Proof of Service Summons DLR CivilCal. Super. - 6th Dist.December 1, 2020ZOCV3741 7O Santa Clara - CIVII POS-01 0 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY System Sy stem Shaun Setareh, 204514 Law Office of Shaun Setareh lectronically FiledE 315 South Beverly Drive , Suite 315 by Superior Court of CA C B I H'II ,CA 90212 eveTrexepJofiE uo.: (310)888_7771 ounty Of Santa Clara, ATTORNEYFORWame): p|aintifr on 1/1 1/2021 11:54 AM SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F eviewed By: System SystemR Superior Court of California, Santa Clara Countv Case #ZOCV3741 70 191 N. First Street Envelope: 5613748 San Jose, CA 951 13-1090 PLAINTIFF/PETITIONER: EMILY MASUDA, an individual CASENUMBER= DEFENDANT/RESPONDENT: Lucile Salter Packard Children's Hospital at Stanford, et al 200V3741 7O Ref. No. or File No.: PROOF OF SERVICE OF SUMMONS LUCILE WT 1. At the time of service | was a citizen of the United States, at least 18 years of age and not a party to this action.BY FAX 2. | served copies of; Complaint, Civil Case Cover Sheet, Summons, Civil Lawsuit Notice 3. a. Party served: STANFORD HEALTH CARE ADVANTAGE, a California corporation b- Person Served: - Person Authorized to Accept Service of Process 4. Address where the party was served: 450 SERRA MALL Stanford, CA 94305 5. | served the party b- by substituted seWice- On (date): 01/05/2021 at (time): 12:55PM | left the documents listed in item 2 with or in the presence 0f: KABAO MOUA, DIRECTOR - Person In Charge Of Office (1) (business) a person at least 18 years of age apparently in charge at the office or usual place of business of the person to be served. | informed him or her ofthe general nature of the papers. (4) A declaration of mailing is attached. 6. The "Notice to the Person Served" (on the summons) was completed as follows: d. on behalf of: STANFORD HEALTH CARE ADVANTAGE, a California corporation under: CCP 41 6.10 (corporation) 7. Person who served papers a. Name: Paul H. Norman b. Address: One Legal - P-000618-Sonoma 1400 North McDowell Blvd, Ste 300 Petaluma, CA 94954 c. Telephone number: 415-491-0606 d. The fee for service was: $ 66.00 e. | am: (3) registered California process server. (i) Employee or independent contractor. (ii) Reqistration No. 1135 (iii) County SANTA CLARA 8. | declare under penalty of periurv under the laws of the United States of America and the State of California that the foregoing is true and correct. Date: 01/06/2021 awwmm Paul H. Norman (NAME OF PERSON WHO SERVED PAPERS) (SIGNATURE) Form Adopted for Mandatory Use Code of Civil Procedure, § 417.10 J d' ‘ IC '| fC I‘f ' POS-010” ° PROOF 0F SERVICE 0F SUMMONS[Rev. Jan 1, 2007] OL# 1558671 7 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name andAddress): TELEPHONE NO.: FOR COURT USE ONLY Shaun Setareh, 204514 (310)888_7771 Law Office of Shaun Setareh 315 South Beverlv Drive Beverly Hills, CA 90212 Ref. No.orFiIe No. ATTORNEY FOR(Name).- Plaintiff LUCILE WT Insert name of court, judicial district or branch court, if any: Santa Clara - First Street 191 N. First Street San Jose, CA 95113-1090 PLAINTIFF: EMILY MASUDA, an individual DEFENDANT: Lucile Salter Packard Children's Hospital at Stanford, et al CASE NUMBER: PROOF OF SERVICE BY MAIL 200V3741 70 BY FAX | am a citizen ofthe United States, over the age of 18 and not a party to the within action. My business address is 1400 N. McDowell Blvd, Petaluma, CA 94954. On 01/07/2021, after substituted service under section CCP 415.20(a) or 41 5.20(b) or FRCP 4(e)(2)(B) or FRCP 4(h)(1 )(B) was made (if applicable), | mailed copies of the: Complaint, Civil Case Cover Sheet, Summons, Civil Lawsuit Notice 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 Petaluma, California, addressed as follows: STANFORD HEALTH CARE ADVANTAGE, a California corporation 450 SERRA MALL Stanford, CA 94305 | 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. | 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: $ 66.00 I declare under penalty of perjury under the laws of the United States 0f America and the State 0f California that the foregoing is true and correct and that this declaration was executed 0n 01/07/2021 at Petaluma, California. One Legal - P-OOO618-Sonoma X] C/1400 North McDowell Blvd, Ste 300 Petaluma, CA 94954 . Trav1s Carpenter OL# 1558671 7