Proof of Service PersonalCal. Super. - 6th Dist.March 17, 2020I Clerk stamps dale here whenform isfiled. SC-104 Proof of SerVIce . _ Electronically flled Use this form to serve a person, a business, or a public entity. To learn more by SUper'or court 0f CA, about proof of service, read What Is “ProofofSer-vice”?, Form SC-104B. To learn more county 0f santa Clara, about how to serve a business 01' entity, read How to Serve a Business or Public Emily, 0n 6/ 1 0/2020 2:34 PM Form SC'IO‘LC' Reviewed By:D. Pinheiro To serve a business, you must serve one of the following people: case #ZOSC082991 - Owner (for a sole proprietorship) Env #443881 O - Palmer (for a partnership) or general partner (for a limited partnership) - Any officer or general manager (corporation or association) 0 Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and street address: Eimited partnership) Superior Court of California ° Any person authorized for service with the Secretary of State (corporation, association, limited County 0f Santa Clara Iiability company [LLC}, limited liability partnership [LLPL limited partnership) 191 NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one of the following SAN JOSE’ CA 951 13 people: Fill in case number. case name, hearing date. day. - Clerk (ofa city m- coumy) "5"9’ ”1’: deiartf'ggieggm - Chief officer or director (of a public agency) a“ “m er' - Any person authorized for service by the entity gggiggg‘grc a. Ifyou are serving a person, write the person’s name below: ' Against JUAN CARLO GONZALEZ HERNANDEZ JUAN CARLO GONZALEZ HERNANDEZ 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: 835/2020 Time: Dept.: Business or Agency Name 1:00 9M 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 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 Q), or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in @, 0r c. An adult (at least 18) who seems to be in charge where the person in® 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 to serve these court papers, in timefor theform ta befiled with the court at least 5 days before the hearing. ® I served the person in (D a copy of the documents checked below: O a. E SC-IOO, Plaintzfl’s Claim and ORDER to Go to Small Claims Court ' b. D SC-l20, Defendant’s Claim and ORDER to Go to Small Claims Court . . @ c. D Order for examination (Thisform must bepersonally served. Check theform that was served)" Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only zfthe orderfor examination was personally served by a registeredprocess server, sheriff marshal, or someone appointed by the court. (l)D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2)D AT-l38fEJ-125, Application and Orderfor Appearance and Examination JudiciaICouncltorCaJiromla. ww.couumro.ca.gov Proof of Service Case ID: 5816519 Revised January 1. 2009. Optional Form _ Coda arcmwrocadure,§§ 116‘a4o.4$5.1o.415.2o (small Claims} SC 104' Page 1 °f 2 ‘PTA WAVT-‘TTT! ‘ 7 g Case Number: 20sc082991' I "l ii: 'iu out “a” or “b” below: a. Personal Service: Ipersonally gave copies of the documents checked in C3) to the person in® t on (daze): 6/3/2020 At (time): 12:45 PM ‘ Gender: MALE Age: 36-40 Skin Tone: WHITE Hair: BLACK Eye Color: BROWN Height: SFT 41N - SFT 7IN Weight: 151 LBS - 170 LBS At this address: Home: 701 MENKER AVE APT 2 City: SAN JOSE State: CA Zip: 95 128 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 CD, or B An adult who seems t0 be in charge Where the person in® usually works, or D An adult who seems to be in charge where the person in (D 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 ofperson in (9).” Idid this on (date): I At (time): At this address: City: State: Zip: Name or description of the person I gave the papers to: Afier serving the court papers, I put 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 cepies. I mailed 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 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 (D, and I have attached that person’s completed Form SC-l 04A. ® Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 951 13 County of registration: SANTA CLARA Registration number: PS 1741 Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS 1 741 © I declare under penalty ofperjury 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 6f4f2020 HECTOR TORRES > M Type orprint server ’s' name Server Signs here afler serving Revised January 1. 2009 Proof of Service Case ID: 5316519 (Small Claims) SC-1 O4, Page 2 of 2 XITA HAV‘ITVTT?
