Proof of Service PersonalCal. Super. - 6th Dist.March 6, 2020fl ,n _ Clerk stamps dare here when form is filed. SC-1 04 Proof of Servuce ‘ ‘E Use this form to serve a person, a business, or a public entity. To learn more about proofof service, read What Is "ProoquSewic-e"?, Form SC-IO4B. To learn more about how to serve a business 0r entity, read How Io Serve a Business 0r Public Emily, Form SC- l 04C. To serve a business, you must serve one ofthe following people: APR‘ - 9 2020 . Owner (for a sole proprietorship) Clerk ofW“ - Partner (for a partnership) or general partner (for a limited partnership) $Y ‘ CA w 0 ama Clara - Any officer or general manager (corporation or association) MDOEPUTV - Any person authorized. for service by the business (corporation, association, 4-. genera!» partnership, lim ited partnership) Fill in 09w!nade street address: - Any person authorized for service with the Secretary of State (corporation, swam" CW" °f ca'mmla' c°""tY °f association, limited liability company [LLC], limited liability partnership santa Clara . [LLP],‘|imited partnership) Downtown SUPer'Or court To serve a public entity, you must first file a claim with that entity, then 19' N' F‘rSt St' serve one ofthe followinggeopie: _ ° Clerk (ofa city or county) ‘ . ' ffi er r di f “c a Fill in case number, case name, hean'ng date, iEICfO 0c aoth :eggrfmsa pucbe b [gheengit day, lime, and department below: y pers n u 0 IZ ‘ or erv1 y t I y Case Number: a. lfyou are servmg a person, write the person’s name below: Cathy 20$C082853 _ _r 4San_Jg-_s_e,C_A 951 l_3 Case Name: b. lfyou are servmg a busmess or entlty, write. the name oflhe busmess Lee vs Park Kiely ‘3 or entity, the person authorized for service, and that person’s job title: E Park Kiely dba Greystar I . Business or Agency Name Hearing Date: 04/08/26‘202 Cathy Office manager } Person Authotizcd for Scrvicc Job Tillc , Time: 8-30AM B?Pt; 1 5 ® Instructions to Server: ; 1 You must be at least I8 years old and not be named in this case. Follow these steps: - Give a copy of all the documents checked in© to the person in G), 0r - Give a copy ofall the documents checked in® to one ofthe following people: a. A competent adult (at least l8) living with, and at the home ofthe person in , or b. An adult (at least l8) who seems lo be in charge at the usual workplace ofthe person in (D, 0r c. An adult (at least l8) who seems to be in charge where the person in ®usually receives mail (but not a U.S. Post Office box), ifthere is no known physical address for the person in® and mail a copy ofthe documents lefi with one ofthe adults 'in a, b, or c above to the person in (D. -.-~THEN.-»~ . - .--»~ ‘ - JY- ' ‘ - Complete and sign [his form, and - Give or mail your completed form to the person who asked you to serve these court papers, in timefor theform to befiled with the court at [east 5 days before the hearing. @ I served the person in CD a copy of the documents checked below: ( i O I a. SC-IOO, Plaintifl’s Claim and ORDER to Go t0 Small Claims Cour! b. D SC- I 20, Defendant ’s Claim and ORDER to Go to Small Claims Court c. D Order for examination (Thisform must be personally served. Check thefarm that was served}; , . . . . . . z $ Note: Ihe court can Issue a Clwl arrest warrant Iflhe served party does I101 come la court only Ifthe qrderfor . . . . .. I exammanon was personally served by a registeredprocess server. sherlfl? marshal, or someone appotfited by the court. v ‘ l (I) D SC- l 34, Applicalion and Order Io Produce Statement ofAssets and to Appearfor quinination » (2) D AT- l 38/EJ-125, Application and Orderfor Appearance and Examination :3 ' d. D Other (specifi): . i Mia's: Couna'l mcuuomia. www.wuh‘nraugov ' SC-1 O4, Pa e 1 o! 2 Revised Jnmary1.2009.0mionaIFonn PrOOf of serVIce i g 9\ cmaotuviwrooaan,§§na.340,415,10.415.2o (Small Claims) 'g . h V 1 ‘ u 1‘ ,1.” , 3 A t A.‘ Case Number: Case name; Lee vs Park Kiely 20$CO828§3 I Q) Fill out “a" or “b” below: a, Personal Service. | personally gave copies ofthe documents checked m® to the person in (D On (date):W- A‘ mme)’L- I a.m. D p.m. Atthis address: 355 Kiel)’ BIVd ‘ City; San Jose State. CA Zip: 95129 b: U Substituted Service: l personally gave copies of the documents checked in® (a, b, 0rd) to (check one): D A competent adult (at least 18) at the home of, 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), ifthere Is no known physical address for the person i 7- > ’l told that adult, "Please give these court papers to (name of person in©' - V r' a ” ldid this on (dale). At (time): D a.m. D p.m. At this address: City: ' State: Zip: Name or description ofthe person l gave the papers to: Afier sewing the court papers, | put copies ofthe documents listed in® in an envelope, sealedthe envelope, and put first-class prepaid postage on it. l addressed the envelope to the person in at the addr‘gss where l lefi the copies. ‘ y I mailed the envelope on (date): from (city, state): by leaving it (check one): a. D AI a U.S. Postal Service mail drop, or b. D At an office or business mail drop where | know the mail is picked up every day and deposited with the U.S. Postal Service, or QB With someone else | asked to mail the documents to the person in (D, and l have attached that person’s completed Form SC-104A. ® Server’s Information Name: David Kim Phonez408'688"416 I" Address: 340'0 El Eamino Real ‘ " Cltyl santa Clara State; CA Zip; 9505' Fee for service: $ lfyou are a registered process server: county 0f ragiStratiom Registration number: ® l declare under penalty of perjury under California state law that | am at least 18 years old and ot named in this case and that the infomation above is true and correct. Date: 03/1 5/2020 David Kim T eor rimserver's nameP P Revised Jammy woos proof of service SC-1 04, Page 2 of 2 (Small Claims) i: V a . . . \ . 1 . . f. .r . x , . . _ .fl v
