Proof of Service PersonalCal. Super. - 6th Dist.March 24, 2020_ SC l04 Proof Of S Nice Clerk stamps date here whenfom: isfilea‘.' - e . . Electronically FIled Use this fonn to serve a person, a business, or a public entity. To learn more by SUperlor court Of CA’ about proof 0f service, read What Is "ProofofService”?, Form SC-104B. To learn more county Of santa Clara, :bout gocwlgigrvc a business or entity, read How to Serve a Business 0r Public Entity, on 6/2/2020 9:08 AM arm - . . Revuewed By: A. Granados To serve a business, you must serve one of the following people: case #203C083029 - Owner (for a sole proprietorship) . ' Palmer (fm a partnership) or general palmer (for a limited partnership) Envelope ' 4401 51 8 ' 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 sh-eer address: limited partnership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, limited county 0f saflta Clara liability company [LLC], limited liability partnership [LLP], limited partnership) likNOREHCI-AmgsgETRBET To serve a public entity, you must first file a claim with that entity, then serve one of the following S JCS ’ people: Fill in case number, case name, hearing date, day, - Cierk (of a city 0r county) 2:12. a:ld deiam-nem below; ' Chief officer 0r director (of a public agency) ase um er‘ 2080183029 - Any person authorized for service by the entity Eggelgagfic a. If you are serving a person, write the person’s name below: ' Against OSCAR ALEJANDRO RUBIO GALEANA OSCAR ALEJANDRO RUBIO GALEANA 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: 9612020 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 of all the documents checked in C3) t0 the person in (D, or - Give a copy of all the documents checked in C3) t0 one of the foliowing 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 l8) who seems t0 be in charge at the usual workplace of the person in G), or c. An adult (at least 18) who seems t0 be in charge whele the person in® usually leceives mail (but not a U. S. Post Office box), ifthexe 1s no known physical address for the person in (D and mail a copy ofthe documents lefi with one of the adults m a, b, or c above to the person in G) 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 tlzefarm to befiled with the court at least 5 days before the hearing. ® I served the person in ® a copy 0f the documents checked below: a. E SC-IOO, Plainnfi’s Claim and ORDER t0 G0 t0 Small Claims Court b. E} SC-IZO, Defendant’s Claim and ORDER to G0 to Small Claims Court £0M c. D Order for examination (Thisform must bepersonally served. Check theform that was served). Note: The court can Issue a civil arrest war“ran: ifthe servedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, sheriff marshal, 0r someone appointed by the court. (l) D SC-l 34, Application and Order to Produce Statement afAssets and to Appearfor Examination (2.) a AT-l 38fEJ-125, Application and Orderfor Appearance and Examination d, Other (Spam); NOTICE TO LITEGANTS; NOTICE TO SMALL CLAIM LITIGANTS; .mdiciaICoundl chaIifomia. www.couflinfo.ca.gov Proof of Service C386 ID: 5823983 Revised Jgrjuary 1.2509.0ptionai Form (Small Claims} sc_1 04’ Page 1 of2Code 0f CMI Procedure. §§ 116.340. 415.10. 41 5.20 . 1 rt JL n A v n11 n Case Number: 20SC083029 '- * ... ‘ill out “a” or “b” below: Personal Service: Ipersonally gave copies of the documents checked in® to the person in (D : On (date): 5/19/2020 At (time): 1:26 PM Gender: MALE Age: 21-25 Skin Tone: MODERATE BROWN Hair: BLACK Eye Color: BROWN Height: SFT 4IN - SFT 7IN Weight: 171 LBS - 190 LBS At this address: Home: 2 129 MONROE ST APT 1 City: SMTA CLARA State;L Zip:m_mm b. D Substituted Service: [personally gave copies of the documents checked in® (a, b, qr d) to (check one): D A competent adult (at least 18) at the home of, and living with the person in Q), or- D An adult who seems to be in charge where the person in® usually works, or E] 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 CD. I told 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, [put copies of the documents listed 1n® 1n an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in® at the addx ess whereI left the copies Imailed 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, 01 ‘ 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: 95113 County ofregistration: SANTA CLARA Registration number: PS 1654 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS 1 654 © 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 5121/2020 MARIANA MORENO ’ AJ/fl Type orprint server ’s name Server signs her/after serving Revised January”. 2009 Proof of Service Case ID: 5823983 (Small Ciaims) 30-1 04. 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