Proof of Service SubstitutedCal. Super. - 6th Dist.March 19, 2020> . I Clerk stamps dare here whenfem: isfilea‘. 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 “ProofofSem‘ce”?, Form SC-104B. To Eeam more County Of Santa Clara, about how t0 serve a business or entity, read How to Serve a Business 0r Public Entity, on 6/ 1 8/2020 3:33 PM Form 301040 Reviewed By:D. Pinheiro To sews a business, you must serve one 0f the following people: case #2080083045 - Owner (for a sole proprietorship) Env #4475551 - Partner (for a partnership) or gcneraE partner (for a limited partnership) ' Any officer 01‘ general manager (corporation or association) ' Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and Meet address: limited partnership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, limited County 0f Santa C'am liability company [LLC], limited liability partnership [LLP], limited pamership) ‘91 NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one ofthe foliowing SAN JOSE' CA 951 13 people: Fill in case number, case name, hearing dare, day, . time. and department below: 0 Clerk (of a clty 01' county) C N b . mscflsams - Chiefofficer or director (of a public agency) age um er' 0 Any person authorized for service by the entity Eggilisggm (D a. If you are serving a person, write the person’s name below: ' Against JUAN CARRERA FLORES JUAN CARRERA FLORES 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: 913/2020 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 0f all the documents checked in® to the person in ®, or o Give a copy of all the documents checked in® to one of the foilowing people: a. A competent adult (at least 18) living with, and at the home of the person in ®, or b. An adult (at least 18) who seems to 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 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 timefor thefarm to beflled with the court at least 5 days bqfore the hearing. ® I served the person in (D a copy of the documents checked below: O a. E SC-IOO, Plainnfi’s Claim and ORDER to Go to Small Claims Court I b. D SC~120, Defendant’s Claim and ORDER to G0 to Small Claims Court w c. D Order for examination (Thisform must bepersonally served. Check theform that was served .- Nate: The court can issue a civil arrest warrant zfthe servedparzy does not come t0 court only ifthe orderfor examination was personally served by a registeredprocess server, sherifif marshal, or someone appointed by the court. (1) D SC-l 34, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) D AT-l 3 8/EJ-l25, Application and Orderfor Appearance and Examination d. g Other (Specw), NOTICE T0 LITIGANTS; NOTICE T0 SMALL CLAIM LITIGANTS; Judlcla] Coundlof California. www.courfinfo.ca.gov Proof of Service C386 ED: 5808667 Revised January 1, 2009, Opllonal Form . . GodeorCiviIPmcedure. §§ 116.340, 415.10. 415.20 (Smafl Claims) SC 104' Page 1 0f 2 ITTA TTAvT-‘TTT: Case Number: 205C083045 ‘ ."ill out “a” or “b” below: D Personal Service: Ipersonally gave copies ofthe documents checked in® to the person in® : On (date): At (time): At this address: City: State: Zip: b. E Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, or aD to (check one): A competent adult (at least 18) at the home of, and living with the person in ®, or E] A11 adult who seems to be in charge where the person in® usually works, or a 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® I told that adult, “Please give these court papers to (name ofperson in ®).” Idid this on (date): 6/1 1/2020 At (time): 1:29 PM At this address: 2021 N MILPITAS BLVD APT 332E City: MILPITAS State: CA Zip- 95035 k Name or description of the person I gave the papels to: CARMEN DO ,CO~RESIDEN Gender: FEMALE Age: 36-40 Skin Tone: HISPANIC Hau': BRO eColor. BR Height: 5 4IN SFT 7IN Weight. 151 LBS 170 LBs m s e bw wag neat m - After serving the court papers, I p t copiesHof the docume ts 11sted 1n in an envelope, sealed the envelope, and put first-class prepaid postage on it I addressed the enveiope to the person in (D at the address where I left the copies. I mailed the envelope on (date): 06/1 1/2020 from (city, state): SAN JOSE, CALIFORNIA by leaving it (check one): a. At a U.S. Postal Service mail drop, or b. D At an office or business mail dr0p 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 ®, and I have attached that peISon’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 13 County of registration: SANTA CLARA Registration number: PS 1719 Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS 1 7 l 9 I declare under penalty of perjury 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 06/ l 1/2020 PAULINA A. ROCHA ’fi/W Type orprint server ’s name Server signs he e after senfizg Revised Januany 1, 2009 Proof of Servlce Case ID: 5808667 (Smau Clalms) 50-104. Page 2 of 2 ‘nl WAVF‘T‘I'T:
