Proof of Service SubstitutedCal. Super. - 6th Dist.March 25, 2020208C083054 ' SC .. 1 04 Proof Of SeNice Santa Clara - Civil Clerk stamps date here whenfom: isfiled. , Electronically filed Use this form to serve a person, a business, or a public entity. T0 learn more by Superior Court Of CA about proof of service, read What Is "ProofofSer-vice ”?, Form SC-104B. To learn more C t f S t CI about how to serve a business or entity, read How to Serve a Business or Public Entity, oun y O an a ara’ Form 80-1040 on 5/22/2020 1:20 PM Reviewed By:D. Pinheiro To serve a business, you must serve one of the following people: - Owner (for a sole pmprictorship} case #2080083054 ¢ Partner (for a partnership) or general partner (for a limited partnership) EnV #4371 688 - Any officer or general manager (corporation or association) ‘ Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and streel address.- limited partnership) Superior Court of California - Any person authorized for service with the Secretary of State (corporation, association, limited County 0f Santa Clara liability company [LLC], limited liability partnership [LLP], limited pWership) 191 NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one ofthe following SAN JOSE’ CA 951 13 people: Fill in case number, case name, hearing dale, day. . ti , d d ' b l : - Clerk (ofa clty or county) Cm a; 6:0,??? e 0w - Chief officer or director (ofa public agency) age "m er' SC°83054 - Any person authorized for service by the entity gggilgag‘gm a. Ifyou are serving a person, write the person’s name below: ' Against MARCO ANTONIO ARCEO PALOMARES MARCO ANTONIO ARCEo PALOMARES b. Ifyou are serving a business or entity, write the name of the business or HearingDam entity, the person authorized for service, and that person’s job title: 9/8/2020 Time: Dept: Business or Agency Name ' 1:00 pM 1 5 Person 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: - 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 ®, or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in ®, 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 n0 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 timefar theform to befiled with the court at feast 5 days before the hearing. ' ® I served the person in (D a copy of the documents checked below: O a. SC-IOO, Plaintzfi’s Claim and ORDER to Go to Small Claims Court b. D SC-120, Defendant's Claim and ORDER t0 Go to Small Claims Court w c. D Order for examination (Ihisform must be personally served. Check theform that was served): > Nate: The court can issue a civil arrest warrant ifthe servedparty does not come to court only ifthe orderfor examination waspersonally served by a registeredprocess server, shertflf marshal, 0r someone appointed by the court. (1) D SC-l 34, 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 (Specw); NOTICE To LITIGANTS; NOTICE T0 SMALL CLAIM LITIGANTS; JudbdaICouncil o! Caifomia. www.ccwflnfo.ca.gov Proof of Service C386 ID: 5823972 Revised Janna 1. 2009. Optional Form . _ Code crown 93mm. §§ 116.340.415.1o.41520 (Smafl c'a'ms) SC 104' Page 1 °f 2 TTTA TTAV'IT‘I'TT? Case Number: 208C083054 ' 'ill out “a” or “b” below: D Personal Service: Ipersonally gave copies pfthe documents checked in® to the person in® : On (date): At (time): At this address: City: State: Zip: b. E Substituted Service: [personally gave copies of the documents checked in® (a, b, or d) to (check one): 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 D An aduit who seems to be in charge where the person in® 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 Itold that adult, “Please give these court papers to (name ofperson in ®).” Idid this on (date): 5/15/2020 At (time): 12: 17 PM At this address: 4515 HAMILTON AVE APT 9 City: SAN JOSE State: CA Zip 95130 Name or description of the person I gave the papers to: JACKIE PALOMARES MOTHER Gender: FEMALE Age: 51-55 Skin Tone: LIGHT BROWN Hair. BLACK/ RAY Eye Color: ROWN eig t: SFT 41N - 5FT71NWeight. 1311,33 lsowsxumfl‘ Mara; \xv@g+ u\~w no} After serving the court papers, I put coples of the documents listed 1n® 1n an envelope, seaied the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in (D at the add1ess where I left the copies. I mailed the envelope on (date): 05/16/2020 from (city, state): , CALIFORNIA 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, or c. D With someone else I asked to mail the documents to the person in G), and I have attached that person’s completed Form SC-I 04A. © Agency Information: ML- Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 95113 County of registration: SANTA CLARA Registration number: 1585 Fee for service: S 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: 1585 © I declare under penalty of perjury under California state iaw thatI am at least 18 years old and not named in this case and that the information above is true and correct. Date 05/ 1 6/2020 I HECTOR TORRES } f / / Type orprim‘ server ’s name Server signs here after serving Revised January1.2oos Proof of Service Case ID: 5823972 (Small Claims) 30-1 04, Page 2 of 2 X175 TPAVTZWYT.‘
