Proof of Service SubstitutedCal. Super. - 6th Dist.February 26, 2020o L\ Cierk stamps date here when form :29 filed. SC-1 04 Proof of Service _ Use this form t0 serve a person, a business, or a public entity. To learn more about proof of service, read What IS 'TroofafSeWice"?, Form SC-IO4B. T0 learn more about how to serve a business or entity, read How ta 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 0r general manager (corporation 01' association) ~ Any person authorized for service by the business (corporation, association, general partnership, limited partnership) ° Any person authorized for service with the Secretary ofState (corporation, gfi$icéfirt °f califomiar C°unty 0f aigiatllgélfiégtaidmleligllg? company [LLC], [muted 11ab111ty partnershlp 191 NORTH FIRST STREET 9 . . _ _ . SAN JOSE,CA 95113 To serve a publlc entlty, you must first file a 0131111 With that entlty, then serve one ofthe following people: ° Clerk (of a city or county) - Chiefoflicer or director (ofa public agency) g”m €359 number» 0839 Flame» Fearing deter - Any person authorized for service by the entity ay’ Ume’ and depanmentbemw’ , _ Case Number:® a. Ifyou are semng a person, wnte the person’s name below: REX GARRET DBA TOP DOWN RESTORATION 203982744 Case Name: b. Ifyou are serving a business or entity, write the name ofthc business EVERGREEN PUBLISPHNG C0. or entity, the person authorized for service, and that person’s job title: vs_ TOP DOWN RESTORATION Hearing Date: 4/21/2020Business orAgency Name Person Authorized for Service Job Title Time: I :00 PM Dept: 14 Instructions to Server: You must be at least 18 yeaIs old and not be named in this case. Follow these steps: - Give a copy ofall the documents checked in© to the person in®, 0r ° Give a copy ofaII the documents checked in® to one ofthe following people: a- A competent adult (at least 18) living With, and at the home ofthe person in ‘,0r b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in CI), 0r c. An adult (at least 18) who seems to be E11 charge where the person in©usually receives mail (but not a US- Post Office box), ifthere is no known physical address for the person fn®. and mail a copy ofthe documents Iefi with one ofthe adults in a, b, 0r 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 timefiJr thefbrm t0 baffled with the court at least 5 days before the hearing. ® I served the person in® a copy ofthe documents checked below: Q E O a. SC-lOO, Plaintiff’s Claim and ORDER to Go t0 Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 Go to Small Claims Court c. D Order for examination (Misform must be personally served. Check thefbrm that was served): Note: TVIe court can issue a civil arrest warrant zftize servedpartj/ does not come t0 court only Ifthe order 0r examination waspersonally served by a registeredpracess server, shenfl marshal, orsomeone appointed by the court. (1) D SC-134, Application and Order t0 Produce Statement ofAssets and t0 Appearfor Examination (2) D AT-I 3 8/EJ-I 25, Application and OrderflrAppearance and Examination Judida] CounciL ofCalifornfa,www.cawfinfa_ca.gav ‘ sc.104 Page 1 ofz Revised January 1. 2009, Optional Form ProOf 0f se_rwce ' 9 Code cf CM: Prooedure.,§§ 116340, 41540.41520 (Small Claims) ‘ Case Number: 208C082744 Case name: @ Fin out “a" or “b” below: a. D Personal Service: Ipersonally gave copies 0fthe documents checked in© to the person in®2 01] (date):-- At (time):-- D a_m. U p.111. AI this address: ‘ City: State' Zip: b. Ogdbsfituted Service: Ipersonally gave copies 0fthe documents checked in© (a, b, 0r d) to (check one): D A competent adult (at least 18) at the home 0f, and living with the person in® , or A11 adult who seems to be in charge where the person in® usually works, or D An adult Who seems t0 be in charge where the person in®usually receives mail, 0r has a private post office box (not a U.S. Post Office box), if there is n0 known physical address for the person in®. I told that adult, "Please give these c0urt papers to (name of person in©." laid this on (date); 2/26/2020 At (time): 2:16 D am. pm, At this address: 405 REYNOLDS CIRCEL, SUITE A City; SAN JOSE state: CA Zip; 95120 Name or description 0f the person I gave the papers to: VIRGIL NOWELL‘ EMPLOYEE WHO STATED HE WOULD GIVE THE DOCUMENTS TO THE OWNER. After serving the court papers, I put copies of the documents listed in ‘© in an envelope, sealed the envelope, and put first-class prepaid posmgc on it. I addressed the envelope to the person in 6) at the address where I left the copies. I mailed the envelope 0n (date):2/26/2020 fiom (city, state):SAN JOSEM CALIFORNIA by leaving it (check one): a. At a U.S_ Postal Service mail drop, or b. D 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 QB With someone else I asked to mail the documents to the person in G), and I have attached that person’s completed Form SC-104A ® Server’s Information Name; PHILLIP ERKENBRACK Phone: 408-277-6700 Address: 255 NORTH MARKET STREET, SURE 130 City; SAN JOSE State; CA zip: 951 1o Fee for service: S 150-00 Ifyou are a registeredprocess server: County ofregistration: SANTA CLARA Registrafion number_- 1283 ® I declare under penalty ofpexjury under California state law that I am at least 18 years 01d and not named in this case and that Ihe information above is true and correct. Date: 3/1 1/2020 PHILLIP ERKENBRACK ’ Tye 0rprint server 's name Server signs here after serving Revised January 1,2009 Proof of Service 50-1 04, Page 2 of 2 (Small Claims)
