Proof of Service SubstitutedCal. Super. - 6th Dist.January 7, 2020we SC _1 04 Proof Of service Clerk stamps date here when form is filed. I N'i‘,’ _ '*' r ~ v . 1 Use this form to segve a person, business, or a ublic entity. To learn more x. ’ ‘ about proof of serv1ce, read What is _"Proofof _ervz'ce”?, Form SC-104B. To Jeammorg-"about ‘how to serve a busmess or ent1ty, read How to Serve a B a 0r Public Entity, Form SC-104C. j a business, you must serve one ofthe following people: APR 2 O 2020 To serv‘e ° Owner (for a sole proprietorship) S lerk Of t e uri ' Partner (for a partnership) or general partner (for a limited partnership) BY " ‘ u ‘y ° l7 " C'a'a ' Any officer or general manager (corporation 0r association) A GRANADO EPUTY ' Any person authprizpdfor service by the business (corporation, association, general partnerhlp, 11m1ted partnershlp) ' Any per_son a_uthorizgd fqr service with the Seqretary 9f State (corporation, Superior Court assomatgoq, 11m1ted 11ab1_11ty company [LLC], 11m1ted 11ab111ty partnershlp Santa Clara County, California [LLP], 11m1ted partnershlp) Small Claims “lg s_eryg a public entity, you must first file a claim with that entity, then 182:] [joggtgLifomia 951 1 3 : .serye‘lppggf the followmg people: ’ \J ‘rkul(3fa‘scity or county) Case Number: 20 SC 082798 Fausto N. Luqardo Medina Case Name: . . . . . S ta Clara Count Federal Cr d't b. Ifyou are servmg a busmess, or entlty, wrlte the name of the busmess an y e I or entity, the person authorized for service, and that person's job title: Egégrgdvj' Medma' FaUSto N' Business or Agency Name Hearing Date: 5/8/2020 Person Authorized for Service Job Title Time: 1 200 pm I Dept: \S Alln jtrggtions to Sewer: 1" must be at least 18 years old and not be named in this case. Follow these steps: Ve a copy of all the documents checked in© to the person in® , or 'ive 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 of the person inG) , 0r 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®. 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 thefgrm to befiled wzth the court at least 5 days before the hearing. -, ed the person in® a copy of the documents checked below: 'sc-1oo, Plainn'fi's Claim and ORDER to Go to Small Claims Court : D SC-IZO, Defendant’s Claim and ORDER to Go t0 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 t0 court only z'fthe orderfor examination was personally served by a registeredprocess server, sherifl marshal, 0r someone appointed by the court. (1)D SC-134, Application and Order t0 Produce Statement ofAssets and to Appearfor Examination (2)D AT-138/EJ-125, Application and Orderfor Appearance and Examination d. Other, (specifiz): Notice To Small Claims Litigants; Reguest To Particieate In On-Line DisEute Resolution 0r ma almS | lgan S égméapuonawm Proof of Service 50-104, Page1 0f 3 91.16'34°‘415'1°‘“5'2° (Small Claims) Job Number COP-2020002943 Case Number: 20 SC 082798 Case name: Santa Clara Count Federal Credit Union vs. I Meaina, Fausto N. Eugardo 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. Substituted Service: I personally gave copies ofthe documents checked in© (a, b, d) to (check one): E A competent adult (at least 18) at the home of, and living with the person in® , or D An adult who seems to be in charge where the person‘in@ usually works, or D 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), if there is no known physical address for the person in© . Itold that adult, "Please give these court papers to (name of person in® )." I did this on (date): 04/08/2020 At (time): 1:55 PM ‘ ’A his address: 550 Kiely Blvd.. #51 San Jose State: CA Zip: 951 17 'ame or description ofthe person I gave the papers to: Jane Doe (refused name) / Co-Occupant Age: 50, Sex: f, Race/Skin Color: hisp., Height: 5'5", Weight: 140, Hair: brown, Glasses: n 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 where I lefi the copies. Imailed the envelope on (date): 04/09/2020 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 a gym U.S. Postal Service, or ' With someone else I asked to mail the documents to the person in® and I have attached that person's completed Form SC-104A ‘ r ® ‘V‘S'férver's Information Name: Stefan Fahrner ' Phone: (408) 297-6070 Address: 31 E. Julian Street City: San Jose State: CA Zip: 951 12 Fee for service: $ 40.00 - County of registration: Santa Clara County Registration Number: PS1676 © I declare under penalty of perjury under California state law that I am at least 18 years old and not named in this - Cas¢'£,_a;1dt at the infqrmation above is true and correct. ' _ 30 Siéfan Fahrner > Judicial Council of California Revised January 1. 2009, Optional Form PrOOf Of serVice SC'1 04x Page 2 Of 3 Code OfCivilProcedure116.340.415.10.415.20 (small Claims) Job Number COP-2020002943 Case 9gm¢5§8anta Clara County Federal Credit Union vs. ._ Medina, Fausto .Lugar o Case Number: 20 SC 082798 11-! . Typié or print server’s name Server signs here afier serving ~. ‘ :‘H‘z L . :2; Judicial Council of California Revised January 1. 2009, Optional Form Code of Civil Procedui'e' 116.340. 415.10. 415.20 .v .,. "L AI: : .: tiziy'u.’ '12; Proof of Service (Small Claims) SC-1 O4, Page 3 of 3 Job Number COP-2020002943