Proof of Service PersonalCal. Super. - 6th Dist.March 24, 2020208C083035 crukmdm1m wkmfanu “film PTOOf Of serVice Santa Clara - Civil Use this form to serve a person, business. or public entity. To learn more about Electronically fi|ed proof of service. read What ls Proof of Service?, Form 86-1043, To learn more b S - C rt f CA about how to serve a business or public entity, read How to Serve a y ”perlor 0U O ’ Business,Form 80-1040. . County 0f Santa Clara, To serve a business, you must serve one ofthe following people: 0n 6/3/2020 8'25 A_M _ 'Owner (for a sole proprietorship or a business, form unknown) Rev'ewed By: D- P'nhe'ro Case #2080083035OPartner (for a partnership) or general partner (for a limited partnership) °Any ofiicer or general manager (corporation or association) Env #4406670 'Any person authorized for service by the business (corporation, association, General partnership, limited partnership) F,”mm"m,Mm“Mm: oAn rson authorized for service with the Secre of State (co oration, asszgtion, limited-Iiabmty company (LLC), 1m%-1iability pagership s“’°"°' °°‘"‘ °' °""°'""" °°“"'V °' (LLP), limited pmership) 5““ 0"" To serve a public entity,you must first file a claim with that entity, then 191 N' F'm s" serve one ofthe following people: 5‘" J°5°- GA 95113 .Clerk (of a city or county) o Chiefoflicer or director (ofa public agency) o Ally person authorized for service by the entity. Fill in case number, case name, hearing date, day, time, and depanment below: a. Ifyou are serving a person, write the person's name below: c“. Numb."933mm 2°3°°°3°35 b. Ifyou are serving a business or public entity, write the name ofthe 0'50 Nil": Oportun Inc. vs.business or entity, the person authorized for service, and that person's Guillermo Palomino Maciasjob title: Business or Agency Name Hearing Date: 9/3/2020 - - - Time: Do L:Person Authorized for Samoa Job Tune 1 :00 PM p1 5® Instructions to Server You must be at least 18 years old and not be amed in this caseéollow these steps: . Give a copy of the documents checked in to the person in , or o Give a copy of the documents checked in to: a. A competent adult (at least l8) at the home of and living with the person in ®or b. An adult (at least 18) who seems to be in charge or c. An adult (at least 18) who seems to be in charge at the place where the person receives mail (not a U.S. Postal Service P.O. Box), ifthere is no known physical address for the person in ®. and mail a copy ofthc documents lefl with one of the adults in a, b, or c above to the person in ®. THEN .Complctc and sign this form, and .Give or mail your completed form to the person who asked you to serve these court papers, in timefor the form t0 befiled with the court at least 5 days before the hearing. f) 0® | se ed the person in Q) a copy of the documents checked below: A ‘ a. SC-IOO, Plaintiff‘s Claim and ORDER to Go to Small Claim Court Q; l C > b.D sc-lzo, Defendants Claim and ORDER to Go to Small Clams Court c.U Order for Examination (Thisfarm must bepersonally served. Put a check mark next to theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court but only ifthe Order for Examination waspersonally served by a registeredprocess server, sherg'fl marshal, 0r someone appointed by the court. (1)D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2)D AT-l38/EJ-125, Application and Orderfor Appearance and Examination d. Other (specifidfloflce to Small Claims thlgants; Request to Participate In On-Lino Dispute Resolution (ODR) For Small Clalms Llflganls 1 t SSI 34 Judicial Counal oi Califom1a‘www.ooumnfo.ca.gov PROOF OF SERVICE $6.1 o4, Page 1 of 2 Revised January 1. 2009. Optional Form _ Codeomivu Procedure,§§ 116.340, 415.10, 415.20 (Small Claims) Gas. Number: 2060083035 Case name:WWW C4D Fiu out "a" or "b" below: am Personal Service: I pelsonally gave copies of the documents checked in ®to the person in ®: On (date):M&- At (time):13mm At this address:15mm Rd City: Hgllislgt State:EA...___ Zip:m_- bD Substituted Serviced personally gave copies of the documents checked in ® (a,@ or d) to (check one): A competent adult (at least 18) at the home of, and living with the pe on in, or D An adult (at least 18) who seems to be in charge where the person in gusually works or D An adult (at least l8) who seems lo be in charge where the person in receives mail, or has a privaté mailbox (not a U.S. Postal Service P.O. Box), ifthere is no known physical address for the person in . I told that adult, "Please give these court papers to (name ofperson in ® )i I did this on (date): At (time): At this address: City/State/Zip: Name or description ofthe person I gave the papers to: AGE: 40 HEIGHT: 5'11" WEIGHT: 240 HAIR: Black RACE: Hispanic EYES: Brown Afier serving the court papers, I put copies ofthe documents listed in ®in an env$pm sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in at the address where I lefl the copies. l mailed the envelope on (date): fi'om (city, state): by leavin it at (check one): a.gD 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 CU With someone else I asked to mail the documents to the person in ® , and Ihave attached that person's completed Form SC-104A. ® Server's Information Name:_DAN1EL_H§ASAS Phone: Address:W203 City: 3 Fee for service: $ 50.00 (Ifyou are a regtls'teredprocess server): County of registration: fianjenito Registration number: 2018043 © I declare, under penalty of perjury under California State law, that I am at least 18 years old and not listed in this case and that the infomation above is true and correct. Documents served in accordance with COVID-19 Safe Sewing Policy, which includes social distancing. Date:.§fl§l2fl29_.____ DANIEL H CASAS > A y v Type or print server’s name Server signs here afler serving mmmtm PROOF 0F SERVICE (Small Claims) 30-1 04, Pagezotz