Proof of Service SubstitutedCal. Super. - 6th Dist.January 7, 2020l ”a; ,3 SC -1 04 Proof of Service Clerk stamps date here when form is filed. zz E Em. . E " ‘Use this form to seljve a person, business, or a ublic entity. To learn more about proof of serv1ce, read What is _”Proof0f _ervice"?, Form SC-104B. To learn more about how to serve a busmess or entlty, read How to Serve a Business 0r Public Entity, Form SC-l 04C. To serve a business, you must serve one of the following people: ° Owner (for a sole proprietorship) ' Partner (for a partnership) or general partner (for a limited partnership) Sum. o ‘ 5 Clara ° Any officer or general manager (corporation or association) Iv ‘ _ . i; ‘ ‘PUTY ' Any person authprizpdfor service by the business (corporation, association, VA. GHANA) . general partnerhlp, 11m1ted partnershlp) ' Any per_son apthorizgd fqr service with the Seqretary qf State (corporation, Superior Court assomatgoq, 11m1ted 11ab111 company [LLC], 11m1ted 11ab111ty partnershlp Santa Clara County, California [LLP], 11m1ted pannershlp Sma” c|aims 191 N. 1st St To serve a public-entity, you must first file a claim with that entity, then serve one of the followmg people: ' Clerk (of a city or county) ' Chief officer or director (of a public agency) San Jose, California 951 13 ' ' Any person authorized for service by the entity gaSSeCNumbe: ® a. Ifyou are serving a person, write the person‘s name below: 0 08279 Adriana Caceres Centeno Case Name: Santa Clara County Federal Credit b. Ifyou are serving a business, or entity,_write the name of the business Union vs_ Centeno Adriana Caceres or entity, the person authorized for serv1ce, and that person's job title: Business or Agency Name Hearing Date: 6- ,2 " 29Zo Timez/jeo Pm I Dept: \fPerson Authorized for Service Job Title ® Instructions to Server: I 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 ofthe person in® , or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in® , 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), 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® . . ’THE'N‘, V'VR ‘ 7 A M" ' 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. ® l served the person in® a copy of the documents checked below: a. SC-100, Plaintifl’s Claim and ORDER to Go to Small Claims Court b. D SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court c. D Order for examination, (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, sheriff marshal, 0r someone appointed by the court. (1)D SC-134, Application and Order t0 Produce Statement ofAssets and t0 Appearfor Examination (2)D AT-138/EJ-125, Application and Orderfor Appearance and Examination d. Other, (specifiz): Notice To Small Claims Liti ants; Re uest To Partici ate In On-Line Dis ute Resolution (CUR; For Small Claims Elfiganfs Judicial Council of California Revised nguary1.2009.0pfinnal Form PrOOf Of semice SC'1 O4! Page 1 0f 2 Code ofClvnl Procedure116‘340,415.10,415.20 Job Number COP-2020002946 (Small Claims) Case Number: Case name: Santa Clara Coun? Federal Credit Union vs. 20 SC 082794 enteno, Adriana aceres @ Fill out "a" or "b" below: a. D Personal Service: Ipersonally gave copies ofthe documents checked in© to the person in® : On (date): At (time): At this address: City: State: Zip: b. E Substituted Service: Ipersonally gave copies ofthe documents checked in© (a, b, d) to (check one): I A competent adult (at least 18) at the home of, and living with the person in®, or D An adult who seems to be 1n charge where the person in® usually works, or ' q ¥ 'A - u k D An adult who seems to be 1n charge where the person in® usually receives mail, or has a private post office box (not a U.S. Post Office box), if there is no known physical address for the person in® . Itold that adult, "Please give these court papers to (name ofperson in© )." I did this on (date): 03/1 6/2020 At (time): 1:48 PM At this address: 7O Parkside Ave. City: Daly City State: CA Zip: 94015 ‘ Name or description ofthe person I gave the papers to: Gilda Ceteno / Mother & Co-Occupant Afier serving the court papers, I put copies ofthe documents listed in® in an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in© at the address whereI left the copies. Imailed the envelope on (date): 03/1 6/2020 from (city, state): San Jose CA by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. 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 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 © Server's Information Name: Kenny Alfaro Phone: (408) 297-6070 Address: 31 E. Julian Street ' City: San Jose State: CA Zip: 951 12 Fee for service: $ 60.00 County of registration: Santa Clara Registration Number: PS1 675 © I declare under penalty of perjury under California state law that I am at least 18 years old and not named in this case and that the information above is true and correct. Date: ‘fl/WWM Kenny Alfaro }¢K Type or print server’s name ServerseriI/tg $322533???,czaéii‘éfl‘fpuonax Form ' Proof of Service 301041 Page 2 °f 2 Code 0f Civil Procedure 116.340.415.10.415.20 I Job Number COP-2020002946 (Small Claims)
