Proof of Service SubstitutedCal. Super. - 6th Dist.March 16, 20202080082960 Santa Clara - Civil ' 7V a _ Clrk d her‘he lid.* .- bC-lU-l Proof of Semce e mp5 m N WM“ Electronically Filed - Use this form to serve a person, a business, or a public entity. To learn more bcyofigtpegfoggrfigrtcfafrgA’ about proof of service, read What ls "ProofofService"?, Form SC-104B. To learn more y ’ about how to serve a business or entity, read Haw to Serve a Business or Public Entity, 0n 5/22/2020 10:37 AM Form 50-104C- Reviewed By: D. Pinheiro To serve a business, you must serve one ofthe following people: Case #ZOSC082960 - Owner (for a sole proprietorship) - Partner (for a partnership) or general partner (for a limited partnership) - Any officer or general manager (corporation or association) Envelope: 4370479 Any person authorized for service by the business (corporation, association, general partnership, Hit in com name and street addrtss: limited partnership) Superior Court of California 0 Any person authorized for service with the Secretary of State (corporation, association, limited CW“! 0f Sin“ Chm nabmty company [LLC}, limited liability parmersnip [LLP], limited parmership) £9mggmcfikgs“ STREET ’I‘o serve a public entity, you must first file a claim with that entity, then serve one ofthe following A E’ 51 ‘3 mph; Fill in case number, case name, hearing date. day. ' Clerk (ofa city or county) tame. and department below: 0 Chiefofficer or director (of a public agency) C3“ Numb“ 208C082,“ - Any person authorized for service by the entity ggafimgc® a. If you are serving a person, write the person’s name below: ‘ Again” IRINEO GUZMAN ZAMUDIO IRINEO GUZMAN ZAMUDIO b. Ifyfm are serving a busipess or entity, write the name oftye bgsiness or Hearing Dam entity, the person authonzed for semce, and that person’s Job ntle: 8/20/2020 Time: Dept: Business or Agency Name 1:00 PM IS 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 ®, or - 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 in (D, or b. An adult (a1 least 18) who seems to be in charge at the usual workplace ofthe person in ®, or c. An adult (at least l8) who seems to be in charge where the person in® usualiy receives mail (but not a U.S. Post Office box), ifthere 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 ®. 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 thefarm 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-l 00, Plaintifl’s Claim and ORDER to Go to Small Claims Court b. D sc-120, Defindanx 's Claim and ORDER to Go to Small Claims Court w c. D Order for examination (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest wmant ifthe servedparty does nor come to court only ifthe orderflJr examination was personally served by a registeredprocess server, shertfl marshal, or someone appointed by the court. (I)D SC-l 34, Application and Order Io Produce Statement ofAssets and to Appearfor Examination (2)D AT-l 38/EJ-l 25, Application and Orderfor Appearance and Examination d. Other (swam; NOTICE To LITIGANTS; NOTICE To SMALL CLAIM LITIGANTS; 50-109 AUTHORIZATION T0 APPEAR :fizzdfiwflaggmgm.wmgw Proof of sewicer Case iD: 57831 86 Code ofcmrgymcéma, §§ 116.340, 415.10, 415.20 (small c'a‘msl sc'1 04’ Page 1 of 2 VIA FAX FILE Case Number: 208C082960 ill out “a” or “b” below: a. D Personal Service: [personally gave copies ofthe documents checked in® to the person in® : On (date): At (time): At this address: City: State: Zip: b. Substituted Service: I personally gave copies ofthe documents checked in© (a, b, or d) to (check one): fl A competent adult (at least 18) at the home of, and living with the person in G), 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® usuaily 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 (D. Itold that adult, “Please give these court papers to (name of person in @)." [did this on (date): 5/17/2020 At (time): 10:13 AM At this address: 1534 DALLAS ST City: MODESTO State: CA Zip: 95358 Name or description ofthe person I gave the papers to: MARIA,SPOUSE Gender: FEMALE Age: 3 1-35 Skin Tone: LIGHT BROWN Hair: BLACK Eye Color: BROWN Height: SFT 4IN - SFT “IIN Weight: 2H LBS - 230 LBS After serving the court papers, I put copies of the documents listed in© in an envelope, sealed the envelope, and put first-class prepaid postage on it. l addressed the envelope to the person in G) at the address where l lefi the copies. lmailed the envelope on (date): 05/18/2020 from (city, state): MODESTO, 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 where l 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 Q), and l have attached that person’s completed Form SC-104A. C5) Agency Information: Name: CAINS MOBILE NOTARY & LEGAL SUPPORT SERVICES Phone: 2184354911 Address: 2812 ZARAND DRIVE City: MODESTO State: CA Zip: 95355 County of registration: STANISLAUS Registration number: 17-010 Fee for service: $ 58.00 7 Process Server Information: County of registration: STANISLAUS Registration number: 17-010 © I declare under penalty of perjury 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 05/1 8/2020 TISHA MARIE CAIN ’ Type or print server ’s name Server signs here qfier serving RevisedJanuay 1,2009 Proof of Service Case ID: 5783186 (Smail ciaims) 50-1 04, Page 2 of 2 VIA FAX FILE
