Proof of Service PersonalCal. Super. - 6th Dist.March 5, 2020$0104 Proof of Service Use this form to serve a person, a business, or a public entity. To learn more about proof of service. read What i5 "Proofo/Servire2", Form $01048. To learn more about how m serve a business or entity, read How to Serve a Business or Public Entity, Form SC-104C. To serve a business, you must serve one ofthe following people: u Owner (for a sole proprietorship) n Partner (for a partnership) or general panner (for a limited partnership) I Any officer or general manager (corporation or assoclation) » Any person authorized for service by the business (corporation, association, general partnership, limited partnership) I Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC]. limited liability partnership [LLP], limited partnership) To serve a public entity, you must firs: file a claim with that entity, then serve one ofthe following people: t Clerk (of a city or county) v Chiefofficer or director (ofa public agency) t Any person authorized for service by (he entity a. lfyou are servinga person. write the person's name below: James Chen (Asian Male, 60 yrs., 5'4", dark hair and eyes, 120 lbs.) 1 . .Lps rte hqe wheTopt ' MAR 30 2020 Clerk of the Co; rt Fill in court name and street addresf. b. Ifyou are sewing a business or entity, write (he name ofthe business or entity, the person authorized for service, and that person's job title: Superior Court of California, County of Santa Clara 191 North first Street SanJose, CA 951 13 Fill in case number, case name, hearing date, day. time, and departmem below: Case Number. 20$C082843 Business or Agency Name Case Name: Anand Mirji vs‘ James Chen Person Authorized for Service Job Title Hearing Date: 04/15/2020 Time: 1:00 pm Dept: 15 ® Instructions to Server: You must be at least 18 years old and not be named in this case. Follow these steps: o Give a copy ofall the documents checked in to the person in ®, or o ‘Give a copy ofaH the documents checked in to one ofthe following people: a‘ Acompetent adult (at least 18) living with. and at the home ofihe person in ,or b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in ,or c‘ An adult (at least 18) who seems to be in char e where the person in no known physical address for the person iné usually receives mail (but not a U‘S‘ Post Office box), ifthere is and mail a copy ofthe documents left with one ofthe adults in a, b, or c above to the person in G. THEN o Complete and sign (his form, and o Give or mail your completed form to the person who asked you (o serve these court papers, in timefor theform to befiled with the coun at least 5 days be/ore the hearing. I served the person in a copy of the documents checked below: a. m SC-1 001 Plaintifi’s Claim and ORDER to Go ro Small Claims Caun b. D SC-120, Defendant’s Claim and ORDER lo Go lo Small Claims CourtLE Order for examination (This [orm must be personally served. Check the [orm (hat was served): Note: The court can issue a civil arrest warrant i/the served party does nor come to court only ifrhe order/or examination was personally served by a registered protess server, sherifi marshal, or someone appointed by the courL (1) D SC-1 34, Application and Order Io Produce Statement o/Assezs and (o Appear /or Examination (2) D AT-1 38/EJ-1 25, Application and Order/or Appearance and Examination Other (speci/y): Notice to Litigants, Request to Participate in On-Line Dispute Resolution (ODR) for Small Claims Litigants PROOF 0F SERVICE (SMALL CLAIMS) Judicial Council of California. www.cou ninfomagw Revised January 1, 2009. Optional Form Code of Civil Procedure, §§ 116.340. 41 5,1 O, 41 5.20 $0104, Page I of2 Case Number: Case Name: Anand Mirji vs‘ James Chen 205C082843 ® Fill out "a" or "b" below: a. m Personal Service: I personally gave copies ofthe documents checked in® to the person in G: On (dare): Tue, Mar 24 2020 At (time): 05:19 F ll At this address: 7S7 E Homestead Rd City: Sunnyvale Slate: CA Zip: 94087 b. E Substituted Service: | personally gave copies of the documents checked in® (a, b, ar d) to (check one):D A competent adult (at least 18) at the home of, and living with the person in G, orD An adult w’ho seems to be in charge where (he person in usually works, orE An adult who seems to be in charge where the person in usually receives mail, or has a private post off ce box (not a U‘S. Post Office box). ifthere is no known physical address for the person in . Itold that adult, "Please give these court papers to (name of person in ®)' l did this on (dale): At (time): At this address: City: State: Zip: Name or description ofthe person I gave the papers to: After sewing the court papers, I put copies ofthe documents Iisted in® in an envelope, sealed (he envelope, and put fi t-class prepaid postage on iL I addressed (he envelope to [he person in® at the address where I ieft the copies. l mailed the envelope on (date): from (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 is picked up every day and deposited with the U.S. Pc tal Service, or c. D With someone else I asked to mail the documents (o (he person in® and I have attached that person's corr leted Form SC- 104A. <5) Server's Information Name; Kimberly Petty Phone: 4083920974 Address: P. 0‘ Box 1367 City: Campbell State: CA Zip: 95009 Fee for service: $ $80.00 I/you are a registered process server: County of registration: Santa Clara Registration number: 1006 © ldeclare under penalty of perjury under California state law that I am at least 18 years old and not named in this case and Hat the information above is true and correct, DaKe: 03/25/2020 , Kimberly Petty Type or print server's name Server signs here after serving Revised January 1,2009 PROOF OF SERVICE SC-104,Page20f2 (SMALL CLAIMS)
