Proof of Service SubstitutedCal. Super. - 6th Dist.March 12, 2020| SC-1 04 Proof of Service Use this form to serve a person, a business, or a public entity. To learn more about proofof service, read Wha! Is ”ProofofService”?, Form SC-l04B. To learn more about how to serve a business or entity, read How Io Serve a Business 0r Public Entity, Form SC- I 04C. To serve a business, you must serve one of the following people: ° Owner (for a sole proprietorship) ' Partner (for a partnership) or general partner (for a limited partnership) 0 Any officer 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 (corporation, association, limited liability company [LLC], limited liability partnership Clerk stamps date here when form is filed. Fill in court name Mmet address: Superior Court of California, County of Santa Clara l9] North First Street San Jose, CA 95] 13 [LLP], limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one ofthe following people: ° Clerk (ofa city or county) ' Chiefofficer or director (ofa public agency) Fill In case number, case name, heanng date, day, lime, and departmentbe/ow: Case Number: 20$C082898 Case Name: CEJA VS. ESCOBAR - Any person authorized for service by the entity a. lfyou are sewing a person, write the person’s name below: b. lfyou are sewing a business or entity, write the name ofthe business or entity, the person authorized for service, and that person’sjob title: CELELIA ESCOBAR Business or Agency Name Hearing Date: S/l/2020 Time: 8:30 AM Dept: 15 Person Authorized for Scrvicc Job 'l'ille ® Instructions to Server: You must be at least I8 years old and not be named in this case. Follow these steps: ' Give a copy ofall the documents checked in© t0 the person in @, 0r ' Give a copy ofall the documents checked in© to one 0fthe following people: a. A competent adult (at least l8) living with, and at the home ofthe person in © , or b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in G) , 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 left with one ofthe adults in a, b, or c above to the person in (D. 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 timefar thefarm to beflled will: the court at least 5 days before the hearing. I served the person in G) a copy of the documents checked below: 0 O a. E SC-IOO, Plainlifl’s Claim and ORDER lo Go 10 Small Claims Court (i b) b. D SC-120, Defendant 's Claim and ORDER to Go 10 Small Claims Court @2’ c. D Order for examination (This form must be personally served. Check the form that was served): Note: The court can issue a civil arrest warrant ifthe served party does not come to court only ifthe order for examination was personally sewed by a registered process server, sheriff, marshal, or someone appointed by the court. (1) D SC- 1 34, Application and Order lo Produce Statement ofAssets and to Appearfor Examination (2) D AT- l 38/EJ- l 25, Application and Orderfor Appearance and Examination d. E Other (specifiz):Notice to Litigants Judicial Council of Calflomia, www.couns‘aagov Rev, January 1, 2009, Optional Form Proof of Service sc-1o4, page1 of2 Case Name: CEJA VS. ESCOBAR 20$C082898 Case Number: G) ® C5) Date: 3/26/2020 Fill out “a” or “b” below: a. D Personal Service: I personally gave copies ofthe documents checked in ® to the person in G) on (date): At (time): D a.m. D p.m. At this address: City: State: Zip: b4 E Substituted Service: I personally gave copies ofthe documents checked in ® (a, b, or d) to (check one): E A competent adult (at least 18) at the home of, and living with the person in G) , or I D An adult who seems to be in charge where the person in CD usually works, or v D An adult who seems to be in charge where the person in (D 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 in ® I told that adult, "Please give these court papers to (name of person in (D). l did this on (date): 3/16/2020 At (time): 1:25 U a.m. E p.m. At this address: 704i MONTEREY ROAD City: GILROY State: CA Zip: 95020 Name 0r description 0fthe person l gave the papers to: EZEQUIEL SANCHEZ- THE DEFENDANT'S SON. After serving the court papers, l put copies ofthe documents listed in® in an envelope, sealed the envelope, and put first-class prepaid postage on it. | addressed the envelope to the person in @at the address where I left the copies. | mailed the envelope on (dale): 3/16/2020 from (city, stale): SAN JOSE, CALIFORNIA ‘ by leaving it (check one): a. E At a U.S. Postal Service mail drop, or I 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. Postal Service, or c. D With someone else l asked to mail the documents to the person in G) , and I have attached that person’s completed Form SC-I04A. Server’s Information Name: Phillip Erkenbrack Phone: Address (ifknown): Court Services Unlimited, 255 North Market Street, Suite I30 City: San Jose State: CA Zip: 95] l3 Fee for service: $ 85 Ifyou are a registeredprocess server: County of registration: Phillip Erkenbrack Registration number: [283 l declare under penalty of perjury under Calufomla state law that l am at least 18 years old a not named In thls case and that the information above is true and correct. Phillip Erkenbrack, SCCRPS#I283 > Type 0r print server ’s name Server signs here after serving RevLseaJanuaw 1.2009 ' Proof of Service sc.1o4, Page 2 of 2 (Small Claims
