Proof of Service SubstitutedCal. Super. - 6th Dist.March 26, 2020Proof of Service C!erl; frumps date here»hen fin m iv filed. Use this form to serve a person, a business, or a public entity. To learn more about proof of sew ice, read What Is "ProofofService ".~, Form SC-1048. To learn more about how to serve a business or entity, read How to Serve a Business or Public Entitv, Form SC-104C. To serve a business, you must serve one of the following people: Owner (for a sole proprietorship) ~ Partner (for a partnership) or general partner (for a limited paftnership) ~ Any officer or general manager (corporation nr association) Any person authorized for service by the business (corporation, association, general partnership, limited partnership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC], limited liability paitrfership [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 Q1 a. If you are serving a person, write the person's name below: JUAN PABLO BARRIOS PENUELAS b. If you are serving a business or entity, write the name of the business or entity, the person authorized for service, and that person's job title: Fill in cnurt mrme and street address: Superior Court of California County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fill in case number, case name. hearing date, day. time, and de&urtment be!aria Case Number: 20SCOS3065 Case I%arne: OPORTUN INC. .4gainst JUAN PABI.O BARRIOS PENUELAS Hearing Date: 9','2020 Business or Agency Name Time: I:00 PM Dept.: 15 Person Authorized for Service Job Title Q2 Instructions to Server". You must be at least 18 years old and not be named in this ease. Follow these steps: ~ Give a copy of all the documents checked in Q3 to the person in Q1, o& ~ Give a copy of all the documents checked in Q3 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 QI usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in Cll and mail a copy of the documents left with one of the adults in a, b, or c above to the person in Q1. THEN ~ Complete and sign this formi and ~ Give or mail your completed form to the person who asked you to serve these court papers„ in tinfe for theform to be filed with the court at least 5 days before the hearing. Q3 I served the person in Q1 a copv of the documents checked below: a. H SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Cou~t b. SC-120, Defendant 's Claim and ORDER to Go to Small Claims Court e. Order for examination (This form must be personallv served. Check theform that Ivas served); Note: The court can issue a civil arrest vvarrant if'the served party does not come to court only if'he orderfor examination was personally served by a register ed process server, sheriff, marshal, or someone appointed by the court. (1') SC-134, Application and Order to Produce Statement of'Assets and to Appearfor Examination (2) AT-138IEJ-125, Application and Orderfor Appeal ance and Exafnination (specffy'f 'OTICE TO LITIGANTSI NOTICE TO SMALL CLAIM LITIGANTS'udicial Council of Califoini, ivrriv.courfirrfo.caigov Revised January 1, 2009, Optional Form Code of Civil Procedure, Q 'I 16.340, 415.10, 415.20 Proof of Service (Small Claims) Case ID: 5830033 SC-104, Page 1 of 2 20SC083065 Santa Clara - Civil Electronically filed by Superior Court of CA, County of Santa Clara, on 5/14/2020 7:58 AM Reviewed By:D. Pinheiro Case #20SC083065 Env #4337463 Case Number: 20SC083065 ~ 'ill out "a" or "b" below: a. Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date): At (time): At this address: City: State: Zip: b. H Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (chec/- one): g A competent adult (at least 18) at the home of, and living with the person in Q1, or An adult who seems to be in charge where the person in Q1 usually works, or An adult who seems to be in charge where the person in Q1 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 Ql. I told that adult, "Please give these court papers to (name of person in Q1)." I did this on (date): 5/4/2020 At (time); 8:04 AM At this address: 538 ELMWOOD DR State: CA Registration number: 106 City: LOS BANOS State: CA Zip: 93635 Name or description of the person I gave the papers to: JOHN DOE WHO CONFIRMED DFFENDANT RESIDES THFRE,CO-RESIDENT Gender: MALE Age: 18-20 Skin Tone: LIGHT BROWN Hair: BLACK Eye Color: BROWN Height: SFT 41N - 5FT 7IN Weight: 151 LBS - 170 LBS After serving the court papers, I put copies of the documents listed in Q3 in an envelope„sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in Qi at the address where I left the copies. I mailed the envelope on (date):,y L '-'+~ from (city, state): CHOWCHILLA, by leaving it (chec/r one): a. At a U.S. Postal Service mail drop, or b. H 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, With someone else I asked to mail the documents to the person in Q1, and I have attached that person' completed Form SC-104A. Q5 Agency Information: Name: V REYES DOCUMENT SERVING LLC - VICTOR REYES Phone: 5598781592 Address: 2128 KENNEDY CT City: CHO%CHILLA Zip: 93610 County of registration: MADERA Fee for service: $ 50.00 Process Server Information: County of registration: MADERA Registration number: 106 Q6 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 .Z VICTOR MARTINEZ REYES Type orprint server s name Server signs here after serving Revised January 1, 2009 Proof of Service (Small Claims} Case ID: 5830033 Sc-1 04, Page 2 of 2