Proof of ServiceCal. Super. - 6th Dist.November 27, 2018POS-04O ATrORNEY 0R PARYY WITHOUY AYTORNEV: STATE BAR No: 21 2,954 Fan coum use ONLY cnv; Walnut Creek sme: CA ZIP cone: 94549 SUPERIOR COURT OF CALIFORNIA, COUNTY OF Sanla Clara Clerk Of the court CITY AND ZIP cone: San Jose, CA 951 13 NAME: John Claassen E E. E TELEPHONE No‘: (925) 204-3885 ' FAx No: (925) 204-3886 Su n 01 C County ol Santa Clara BRANCH NAME: Downtown Counhouse CASE NUM FIRM NAME: Claassen. P.C‘ STREET ADDRESS: 1281 Locust 81.. Suite 026 E.MNLADDREss: john@claassenlegal.com NOV 2 7 2018 ATIORNEY FOR (name): Former NT Corp. STREETADDRgss:_ 191 First S(reet MAILING ADDRESS: BY DEPQTY B : PIaintifl/Petitioner: Hamid Khazaeli 1 8 6 V 3 3 8 3 4 9 Defendant/Respondent: Former NT Corp‘ . JUDICIAL OFFICER: PROOF OF SERVICE-CIVIL Check method of service (only one):E By Personal Service E By Mail E By Overnight Denvery DEPARIMENT:E By Messenger Service S By Fax Do not use thls form to show service ofa summons and complain! or for electronic service. See USE OF THIS FORM on page 31 1, At the time of service | was over 18 years ofage and not a party to this action. 21 My residence or business address is: 1261 Locust SL. Suite C26, Walnut Creek, CA 94596 3. E The fax number from which I served the documents is (complete ilservice was by fax): 4, On (date): November 27, 2016 | served the following documents (specify): Notice of Appeal. Civil Case Cover Sheet, Notice of Related Case. Notice of Posting Undenaking. Proof of Service. Proof of Service by Messenger, E The documents alje listed in the Atlachmant Io Proof of Service-Civil (Documents Served) (form POS-O40(D)). 5. | served the documents on the person or persons below, as follows: a. Name of person served: State Labor Commissioner b, (Complete i! service was by persona/service, mail, overnight delivery, or messenger service.) Business or residential address where person was served: 100 Paseo de San Antonio, Suite 1220. San Jose, CA 951 13 c. U (Complele if service was by lax.) Fax number where person was served: E The names. addresses. and other applicable information aboul persons served is on the Attachment (o Proof of Service- Civil (Persons Served) (form POS-O40(P)). 6, The documents were served by the following means (specify): a. E By personal service. I personally detivered the documents to the persons at the addresses listed in item 5, (1) For a party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by leaving the documents at the attorney‘s office, in an envelope or package clearly labeled to identify the attorney being sewed. with a receptionist or an individual in charge ot the office; or (c) if there was no person in the office with whom the notice or papers could be left, by leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the evening (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours ofeight in the morning and six in the evening. Pane 1 oi: Form Approvadior Optionaluu PROOF 0F SERVICE_C|V|L Coda utClle chadule, §§ 1011, 1013. 1013a, . 2015.5: Cale Rules o! Court. rule 21306 POSOdMRav. Febtuary 1. 2017) (Pl’OOf Of Servlce) wwnv.cowts.ce.yov Judldal Council ol Cnlllomln XV:| A8 POS-040 CASE NAME: Hamid Khazaell v, Former NT Corp, CASE NUMBER: 6‘ b‘ E By United States mail. I enclosed (he documents in a sealed envelope or package addressed to the persons at the addresses in item 5 and (specify one): (1) D deposited the sealed envelope with the United Slates Postal Servlce, with the postage fully prepaid. 2) D placed lha envelope for collection and mailing, following our ordinary business practices. | am readily familiar with this buslness's practice for collecting and processing correspondence for mailing. On lhe same day that correspondence is placed for collection and mailing. it is deposited in the ordinary course of business with the United States Postal Service, in a sealed envelope with postage fully prepaid. | am a resident or employed in the county where the mailing occurred. The envelope or package was placed in the mail at (city and state): c, D By overnight delivery. | enclosed the documents in an envelope or package provided by an overnight delivery carrier and addressed to the persons at the addresses in item 5, | placed the envelope or package for collection and overnight delivery at an office or a regularly utilized drop box of the overnight delivery carrier. d‘ E By messenger servlce. | served the documents by placing them in an envelope or package addressed to the persons at the addresses listed in item 5 and providing them to a professional messenger service tor service. (A declaration by the messenger mus! accompany (his Proof of Service or be contained in (he Declaration oi Messenger below.) e. D By fax transmission. Based on an agreement oi the parties to accept service by tax transmission. | faxed the documents to the persons at the iax numbers listed in item 5. No error was reported by the fax machine that | used. A copy ot the record ot the fax transmission, which i printed out. is attached. I declare under penalty ot perjury under the laws of the State oi California