Proof of Service SubstitutedCal. Super. - 6th Dist.March 10, 2020208C082911 Santa Clara - Civil _ Clerk stamps dare here whenform isfiled.SC-l04 Proof of Serwce Use this form to serve a person, a business, or a public entity. To learn more Ele tronically Filed about proof ofservice, read‘ What Is "ProofofService "P, Form SC-104B. To learn more by "perior court of CA about how t0 serve a business or entity, read How to Serve a Business or Public Entity, co nty of Santa Clara ’ lFonn SC-104C. on [7/2020 9:39 AM To serve a business, you must serve one of the following people: Re iewed By: D_ Pin hei r0 ¢ Owner (for a sole proprietorship) ' Palmer (for a partnership) or general paltncr (for a limited partnership) ca e #ZOSC08291 1 ~ Any officer or general. manager (corporau'on alzassociation) En eIODe: 4234360 - Any person authorized for service by the businws (corporation, association, general partnership, Fill in court name and streetaddress: limited partnership) Superior Court of California ' Any person authorized for service with the Secretary of State (omporation, association, limited County 0f Santa Clara liability company [LLC], limited liability partnership [LLP], limited partlership) éiNfiggygAmg‘g133m To serve a public entity, you must fimt file a claim with that entity, then serve one ofthe following ’ peopb; Fill in case number, case name, hearing date, day, . i . a‘ d t t : ' Clerk (Ufa ley 01' county) téne a; agar :n:nsl:;:;v9u - Chief officer or director (of a public agency) ase um er‘ 0 ° Any person authorized for service by the entity ggggmfic® a. Ifyou are serving a person, write the person’s name below: ' Against VICENTE PERALTA CANCINO VICENI‘E PERALTA CANCINO b. Ifyou are servfing a business or entity, write the name of the business or Hearing Date; ' entity, the person authorized for service, and that person’s job title: 7f2i2020 Time: Dept: Busitms or Agency Name 1:00 PM 15 Persoa Authorized for Service Job Title ® Instructions to Server: You must be at least 18 years 01d and not he named in this case. Follow these steps: - Give a copy of all the documents checked in C3) to the person in (D, or ° Give a copy of all the documents checked in® to one of the following people: a. A competent adult (at least l8) living with, and at the home of the person in ®, or b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in ®, or c. A11 aduit (at least 18) who seems to be in charge where the person in© usually receives mail (but,not a U.S. Post Office box), iftherc is no known physical address for the person in® and mail a copy ofthe documents lefi with one of the adults in a, b, or c above to the person in G). THEN - Complete and sign this form, and - Give 01' mail your completed form to the person who asked you to serve these court papers, in timefor theform to baffled with the court at least 5 days before the hearing. ® I served the person in® a copy of the documents checked below: ' O a. SC-lOO, Plaintzfi’s Claim and ORDER to Go r0 Small Claims Court I ’ b. D SC~120, Defendant’s Claim and ORDER to Go to Small Claims Court c. D Order for examination (Thisform must bepersonally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, shenfi marshal, or someone appointed by the court. (1) D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) D AT-l 3 8fEJ-125, Application and Orderfor Appearance and Examination d. Other (Specw); NOTICE T0 LITIGANTS; NOTICE To SMALL CLAIM LITIGANTS; Judlclat Council o: eauromla. www.couninmcagov Proof of service Case ID: 5808682 Revised January 1. 2009. Optional Form . _ Code otcm Procedure, §§ 116.340. 415.10.415.20 (sman C'a’ms) SC 104’ Page 1 0f 2 1nA HAVTH‘T‘H Case Number: 2080182911 .‘ill out “a” or “b” below: D Persona! Service: Ipersonally gave ccpies of the documents checked in® to the person in® : 0n (dare): At (time): At this address: City: State: Zip: b. Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, or £29 to (check one): A competent adult (at least 18) at the home of, and living with the person in (D, 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 in (D Itold that adult, “Please give these court papers to (name ofperson in ®).” Idid this on (date): 3/1 8/2020 At (time): 4:33 PM At this address: 1821 LUBY DR City: SAN JOSE State: CA 95133 . Name or description of the person I gave the papers to: LETICIA D0: 1C0RESIDENT nder: FEMALE Age. 46-50 Skin Tone: HISPANIC Hair: BROWN Eye ColorzB EHeight: 5 T-OIN SFT BIN weight 151L133 170L133 §. “(-w \NQQ 'H/LUC DUi-wa After serving the court papers, Ipt copies ofthe documentsYistediflin® 1n an envelope, scaled the envelope, n0 and put first-class prepaid postage on it. Iaddressed the envelope to the person in G) at the address where I left f n the copies. Imailed the envelope 0n (dare): 03/1 8/2020 fi‘om (city, state): SAN JOSE, CALIFORNIA by leaving it (check one): a. E At a U.S. Postal Service mail drop, or b.D At an ofiice or business mail drop where [know the mail is picked up every day and deposited with the U.S. Postal Service, or c. D With someone else I asked to mail the documents to the person in G), and I have attached that person’s completed Form SC-104A. © Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 951 13 County of registration: SANTA CLARA Registration number: PS 17 19 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: PSI719 © _ I declare under penalty ofpcrjury under California state law thatI am at least 18 years old and not named in this case and that the information above is true and correct. Date 03/18/2020 PAULINA A. ROCHA /)>W Dpe orprint server ’s name Server signs he}e after serving Revised January 1, 2009 Proof of Service Case ID: 5808682 (Small Claims) SC-104, Page 2 of 2 TITA HAV'UT‘I'T.‘
