Proof of Service SubstitutedCal. Super. - 6th Dist.July 24, 2019SC-1 O4 Proof of Service C’ems‘amP‘da‘ehe ." Use this form to segve a person, business, 0r a ublic entity. T0 learn more about proof of serv1ce, read What is ”Proofof grvice"?, Form SC-104B. To learn more about how t0 serve a business or entlty, read How t0 Serve a Business or Public Entity, Form SC-I 04C. To serve a business, you must serve one of the following people: ° Owner (for a sole preprietorship) ° Partner (for a partnership) 0r genera] partner (for a limited partnership) ° Any officer or general manager (corporation 0r association) ' Any person authprizpdfor service by the business (corporation, association, general pax’tnerhlp, 11m1ted partnershlp) ' Any pergon apthorizqd fqr service with the Segretary 9f State (corporation, Superior Court assomatgoq, llrmted llablll company [LLC], 11m1ted llablllty partnershlp Santa Clara County, California [LLP], 11m1ted partnershlp Small Claims 191 N. 1st St T0 serve a public entity, you must first file a claim with that entity, then serve one 0fthe followmg people: ' Clerk (ofa city 0r county) ° Chief officer 0r director (of a public agency) ° Any person authorized for service by the entity case Number: . . , 19 SC 079741® a. Ifyou are servmg a person, wrlte the person s name below: Elias Ruiz Case Name: . . . . . Don Roberto Jewelers, inc. vs. Ruiz, b. Ifyou_are servmg a bus1ne_ss, or entltytwnte the name of the_ busmess Elias 0r entity, the person authonzed for semce, and that person's job tltle: San Jose, California 951 13 Busing orAgmcyNam Hearing Date: 9/1 8/2019 Time: 8:30 am 1 Dept: 1f Person Authorized for Service Job Title ® instructions to Server: You must be at least 18 years old and not be named in this case. Follow these steps: ° Giv‘e a copy of all the documents checked in© to the person in® , 0r - Give a copy of all the documents checked in© t0 one of the following people: a. A competent adult (at least 18) living with, and at the home 0f the person in® , 0r b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in® , 0r c. A11 adult (at least 18) who seems to be in charge where the person in® usually receives mail, (but not a U.S. Post Office box), if there is no known physical address for the person in® . and mail a copy of the documents left with one ofthe adults in a, b, or c above to the person in® . THEN, ‘ - Complete and sign this form, and ° Give 0r mail your completed form t0 the person who asked you to_serve these court papers in timefor theform t0 befiled With the court at least 5 days before the hearmg. ® I served the person in® a copy of the documents checked below: a. SC-lOO, Plaintifl’s Claim and ORDER to Go to Small Claims Court b.D SC-IZO, Defendant's Claim and ORDER to Go r0 Small Claims Court c. D Order for examination, (Thisform must be personally served. Check theform that was served): Note: T722 court can issue a civil arrest warrant ifthe servedparty does not come to court only ifthe orderfor examination was personally served by a registeredpmcess server, sherifif marshal, 0r sameone appointed by the court. (1)D SC-134, Application and Order t0 Produce Statement ofAssets and t0 Appearfor Examination (2)D AT-138/EJ-125, Application and Orderfor Appearance and Examination d. Other, (specgaz): Notice to Small Claims Litigants ' Judidal Caundl of Cafifamia Revised January 1.2009.0pfiana1Fm-rn PrOOf Of semice SC'1O4v Page 1 °f2 Codeowafl Pmcedum116.340.415.10.41520 I Job Number COP_201 9008777 (Small Clalms) Case Number: 19 SC 079741 Case name: Don Roberto Jewelers, Inc. vs. Ruiz, Elias Fill out "a" or "b" below: a. D Personal Service: I personally gave copies ofthe documents checked in© to the person in®z On (date): At (time): At this address: City: State: Zip: b. Substituted Service: I personally gave copies 0fthe documents checked in© (a, b, d) t0 (check one): A competent adult (at least 18) at the home of, and living with the person in@, or D An adult who seems to be in charge where the person in® usually works, or D An adult who seems to be in charge where the person in© usually receives mail, or has a private post office box (not a U.S. Post Office box), ifthere is no known physical address for the person in® . Itold that adult, "Please give these court papers to (name of person in® )." I did this on (date): 08/27/201 9 At (time): 8:20 PM Atthis address: 7350 Forest SL, Unit #3 City: Gilroy State: CA Zip: 95020 Name or description of the person I gave the papers to: Celia Cortez l Co-Occupant Afier serving the court papers, I put copies ofthe documents listed in© in an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in© at the address where I lefi the copies. Imailed the envelope on (date): 08/28/201 9 from (city, state): San Jose CA by leaving it (check one): a. D At a U.S. Postal Service mail drop, 0r b. At an office or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or c. D With someone else I asked to mail the documents to the person in® and I have attached that person's completed Form SC-104A (5) Server's Information Name: Kenny Alfaro Phone: (408) 297-6070 Address: 31 E. Julian Street City: San Jose State: CA Zip: 95112 Fee for service: $ 60.00 County ofregistration: Santa Clara Registration Number: PS1675 © I declare under penalty ofperjury under California étate law that] am at least 18 years 01d and not named in this case and th t the information above is true and correct. Date: l k 25g [:2 l Kenny Alfaro } 74‘ Type or print server's name Sewer signs here afier serving aidssszszzzzm?zaégaf"szmFm Proof or Service 30-104: Page 2 0f 2 Code of Civil Procedure 116.340, 41 5.10. 415.20 J 0b Number COP_201 9008777 (Small Claims)
