Proof of Service SubstitutedCal. Super. - 6th Dist.March 2, 2020208C082820 _ santa Clara - CiV“ Clerk stamps date here whenfom: a'sfilea‘. SC-l04 Proof of SerVIce Electronically Filed Use this form to serve a person, a business, or a public entity. To learn more by SUperlo; court Of CA! about proof of service, read What Is “ProofofService”?, Form SC-I 048. To learn more CO” nty O santa Clara! about how to serve a business or entity, read How Io Serve a Business or Public Entiiy, 0n 4/1 5/2020 8:59 AM Form 301040 Reviewed By: D. Pinheiro To serve a business, you must serve one of the following people: Case #208C082820 ' Owner (for a sole proprietorship) . - Partner (for a partnership) or genera] palmer (for a limited partnership) Envelope ' 4254305 ' Any officer or general manager (corporation or association) o Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and street address: limited partnership) Superior Court of California ° Any person authorized for service with the Secretary of State (corporation, association, iimited County 0f Santa Clara liability company {1.11:}, limited liability partnership [LLP], limited partnership) $91 E“ Mtg: 95 l 13 To sewe a public entity, you must first file a claim with that entity, then sews one of the foilowing an osc’ people; Fill in case number, case name, hearing date. day, time, and department below: o Cierk (of a city or county) - Chief officer or director (of a public agency) case Number: mscoszsm - Any person authorized for service by the entity gggigsgfic (D a. If you are serving a person, write the person’s name below: ' Again“ LIZBETH CISNEROS LOPEZ LIZBETH CISNEROS LOPEZ b. Ifyou are serving a business or entity, write the name of the business or Hearing Date: entity, the person authorized for service, and that person’s job title: 6i25/2020 Time: Dept: Business or Agency Name l :00 PM 15 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: ° Give a copy of all the documents checked in C3) to the person in Q), or o Give a copy of all the documents checked in® to one of the following people: a. A competent adult (at least l8) living with, and at the home of the person in (D, 0r 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 G) usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in® and maii a copy of the documents lcfi 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 theform to befiled with the court at least 5 days before the hearing. ® I served the person in ® a copy 0f the documents checked below: O a. SC-IOO, Plaintiff’s Claim and ORDER t0 Go to Small Claims Court b. D SC-IZO, Defendant’s Claim and ORDER to G0 to Small Claims Court Q c. D Order for examination (Thisform must be personally served. Check zheform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only ifthe orderfor examination waspersonally served by a registeredprocess server, sherzfl marshal, 0r someone appointed by the court. (l) D SC-i34, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) D AT-138/EJ-125, Application and Orderfor Appearance and Examination d_ g Other (Specw); NOTICE T0 LITIGANTS; Judicial Councnomanmmia, mmcoumnromagov Proof of service Case ID: 5798363 Revtaed Janus 1. 2009. Hone! Form . _ Code orcm'wzcedure. £216.340.415.1o.415.2o (small Claims) SC 104’ Page 1 °f2 1f‘l’A T.‘AVT.‘TTT.‘ Case Number: 20$C082820 -. ill out “a” 0r “b” below: a. D Personal Service: I personally gave copies of the documents checked in® to the person in® : On (date): At (time): At this address: City: State: Zip: b. Substituted Service: Ipersonaliy gave copies of the ddcuments checked in® (a, b, 0r d) to (check one): A competent adult (at least 18) at the home of, and living with the person in ®, or a An adult who seems t0 be in charge Where the person in (D 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® I told that adult, “Please give these court papers t0 (name 0f person in ®).” Idid this on (date): 3/12/2020 At (time): 8:04 PM At this address: 1201 KARL ST City: SAN JOSE State: CA Zip- 95122 ‘ Name or description of the person I gave the papers to: JASMINE DOESOUSINJGender: FEMALE Age: 18- 20 Skin Tone: HISPANIC Hair: BLACK Eye Color: BROWN Hei t: SFT IN - SFT 31N Weight: 131 LBS - 150 LBS *[finmwud szbefih \N@§ ’(Lue bui- waf V?m- m. After serving the co rt papers, Iput copies 0f the documents listed in C3) in an envelope, sealed the enveiope, and put first-class prepaid postage 0n it. I addressed the envelope to the person in® at the address where I left the copies. Imailed the envelope on (dare): 03/12/2020 from (city, stare): SAN JOSE, CALIFORNIA by leaving it (check one): a. X At a U.S. Postai Service mail drop, 0r b. D 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 Q), and I have attached that person’s completed Form SC-104A. ® Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 951 l3 County of registration: SANTA CLARA Registration number: PS 1736 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS 1 736 © I declare under penalty of perjury under Califomia state law that I am at Ecast 18 years 01d and not named in this case and that the information above is true and correct. Date 03/12/9020 MARIA G. TORRES PEREZ ’ Type orprint server ’s name Server Signs here after serving Revised January1. 2009 Proof of Service Case ID: 5798363 (SmalE Ciaims) SC-1 04, Page 2 of 2 ‘I'YA HAVWTTT'!
