Proof of Service PersonalCal. Super. - 6th Dist.March 17, 2020I _ Clerk stamps date here w/zenform isfiled. - - SC-104 Proof of Serwce K. ,. ' Use 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 about how to serve a business or entity, read How t0 Sewe a Business or Public Entity, Form SC-104C. To serve a business, you must serve one ofthe following people: - Owner (for a sole proprietorship) - Partner (for a partnership) or general partner (for a limited partnership) - Any officer or general manager (corporation or association) - Any person authorized for service by the business (corporation, association, general partnership, limited partnership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, limited County 0f Santa Clara liability company [LLC], limited liability partnership [LLP], limited partnership) 191 'NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one ofthe following SA“ JOSE’ CA 951 l3 people: Fill in case number, case name, hearing date, day, time, and department below: - Clerk (of a city or county) - Chief officer or director (of a public agency) case Number: 205C082984 - Any person authorized for service by the entity Eggilfijg‘fic a. If you are serving a person, write the person’s name below: ' Again” JULIO CESAR RUBIO JULIO CESAR RUBIO b. If you are serving a busipess or entity, write the name of the bgsiness or Hearing Date: entity, the person authorlzed for service, and that person’s Job tltle: 8/25/2020 Time: Dept: Business or Agency Name 1:00 pM 15 Person Authorized for Service Job Title ® Instructions t0 Server: You must be at least 18 years old and not be named in this case. Follow these steps: - Give a copy ofall the documents checked in ® to the person in Q), 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 in @, 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 CD 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 CD. THEN - Complete and sign this form, and - Give or mail your completed form to the person who asked you t0 serve these court papers, in timefor tlzeform 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. X SC-IOO, Plaintiff's Claim and ORDER t0 Go to Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 G0 t0 Small Claims Court @ZL) 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 t0 court only ifthe orderfor examination was personally served by a registeredprocess server, sherg'ffl marshal, or someone appointed by the court. (1) D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) D AT-l38/EJ-125, Application and Orderfor Appearance and Examination d. g Other (31mm; NOTICE To LITIGANTS; NOTICE To SMALL CLAIM LITIGANTS; .ngicialdCJouncilof California, www.couninfoxagov Proof of Service Case IDS 5816513 evise anuary 1, 2009, Optiona Form . Code ofCiviI Procedure.§§ 11e.340,415.1o.415.2o (small Cla'ms) sc'1 04’ Page 1 °f2 VIA FAX FILE Case Number: 20SC082984 a. X Personal Service: Ipersonally gave copies of the documents checked in ® to the person in (D : On (date): 5/29/2020 At (time): 3:18 PM ' ‘ Gender: MALE Age: 46-50 Skin Tone: LIGHT BROWN Hair: BLACK Eye Color: BROWN Height: SFT 8IN - SFT 111N Weight: 291 LBS - 310 LBS At this address: Home: 1723 78TH AVE City: OAKLAND State: CA Zip: 94621 b. D Substituted Service: Ipersonally gave copies 0f the documents checked in C3) (a, b, 0r d) to (check one): D A competent adult (at least 18) 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 CD. Itold that adult, “Please give these court papers tp (name of person in @).” I did this 0n (date): At (time): At this address: City: State: Zip: Name or description of the person I gave the papers to: After sewing the court papers, Iput copies of the 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 (D at the address where I left the copies. Imailed the envelope on (date): from (city, state): by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. D At an office 0r 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 CD, and I have attached that person’s completed Form SC-104A. © Agency Information: Name: AGGRESSIVE LEGAL SERVICES, INC Phone: 8779257462 Address: 41 10 TRUXEL ROAD SUITE 150 City: SACRAMENTO State: CA Zip: 95834 County of registration: SACRAMENTO Registration number: 2019-06 Fee for service: S 58.00 Process Server Information: County of registration: SACRAMENTO Registration number: 2019-06 © I declare under penalty of perjury under California state law that I am at least l8 years 01d and not named in this case and that the information above is true and correct. Date 5/29/2020 STACEY SOLOMAN } w Type orprint server’s name Server signs here after serving Revised January 1,2009 Proof of Service Case ID! 5816513 (Sman Claims) 50-1 04. Page 2 of 2 VIA FAX FILE