Proof of Service Personal

Cal. Super. - 6th Dist.March 2, 2020

208C082822 Santa Clara - Civil _ Clerk stamps dare here whenform isfifed.SC-l04 Proof of SerVIce Use this form to serve a person, a business, or a public entity. To [earn more Ele tronically Filed about proofofscrvice, read What Is "ProofofService"?, Form‘SC-IO4B. To learn more by ”perior Court of CA about how to serve a business or entity, read How to Serve a Business or Public Entity, co nty of Santa Clara ’ lFo -lO4C.MSG on /8/2020 4:27 PM To serve a business, you must serve one of the following people: Re iewed By: D_ Pin hei r0 0 Owner (for a sole proprietorship) c #2OSC082822- Partner (for a partnership) or general partner (for a limited partnership) a e 0 Any officer or general manager (corporation or association) En 'eIODe: 424001 4 - Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and street addms: limited partnership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, limited C0111“? 0f sanm C13” liability company [LLC], limited liability pannershsp [LLP], limited pannership) 391 N 15‘ St- . To serve a public entity, you must first file a claim with that entity, then serve one ofthe following 3m 1036’ CA 951 l 3 people; - [fill in case number, case name, hearing date, day, . Clerk (ofa city or county) tune, and departtnent below. ' Chief officer or director (of a public agency) case Number' mscoszsn 0 Any person authorized for service by the entity gpagilggnglc (D a. Ifyou are serving a person, write the person’s name below: ' Again, SANDRA ZITLALY FLORES SEVA SANDRA ZITLALY FLORES SILVA b. Ifyou arc 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 titlc: 6&5/2020 Time: Dept: Businws or AgencyName 1:00 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 chegkcd in® to the person in ®, or - Give a ccpy 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 (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 to be in charge where the person in (D usually receives mail (but not a U.S. Post Ofiice box], if there is no known physical address for the person in (D 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 timefar theform to befiled with the court gt least 5 days before the hearing. ® I served the person in ® a copy of the documents checked below: O a. SC-lOO, Plainnfi’s Claim and ORDER to Go t0 Small Claims Court ' b. D SC-IZO, Defendant’s Claim and ORDER to G0 to Small Claims Court & fir?) c. [j Order for examination (Thisform must bepersonally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparzy does not come to court only ifthe orderfor examination waspersonally served by a registeredprocess server, sheriff marshal, or 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 OrderforAppearance and Examination d_ g Other (Specgy); NOTICE To LITIGANTS; JudIcIaIcounciIofCalitomia. mmcowflnromgov Proof of Service Case ID: 5798364 Revised January 1. 2009. Optional Form _ Code of Civil Procedure. §§ 116.340. 415.10. 415.20 (Small Claims) SC 104v Page 1 0f 2 117k nAV'fl‘I’TT.‘ Case Number: 20$C082822 r: I: ‘ill out “a” or “b” below: Personal Service: Ipersonally gave copies of the documents checked in® to the person in® : - On (date): 3/15/2020 At (time). 5:59 PM Gender: FEMALE Age: 31-35 Skin Tone: LIGHT BROWN Hair: BROWN Eye Color: BROWN Height: SFT 8IN- SFT llIN Weight: 111 LBS- I30 LBS At flns address: Home: 16419 TRAILDR ~ City: MORGAN HlLL State: CA Zip: 95037 b. D Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, or 09 to (check one): B A competent adult (at least 18) at the home of, and living with the person in (D, 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 0fperson in @).” I did this on (dare): At (time): At this address: City: State: Zip: Name or description of the person I gave the papers to: After serving the court papers, Iput copies of the documents listed 1n ®_'1n 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): fiom (city, state): by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b.D At an office or business mail drop Where I know the mail 1's 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 (D, 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 13 County of registration: SANTA CLARA Registration number: 1585 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: 1585 © I declare under penalty of perjury under California state law thatI am at least l8 years old and not named in this case and that the information above is true and correct. Date 3f17f2020 HECTOR TORRES Type orprint server ’s name Server signs here after serving Revised January1. 2009 Proof of Service Case ID: 5798364 (Small Claims) SCu‘l 04, Page 2 of 2 1nd WAVHT'I‘T.‘