Proof of Service SubstitutedCal. Super. - 6th Dist.March 4, 2020Proof of Service Use this form to serve a person, business, or public entity. To learn more about proof of service, read What Is Proof of Service&, Form SC-104B To leam more about how to serve a business or public entity, read How to Serve a Business, Form SC-104C, . To serve a business, you must serve one of the following people: ~ Owner (for a sole proprietorship or a business, form unknown' ~ Partner (for a partnership) or general partner (for a limited partnership) ~ Any officer or general manager (corporation or association) ~ Any person authorized for service by the business {cotporation. association. General partnership, limited partnership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited-liability company (LLC), limited-liability partnership (LLP). limited partnership) To serve a public entity,you must tirst file a claim with that entity, then serve one of the following people: ~ Clerk (of a city or county) ~ Chief officer or director (of a public agency) ~ Any person authorized for service by the entity. O.a. If you are serving a person, write the person's name belosv: n Hun b. If you are serving a business or public entity, ivrite the name of the business or entity, the person authorized for service, and that person' job title: Superior Court of California, County of SANTA CLARA 191 NORTH FIRST STREET SAN JOSE, CA 95113 I II m raw numhr , in, * nanr, hcarmr der ', da&, Imw ind ('( irl Irnl hc(oi 'aseNumber: 20SC082837 Case Name: Andrew Martinez vs. Song Huang Bus ness or Agency Name Person A tnonted for Se ce Joh, ee 02 Instructions to Server Hearing Date: 8/12/2020 Time: 1:00 PM Dept.: 15 You must be at least 18 years old and not be named in this case. Follow these steps: ~ Give a copy of the documents checked in 03to the person in 0), or ~ Ciive a copy of the documents checked in 03to: a. A competent adult (at least 18) at the home of and living svith the person in 0)t&r b. An adult (at least 18) who seems to be in charge or c. An adult (at least 18) who seems to be in char e at the place where the person receives mail (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in 0). and mail a copy of the documents left with one of the adults in a, b, or c above to the person in 0). THFN ~ Complete and sign this form, and ~ Give or mail your completed form to the person svho asked vou to serve these court papers, in trme for the form Ia be filed with the cvurt at leust 5 days b'fore (he heamng. O~ I s~eed the person in OJ a copy of the documents checked below: a. SC-100, Plaintiffs Claim and ORDER to Cio to Small Claim Court ll b. SC-120, Defendants Claim and ORDER to Go to Small Clams Court c. Order for Examination (This form must be parer»tally seined. Pu( a r.heck mark next iu the form that was .1 erged) Note: The court can issue a civil arres( N arratrt ij(he serve(i party dues na( come tr cour( but only if tlie Order for Examination was personally served by u registered process server, sheriff, marshal, or someone appointed bJ ihe court. (I) SC-I34, Apphcatton and Order Iu prr&duce gtatemcn( ofrl rye(s and to Appearfor Examinution (2) AT-138/EJ-I25, Applicatian and Order(or Appearance and Examma(i an d. Other (specifyh J d c al counml of casforma www courtinfo ca go Revised Jan ary1,2009 Optonal rom Cod ofcivilProced M116340 41610 41620 PROOF OF SERVICE {Small Claims) I'iri( Jl'i SC-104, Page 1 of2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 7/21/2020 11:23 AM Reviewed By: D. Pinheiro Case #20SC082837 Envelope: 4632142 20SC082837 Santa Clara - Civil Case name: Andrew Martinez vs son Huan Case Number: 20SC082837 O4 Fill out "a" or "b" below: a. Personal Service: I personally gave copies of the documents checked in 03to the person in Oi On (dare) At this address: At 1'rime). ZipCity State. b.H substituted Service:I personaiIy gave copies of the documents checked in 03 (a,P or d) to (check one). Lv/ A competent adult (at least I 8) at the honte of. and living with the per~on in, R or An adult (at least I 8) who seems to be m charge where the person in I usually works or CI An adult (at least I 8) who seems to be in charge v;here the person in 0) receives mail, or has a priva~t mailbox (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in'LI). I told that adult, "Please give these court papers to (name f&f'per& fm in 0) ). I did this on (dare) T/ 1 5/2020 At turne 1 2:35 PM At this address: 3508 Pleasant Knoll Dr City/State)Zip: San Jo e CA 951481 904 Name or description of the person I gave the papers to: "Jane Doe" - Occupant AGE: 60's HEIGHT: 5'4 WEIGHT: 130 HAIR: Auburn RACE: Asian EYES: After serving the court papers, I put copies of the documents listed in 03in an envelope, sealed ihe envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in 01 at the address where I left the copies. hum (ciiy, stare): Los An ales CAI mailed the envelope on (da/e) 7(17/2020 by leaving~it t (check one). a. U At a U.S. Postal Service mail drop, or b. At an office or busmess mail drop where I I now the mail is picked up every day and deposited with the 1.;:.S. Postal Service, f&r C.H With someone else I asked to mail the documents to the person in 0/, and I have attached that person's completed Form SC-104A. OI& Server'6 Information Name: Ka h n Paz Phone: 21 3 353-91 00 Address; 1 201 W. Tem le Street City: Los An ales CA 90026 Fee for service: $ 95.00 (if you are a regi siered process.ierver). County of registration: Santa Clara Registration number: 1 1 2T 06 I declare, under penalty of peri ury under California State lav, that I am at least I 8 years old and not listed in this case and that the information above is true and correct. Date. 7/17/2020 Kath n Paz Type or prmi server's name Secs&ccshins)acre frecscrvi ng Ra a 0 January 1 2000 PROOF OF SERVICE (Small Claims} SC 104& Pas 2 nfl 4 Proof of Mailing (Substituted Service) Case Number: 20SC082837 This form is attached to Form SC- l04. Use this foisn ODDLY if you mailed the documents in OI and someone else personally gave them to the person. busmesb, or public entity served Notice to Server You must: ~ Be at least I 8 and not listed in this lawsuit. ~ Fill out OI - O6of this form and attach it to Form SC-I04. Oj Documents served by mail: a 3 SC-100, plaintiff's Claim and ORDER to Cio to Smoll C'laims Court b SC-120, Defendant's Cla'.m and ORDER tt& Cyo tri Small Claims Cfiurt c Other (specify/. O2 Name and address of the person, business, or public entity served: a. If you served a person, write the person's name and Name: on Hu n Address: 3508 Pleasant Knoll Dr San Jose CA 9 148-1904 Street State Zip b. If you served a business or public entity. write the name and address of the business or public entity, the person authorized for service, and that person's job title: ~usiness or Pubbc Entity Name Address: Street pws . Ju '2 o e'ul e Cry State Job Title Zip I put copies of the documents listed in OI above in an envelope, sealed the envelope, and~ut first-class prepaid postage on it. I addressed the envelope to the person, business, or public entity listed in H2 and mailed the envelope by leaving it at (check one): a. At a U.S. Postal Service mail drop, or b. 8 At an office or business mail drop where I know the mail is picked up every day and deposited with the Li.S. Postal Service. I mailed the envelope: a. On (date): 7/17/2020 b. From {city, state): Los An el s O~ My address is: 12 1 W Tem le Street Lo An les CA 90026 06 I declare, under penalty of perjury under California Siaie lais. that the information above is true and correct. Date: 7/17/2 2 Carmen Rivera Type or punt.server's name M3 zr Server signs here after mailing J deal Co not ofCalfoma wwwcourtinfoca go Reu sed Jan ary t, 2006, Opt onal For CodeofculProced re, 11116340 41520 Proof of RIailin(s (Substituted Service) (Small Claims} SC-104A,Page 1 f 1