that the foregoing is true and correct. Date: Nov. 27, 2018 John Claassen t/Méém (TYPE OR PRINT NAME OF DECLARANY) (SIGNATURE OF DECLARANT) (II item 6d above ls checked, the declaration below must be completed or e separate/claratlon Irorn a messenger must be attached. ) DECLARATION OF MESSENGER E By personal service. | personally delivered the envelope or package received from the declarant above to the persons at the addresses listed in item 5. (1) For a party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by leaving the documents at the attorney’s office, in an envelope or package clearly labeled to identity the attorney being sewed. with a receptionist or an individual In charge of the office; or (c) it there was no person tn the office with whom the notice or papers could be left, by leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the evening. (2) For a party. delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours oteight in the morning and six in the eveningt At the time o‘f seNice, | was over 18 years of age. | am not a party to the ebove-reterenced legal proceeding | sewed the envelope or package. as stated above. on (date): 11/27/2018 l declare under penalty of perjury under the laws oi the State oi California that the ioregoing is true and correct Date: D (NAME OF DECLARANT) (SIGNATURE OF DECLARANT) P084140 [Rem February t. 2017] PROOF OF SERVIC E_.C|V|L Page 2 ol J (Proof of Service) POS-040 INFORMATION SHEET FOR PROOF OF SERVICE-CIVIL (This information sheel is no! part of the official proof o/ service form and does nol need (o be copied, served, or filed.) USE OF THIS FORM This form is designed to be used to show proof of service of documents by (1) personal service, (2) mail, (3) overnight delivery. (4) messenger service. or (5) fax. This proof of service form should not be used to show proof of service of a summons and complaint. For that purpose. use Proof of Service of Summons (form POS-010). Also. this proof of service form should not be used m show proof of electronic service‘ For that purpose, use Proof of Electronic Service (form POS-O50). Certain documents must be personally served. For example, an order to show cause and temporary restraining order generally must be served by personal delivery. You must determine whether a document must be personally delivered or can be served by mail or another method. GENERAL INSTRUCTIONS A person must be over 18 years of age to serve the documents. The person who served the documents must complete the Proof of Service. A party to the action cannot serve the documents. The Proof of Service should be typed or printed. If you have Internet access, a fillable version of this proof of service form is available at www.couns.ca‘gov/forms‘htm. Complete the top section of (he proof of service form as follows: E'[§1 ng e11 g'gez In this box print the name, address. and telephone number ofthe person forwhom you served the documents.MW: Print the name of the county in which the legal action is tiled and the court's address in this box‘ The address for the coun should be the same as the address on the documents that you served. Third box left side: Print the names of the ptaintiff/petitioner and defendant/respondent in this box. Use the same names as are on the documents that you served. Foggh box, left s'de: Check the method of service that was used, You should check only one method of service and should show proof of only one method on the form. it you served a party by several methods, use a separate form to show each method of service. Fi[st box top of fg[m right s‘ge: Leave this box blank tor the coun's use‘ figggnd box r'ght s'de: Print the case number in this box. The case number should be the same as the case number on the documents that you served. Th'Ld box [ight side: State the judge and department assigned to the case, if known. Complete items 1-6: 1. You are stating that you are over the age of 18. 2. Print your home or business address. 3. It service was by fax service, print the fax number from which service was made. 4. List each document that you served. If you need more space, check the box in item 4, complete the Attachment to Proof of Service-Civi/ (Documents Served) (form POS-040(D)), and attach it to form POS-O40. 5. Provide the names. addresses. and other applicable information about the persons served. If more than one person was served. check the box on item 5, complete the Attachment (o Proof of Service-Civil (Persons Served) (form POS-O40(P)). and attach it to form POS-O40. 6, Check the box before the method of service that was used, and provide any additional information that is required. The law may require that documents be served in a particular manner (such as by persona! delivery) for certain purposes. Service by fax generally requires the prior agreement of the parties. You must sign and date the proof of service form. By signing, you are stating under penalty of perjury that the information that you have provided on form POS-040 ls true and correct. 905-040 [Ram February L 20W] PROOF OF SERVICE_C|V| L Pug. J ol J (Proof of Service)
