Proof of Service SubstitutedCal. Super. - 6th Dist.March 12, 2020SC-1 04 Proof of Service Use this form t0 ser_ve a person, business, or a ublic entity. To learn more about proof of serv1ce, read What is _”Proof0f grvz'ce"?, Form SC-104B. To learn more about how to serve a busmess or entlty, read How to Serve a Business or Public Entity, Form SC-104C. To serve a business, you must serve one of the following people: ' Owner (for a sole proprietorship) ' Panner (for a partnership) or general partner (for a limited partnership) ' Any officer or general manager (corporation or association) ' Any person authprizpdfor service by the business (corporation, association, general partnerhlp, 11m1ted partnershlp) ° Any person authorized f0_r service with the Seqretary qf State (corporation, association, limited liabi_11 company.[LLC], 11m1ted 11ab111ty partnershlp v [LLP], lnnlted partnershlp To serve a public entity, you mustfirst file a claim with that entity, then serve 'one ofthe followmg people: ' Clerk (of a city or-county) ' Chief officer or director (of a public agency) ° Any person authorized for service by the entity ® a. Ifyou are serving a person, writethe person's name below: '- Lazaro Francisco Suarez b. If you_are serving a businegs, or entity,_write the name ofthq bus_iness or entlty, the person authorlzed for serv1ce, and that person's Job tltle: Business or Agency Name Person Authorized for Service Job Title ® Instructions to Server: Clerk stamps date here when form is filed. -the Court ‘ ' c-unly oi Santa Clara . w .‘ ~ Epuw n-v- l. "V“ Superior Court qu _ Sa‘nta Clara County, California Small Claims 191 N. 1st St San Jose, California 951 13 Case Number: 20 SC 082915 Case Name: Don Roberto Jewelers Inc. vs. Suarez Hearing Date: 12/3/2020 |Dept: LlTime: 1:00 pm You must be at least 18 years old and not be named in this case. F0110w these steps: - ‘ Give a copy of all the documents checked in© to the per_son in® , 0r - Give a copy of all the documents checked in© to one of the following people: a. A competent adult (at least 18) living with, and at the-home of the person inG) , 0r b. An adult'(at least 18) who seems to be in charge at the usual workplace of the person inG) , or c. An adult (at least 18) who seems to be in charge where the person in® usually receivés mail, (but not a U.S. Post Office box), if there is no known physical address for the person in® . and mail a copy of the documents left with one of the adults in a, b, or c above to the person in®. THEN, ' Complet_e and sign thisrform, and 0 Give or mail your completed form to the person who asked you to serve these Court papers in timefor theform t0 befiled wzth the court at least 5 days before the hearing. a. E SC-lOO, Plaintz'fl’s Claim and ORDER to Go to Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 G0 to Small Claims Court l served the person in® a copy of the documents checked below: c. D Order for examination, (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only ifthe orderfoi‘ examination was personally served by a registeredprocess server, sheriff marshal, 0r someone appointed by the court. (1)D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2)D AT-l 38/EJ-125,‘Application an‘d Orderfor Appearance and Examination V Court Date Judicial Council of California Revised January 1, 2009. Optional Form Code 01 Civil Procedure 116.340, 415.10. 415.20 Proof of Service (Small Claims) SC-1 O4. Page 1 of 2 Job Number COP-2020007518 Case Number: 20 SC 082915 Case name: Don Roberto Jewelerslnc. vs. Suarez Fill out “a". or "b'.' be‘low: a. D Personal Service: Ipersonally gave copies ofthe documentschecked in© to the person in®z On (date): I I At (time): At this- addressi ' . . Ci_ty: . ~ 4 i ‘ State: . Zip: b. Substituted Service: Ipersonally gaVe copies ofthe documents checked in© (a, b, d) to (check'one): A competent adult (at_ least 18), at the home of, and living with the person: in® , or . D An adult who sc_ems to be in chafge where the person in® usually works, or D An adult who seerhs to be in charge where the person in® usually receives mail, or haé a private post office box (not a U.S. Post Qfi'lce box), ifthere ls no known physical address for the person in@. I told that adult, "Please give these court papers to (name ofperson in@). " Idid this on (date). 10/05/2020 At (time). 7:29 PM At this address: 873 Summerbrook Ln. City: San Jose State: CA ' Zip: 951 23 Name or description ofthe’person I gavé the papers to: John Doe (refused 'name) / Co-Occupant Age: 20. Sex: m. Race/Skin Color: hisp., Height: 5'6", Weight: 160, Hair: black. Glasses: n Afier serving the court papers, I put copies ofthe documents listed in© in an envelope; sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in® at the address where I lefi the copies. I Imailed the envelope on (date): 10/06/2020 from (city, state): San Jose CA by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. E At an office or business mail drop where I know the mail ls 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® and I have attached that person's completed Form SC-104A © Server's Information Name: Kenny Alfaro ; Phone: (408) 297-6070 . Address: 31 E. Julian Street : ' City: San Jose State: CA Zip: 951 12 Fee for service: $ 100.00 County ofrégistration: Sahta Clara Registration Number: PS1675 ~ , - I I declare under penalty of perjury under California state law that I am at least 18 years-old and not named 1n this ' ' case and that the information above'ls true and correct. Date: HQE £5 l 96% 'KennyAlfaro } @V Type or print server’s name ‘ ' Server signs here after'serving ‘ éi‘fiflié‘ifififli'nfiiiig‘g’flfiml Form Proof of Service ' 30‘104' Page 2 °f 2 Code of Civil Procedure 116.340, 415. 10, 415.20 Job Number COP_202000751 8 (Small Claims)
