h rat theremwould indicate at the issuance would be detrimental to the safety, health welfare ofesi_ dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expirati d of Driver's license �� 23' 2 % G 3 17- z- ) Signature f olice Chief or designee 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. Signat re of city Clerk or de Ignee Dete t*k*##tt4#kkk*Ntk#ktkk4i4ffkHik#k**1*ittki#tt#ktft4k4#!f##tttlftfRittkk##t#tk}}##tk*fkktktti*ktRtk*t}k#tttAtt*4#tY}t*t*#}}*tAktA#Ak#4#t}ftlit# Office Use Only Approved application DCI report State certified driving record Website update QwI9AXIDHNBAUUCAPPL92DIDOMk ded.DOC 0412018 Mar, 10. 2021 12:32PM DCI IOWA STATE OF IOWA' FAX Criminal History Record Check Request Form DCI Account Number: 9967-F ' OCaprt�-aete) Mail or rax !�=Lq2.d fom": sand nowu to: Iowa Dlvialou of Criminal Investigation Support Operations Bureau. 1e Floor 215 E. 76 Street Des Moines, Iowa 50319 (515)725-6066 (515)725-6080 Fax No. 7615 P. 1/3 Name Yellow Cab of Iowa City MAR.19 2011 �tlrew P.O. Dos 126 City Clerk bwa Iowa City, Iewa S21N Plow • (319)336-9777 Fax 319.359.4142 a��r vaaaaaaaaeaaf.aaa wa v i�cfl.vau a.uoa:n .a�wuat,a rya agrj AB of *010 ' o'er O-1 . a mearch of tho provided nWte tmd date of birth Cc_vi�ed: < OT o' A 'y M ❑ No Iowa Criminal ffistnry Record fmmd crtrl1lnAl ' '�' Iowa Criminal History Record attached, DO1S A : : ' pre. Z t� 2,. `C j.,, aa.. a,• obi DClinirials DCI -77 (updated 06-26-20 18) Pag41 of 2 Received Time Mar. 9. 2021 1:27PM No -7394 Mar, 10.1021 12:33PM DCI IOWA No.7615 P. 2/3 IOWA CRIMINAL HISTORY DCI 00264590 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - DCI :00164890 2021/03/10 NAME: MEYER,BRIAN JOSEPH DOB SEK RAC HGT NGT EYE HAIR SKN POB 19590523 M W 600 160 BLU BRO :.GT IA ADDITIONAL IDENTIFIERS CCH RECORD ••• 01 ARRESTYD/TAKKN INTO CUSTODY 19800416 AGENCY: IA0`2.0700 IOWA CITY PD CHARGE NO- C1 IA STATUTE IA321-281 OMVUI TRK#: L17978501 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- O1 IA STATUTE: IA321-281—�jj OMVUI R L CHARGE CLASS: MISDEMEANOR CONVICTION @ ®® TRK#: L17978501 n�M1 u1019 I0/.1f NNS SENTENCE DISP EFF DAT JAIL 2D 19800625 City Clerk FINE $S00 19800625 Iowa Clay, IOWA 02 ARRESTED/TAKEN INTO CUSTODY 19810124 AGENCY: IA05202CO IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321-A32 DRIVE UNDER CUSP TRK#: L17978601 COURT DISPOSITION AGENCY. IA05201SLY JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-A32 DRIVE VNDER CUSP CHARGE CLASS. MISDEMEANOR CONVICTION TRK#. :.17978601 SENTENCE DISD EPt DAT PLEAD GUILTY 19810227 F1NE ;15U 19810227 03 ARRESTED/TAKEN INTO CUSTODY 19871107 AGENCY: TA0520200 CORAI,VTLLF. PC CHARGE NO- 01 IA STATUTE IA204-401 FOSS SCR I NARIJ TRK#: L17978701 COURT DISPOSITION AGENCYi IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA204-401 FOSS SCH I NARIJ CHARGE CLASS. MISDEMEANOR CONVICTION TRK#: L17978701 SEIrIENCE DISP EFF DAT Mar, 10. 2021 12.33PM DCI IOWA DCI 00264890 PAGE 2 OF 2 FINE $150 19871124 No. 7615 P. 3/3 An arrest 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, it 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: hctp://www.iowasexoffender.con/ . However. even though some information is available on thin 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 232.147118). MAR 19 2021 IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS City Clerk BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD Iowa City, Iowa COVERS THE SUBJECT OF YOUR INQUIRY. D'_VISION OF CRIMINAL INVESTIGATION �2t�r41`[ ....•eGt�O�. ori .S ENI C,IGINA DOT SMARTER I SIMPLER I CUSTOMER DRIVEN www•iowadot.gov DrNsr a Identification Sarvioss PO Box 92011 Des Manem, IA 50.306.9201 Phone 5155-244-91241 Fax 515-239-1037 Certified Abstract of Driving Record Inquiry Date: 3/12/2021 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 CITY, IA Sex: M City/State: 522403002 MAR 19 1011 History Information City Clerk Accidents -Accident involvement indicated does NOT mean the individualPYlidIowa fault or given a citation. Accident Date I Case Number JUR 10112612016 903780 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: 3/12/2021 A2ZZ�!� Driver & Identification Services Iowa Department of Transporatlon AY _ Name: Meyer, Brian Joseph DL/ID: 059AA1934 MAR 19 2021 City Clerk Iowa City, Iowa