Proof of ServiceCal. Super. - 6th Dist.March 2, 2020SC-107 Pylaintiff/Petitioner: £0086“ l‘étMWML ‘SAWRWM CASE NUMBER: Defendam/Resmndemifi? whimak AM Cgeedez Du mum};Mum: v? £’er 206C082- 32L6 PROOF OF SERVICE OF SMALL CLAIMS SUBPOENA FOR PERSONAL APPEARANCE AND PRODUCTION OF DOCUMENTS AND THINGS AT TRIAL OR HEARING AND DECLARATION 1. I served this Small Claims Subpoena for Personal Appearance and Production ofDocuments and Things at Tn'al or Hearing and Declaration _by personally delivering a copy to the person served as follows: a- Per5°n served (name): Custodian of Records, Bureau of Automotive Repair b- Address Where served: 10949 Nonh Mather Blvd., Rancho Cordova. CA 95670 c. Date of delivery. Auqust26th. 2020 d. Time of delivery: 1:23pm e. V\fitness fees (check one):‘ ’ " "(1)’E w’ér‘e’dffered or demanded and paid. Amount: ..... $ (2) E were not demanded or paid. f. - Fee for service: ......... .~.'.>. . $ o ’ y 2. I received this subpoena for service on (date): 3. Person serving: a. E Not a registered California process sewer. b. E California sheriff, marshal, or constable. c E Registered California process server. d. E Employee or independent contractor of a registered California process sewer. e. E Exempt from registration under Business & Professions Code section 22350(b). f E Registered professional photocopier. g. D Exempt from registration under Business & Professions Code section 22451. h Name. address, and telephone number and, if applicable, county of registration and number: Rozana Shemirani 3341 Montevideo Drive San Ramon, CA 94583 925-997-1 363 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date” 9/8/2020WWWA/x/ (For California sheriff, marshal, or constable use only) | certify that the foregoing is true and correct. Date: D (SIGNATURE) (SIGNATURE) SC-107 (Rev. January 1, 2000] PROOF OF SERVICE OF SMALL CLAIMS SUBPOENA FOR PERSONAL APPEARANCE AND PRODUCTION OF DOCUMENTS AT TRIAL OF HEARING AND DECLARATION for your protection and privacy. plggsetpress‘the Clear irhis Fo‘rm button after you have printed f g Page three of three | Print this form I I Save this form
