Proof of Service PersonalCal. Super. - 6th Dist.March 26, 2020I 'roof of Service Clerk stamps date here vvhenform isfiled. Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read 8%at Is "Pf oofofService "?, Form SC-1048, To learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, 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 partnership) ~ Any officer or general manager (corporation or association) ~ Any person authorized for service by the business (corporation, association, genera! partnership, limited partnership) ~ Arty person authorized for service with the Secretary of 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 QI a. If you are serving a person, write the person's name below: IAVIER JIMENEZ VEGA 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 court name and street address: Superior Court of California County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fill in case mimber, case name, hearing date, day, tune, and department below: Case Number: 20SC083070 Case Name: OPORTUN INC. Against JAVIER JIMENEZ VEGA Hearing Date: 9/8/2020 Business or Agency Name Tlrile: I:00 PM Dept.: 15 Person Authorized for Service Job Title Q2 Instructions to Server: You must be at least! 8 years old and not be named in this case. Follow these steps: Give a copy of all the documents checked in QS to the person in Qi, or ~ Give a copy of all the documents checked in QS to one of the following people: a, A competent adult (at least 18) living with, and at the home of the person in Ql, or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in Q1, 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 Ql and mail a copy of the documents left with one of the adults in a, b, or c above to the person in Qt. THEN ~ Complete and sign this form, and Give or mail your completed form to the person who asked you to seive these court papers, in timefor the forni to befiled with the court at least 5 days before the hearing. Q3 I served the person in Ql a copy of the documents checked below: a, 3 SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court b. SC-120, Defendant's Claim and ORDER to Go to Small Claims Court c, Order for examination (Thisform must be personally served, Check theform that was served): Note: The court can issue a civil arrest warrant if the servedparty does not come to court only if the oi derfor examination was personally served by a registeredprocess server, sheriff, marshal, or sonreone appointed by the court. (1) SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) AT-138/EJ-125, Application and Orderfor Appearance and Examination d. H Other (specify) NOTICE TO LITIGANTS; NOTICE TO SMALL CLAIM LITIGANTS; Judiuai Coundi of California, rvrvrv.courfinfo.ce.gov Revised January r, 2009, Optional Form Code of Civil Procedure, SS I 16340, 41 6 I 0, 41620 Proof of Service (Small Claims) Case ID: 5830036 SC-1 04, Page 1 of 2 20SC083070 Santa Clara - Civil Electronically filed by Superior Court of CA, County of Santa Clara, on 5/14/2020 8:11 AM Reviewed By:D. Pinheiro Case #20SC083070 Env #4337482 Case Number: 20SC083070 1II oUt seas& or rsbss below a. Igl Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date): 5/3/2020 At (time): 1:48 PM Gender: MALE Age: 21-25 Skin Tone: HISPANIC Hair: BLACK. Eye Color: BROWN Height: 5FT 4IN - 5FT 7IN Weight: 151 LBS - 170 LBS At this address: Home: 1346 ZEPHYR City: SAN JOSE State; CA Zip: 95127 b. Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (check one): A competent adult (at least 18) at the home of, and living with the person in Ql, 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 Q1. I told that adult, "Please give these court papers to (name of person in Ql)." I did this on (date): At (time): At this address; State: CA Zip; 95113 Registration number: PS1719 City: State: Zip: Name or description of the person I gave the papers to: 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 Q1 at the address where I left the copies, I mailed the envelope on (date): from (city, state): by leaving it (check one): a. At a U.S. Postal Service mail drop, or b. 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 Ql, and I have attached that person' completed Form SC-104A, QS Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE County of registration: SANTA CLARA Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS1719 Q6 I declare under penalty of perjury under California state law that 1 am at least 18 years old and not named in this case and that the information above is true and correct. Date 5/7/2020 PAULINA A. ROCHA Type orprint server 's name Server signs here ffer serving Revised danaary 1, 2009 Proof of Service (Small Claims) Case ID: 5830036 SC-1 04, Page 2 of 2
