Proof of Service PersonalCal. Super. - 6th Dist.March 23, 2020Electronically Filed by Superior Court of CA, County of Santa Clara, on 8/11/2020 8:47 AM Reviewed By: D. Dagnino Case #20SC083048 Envelope: 4742186 20SC083048 Santa Clara - Civil D. Dagnino SC-1 04 Proof ‘of Service Use this form to serve a person, a business, 0r a public entity. To learn more about proof of service,'read What Is ’TroofofService”?, Form SC-104B. To learn more about how t0 serve a business or entity, read How t0 Serve a Business or Public Ehtizy, Form SC- 104C. To serve a business, you must serve one 0f the following people: - Owner (for a sole proprietorship) ' Partner (for a partnership) or genelal pamler (for a limited partnership) - Any officer 01‘ general manage: (corporation 0r association) ' Any person authorized for service by the business (corporation, association, general partnership, limited partnership) ~ Any person authorized for service With the Seeletary 0f State (corporation association limited liability company [LLC], limited liability partnership [LLP} limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one of the following people: - Clerk (of a city or county) ° Chief officer or director (of a public agency) - Any person authorized for service by the entity a. Ifyou are serving a person, write the person’s name below: Pragati Wagde (Female, 38, 5'6", 150 1173., Indian, Black Hair) b. If you are serving a business 0r entity, write the name of the business or entity, the person authorized for service, and that person’s job title: Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of Santa Clara Downtown Superior Court 191 Nofih First Street, San Jose, CA 951 13 Fill in case number, case name, hearing date, day, time, and department below: Case Number: 20$C083048 Case Name: Leslie Conaway V.. Pragati, Et A1. Hearing Date: 6/24/2020 Business 0r Agency Name Time; 8:30 am. Dept: 15 Pérson Authorized for Service Job Title <2) Instructions to Server: You must be at least 18 years 01d and not be named in this case. Follow these steps: - Give a. copy of all the documents checked in@ to the person in CD , 01' ' Give a copy of all the documents checked in® to one ofthe. following people: a. A competent adult (at feast 18) living with, and at the home 0fthe person in CD _, 0r b. An adult (at least 18) Who seems t0 be in charge at the usual workplace of the person in CD , 0r c. An adult (at least 18) who seems to be in charge where the person in <1) usually receives mail (but not a U.S. Post Office box), if there is 110 known physical address for the person in G). and mail a copy Qf the documents left With one of the adults in a, b, 0r c above to the person in @. THEN ' Complete and sign this form, and ' Give 0r mail your completed form t0 the person Who asked you to serve these court papers, in timefor Iheform t0 befiled with the court at least 5 dizys before the hearing. [served the person in (D a copy of the documents checked below: a. SC-IOO, Plaintifl’s Claim and ORDER t0 G0 t0 Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 G0 t0 Small Claims Court Q C1MM c. E Order for examination (This form m"ust be personally served. Check the form that was served): Noie. The court can issue a civil arrest wan ant ifthe served party does not come to court only if the Older f01 examination was personally served by a registered process server sheriff ma1shal, or someone appointed by the court. (1) D SC- 134, Applicalion and Order 1'0 Produce Statement 0 Assets and to A ear 0r ExaminationPP (2) E] AT-138/EJ-125 Application and Olderfor Appearance and Examination d. Other (speczfii): $08006, Notice 0fPostponed Small Claims Court Date, SC-8020 Judicial Council of California, mvw.courts.ca.gov Rev‘ January 1, 2009, Optional Form AM.” 4 m." napflmh n Mo am M: m Proof of Service ’ lemon PlaimedMann SC-1 04, Page 1 of 2A a Case Number: Case Name: Leslie Conaway V. Pragati, Et A1. 203C083048 ® Fill out “a” or “,b’,’ beldw: a. Personal Service: I personally gave copies 0f the documents checked in ® to the person in CD 0n (date): 8/06/2020 At (time): 4:56 D a.m. l p.m At this address: 42935 Corte Verde City: Fremont I 7 State: CA Zip; 94539 b. D Substituted Servicei, I personally gave copies 0f the documents checked in © (a, b, 0r d) to {check one): D A competent adult (at least 18) at the home of, and living With the person in CD , or D An adult Who seems t0 be in charge Where the person in @ usually works, or D An adult Who seems to be in charge Where the person in CD 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 CD). Idid this on (date): a I At (time): [j am. D pm. At this address: City: ‘ 4 State: Zip: Name 0r description 0f the person I gave the papers t0: After serving the court papers I put copies of the documents listed in® in an envelope, sealed the envelope, and put flrst-class plepaid postage 0n it. I addlessed the envelope to the pelson in @at the address where I left the- copies r 1 mailed the envelope on j(date): from (city, State): by leaving it (check one) a. D At a U.S. Postal Séwice mail drop, 0r 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 elsé I asked to mail the documents to the person in CD , and I have attached that person’ s completed Form SC- 1 04A. ® Server’s Information Name: Jason Burke (Alameda) Phone: 800-637-1805 , Address (zflmown). 20885 Redwood Road. #337 City: Castro Valley 3 State: NY Zip: 94546 Fee for service: $ [fyou are a registeredpmcess server: County of registration: Jasoné Burke (Alameda) Registration number: 555 ® I declare under penalty of perjury under California state law that I am at least 18 years 01d and not named in this case and that the information; above is true and correct. Date' 8/] 0/2020 Jason Burke , } % gxfl/ZZU Type 0r print server 's name 1 _ Server siyfhere afier serving Revisewanuaryn zone ‘ Proof of Service ' / ' sc-1o4, Page 2 of 2 ‘ (Small Claims Sve this fprm I ’g,¢/’¢’/« ~., ////////§//////
