Proof of Service PersonalCal. Super. - 6th Dist.February 26, 2020_ - . Clerk stamps date here whenfarm isfilea'. w- SC-104 Proof of SerVIce Electronically Filed -‘ '- -- . b Su erior Court of CA”'3 -' " Use thls form to serve a person, a business, 0r a public entity. To learn more y p ’ about proof of service, read WhatIs “ProofofService”?, Form SC-104B. To learn more county 0f santa Clara: about how t0 sewe a business or entity, read How to Serve a Business or Public Entity: 0n 4/9/2020 3:02 PM Form 301040 Reviewed By: A. Granados To serve a business, you must serve one of the following people: Case #ZOSC082738 ' Owner (for a sole proprietorship) . . ' Envelope: 4242874 - Partner (for a partnershxp) or general partner (for a hmlted partnershxp) ' Any officer or general manager (corporation or association) a Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and street address: limited partnership) Superior Court of California 0 Any person authorized for service with the Secretary of State (corporation, association, limited County 0f 389*“ Clara liability company [LLC], limited liability partnership [LLP], limited partnership) gilNflgggficFfisggmfiT To serve a public entity, you must first file a claim with that entity, then serve one of the following ’ people; Fill in case number. case name, hearing date. day, time. and department below: o Clerk (ofa city or county) - Chief officer or director (of a public agency) case Number: 203C082?” - Any person authorized for sewicc by the entity ggsagsg‘fiim G) a. Ifyou are serving a person, write the person’s name below: ' Again“ JUAN ANTONIO DELGADO ORTIZ JUAN ANTONIO DELGADO ORTIZ b. Ifyou are serving a business or entity, write the name of the business or Hearing Date: entity, the person authorized for service, and that person’s job title: 6/18i2020 Time: Dept: Businms or Agency Name 1:00 pM 1 5 Person Authorized for Service Job Titie ® Instructions t0 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 ®, or - 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 ofthc person in G), or c. An 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 (D and mail a ccpy of the documents lefi with one of the adults in a, b, or c above to the person in Q). 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 with the court at least 5 days before the hearing. ® I served the person in ® a ccpy of the documents checked below: O a. SC-IOO, Plaintzfl’s Claim and ORDER to Go to Small Claims Court b. D SC-120, Defendant‘s Claim and ORDER to Go t0 Small Claims Court M c. D Order for examination (Hisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant zfthe servedparty does not come to court only ifthe orderfor examination waspersonally served by a registeredprocess server, sherifi,‘ marshal, or someone appointed by the court. (1) D SC-134, Application and Order to Produce Statement ofAssers and to Appearfor Examination (2)D AT-1382’EJ-l 25, Application and Orderfor Appearance and Examination d_ Other (Specm; NOTICE T0 LITIGANTS; NOTICE T0 SMALL CLAIM LITIGANTS; JudicialCouncllol‘Calllorma. www.courtmro.ca.gov Proof of Service case EDI 5792190 Revised January 1, 2009. Optional Form _ Code otCiviIProcedL-re. §§116.340.415.1o,415.2o (small Cla'ms) SC 104’ P3961 °f2 111A nAVI‘FTI'r.‘ Case Number: 208C082738 _ ' 'ill out “a” 0r “b” below: E Personai Service: Ipersonally gave copies 0f the documents checked in® to the person in® : 0n (date): 3/10/2020 At (time): 6:30 PM Gender: MALE Age: 21-25 Skin Tone: HISPANIC Hair: BLACK Eye Color: BROWN Height: SFT 4IN - SFT 7]N Weight: 151 LBS - 170 LBS At this address: Home: 3637 SNELL AVE SPC 28 City: SAN JOSE State: CA Zip: 95136 b. E] Substituted Service: I personally gave copies 0f the documents checked in® (a, b, or d) to (check one): D A competent adult (at least 18) at the home 0f, and living with the person in Q), or D An adult who seems t0 be in Charge Where the person in® usuafly works, 0r D An adult who seems to be in charge where the person En® usually receives mail, or has a private post office box (not a U.S. Post Office box), if there is n0 known physical address for the person in (D. I told that adult, “Please give these court papers t0 (name 0fperson in ®).” I did this on (date): At (time): At this address: City: State: Zip: Name or description of the person I gave the papers to: After serving the court papers, Iput copies of the documents listed in C3) in an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope t0 the person in G) at the address where E left the copies. Imailed the envelope on (date): from (city, state): by leaving it (check one): a. [j At a U. S. Postal Service mail drop, or b. D At an office or business mail drop where Iknow the mail 13 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. ® Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 951 13 County of registration: SANTA CLARA Registration number: PSI736 Fee for service: S 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS 1 736 @ I declare under penalty of perjury under California state law that I am at Icast 18 years old and not named in this case and that the information above is tme and correct. Date 3/14/2020 0 f?ii}?- ..:;7{fMARIA G. TORRES PEREZ Type or print server’s name Server Signs here after serving Revised January 1. 2009 Proof of service Case ID: 5792190 (Small Claims) 50-1 04, P399 2 0f 2 ‘fTA fiAVfiTTT‘.‘
