Proof of Service PersonalCal. Super. - 6th Dist.February 26, 2020Proof 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, r'ead How to Serve a Business or Public Entity, Form SC-1 04C. To serve a business,you must serve one ofthe following people: r Owner (for a sole proprietorship) I Partner (for a partnership) or general partner (for a limited partnership) v Any officer or general manager (corporation or association) i Any person authorized for service by the business (corporation, association, general partn'ership, limited partnership) n Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC], limited liability partnership [LLP], limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one of the following people: I Clerk (ofa city or county) > Chief officer or director (ofa public agency) b Any person authorized for service by the entity a. lfyou are serving a person, write the person's name below: Christopher Clark (African American Male, 20's, 5'1 1", Black Hair, Brown Eyes, 170 lbs. ) b. Ifyou are serving a business or entity, write the name ofthe business or entity, the person authorized for service, and that person’s job title: Business or Agency Name Person Authorized for Service Job Title ® Instructions t0 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 to one ofthe following people: a. A competent adult (at least 18) living with, and at the home of the person in E. Martinez Fill in court name and street address: Superior Court of California, County of Santa Clara 191 North First Street SanJose, CA 95113 Fill in case number, case name, hearing date, day, time, and department b'elow. Case Nu'mber: 205C082751 Case~Name: Christopher Clark vs. Kasey Uhlenhuth; Sgam Alikhani ‘ Hearing Date: 04/08/20 Time: 8:30am Dept: 15 b. An adult (at least 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), if there'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 ®. THEN o Complete and sign this form, and o Give or mail your completed form to the person who asked you to serve these court pa pers, in timefor theform to befiled with th_e court at least 5 days before the hearing. l served the person in® a copy ofthe documents checked below:E SC-1 00, Plaintifi’s Claim and ORDER to Go to Small Claims Court b. E SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court.E Order for examination (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe served party does not come to court only ifthe orderfor examination was personally served by a registered process server, sherijf marshal, 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 (specifl): Notice to Small Claims Litigants, Request to participate in on--|ine dispute resolution (ODR) for Small Claims Litigants Jud icial Cbu ncil of Californ ia, www.cou rtinfo.ca.gov PROOF 0 F s ERVICE Revised January 1, 2009, Optional Form (S MALL CLAIMS) Code of Civil Proced ure, §§ 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 ® Fill out "a" or "b" below: a. Personal Service: | personally gave copies ofthe documents checked in® to the person in ®: On (date): qu, Mar 02 2020 At (time): 10:06 AM At this addréss: 655 ‘Knight'Way Room G1 02 City: Stanford‘ State: CA Zip: 94305 b. E Substituted Service: | 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 ®, orE 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 . ltold that adult, "Please give‘these court papers to (name of person in ®)." l did this on (date): At (time): At this address: City: r . State: * Zip: Name or description ofthe person | gave the papers to: r After serving the court papers,l put copies of the documents listed in® in an envelope, sealed the envelope, and put first-class prepaid postage on it. l addressed the envelope to the person in® at the address whe’re I left the copies. l 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 l asked to mail the documents to the person in ®, and I 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 ' 4 State: CA Zip: 95009 Fee for service: $ $150.00 Ifyou are a registered process server: County of registration: Santa Clara Registration number: 1006 © | declare under penalty of perjury under California state law that | am at least 18 years old 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 Revisedjanuary 1,2009 ' PROOF OF SERVICE _ SC-104. Pége20f2 (S MALL CLAIMS)
