Proof of Service SubstitutedCal. Super. - 6th Dist.March 16, 2020Proof of Service Clerk sramtrs dere here when form rsfired Use this form to serve 8 person, business, or public entity. To learn more about proof of service, read What Is Proof of Service?, Form SC-104B, To learn more about how to serve a business or public entity, read How to Serve a Business, Form SC-104C,, To serve a business, you must serve one of the following people: eOwner (for a sole proprietorship or a business, form unknown) ~Partner (for a partnership) or general partner (for a limited partnership) ~Any oflicer 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 (LLP), limited partnership) To serve a public entity,you must first file a claim with that entity, then serve one of the following people: ~Clerk (of a city or county) ~ Chief officer or director (of a public agency) , Any person authorized for service by the entity. O.a. Ifyou are serving a person, write the person's name below: Jug II u b. Ifyou are serving a business or pubhc entity, write the name of the business or entity, the person authorized for service, and that person' job title: Fi'll in crrurr iiemr end srrsm erritrsssi Superior Court of California, County of SANTA CLARA 191 N. FIRST ST. SAN JOSE, CA 86118 CIVIL»NORTH & CENTRAL Fill in case number, case name. hearing dare, day, iime, and department belowi Case Number: 20SC082840 Case Name; Oportun Inc. vs. Juan Manuel Romero Business or Agency Name Person Authorised for Service - Job Title O~ Instructions to Server Hearing Date: Tl2/2020 Time: 1:00 PM Dept.: 16 You must be at least 18 years old and not be~amed in this case. Follow these steps: e Give a copy of the documents checked in &3to the person in OI, or ~ Give a copy of the documents checked in 03to: a. A competent adult (at least 18) at the home ofand living with the person in OIor b. An adult (at least 18) who seems to be in charge or c. An adult (at least 18) who seems to be in charge at the place where the person receives mail (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in OI. and mail a copy of the documents left with one of the adults in a, b„or c above to the person in OI. 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 the form to befiled with the court at least 5 days before the hearing. p 03 I s~eed the person in OI a copy of the documents checked below: a. LI SC-100, Plaintiffs Claim and ORDFR to Go to Small Claim Court J b. 0 SC-120, Defendants Claim and ORDFR to Go to Small Clams Court c. 0 Order for Fxamination tT'hisform must be personally served. Put a check mark next to theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court but only ifthe Order for Examination was personally served by a registeredprocess server, sheriff, marshal, or someone appointed by the court. (1) CI SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) CI AT-138fEJ-1 25, Application and Orderfor Appearance and Examination d. 8 Othei''specify): Notice to Small Claims Litigants; Request to Participate in Online Dispute Resolution (ODR) For Small Claims Litigants S5020 Judicial Council of California, www.courfinfo.ce.gov Revised January 1, 2009, Optional Form Code of Civil Procedure,@ 116.340, 41 5.10, 41 5.20 PROOF OF SERVICE (Small Claims) SC-104, Page 1 of 2 20SC082940 Santa Clara - Civil Electronically filed by Superior Court of CA, County of Santa Clara, on 6/17/2020 8:02 AM Reviewed By:D. Pinheiro Case #20SC082940 Env #4465374 CaSename:0 n c a a ttelRe e Case Number: 20SC082940 Fill out "a" or "b" below: a.O Personal Service: I personally gave copies of the documents checked in Oto the person in OI: On (date)J At this address: At (time): City: State: b.5 substituted Service:I personally gave copies of the documents checked in 03 (a,P or d) to (check one): A competent adult (at least 18) at the home of, and living with the per on in, '4 or 0 An adult (at least 18) who seems to be in charge where the person in I usually works or El An adult(at least 18) who seems to be in charge where the person in I receives mail, or has a private mailbox (not a U.S. Postal Service P.O. Box}, if there is no known physical address for the person ino~. I told that adult, "Please give these court papers to (name ofperson in OI ). I did this on (date): 5 11l20 At (time:6: At this address: 10 Barnes Ln Zip City/State/Zip: Holli CA 9 2 Name or description of the person I gave the papers to: Laura Romero - Oecupattt AGE: 45 HEIGHT: 5'8" WEIGHT: 150 HAIR: Black RACE: Hispanic EYES: After serving the court papers, I put copies of the documents listed in 03in an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in MI at the address where I left the copies. I mailed the envelope on (date): 5I1 2020 &om (city, state): ortkere C CA by leaving it at (check one): a. H At a U.S. Postal Service mail drop, or b. El At an ofHce or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or C. With someone else I asked to mail the documents to the person in OI, and I have attached that person's completed Form SC-104A. G~ Server's Information Name: A EL H S Phone: 8 7 9%8 6 Address: 42 J ta City S Deo 9 - 6 Fee for service: $ 0 (Ifyou are a registeredprocess server).'egistration number: 0 43 I declare, under penalty of perjmy under California State law, that I am at least 18 years old and not listed in this case and that the information above is true and correct. Documents served in accordance with COVID-19 Safe Serving Polictr, which includes social distancing. Date. Sl l20 0 DANIEL H CASAS Type orprint server's name Server signs ere afi'er serving Revised January 1, 2Mlg PROOF OF SERVICE (Small Claims) SC 104, Page 2 of 2
