The URL can be used to link to this page

Home My WebLink About22-009 IDENTIFICATION NO. `Z -00 9 _ 1 (Office Use Only) me- As APPLICATION FOR TAXICAB/MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m.to 3 p.m., Monday—Friday) CITY OF IOWA CITY 4 I 0 East Washington Street Failure to complete the "required"information will result in denial of the application Iowa City, Iowa 5 2240-1 826 (319) 356-5040 Last First Middle (319) 356-5497 FAX 1. Name(REQUIRED) / -T ".� ,AA 2. Address(REQUIRED) /0 , .r' "lt -- . , ' 3. Contact Information (REQUIRED) Email:-n r x a Cell Phone:- (All written communication sent via email) 4a. Driver's License expiration date(REQUIRED) I • b. Taxicab Business Name(REQUIRED) 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 c,t What happened to the charge?(Circle one) Convicted Dismissed Deferred Suspended .Plµilty Other 7. Have you been arrested/charged with any traffic offenses in the last five years? 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) (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 I have issued to me by the Iowa Department of Transportation a valid Driver's license number • ( issued on ,' expiring on . I understand that if 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 he City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant ) 1ji c/ /u Date 1-) '1 ************************************************************************************************************************************************ STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by Tcu1,`c9 t_k. , l-tA ZeI on this 51/ f day of U) Lr �t7a'� C ;WENDY S. Y t Public in a d for"tFie Sta a of I a 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 iver's license / /6/2O 2 d' //L) c • 2 Signature o olice Chief or designee ate; c.rr AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWAsCITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. 1) ) 7 15 a--� Signs re of City Clerk or de ignee ate ******************************************************* ************************************************************************************** Office Use Only Approved application DCI report State certified driving record Website update Clerk/TAXIDRIVBADGEAPPL92018amended.DOC 04/2018 iiii„00-0,4, i ..„. „. :..„, . . x y ilvw.iowadotgQy SMARTER I SIMPLER I CUSTOMER °RIVEN Whist 8,Identifieatlan SeIviess PO Box 9204 I Des Moines,.IA 503C64204 Phone:515-2:14-912A I Fax 515-229E-1837 Certified Abstract of Driving Record Inquiry Date: 7/14/2022 DL/ID#: 075AA1861 (IA) Customer#: 1984143 Name: Metzler, David Class: D ID Status: None Milton Address: 310 N GEORGE ST Audit#: 5058470 DL Status: VAL Issue Date: 10/21/2020 CDL Status: None City/State: NORTH LIBERTY,IA Expiration Date: 11/16/2028 CDL Cert Status: None 523179671 Endorsements: Chauffeur 3 CDL Med Status: None Mailing Address: 310 N GEORGE ST Restrictions: NONE Restriction None F Supplement: J Date of Birth: 11/16/1958 c._ Mailing NORTH LIBERTY, IA Sex: M City/State: 523179671 '_ History Information µ. cr' Convictions ,.i7 CO Citation Date Conviction Date ACD Explanation County JUR 07/16/2019 07/23/2019 S92 Speed (10 mph & Johnson IA under in 35-55 mph zone) Name: Metzler, David Milton DL/ID:075AA1861 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: (i?) 4ryr OF 7 7/14/2022 aoe9eifie-41 V V +S... . c � Driver&Identification Services >AAL DostArr Iowa Department of Transporation Name: Metzler, David Milton DL/ID:075AA1861 M.f N M. 1 - I t.i 1 w 'e laN �:..� r 1..ri y.r 4.h� State of Iowa ,, ``>k Division of Criminal Investigation 215 E. 7th Street , i � IOWA ) Des Moines,Iowa 50319 i,, l Phone: 515.725.6066 Fax: 515.725.6080 `' 41116. '4'1%11\1,\- Iowa Criminal History Record Check Walk-In Request Your name: --") ) a Z-rb/VMrz - - Address: 1 Q J�. G E0P4 L S I City/State/Zip: No p 1-j 1 ) 0 ca 3 i ) Fill in all shaded areas. Phone Number: '31 ar -`3 z) -24 4- Requesting an Iowa record check on: Last Name Apellido(mandatory) First Name Primer Nombre(mandatory) Middle Name Segundo Nombre(recommended) MoN 76,1 Date of Birth Fecha Nacimiento(mandatory) Gender Genera(mandatory) Social Security Number(recommended) O 1 �p — 19 S-8 Male Female 4 63-714 _SC-I I szi 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 form for this purpose.* \:.._____))? -iti.k Release Authorization Signature 1 YA U 1 _ Results DCI uses ONr.Ye_ CO , 2 a � As of 1''r7'g.Ga' , a name and date of birth check revealed: a N z_ c J CV Q No record found o era z tL — ,Record attached, DCI # -5I V a t 9 o -, 0 la— u_ DCI initials > a Receipt Number of requests k x $15.00 per last name=Total amount $ ,7 Method of payment: cash money order check# MasterCard or Visa .(Last 4'digits) Cardholder's name s..` . ° ...<x .. t DCI initials 'i I xA 3 DCI-83 (01/09/19) IOWA CRIMINAL HISTORY DCI 00312314 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 3 DATE PRINTED- 2022/07/13 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 *** 01 ARRESTED/TAKEN INTO CUSTODY 19831126 AGENCY: IA0570000 LINN CO SO CHARGE NO- 01 IA STATUTE IA321-281 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 DISP EFF DAT FINE $300 19831126 PROBATION 6HRS CRED-PROB TIL 020885 19831126 SUSPENDED 2D 19831126 CREDIT W/TIME SERVED 19831126 02 ARRESTED/TAKEN INTO CUSTODY 19890405 - = # " AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 =4C ; °I k ril OWI 2ND .; . TRK#: L25116201 ? .; COURT DISPOSITION CO AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J-2 OWI 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L25116201 SENTENCE DISP EFF DAT JAIL 10D 19890628 CREDIT 7 HRS/PAY SURCHG FINE $750 19890628 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 DCI 00312314 PAGE 2 OF 3 OWI 2ND CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 006445901 SENTENCE DISP EFF DAT JAIL 15D 19940928 FINE $750 19940928 PROBATION 1Y '19940928 SUSPENDED 35D 19940928 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 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 C".±"'"' PROBATION 2Y 19990526 � C1 SUSPENDED 2Y 19990526 w n..., An arrest without disposition is not an indication of guilt. This record:~:'' maintained by the Iowa Division Of Criminal Investigation, Bureau Of 'C Identification is a public record but can only be released to non-law enforcement agencies by the DCI. Tfiis 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 crl up y> W / ` V