Proof of Service PersonalCal. Super. - 6th Dist.March 2, 2020208C082821 Santa Clara - Civil _ _ Clerk Stamps dare here whenjbrm fsfifed. SC-104 Proof of SerVIce _ _ Electronically filed n": Use this form to serve a person, a business, or a public entity. To learn more by superlor' court 0f CA, about proof of service, read What Is “ProofofService”?, Form SC-104B. To learn more COUhty Of santa Clara, ghout islocwlaséerve a business or entity, read How t0 Serve a Business or Pubb‘c Emmi, on 4/22/2020 1 1 :56 AM 0m ' ‘ Reviewed ByzD. Pinheiro To sewe a business, you must serve one 0f the foilowing peopie: Case #208C082821 - Owner (for a sole proprietorship) o Partner (for a partnership) 0r generai partner (for a limited partnership) Env #4272249 - Any officer or general manager (corporation or association) - Any person authorized for service by the business (corporation, assooiation, general partnership, Ff}! i1: court name and street address.- iimited partnership) Superior Court of Caiifurnia - Any person authorized for service with the Secretaly of State (corporation, association, limited County 0f Santa Clara liabiiity company [LLC], limited liabiiity partnership [LLP], limited partnership) $91 F 131g; 95 1 13 To serve a public entity, you must first file a claim with that entity, then serve one 0f the following an 056’ peopie: Ff?! in case number, case name, hearing dare, day, time, and department befow: - Clerk (0f a city 0r county) - Chief officer 01' director (of a public agency) case Numb er: ZOSCflszszl - Any person authorized for service by the entity gggifilfig‘fic ® a. If you are serving a person, write the person’s name below: ' Against SAMUEL ANDRES GUZMAN SAMUEL ANDRES GUZMAN b. If you are serving a business or entity, write the name 0f the business 0r Hearing Date: entity, the person authorized for service, and that person’s job'title: 61232020 Time: Dept: Business or Agency Name 1:00 PM 15 Person Authorized for Service Job Titie ® Instructions t0 Server: You must be at least 18 years 01d and not be named in this case. Follow these steps: - Give a copy of ali the documents checked in® t0 the person in (D, 0r - Give a copy of a1} the documents checked in® to one of the following people: a. Acompetent adult (at least 18) living with, and at the home 0f the person in Q), or b. An adult (at least 18) who seems t0 be in charge at the usual workplace 0f the person in (D, 0r c. An adult (at least 18) who seems to be in charge where the person in (D usually receives mail (but not a U.S. Post Office box), if there is 110 known physical address for the person in (D and mail a copy 0f the documents left with one of the adults in a, b, 0r 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 t0 befiled with the court at least 5 days before the hearing. C3) I served the person in (D a copy 0f the documents checked below: I O a. g $0100, Plaintifi’s Claim and ORDER t0 G0 to Small Claims Court - b. D SC-120, Defendant’s Claim and ORDER r0 G0 2‘0 Small Claims Court - -fl c. D Order for examination @hisform must be personally served. Check theform that was served): Note: The court can issue a civil arms: warrant ifthe servedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, shenffl marshal, or someone appointed by the court. (I) D 80-134, Application and Order to Produce Statement ofAssets and t0 Appearfor Examination (2) D AT-138/EJ-125, Application and Orderfor Appearance and Examination d, E Other (Specw); NOTICE'TO LITIGANTS; Judicial Council of California. mm.courffnfo.ca.gov Proof of SeNice C886 ID: 5798365 Revised January 1. 2009, Optional Fon‘n . _ Code of Civi; Procedure. §§ 116.340, 415.10, 415.20 (sman Cialms) SC 104' Page 1 0f 2 VIA FAX FILE Case Number: 208C082821 .- ‘ill out “a” or “b” below: a. E Personal Service: Ipersonally gave copies 0f the documents checked in© to the person in (D : On (date): 3/23/2020 At (time): 3:56 PM Gender: MALE Age: 36-40 Skin Tone: HISPANIC Hair: BALD/NONE Eye Color: BROWN Height: SFT 4IN - SFT 7IN Weight: 191 LBS - 210 LBS At this address: Home: 3692 BRIDGEPORT CT APT 3 City: SAN JOSE State: CA Zip: 951 17 b. D Substituted Service: Ipersonally gave copies 0f the documents checked in® (a, b, or d) t0 (check one): D A competent adult (at least 18) at the home 0f, 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 110 known physical address for the person in Q). Itold that adult, “Please give these court papers t0 (name of person in @).” I did this on (dare): At (time): At this address: ’ City: State: Zip: Name 01‘ description 0f the person I gave the papers t0: After serving the court papers, I put copies 0f the documents 1isted in® in an envelope, sealed the envelope, and put first-ciass prepaid postage on it. I addressed the envelope t0 the person in ® at the address where I left the copies. - I mailed the envelope 0n (dare): from (city, State): by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. D At an office 0r business mail drop where I know the mail is picked up every day and deposited with the U.S. Postai 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. C5) Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST‘ SUITE B City: SAN JOSE State: CA Zip: 95 1 13 County of registration: SANTA CLARA Registration number: P81654 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: PSI 654 © I declare under penaity of perjury under California state law that I am at Eeast 18 years oId and not named in this case and that the information above is true and correct. Date 4/6/2020 ' f MARIANA MORENO . } jg: f fl é/ M, . , ’ . . \w/x Type 0F prlnt server S flalne serve?” SignS hel‘eifi/fi‘er SBI'VIng Revised Januaw 1. 2009 Proof Of SeNice case [DI 5798365 (Small Claims) 30404. P399 2 0f? VIA FAX FILE