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Home My WebLink About21-041CITY IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 IDENTIFICATION NO. 2 \ " d '1 i (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 (319)356-5040 Last First Middle (319) 356-5497 FAX C \ C 1. Name (REQUIRED) Jot)' ofum,, �i�QP�+:'+ /u,Kl•^ 2. Address (REQUIRED) )23o lc1—, 5V/-,tti A,ot 7 �� ,)v•I� • 1 M,.x, 52241 3. Contact Information (REQUIRED)Email: SivntrlOt CellPhone: SIj S8%8`I`IZ (All'written communications nt via email) 4a. Driver's License expiration date (REQUIRED) S") - (p b. Taxicab Business Name (REQUIRED) G;ah �!- ZouA. L t� 5. Prior experience in transportation of passengers: qt,IVAr s \4A'A 6. Have you ever been arrested/ charged with any misdemeanors and/or felonies in this State or elsewhere? Wo Type of offense Where When What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offense 4:a, When -zl What happened to the charge? (Circle one) Convicte Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license o c auffeur's license been suspended or revoked in the last five years? Type of offense Where When No 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 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 1 have issued to me by the Iowa Department of Transportation a valid Driver's license number 13(e p0�5ut, issued on k expiring on S-22-;ZOA. 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 J� Date (0 1f-k!!!i-1NNfl11N„NNNl1f!!f!!f NNf1fi-!ff!!lfllflNNNNMINkttHvl f-llflflNNYy:flf!-1ff STATE OF IOWA ) COUNTY OF JOHNSON ) �� C -n Subscribed and sworn jo before me by Slp $1AQo, 5tovtCIO rt)on .this, LQ_ day of 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 22� 2 6- 2 6/Zo z / Sig ure of Police 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. or o&_Lt Date N1fNllflf Nfflllf!!!1f f1NNlN!!llfl11fl1frt'kN1MNNNfN1M1N1ftiNiflf-flff ltflf flNlNNlflfefleffflrlttf#fifNHlNAf}Mf111f f 11111!!!!! 111!1 Office Use Only Approved application DCI report State certified driving record Website update CJ WTA%IDRNBADGEA 0201Ua MW DOC 04/2018 STATE OF IOWA Criminal History Record Check Request Form Mail or Fax completed forms to: Iowa Division of Criminal Investigation Support Operatione Bureau, la Floor 215 s. r Street Am Nfolnes, Iowa 56319 (515)1725-6066 (515)%25-6080 Fax Iieawatinz an Iowa Crimhial History Record Cbeck on: DCI Account Number: 9967-F (if.pDlirabl{) Send results to: Name Yellow Cab of Iowa Cl Address P.O. Box 426 lows City, Iowa SjikT Pbone (31� 33 9177 Fax 319tiSs9-4143 J DCI -77 (updated 06-26-2018) Received T,me Aug. 16. 2021 9:71AM Nc.9942 Page I of 2 tows unfl3 raw Mffitpa Aiecorn Call pa xesuits 5}oYie�orl,K¢i' ��ep�'+en F�H„K16:, :�8. ..�+.'�a3ei��o'?�*'�:-'1!��! �Y • �� I�L.lfe,'i;':; ~�•',� r er. . MQ, OFOMale � b4; - 761 � O le N ••�'1 �Y1�fi0)f�wi��iouta�ped l rebase a�th0 si(`�jerSTo�the:��°e}��4Rom�lb�r:. 1�,�1d td 1paY � 2 P omnleid oYa�uo lYust y rt�er{�;-PR. aA a, lei a�loWEil 'y•]xYr,' ,[eY 1 5 j 'yi ,.'. yiyy �l �T L .�T•, r'91f,"'.,-.7/i�I�R rpiv_ F''� ° .t� .m.G"i 'A.+'n:. l:'�,'�X.:: .:.;'y .'..• +• , i rlx . f kii b 1 kfnpijCLL[oFble: w.tls�.i.;;✓.�.�s-w:iW,�. '��', c�,•y� �=r•"..,' ,1,.vi...7r:.,., li::r�.f..�'�e'-y..��.:.!;,;,..:a•,>�.•.::u.;t,'.: } a� � � E Ii^•f J.. 1 h�-Poi�'4 .,�::` fiw••..N�','A`.i' �. .l?.� ,x .. r'.:''. z on ria z�m.�y.,.k�iin�vem �,,�v'o��1a. fust `�T,�.pa.,>nw �(y.�ds q fled. �,�aa'�i+aaSaf.�eio:aw �4:�ia 1 Y:'i 1•LP: "�•�_,:.';'F:' �• aafmLY66'�.'baq�oo�i l{-t��W{f{m}_BT[dgOY� i 164^Swl II :�r�'y 44��"Y'• '.xGCfdi' DCI -77 (updated 06-26-2018) Received T,me Aug. 16. 2021 9:71AM Nc.9942 Page I of 2 tows unfl3 raw Mffitpa Aiecorn Call pa xesuits PCT use only) Iominal ;< 6 v A8 of $ a a seekotibdbiCfleB`b inj dato of bitch revealed: � No Iowa Criminal Histoi*o'td founHCho�I z "'�rp lnRiiOn oo" rdr a nnnaxmwo`a�" > ti O ❑ : Iowa Criminal history Record attached, DCI Al m � ri DCI initials DCI -77 (updated 06-26-2018) Received T,me Aug. 16. 2021 9:71AM Nc.9942 Page I of 2 DISCLAIMER 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 riled 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.coad. 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). ti 0 o — ti C= r` �rT1 N N do"i SMARTER I SIMPLER I CUSTOMER DRIVEN www•lowadot gov Drhw a 10entilltation Services PO Box 92M I Des Moines. IA 5030&920r Phone- 515-244-9124 1 FaX 515-239-1837 Certified Abstract of Driving Record Inquiry Data: 8/18/2021 DL/ID #: 236DD0596(IA) Customer #: 4243013 Name: Stonebraker, Class: D ID Status: None Stephen Franklin Address: 2230 10th St Apt 7 Audit #: 2894625 DL Status: VAL Issue Date: 06/13/2018 CDL Status: None City/State: 522411IA Expiration Date: 05/22/2026 CDL Cert Status: None ry Endorsements: Chauffeur 3 CDL Med Status: None Mailing Address: 2230 10th St Apt 7 Restrictions: NONE Restriction None r�- Supplement: Date of Birth: 05/22/1985 - N Mailing Coralville, IA Sex: M --- city/state: City/state: 522411351 Cm •� History Information o� PV Convictions ti Citation Date Conviction Date ACD I Explanation County 3UR 03/0112021 103/24/2021 M34 I Following Too Close Johnson IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number 3UR 12/17/2016 958769 IA 0403 2017 1978572 IA 03/01/2021 1229582 IA Name: Stonebraker, Stephen Franklin DL/ID: 236DO0596 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: Name: Stonebraker, Stephen Franklin DL/ID: 236DD0596 8/18/2021 A2zzc�)L Driver & Identlfication Services Iowa Department of Transporation A�� N O >_V U C —f C cn r o VE N N