Proof of Service Summons DLR Civil

Cal. Super. - 6th Dist.December 22, 2016

PCS-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name. State Bar mm. and am“): 1 FOR COURT USE ONLY Anthony Ghecea, 218,459 Law Office of Anthony D. Ghecea m E g g m 3521 Aristides Drive a , MW. e, wt Modesto. CA 95355 TELEPltONE NO.:~ i2p9}:272-7253 [moment FOB. (Name): Plaintiff SUPERlOt-‘t (SOUR: or CALIFORMA, COUNTY or Superior Court of California. Santa Clara County , 191: N., First Street $.39 Jose. CA 95113-1090 _. > , ‘ _ , > " ‘ mmmmm;:Mréhael Smith use-mm DEFENDANTIRESPONUENT: A Grace Sub Acute and Skilled Care 1BCV304345 _ ‘ V . . Rntfiizlidhfléié PROOF-OF SERVICE. OF SUMMONS smith‘l '1. :At‘ the time of service was a. citizen of the United States. at least 18 years of ageand not a party to .thisaa'ction. BY FE » ‘)C 32‘ i-SeNBd-bopies of; Civil Case Cover Sheet, Complaint, Notice of Case Assignment. Su’r‘n’mon‘s 3" 3- PE‘W semdi AGrace‘ SubuAcuteAandrSkilled Care b» Person Served! Denny Noss - Person Authoritzed tO-Accept Service of Process 4‘. Address wherethe partyswasservedz. 1250-3 Winchester Blvd. San Jose. CA 95.128 5. i served the party b. by sufistlfuiedl‘Servica. On {dwell-104 [1.81201 7' at (time): 3234PM i left the documents listed in item 2 With or in lhe'PYBSBn‘CB Off Iacki‘e‘ Penya‘cseke Admih'i'smatorw Pcri‘s’on In Charge Of Office (1') (fiu‘sine‘s'e) a person at least 18'years of age apparently-in charge-at: the cities omenei place of business of the person-to he served. linformed him or hard 'the’ general. nature of the: papers. (4) A'declaration ofmt‘allin'g l§ atteéhed. 6.: Thematice. tetheaPerson Served"{(onxthe summons) was’compleied as follow/s: d'. on behelféof: A , , ,. . A Grace Stub ACutéandiSkiiied Care; under: :O‘t‘he"r:s‘i3uslness~Omani-2mm FormUnknown' 7. Pe’rs'oh‘ ”Who bowed parser: e._ Name: Themes J. Bowman. Jr b._ Address: One Legaiz-194-Ma'iin 504‘, Redwood Blvd:#"22’:§ Noya‘to. CA 94947 c. Telephone number; 415-491-0606 G; The fee for service was: 3 85.40 9.. lam; > (3) registered California process sewer. (i) Employee or independent contractor.. (iii Registratién No.25 (iii),Cou,nty SANTA-CLARA 8. l declare under penaltvof perjury .underthe laws of the United States of America and the State of Californl Date?- 04/21/2017 .VT,homae'..,..B,owman. Jr; _ {NAME OF PERSON WHO'SE’RVEB PAPERSt engine is true‘end correct. V l ' Code of civil Place are. - 417.16 01.1% 11005018 Farm Mogul for Monastery Use» 0 J ' . . ‘ , W" fififig'pm‘ ' PROOF or SERVICE or: SUMMONS ATTORNEY 0R PARTY wmiour ATTORNEY {Name ammo. TELEPHOF;3 FOR COURT USE ONLY Anthony Ghecea, 216459 (209)272. l:ew Office of Anthony D. Ghecea 3521 Aristides Drive W A Modesto, CA 95355 MMW‘BW r g 23,. f: m manner FOR (Nanci: Plaintiff smithl imnmmlwlM-ictubnnmmtflmm Santa Ciara - First Street 191 N. First Street San Jose. CA 951 13~1 090 PLAINTIFF: Michael Smith DEFENDANT: A Grace Sub Acute and Skilled Care CASE NUMBER: 1 6CV304346 BY FAX I am a citizen of the United States, over the age of 18 and not a party to the within action. My business address is 504 Redwood Blvd. Suite 223 Novato, CA 94947. PROOF OF SERVICE BY MNL On 04/21/2017. after substituted service under section CCP 415.20(e) or 415.20(b) or FRCP 4(e)(2)(B) or FRCP 4(h)(1)(B} was made (if applicable), I mailed copies of the: Civil Case Cover Sheet, Complaint, Notice of Case Assignment, Summons to the person to be served at the place where the copies were left by placing a true copy thereof enclosed in a sealed envelope, with First Class postage thereon fully prepaid, in the United States Mail at Los Angeles, California, addressed as follows: A Grace Sub Acute and Skilled Care Denny Noss 1250 S. Winchester Blvd. San Jose, CA 95128 i am readily familiar with the firm's practice for collection and processing of documents for mailing. Under that practice. it would be deposited within the United States Postal Service, on that same day, with postage thereon fully prepaid, in the ordinary course of business. i am aware that on motion of the party served. service is presumed invalid if postal cancellation date or postage meter date is more than one (1) day after date of deposit for mailing in affidavit. Fee for Service: $ 85.40 I declare under penalty of perjury under the laws of the United States of America and the State of Califomia that the foregoing is true and correct and that this declaration was executed on 04/21/2017 at Los Angeles, California. One Legal - 194-Marin 3/»- / 504 Redwood Blvd #223 4;, ,75 4% Novato, CA 94947 Peter Fuster OL# 11005018