Proof of Service SubstitutedCal. Super. - 6th Dist.March 26, 2020. 208C083069 . . Clerk stamps date here whenfom: fsfiled. -. _-. SC-104 Proof of Service Santa C'ara-C'V” Electronically filed ’ Use this form to serve a person, a business, or a public entity. To learn more by Superior Court Of CA, algout proofof sewice, relad What Is "‘ProofofService”?, Form S'C-l 04B. To ¥cam I‘nore County 0f Santa mare, a out how to serve a busmcss 01 entlty, read How to Serve a Busmess or Pubhc Emily, 0n 5/20/2020 3:56 PM Form SC-104C. . . . ReVIewed By: D. Plnhelro Tooserve a(fl?usinesls, you n.1ust slime one of the following penple: Case #2080083069 - wner or a so c proprietors 1p 0 Partner (for a partnership) or general partner (for a limited partnership) Env #4358464 ' 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 street address: limited partnership) Superior Court of California ° Any person authorized for service with the Secretary of State (corporation, association, iimited County 0f $311“ Clara liability company [LLC], limited liability partnership {LLP}, iimited partnership) éig‘ggflgmfl STREET To serve a public entity, you must first file a claim with that entity, then serve one of the foilowing ’ A 951 [3 people; Fill in case number, case name. hearing dare, day, time. and department beimv.‘ - Clerk (of a city or county) - Chiefofficer or director (of a public agency) case Number: 208mm,” ° Any person authorized for service by the entity gggigsl‘gfic® a. If you are serving a person, write the person’s name below: ' Again” ESMERALDA CENDEJAS ARZATE ESMERALDA CENDEJAS ARZATE 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: 9/8/2020 Time: Dept: Business or Agency Name I :00 PM 15 Person Authofized for Service Job Title ® Instructions to Server: You must be at least 18 years old and not be named in this case. FolEow these steps: - Give a copy of all the documents checked in g to the person in (D, or ° Give a copy of all the documents checked in to one of the following people: a. A competent adult (at {cast 18) living with, and at the home of the person in (D, 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 G) usually receives mail (but not a U.S. Post Ofiice box), if there is no known physical address for the person in® and mail a copy of the documents left 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 sewe these court papers, in timefor theform to befiled with the court at least 5 days before the hearing. ® I served the person in ® a copy of the documents checked below: O a. SC-IOO, Plaz’ntzfl’s Claim and ORDER t0 Go to Small Claims Court b. D SC-l20, Defendant’s Claim and ORDER to Go to Small Claims Court @ c. D Order for examination (Thisform must bepersonally served. Check theform that was served): Note: 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, sherifif marshal, or someone appointed by the court (l) 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 (Specw); NOTICE T0 LITIGANTS; NOTICE To SMALL CLAIM LITIGANTS; Judiciamouncu orcaurorma, www.cauninmmmv Proof of service Case ID: 5830038 Revised January 1. 2009, Optional Form . _ Code crown Procedure. §§ 116.340. 415.10. 415.20 (small Claims) SC 104' Page 1 Of 2 ‘T‘I'A EAVTHTI‘. Case Number: 2050183069 - -. 'ill out “a” 0r “b” below: D Personal Service: I personally gave copies of the documents checked in® to the person in® : On (date): At (time): At this address: City: State: Zip: b. 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 B An adult who seems to be in charge where the person in® usually works, or D An adult 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 @. ItoId that adult, “Please give these court papers to (name ofperson in @).” Idid this on (date): 5/13/2020 At (time): 8:45 PM At this address: 2174 SARASOTA AVE City: SAN JOSE State: CA j) %d\ Type orprint server ’S name Server signs herecfl?«fier serviné ,I Revised January1.2oae Proof of Service Case ID: 5830038 (Small Clalms) SC-‘I 04, Page 2 of 2 ITTA TJAV'IT'I'TH
