Proof of Service PersonalCal. Super. - 6th Dist.March 10, 2020208C082932 SC I 04 Proof of Semice Santa C|ara _ Civ“ Clerk stamps date here whenfom; r'sfiied. Electronically filed Use this form to serve a person, a business, or a public entity. To learn meme by SUper'Or court 0f CA, about proof ofsewice, read Wham "Proofofservice"? Form sc 104B. To learn more County of Santa Clara, about how to serve a business or entity, read How to Serve a Business or Public Entity, on 4/ 1 5/2020 10:34 AM Form 30-1040 Reviewed By:D. Pinheiro To sewc a business, you must serve one of the following people: Case #208C082932 ' Owner (for a sole proprietorship) EnV #4254764 ' Partner (for a partnership) 01' general partner (for a limited partnership) ¢ Any officer or genera] manager (corporation 01' association) ° Any person authorized for service by the business (comoration, association, general partnership, Fill in coun' name and street address.- limited partnership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, Eimited County 0f Santa Clara liabiaity company [LLC], limited liabitity partnership [LLP], timited partnership) 191 N 13‘ S“ To serve a public entity, you must first file a claim with that entity, then serve one of the foilowing SM 1053’ CA 95] l3 people; Fill in case number, case name, hearing date. day, time, and department below: - Clerk (ofa city or county) - Chief officer or director (ofa public agency) case Number: 2080182932 - Any person authorized for service by the entity gggi¥ggglc CD a. Ifyou are serving a person, write the person’s name below: ' ' Again“ EMILY QUYEN NGUYEN EMILY QUYENNGUYEN 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: 712/2020 Time: Dept: Business or Agency Name 1:00 PM - 15 Person Authorized for Service Job Title ® 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® to the person in (D, or . Give a copy ofall 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 in (D, or b. An adult (at least 18) who seems to be 1n charge at the usual workplace of the pelson in ®, or c. An adult (at hast 18) who seems to be 1n charge where the person in Q) usually receives mail (but not a U S. Post Office box), if thele ls no known physical address f01 the person in® and mail a copy of the documents lefi with one of the adults in a, b, or c above to the person in ®. 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 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: a. SC-lOO, Plaintzfl’s Claim and ORDER to Go t0 Small Claims Court b. D SC-IZO, Defendant’s Claim and ORDER to Go to Small Claims Court &M c. D Order for examination (Thisfomz must bepersonally served. Check theform that was served): Nate: The court can issue a civil arrest warrant z‘fthe servedparty does not come to court only ifthe orderfor examination waspersonally served by a registeredprocess server, sherzfl marshal, or someone appoinred by the court. (l) D SC-134, Application and Order to Produce Statement ofAssets and t0 Appearfor Examination (2)D AT-138/EJ-125, Application and Orderfor Appearance and Examination d_ E Other (specifij); NOTICE TO LITIGANTS; Judiciamwndiomamomia. www.counmracagov Proof of service Case ID: 5808690 Revised January 1. 2009. Optional Form . , I. CodeomMIPmcedure. §§ 11a.a4o,415.1o.415.2{; (smau C'a'ms) I SC 104' P3991 °f2 ‘i!YA WAVTT‘ITT.‘ Case Numb er: 208C082932 ‘ill out “a” or “b” below: a. E Personal Service: Ipersonally gave copies ofthe documents checked in® to the person in® : On (date): 3/25/2020 At (time): 12:32 PM Gender: FEMALE Age: 36-40 Skin Tone: HISPANIC Hair: BLACK Eye Color: BROWN Height: SFT 4IN - SFT 7IN Weight: 111 LBS - 130 LBS At this address: Home: 3478 SENTER RD City: SAN JOSE State: CA Zip: 951 11 b. D Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, 0r d) t0 (check one): D A competent adult (at least E8) 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 (D 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 @. I told that adult, “Please give these court papers to (name ofperson in ®).” I did this on (date): ' At (time): At this address: ' City: State: Zip: Name or description of the person I gave the papers t0: After serving the court papers, Iput copies of the documents listed in C3) 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 left the copies. I mailed the envelope on (date): from (city, state): by ieaving it (check one): ' a. D At a U.S. Postal Service mail drop, or 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 I asked to mail the documents to the person in @, andI 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: 95113 County of registration: SANTA CLARA Registration number: 1585 Fee for service: $ 50.00 Process Server Information: . County of registration: SANTA CLARA ' ' Registration number: 1585 © I declare under penaity of peljury under California state law that I am at least 18 years old and not named in this case and that the information above is true and correct. Date 3/26/2020 HECTOR TORRES } CM) Type orprint server ’s name Server Signs here after serving Revised January1. 2909 Proof of Service Case ED: 5808690 (Small Claims) SC-1 O4, Page 2 of 2 111A ntv‘ntrr.‘
