Proof of Service PersonalCal. Super. - 6th Dist.March 17, 2020r . ‘Clerk Mumps date here whenform isfilccl. SC-104 Proof of SerVIce gag: . . ,V 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 entify, read How to Serve a Business or Public Entity, Form SC-104C. To serve a business, you must serve one of the following people: O Owner (for a sole proprietorship) - Partner (for a partnership) or general partner (for a limited paflnership) - Any officer or general manager (corporation or association) - Any person authorized for service by the business (corporation, association, general partnership, Fill in courr name and street address.- limited partnership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, limited county 0f santa Clam liability company [LLC], limited liability pannership [LLP], limited partnership) gilNI‘IJgfégHCFAHESSTISSTREET To serve a public entity, you must first file a claim with that entity, then serve one of the following ’ people: Fill in case number, case name, hearing date, day, time. and department below: - Clerk (ofa city or county) o Chief officer or director (of a public agency) case Number: 20$C082984 - Any person authorized for service by the entity gggilfijgmc © a. If you are serving a person, write the person’s name below: ' Against JULIO CESAR RUBIO JULIO CESAR RUBlo b. If you 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: 8/25/2020 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 ofthe 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 (D usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in (D and mail a copy pf the documents lefi with one of the adults in a, b, or c above to the person in (D 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 0f the documents checked below: O a. E SC-lOO, Plaintifl’s Claim and ORDER to G0 to Small Claims Court b. D SC-120, Defendant's Claim and ORDER t0 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 warrant ifthe servedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, sheriff? marshal, or someone appointed by the court. (1) D SC-l 34, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) D AT-138/EJ-125, Application and Orderfor Appearance and Examination d_ g Other (Specify); NOTICE To LITIGANTs; NOTICE To SMALL CLAIM LITIGANTS; JudiciaIdC‘EIouncilofCalifcrnia. www.couninfo.ca.gov Proof of Service Case ID: 5816513 Revise anuary 1, 2009, Optional Form . Code otCivn Procedure, §§ 11s.340,415.1o,415.20 (small Claims) SC'1 04’ Page 1 Of 2 VIA FAX FILE Case Number: 20$C082984 a. E Personal Service: [personally 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: 5FT SIN - 5FT llIN 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 of the documents checked in® (a, b, or d) to (check one): D A competent adult (at least 18) 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® 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 of person in @).” I did this on (date): At (time): At this address: City: State: Zip: Name or description of the person I gave the papers to: . 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. I addressed the envelope to the person in ® at the address where I left the copies. I mailed the envelope 0n (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 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 ®, and I have attached that person’s completed Form SC-l 04A. ® 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: $ 58.00 Process Server Information: County of registration: SACRAMENTO Registration number: 2019-06 © I declare under penalty ofperjury under California state law that I am at least 18 years 01d and not named in this case and that the information above is true and correct. Date 5/29/2020 STACEY SOLOMAN ’M \ Type orprint sewer 's name ' Server signs herézfter serving Revised January 1, 2009 Proof of Service case [DI 581 651 3 (Small Claims) 3C4 04y Page 2 0f 2 VIA FAX FILE
