Proof of Service PersonalCal. Super. - 6th Dist.February 26, 202050104 Proof of Service Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read Whatis "Proofof$ervice?", Form SC-104B. To learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, Form SC-1 04C. To serve a business, you must serve one ofthe following people: i Owner (for a sole proprietorship) I Partner (for a partnership) or general partner (for a limited partnership) I Any officer or general manager (corporation or association) r Any person authorized for service by the business (corporation, association, general partnership, limited partnership) I Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLq limited liability partnership [LLP], limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one ofthe following people: y Clerk (ofa city or county) I » Chief officer or director (of a public agency) ) Any person authorized for service by the entity a. Ifyou are sewing a person, write the person’s n’ame below: Christopher Clark (African American Male, 20's, 5‘1 1 ", Black Hair, Brown Eyes, 170 lbs.) b. lf you are sewing a business or entity, write the name of the business or entity, the person authorized for service, and that person's job title: Clerk stamps date here when form is filed. Fill in court name and street address: _time, and department below: Business 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: o Give a copy ofall the documents checked in to the person in ,or o Give a copy ofall the documents checked in t_o one ofthe following people: a. Acompetent adult (at least 18) Iivingwith. and at the home ofthe person in Superior Court of California, County of Santa Clara 191 North First Street SanJose, CA 951 13 Fill in case number, case name, hearing date, day, Case Number: 205C082751 Case Name: Christopher Clark vs. Kasey Uhlenhuth; Saam Alikhani Hearing Date: 04/08/20 ,OI' Time: 8:303m Dept: 15 b. An adult (at [east 18) who seems to be in charge at the usual workplace ofthe person in ®, or c. An adult (at least 18) who seems to be in chaée where the person in® usually receives mail (but not a U.S. Post Office box), ifthere is no known physical address for the person in and mail a copy of the documents left with one of the adults in a, b, or c above to the person in G. THEN o Complete and sign this form, and o Give or mail your tompleted form t0 the person who asked you to serve these court papers, in timefor theform to beflled with the court at least 5 days before the hearing. lserved the person in G) a copy ofthe documents checked below: a. SC-100, Plaintifi’s Claim and ORDER to Go to Small Claims Court b. m SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court c. D Orderlfor examination (Thisform must be personally served. Check the form that was served): I Nate: The court can issue a civil arrest warrant if the served party does not come to court only if the orderfor examination was personally served by a registered process server, sheriff marsha/[or someone appointed by the court. (1) 'E SC-1 34, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) E AT-1 38/EJ-1 25, Application and OrderforAppearance and Examination d. m Other (speCIfil): Notice to Small Claims Litigants; Request to participate in on-Iine dispute resolution (ODR) for Small Claims Litigants Judicial Council of California, www.cou rtinfo.ca.gov PROOF 0F S ERVICE Revised January 1, 2009, Optional Form (SMALL CLAIMS) Code of Civil Procedure, §§ 116.340, 41 5.1 0, 41 5.20 SC-104, Page 1 of2 Case Number: Case Name: Christopher Clark vs. Kasey Uhlenhuth; Saam Alikhani 205C082751 Gt) Fill out "a" or "b" below: a. m Personal Service: I personally gave copies ofthe documents checked in® to the person in Q): On (date): Mon, Mar 02 2020 At (time): 10:06 AM I At this address: 655 Knight Way Room G1 02 City: Stanford State: CA Zip: 94305 b. E Substituted Service: I personally gave copies of the documents checked in® (a, b, or d) to (check one):E A competent adult (at least ‘18) at the home of, and living with the person in ,orD An adult who seems to be in charge where the person in usually works, orE 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 )." l did this on (date): At (time): At this address: City: State: Zip: Name or description of the person | gave the pa pers to: After serving the court papers, l put copies ofthe documents listed in® in an envelope, sealed the envelope, and put first-class prepaid postage on it. l addressed the envelope to t'he person in® at the address where | left the copies. I mailed the envelope on (date): from (city, state): by leaving it (check one): a. E At a U.S. Postal Service mail drop, or b. E At an office or business mail drop where | know the mail is picked up every day and deposited with the U.S. Postal Service, or c. E With someone else | asked to mail the documents to the person in Q), and | have attached that person’s completed Form SC- 104A. ® Server's Information Name: Kimberly Petty Phone: 408-892-0974 Address: P. O. Box 1367 City: Campbell ' State: CA Zip: 95009 Fee for service: $ '$1 50.00 Ifyou are a registered process server: County of registration: Santa Clara Registration number: 1006 © ldeclare under penalty of perjury under California state law that I am at least 18 years eld_and not named in this case and that the information above is true and correct. Date: 03/03/2020 Kimberly Petty Type or print server’s name Server signs here after serving Revised January 1,2009 PROOF 0F SERVICE sc-1o4, Page 2 0f2 (SMALL CLAIMS)