Proof of Service SubstitutedCal. Super. - 6th Dist.March 2, 2020208C08281 5 Santa Clara - Civil .. _ szrk stamp; date kart» whenfbrm is filad i ' SC-104 Proof of Sewlce - g i Electronically filed Use this form to serve a person, a business, or a public entity. To learn more by SUperior court Of CA about proofufservice, read What]; “Proq/‘quervice ”?, Form SC-104B. T0 learn more county Of Santa Clara, iabout how lo serve a business 0r entity, read How (a Serve a Business or Public Entity, on 4/1 6/2020 8:1 1 AM 1Fm“ 501040 Reviewed By: D. Pinheird l To serve a business. you must serve one ofthe following people: C386 #208C08281 5 3 - Owner (fgr a sch: propficforship) v b ‘ ~ Env #4257709 v Partner (tor a partnersmp) qr gcnerai partner {fm- a 11m1ted pzumershxp; - Any officer or general manager (corporation or association) - Any person authorized for service by the business (corporation, associaiion, general partnership, Fifi m mun name and x/ree: addrau: limited pamlcrahip} Sumrior C-ourt of California - Any person authorized for service with the Secretary of State (corporation, association, limited Cmmty 0f 5““3 Clara naughty company [LLC]. limited liability pannmship [LLPL named partnership) g“ 3’ mg:W , I To serve a public entity, you must first file a claim with that entity" then serve one of the following ‘ “m “5°“ ‘ ‘ ‘ ’ .- peoplc; FiII in can! number, case name. hearing dare day. ., . . time. and depw-tmentbelm-r - Clerk (oi a cny or county) c N h - 235C082 ‘ ~ Chiefofficer 0r director (of a. pubiic agency) ”e I'm cr' ’ 81 ~ Auv person authorized for service bv the entity C3“ ham“,r ‘ . ' A m OPORTUN KEVC. kl) a. Ifyou are servmg a person, Wme the person s name below: Agal-m, MARIA DE LA LUZ HERNANDEZ MER'CADC) MARIA DE LA LUZ HERNANDEL MERCALX') b. If ypu arc serving a business 0r entity, write the name ofthe business or Hearing Dam enmy, the person authorized for service, and that person’s job title: 6/25/2020 . > Time: sgnept.‘ Bumncss nr Agency Name 1300 [2M 15 Person Authorized for Service Job Title ® Instructions to Server: You must be at least 18 years old and not be named m this case. Follow these steps: - Give a copy 0t ail the documents checked m {:33 t0 the person in CD. or ' Give a copy of ail the documents checked in (3‘) t0 one 0f the following people: a. A competent adult (at least )8) living with, and at the home ofthe person in (D 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 t0 be in charge where the person in (3; usually receives {nail (but not a US. Post Office box), ifthere is no known physical address for the person in <1) , and mail a copy of the. documents left with one of the adults in a. b, or c above to the person in Q). THEN 0 Complete and sign, this fomn 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 (lays bdore the hearing. ® I served the person in CD a copy of the documents checked below: a‘ SC-lOO, .Plaimzfi’s Claim and ORDER (0 Go t0 Small Claims Court b. D SC-IZD. Defendant 's Claim and ORDER to Go to Small Claims Court. c. D Order for examination, (Thisform mus! be pcrsanalb' served. Check theform that was served).- Note: The mun can issue a civif arrest wan‘ant zf'tllc served party does not come ta court only {film orderjbr examination was pens'anally served by a registeredprocess server, sheriff marshal, or someone appointed by the court. (l) D SC-l 34, Application and Order to Produce Statement ofAssets and to .AppearI/br Examination (2)D AT-i 383E1425, Application and Orderfar Appearance and Examinarion d,E Other (51730935); NOTICE TO LITIGANTS; Judxcu-d Council 0f Califumaa. www.caumnchagov Proof Of Service C856 ID: 5798381 Reva dJ " 1.2039.0fi0 IF‘ . massir-cfvzuzgoema. giagduzgmmszo (smau Clams) sc'104‘ Page 1 Of 2 \.'IA I‘Av ti'nt‘ Case Number: 2080182815 'ill out “a” or “b” below: a. D Personal Service: Ipcrsonally gave copies of the documents checkad in® t0 the person in (:1) : On (date); At (time): _ __v At this address: City: State: Zip: b. Substituted Service: Ipersonaliy gave copies ofthe documents checked in C3) {“‘a, b, or d) to (check one): A competent aduit (at least 18) at the home 0f, and living with the person in Q), or [3 An adult who seems to be in charge where the person in (D usually works, or D An adult who seems t0 be in charge where the person in® usually receives mail, or has a private post office box (not a US. Post Office box), if there is no known physical address for the person in @. I {01d that adult, “l’icase give these coun. papers 10 (name of person in @).” Idid this 0n (date); 312252020 At (time): 8:55 AM At this address: 248 LAUREL AVE City: GUSTINE State: CA Zip: 95322 Name or description ofthc person I gave the papers to: WOMEN WHO REFUSE TO SAY NAME BUT CONFIRMED BOTH LIVED THEREflO-‘RESIDENT Gender: FEMALE Age: 46-50 Skin Tune: LiGHT BROWN Hair: BLACK/GRAY Eye Color: BROWN Height: SFT 4IN - SFT 7IN Weight: 15X LBS - 170 LBS After serving the court papers I put. copies 01 the documents listed m 39 1n an cnveiopc scaled the envelope. and put firstxlass prepaid postage 0n it I addressed the envelope to the person in (Q at the address where I Iefi the copies. 3" c9&"‘ I mailed the envelope on (date): ‘ Mm; from (city. state): CHOWCHILLA, ( (1A yarn \ A by leaving it (check one): a E] At a U S Postal Service mail drnp. 0r b E At an office 0r business mail chop whese I know the mail 15 picked up every day and deposited with the USiPostal Service, oz c. D With someone else I asked to mail the documents to the person in k), and Ihavc attached that person’S completed Form SC- 104A 2C} Agency Information: Name: V’ REYES DOCUMENT SERVING LLC - VICTOR REYES Phone: 5598781592 Address: 2!.‘28 KENNEDY CT City: CHOWCHILLA State; CA Zip: 93610 County of registration: MADERA Registration number: 106 Fee for service: S $3.00 _ Process Server Information: County of registration: MADERA Registration number: 106 I declare undcr penalty efpcrjury under California state law that l am at least 18 years old and not named in this case and that the information above is true and correct Date 3~ $8: 843% M VICTOR MARTINEZ REYES ’ )1 4 {:1 )4’7 , I\' xewm Type or print sewer ‘s name Serve: signs he; e after serving Revised january i, 203:1 Proof of Service Case 1D: 5798381 (Smail Claims) 86-104, Page 2 of2 \u A 7‘ Av 1H! r“
