Proof of Service Substituted

Cal. Super. - 6th Dist.March 9, 2020

Proof of Service Use this form to serve a person, business, or public enbty To leam more about proof of service, read What is Proof of Service?, Form SC-104B, To learn 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 proprtetorship or a business, fortn unknown) ~ Partner (for a partnership) or general partner (for a limited partnership) ~ Any ofticer or general manager (corporation or association) ~ Any person authorized for service by the business (corporation, association, General partnership, limited partnership) ~ Any person authorized for service with the Secretary of State (corporations association, limited-liability company (LLC), limited-liability partnership (LLP}, limited partnership} To serve a public entity,you must first file a claim with that entitv. 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. Oi a. lf you are serving a person, write the person's name below: Ar nis o ez b. lf you are serving a business or public entity. write the name ol'the business or entity, the person authorized for service, and that person' job title: Superior Court ot California, County of SANTA CLARA 191 NORTH FIRST STREET SAN JOSE, CA 95113 ldlrn numb'a uiri.hrannedal dav Imm and Jeparr ni h luu Case Number: 2080082885 Case Name: Guadalupe Avila vs. Argenis Lopez Business or Agency Name Perse Aulhonsed f r Ser,ce - vous I O~ Instructions to Server Hearing Date: 8/28/2020 Time: 1:00 PM Dept.: 15 You must be at least 18 years old and not be tkamed in this case. Follow these steps: ~ Give a copy of thc documents checked in &Sto the person in 0), or ~ Give a copy of the documents checked in Odto: a. A competent adult (at least 18) at the horne of and living svith the person in O)or b An adult (at least 18) who seems to be in charge av c. An adult (at least 18) who seems to be in charge 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 01. 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 timefor the form to be filed wiih the court at least 3 days befi&re the hearing 03 I s~eed the person in 0) a copy of the documents checked below: a. Lvi SC-100, Plaintiffs Claim and ORDER to Go to Small Claim Court b. 0 SC-120, Defendants Claim and ORDFR to Go to Small Clams Court c. Order for Examination (This form mula bepevvonally sera( d Put a check mark next to the larm thai was ,servedl Note: The court canissue a chvil arrest wurrant fr tne set Pedparry does not come lu court bul only if the Order for Examination was persr&nally served by a registered pvo((is.reiver, sheuifl', niatshal, or samer&ne appointed by the court. (1) SC-134, Application and Order to Producegtalemenl &f Assets and la Appearfar Examination (2) AT-138/EJ-125, Apphcatian and Orderjor Appe(u anf e and Examination d. H Other (specify): Notice of Continuance & SC-100 J d al Counol of Cal fom a courlrnfo ca gov Re ed Jan ary I, 2009 Opl onal Form CodeofCivilProced Q116340 41510 41520 PROOF OF SERVlCE (Small Claims) ( fi J&u.l(2 SC-104, Page I ol2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 8/19/2020 9:40 AM Reviewed By: D. Pinheiro Case #20SC082886 Envelope: 4789880 Case name: Guadalu 9 Avaa va Ar enra Lo az ase Number: 20SC082888 04 Fill out uau or "b" below: a. Personal Service: I personally gave copies of the documents checked in 03to the person in 0)i On (dare) 2 At this address: At(rimar State: Zip: b.H substituted Service:I personally gave copies of the documents checked in 0 (a, h or d) to (check one) A competent adult (at least 18) at the home ot, and living with the perpon in, 0) or An adult (at least 18) who seems to be in charge where the person in M& usually works or An adult (at least 18) who seems to be in char e where the person in 0 receives mail, or has a private mailbox (not a U.S Postal Service P.O. Box). if there is no known physical address for the person inOI I told that adult, "Please give these court papers to (nanie a(person in 0) ). I did this on (dare):6I26I2020 At (imie '12:41 PM At this address: 1391 Tami Lee Dr A t 3 City/State/Zip: San Jose CA 951222877 Name or descnption of the person I gave the papers to: Rosalina Lopez - Occupant AGE: 40's HEIGHT: 5'5 WEIGHT: 160 HAIR: Stack RACE: Hispanic EYES: After serving the court papers, I put copies of the docuinents listed in 03in an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in 0~ at the address where I left the copies. from (arty, state) os An eles CI mailed the envelope on (dais). 6)2 (2020 by leaving~it t (cher k one& a. LI At a U.S. Postal Service mail drop, or b. At an office or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, rrr 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-I OAA. O~ Server's Information Name: Phili Hamilton Address: 1201 W. Tem le Street City: Los An eles CA 90026 Fee for service: $ 110.00 (Ifyou are a registered prryceis server): Phone: 213 353-9100 County of registration: Santa Clara Registration number: PS1663 O6 I declare, under penalty of periury under California State lawn that I am at least 18 years old and not listed in this case and that the information above is true and correct. Date: 6/26/2020 Phili Hamilton Type or pnnr server'.s name Server signs here after serving Ra and January 1 2009 PROOF OF SERVICE (Small Claims) SC-104, Pao 2of2 4 Proof of Mailing (Substituted Service) Case Number: 20SC082886 This form is attached to Form SC-104. Use this form ONI.Y il'you mailed the documents in Oj and someone else personally gave them to the person, business, or public entity served. Notice to Server You must: ~ Be at least 18 and not listed in this lawsuit. ~ Fill out Oi - OBof this form and attach it to Form SC-104. Oj Documents served by lnail: a p/SC-100, Plaintiffr Claim arid ORDER ta Ga tr& Small Claim5 Cr&art b g SC-120, Defendant's Claim and ORDER to Cfo to Small Claims Cour& c 3 Other fspecffyRN tice of C ntinuan & SC-100 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: Ar eni Lo ez Address 1 1 T mi L Dr A an CA 122-2 7 Street av State Zp 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. Business or Public Ent ty Name Address: Street persona tn 'rted. Smvre City State Job Tee Zp I put copies of the documents listed in Oi above in an envelope, sealed the envelope, and~at first-class prepaidO postage on it. I addressed the envelope to the person, business, or public entity listed in &2 and mailed the envelope by leaving it at (check one): i a. At a U.S. Postal Service mail drop, ar b. F/At an office or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service. I mailed the envelope: . 0 ts 1:~rs f222 b. From(cityr statei: L n I s O~ My address is: 12 1 W Tem I tract L An el CA 0 2 O6 I declare, under penalty of perjury under California State law, that the information above is true and correct. Date: /26/2 Carmen Rivera Type or print server'5 name Server signt e after mailing Judioal Co clofcaliforna ~coumnfoca go Revised January 1 2006 optional po m Code of Civil Procedure 11116 340, 4 f 5 20 Proof of Mailing (Substituted Service) (Small Claims) SC-104A, page 1 of 1