Proof of Service SubstitutedCal. Super. - 6th Dist.March 10, 20202080082919 - . SC 104 Proof of SeNice Santa Clara - Civil Clerk slumps date here whenfomr isfiied. Electronically filedUse this form to serve a person, a business, or a public entity. To learn more about proof of service, read What Is “ProofofService”?. Form SC-104B. To learn more by SUper'or court 0f CA! about how t0 serve a business or entity, read How Io Serve a Business or Public Entity, county 0f santa Clara, Form SC-104C. on 4/1 5/2020 10:41 AM To serve a business, you must serve one of the following people: Rewewed By: D" thelro 0 Owner (for a sole proprietorsllip) Case #203C08291 9 o Partner {for a partnership) or general partfacr (for a lilpitled partnership) EnV #4254806 ' Any officer or general manager (corporation or assomatlon) 0 Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and street address: limited palmership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, limited Couui)‘ 0f Santa Clara liability company [LLC], limited liability partnership [LLP], Eimjted partnership) 19] NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one 0f the following SAN JOSE‘ CA 95113 peopfc; ~ Fill in case number, case name, hearing date. day. time, and department below: - Clerk (ofa city 01' county) - Chief officer or director (of a public agency) case Number: mscoszmg - Any person authorized for service bythe entity gpageRNamgIC ® a. If you are serving a person, write the person’s name below: ' Against SIMON GONZALEZ SIMON GONZALEZ b. Ifyou are serving 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: maozo Time: Dept: Business or Agency Name 1 :00 PM 15 Person Authorized for Service Job Title {2) Instructions to Server: You must be at least 18 years old and not be named in this case. Follow these steps: - Give a copy of all the documents checked in g to the person in Q), or t 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 ofthe person in (D, or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in (D, or c. An adult (at least 18) who seems to be in charge where the person in Q) usually receives 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 Q). THEN - Complete and sign this form, and - Give or mail your completed fonn to the person who asked you to serve these court papers, in timefor theform to befiled with the court at least 5 days before the hearing. ® I served the person in ® a copy of the documents checked below: O a. E SC-lOO, Plaintiff’s Claim and ORDER to Go to Small Claims Court b. D SC-120, Defendant’s Claim and ORDER to Go t0 Small Claims Court M c. D Order for examination (Thisform mus: be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant g‘fthe servedparty does not come 'to court only ifthe orderfor examination was personally served by a registeredprocess server, sh erg'fif marshal, or someone appointed by the court. (l) D SC-l34, Application and Order :0 Produce Statement ofAssers and Io Appearfor Examination (2) D AT-138/EI-125, Application and Orderfor Appearance and Examination d. g Other (Specifi); NOTICE To LITIGANTS; NOTICE T0 SMALL CLAIM LITIGANTS; Judicialoouncuorcairomza.www.cominro.ca.gov Proof of service Case ID: 5809372 Revised January 1, 2009, Optionat Form . Code ofCiviIPmcedure.§§ 216.340. 415.10.41520 (smau c'a'ms) sc'1 04’ P399 1 Of 2 \I'I’A WAVFVYH Case Number: 2080182919 ' ‘ill out “a” or “b” below: a. D Personal Service: Ipersonally gave copies of the documents checked in C3) to the person in® : On (date): At (time): At this address: City: State: Zip: b. E Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, or d) to (check one): A competent adult (at least l8) 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), if there is no known physical address for the person in® Itold that adult, “Please give these court papers to (name ofperson in @).” I did this on (date): 3/25/2020 At (time): 12:52 PM At this address: 3 13 EL CAJON DR City: SAN JOSE State: CA Zip: 951 I1 Name or description of the person I gave the papers t0: MOTHER MRS. GONZALEZEIMOTHER Gender: FEMALE Age: 41-45 Skin Tone: WHITE Hair: BLACK Eye Color: BROWN He ight: SFT «SFT 7IN Weight 131 LBS 150 LBS {(Dnfi' {m.aé S?None) \NQS Wit w war norAfter serving the court papers, Iput coples of the documents listed'1n® 1n an envel e, sealed the envelope, l‘o and put first-class prepaid postage on it I addressed the envelope to the person in (D at the address where I left the copies. I mailed the envelope on (date): 0312512020 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 office or business mail drop whcre I know the mail ls picked up every day and deposited With the U S. Postal Service, 01 c. D With someone else I asked t0 mail the documents to the person in @, and I have attached that person’s completed Form SC-l 04A. ® Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B ' City: SAN JOSE State: CA Zip: 951 l3 County of registration: SANTA CLARA Registration number: 1585 Fee for service: S 50.00 Process Server Information: County ofregistration: SANTA CLARA Registration number: 1585 © I declare under penalty of perjury under California state law that I am at least 18 years old and not named 'm this case and that - the information above is true and correct. Date 03f25/2020 HECTOR TORRES > M Type orprint server ’s name Server signs here after serving Revised January 1.2009 Proof of Service Case ID: 5809372 (Small Claims) - ' SC-‘I 04. Page 2 of 2 ‘ITA WAVT'YI'T‘I‘.
