Proof of Service PersonalCal. Super. - 6th Dist.March 19, 2020SC 104 Proof of semice SaitoasgloafsTgiV” Clerk stamps date herewhenform tsflied. Electronically filed Usé this form to serve a person, a business, or a public entity. To learn more about proof ofsewice, read What Is "ProofofService "2, Form sc-104B. To team more by SUPer'Or CO” rt 0f CA: about how to serve a business or entity, read How to Serve a Business or Public Entity, county 0f santa Clara, mm some. on 6/10/2020 10:10 AM To serve a business, you must serve one of the following people: ReVIewed By' D' thelro ' Owner (for a sole proprietorship) Case #203C08301 8 ' Partner (for a partnership) or general partner (for a limited partnership) Env #4436338 - Any officer or general manager (corporation or association) 0 Any person authorized for service by the business (corporation, association, general partnership, Fill in court naine and streetaddress: limited partnership) Superior Court of California 0 Any person authorized for service with the Secretary of State (corporation, association, limited County 0f Santa Clara liability company [LLC], limited liabiiity partnership [LLP], :imited partnership) 191 NORTH F‘RST STREET To serve a public entity, you must first file a claim with that entity, then serve one of the following SAN JOSE’ CA 95! l3 people; Fill in case number, case name, hearing dale, day. time, and department below: ° Clerk (ofa city 01‘ county) - Chief officer or director (of a public agency) case Number: 208mm“ - Any person authorized for service by the entity gggzmfic® a. Ifyou are serving a person, write the person’s name below: ' Against CECILIA DIAZ RAYA CECILIA DIAZ RAYA 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: 8/27/2020 Time: Dept: Business or AgencyName 1:00 9M 1 5 Person Authorized for Service Job Titie ® 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 Q), or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in ®, or c. An adult (at least 18) who seems to be in charge where the person in G) 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 of the 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 timefar thefarm to befiled with Ihe court at least 5 days before the hearing. ® [served the person in ® a copy of the documents checked below: O a. SC-IOO, Plaintiff’s Claim and ORDER t0 Go to Small Claims Court v b. D SC-IZO, Defendant’s Claim and ORDER t0 G0 to Small Claims Court Q 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 ifthe orderfor examination waspersonally served by a registeredprocess server, shen‘fif marshal, or someone appointed by the court. (1)U SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2)D AT-l 3 SlEJ-IZS, Application and Orderfor Appearance and Examination d. Other (Specw); NOTICE T0 LITIGANTS; NOTICE T0 SMALL CLAIM LITIGANTS; JudlclaICouncllofCallfornia. W.coudinro.ca.gov Proof of Service case ID! 5808687 Revised January 1. 2009. Optional Form . _ Code or civil Procedure, §§ 116.340. 415.10, 415.20 (3ma" c'a'ms) SC 104' Page 1 0f 2 111A HAVI‘FTTT'.‘ Case Number: 2080183018 ‘ E. “ill out “a” or “b” below: lillia E Personal Service: Ipersonally gave copies ofthe documents checked in® to the person in® : On (date): 6/3/2020 At (time): 2:05 PM Gender: FEMALE Age: 36-40 Skin Tone: WHITE Hair: BLACK Eye Color: BROWN Height: SFT 4IN - SFT 7IN Weight: 131 LBS - 150 LBS At this address: Home: 1800 EVANS LN APT 41 15 City: SAN JOSE State: C___A___ Zip: 95 125 b. D Substituted Service: [personally gave copies 0f the documents checked 1n® (a, b, or d) to (check one): D A competent adult (at least 18) at the home of, and living with the person in Q), or B An adult who seems to be 1n 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 ofperson in ®).” Idid this 0n (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 on (date): from (city, state): by leaving it (check one): a. I:I At a U.S. Postal Service mail dr0p, or b.D At an office or business mail drop Where Iknow 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-104A. ® Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 951 l3 County of registration: SANTA CLARA Registration number: PSl'i4l Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS l 741 I declare under penalty of perjury under California state law thatI am at least 18 years old and not named in this case and that the information above is true and correct. Date 6/4/2020 mmsm > LVN Type orprz‘nr server 's name Server signs here after serving Revised January1.2oos Proof of Serv|ce Case ID: 5808687 (Small Claims) SC-1 04, Page 2 of 2 ‘nh WAVT‘fiTT'r'.‘