Proof of Service PersonalCal. Super. - 6th Dist.March 24, 2020208C083021 Santa Clara - Civil mi 1 . Clerksmmps a’at he'evhe f ' ' f! a‘.fl SC-104 Proof of Servxce e ' 1 "mm” Electronically filed Use this form to serve a person, a business, or a public entity. 'I‘o learn more by Superior Court Of CA, about proofof service, read What Is "ProofofService ".7, Form SC-l 04B. To learn more County of Santa Clara, about how to serve a busmess or ennty, read How to Serve a Buszness or Publzc Emmy, on 5/1 3/2020 4:47 PM Form SC-104C. . . . ReVIewed By:D. Plnhelro To serVe a business, you Ipust serve one of the following people: Case #208CO83021 0 Owner (for a sole proprxetomhlp) - Partner (for a partnership) or general partner (for a limited partnership) EnV #4336428 ' Any officer or general manager (corporation or association) v Any person authorized for service by the business (corporation, association, general partnership, Fill in cam name and street address: limited partnership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, limited Count! 0f San“ Ciara liability company {Luz}, limited liability pannership [LLP], limited pannership) $9! NORTH ?RssfliTREET To serve a public entity, you must first file a claim with that entity, then serve one of the foliowing AN JOSE’ C 9 people; Fill in case number, case name, hearing date. day, lime, and department below: - Clerk (of a city or county) o Chief officer or director (of a public agency) case Number: 2080mm” o Any person authorized for service by the entity EggeRNamgm a. If you are serving a person, write the person’s name below: ' Again“ ROSALIO RODRIGUEZ TRUJILLO ROSALIO RODRIGUEZ TRUJILLO b. Ifyou are serving a business or entity, write the name of the business or Hearing Bate: entity, the person authorized for service, and that person’sjob title: 9/3/2020 Time: Dept: Business or Agency Name 1:00 PM 15 Parson 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: 0 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 (at least 18) who seems t0 be in charge at the usual workplace of the person in G), 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 ® and mail a copy of the documents left 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 beflled with the court at least 5 days before the hearing. C3) I served the person in® a copy of the documents checked below: ~ a a. g SC-lOO, Plaintifl’s Claim and ORDER to Go Io Small Claims Court b. D SC-120, quendant's Claim and ORDER t0 Go to Small Claims Court Q 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 servedparmdoes not come to court only zfzhe orderfor examination was personally served by a registeredprocess server, sh erzfl,‘ 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-I3SIEJ-125, Application and Orderfor Appearance and Examination (L Other (Specw); NOTICE T0 LIIfIGANTs; NOTICE To SMALL CLAIM LITIGANTS; Judidd Councfl ofCallfomla. W.counmfa.ca.gav Proof of Service case ID: 5823974 Revised January 1. 2009. Optional F rm Codeofcm Procedure. §§ 116.340?41a1o.415.2o (smau Cialms) sc'1 04' Page 1 of 2 VIA FAX FILE Case Number: 2080183021 : 'ill out “a” 0r “b” below: a. E Personal Service: Ipersonally gave copies of the documents checked in® to the person in® z On (date): 4l29/2020 At (time): 6:23 PM Gender: FEMALE Age: 3 1 -35 Skin Tone: WHITE Hair: BLACK Eye Color: BLACK Height: SFT 4IN - SFT 7IN Weight: 111 LBS - 130 LBS At this address: Home: 3939 SEVEN TREES BLVD #103 City: SAN JOSE State: CA Zip: 951 11 b. D Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, or d) to (check one): [:1 A competent adult (at least 18) at the home 0f, and living with the person in ®, or [j 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 mafl, 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 Q). Itold that adult, “Please give these court papers to (name of person in ®).” Idid 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 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 copies. - I mailed the envelope on (date): from (cizy, state): by Ieaving it (check one): a. a 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 CD, 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 v City: SAN JOSE State: CA Zip: 951 13 County of registration; SANTA CLARA Registration number: 1585 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: 1585 © I declare under penalty of perjury under California state [aw that I am at least 18 years old and not namcd in this case and that the information above 1's true and correct. Date 4/29/2020 HECTOR TORRES } W Type 0rprint server ’s name Server Signs here after serving Case ID: 5823974Revised January 1. 2009 PFOOf Of SBNice SC-‘l 04, Page 2 of 2(Small Claims) VIA FAX FILE