Proof of Service SubstitutedCal. Super. - 6th Dist.August 16, 2019SC -1 04 Proof of1SeWice Clerk stamps date here when form is filed. Use this form to seljve a person, business, or a ublic entity. To learn more about proof of serv1ce, read What z's _”Proofof grvice”?, Form SC-104B. To learn more about how to serve a busmess or entlty, read How t0 Serve a Business 0r Public Entity, Form SC-104C. To serve a business, you must serve one ofthe following people: ' Owner (for a sole proprietorship) ° Partner (for a partnership) or general partner (for a limited partnership) ' Any officer or general manager (corporation or association) ' Any person authpriz§d_for service by the business (corporation, association, general partnerh1p, 11m1ted partnershlp) ' Any per§on a_uthorizgd fqr service with the Seqretary qf State (corporation, Superior Court assomatgorg, 11m1ted 11ab1_11 company [LLC], 11m1ted llablllty partnershlp Santa Clara County, California [LLP], 11m1ted partnershlp Small Claims . . . 1 . To serve a public entity, you must first file a clalm w1th that entlty, then 39a; 510;: gglifomia 951 13 serve one of the followmg people: ' Clerk (of a city or county) ' Chief officer or director (of a public agency) ° Any person authorized for service by the entity case Number: . . , _ 19 SC 080055® a. Ifyou are servmg a person, wrlte the person s name below. Lonq Tran Case Name: . . . . . T a . H b h'b b. Ifyou are servmg a busmess, or entlty,.wr1te the name 0fthe busgness r n vs u a l _ or entity, the person authorlzed for serwce, and that person's job tltle: Hearing Date: 11/1 3/2019 Time: 8:30 am l Dept: \qBusiness or Agency Name 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: - Give a copy of all the documents checked in© to the person in® , 0r ° Give a copy of all the documents checked in® to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in® , or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in® , or c. An adult (at least 18) who seems to be in charge where the person inCI) 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 0fthe documents left with one of the adults in a, b, or c above to the person in©. THEN, - Complete and sign this form, and - Give or mail your completed form to the person who asked you to serve these court papers in timefor theform to befiled w1th the court at least 5 days before the hearing. ® I served the person in® a copy of the documents checked below: a. D SC-100, Plaintifl’s Claim and ORDER t0 Go to Small Claims Court b.E SC-120, Defendant’s Claim and ORDER to Go t0 Small Claims Court c. D Order for examination, (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come t0 court only ifthe orderfor examination was personally served by a registeredprocess server, sheriff, marshal, or someone appointed by the court. (1)D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2)D AT-138/EJ-125, Application and Orderfor Appearance and Examination d.D Other, (specify): Judicial Council of California Sen‘“$é-a"-r:~‘-:°°%?:§2332f2"12 Pr°°f °f Service 3C4“ Fag“ °f 2 o ea M race ure . , . . . (Small Claims) Job Number COP-2019012534 Case Number: 19 SC 080055Case name: Tran VS. Hubahib ® Fill out "a" or "b" below: a. D Personal Service: Ipersonally gave copies ofthe documents checked' in© to the person in®z On (date): . At (time): At this address: City: State: Zip: b.m Substituted Service: Ipersonally gave copies ofthe documents checked in© (a, b, d) to (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 Ofi'lce box), ifthere is no known physical address for the person in® . Itold that adult, "Please give these court papers to (name ofperson in® )." Idid this on (date): 11/03/201 9 At (time): 8: 1 O PM At this address: 1539 Orlando Dr. City: San Jose State: CA Zip: 95122 Name or description ofthe person I gave the papers to: Tam Tran / Father & Co-Occupant Afier serving the court papers, I put copies of the 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): 11/04/201 9 from (city, state): San Jose CA by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. E 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 © Server's Information Name: Philip Hamilton Phone: (408) 297-6070 Address: 31 E. Julian Street City: San Jose State: CA Zip: 951 12 Fee for service: $ County of registration: San Mateo County Registration Number: PS-1663 © I declare under penalty of perjury under California state law that I am at least 18 years old and not named in this case and that the information above is true and correct. Date: l‘ ‘5 | ‘6' Philip Hamilton i fifi/fl/vb/ T e or rint server's name Server si ns here a er servinP Judicial Council of California Revised January 1, 2009, Optional Form PrOOf 0f semice SC-1 04' Page 2 Of 2 CodeOfCivilProcedure116.340,415.10.415.20 (small Claims) Job Number COP-2019012534
