Proof of Service PersonalCal. Super. - 6th Dist.March 27, 2020Proof of Service Clerk stamps date here whenform rsfiled. Use this form to serve a person, business, or public entity. To learn more about proof of service, read What ls Proof of Service?, Form SC-104B, To learn more about how to serve a business or public entity, read How to Serve a Business,Form SC-104C, . To serve a business, you must serve one of the following people: ~Owner (for a sole proprietorship or a business, form unknown) ~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, General partnership, limited partnership) ~Any 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. O.a. Ifyou are serving a person, write the person's name below: ~Eizftb h R I Di z b. Ifyou are serving a business or public entity, write the name of the business or entity, the person authorized for service, and that person' job title: Fili iu court name aud street address: Superior Court of California, County of Santa Clara 191 N. First St. San Jose, CA 95113 Fill in case number, case name, hearing date, day, time, and department below: Case Number: 20SC083072 Case Name: Oportun inc. vs. Elizabeth Robics Diaz Business or Agency Name Person Authorized for Service - Job Title 02 Instructions to Server Hearing Date: 9/8/2020 Time: 1:00 PNI Dept.: 15 You must be at least 18 years old and not be jtamed in this case. Follow these steps: ~ Give a copy of the documents checked in &3to the person in OI, or ~ Give a copy of the documents checked in 03to: a. A competent adult (at least 18) at the home of and living with the person in 0&or b. An adult (at least 18) who seems to be in charge or c. An adult (at least 18) who seems to be in charge at the place where the person receives mail (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person in OI. and mail a copy of the documents left with one of the adults in a, b, or c above to the person in 0&. 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 timefor the form to befiled with the court at least 5 days before the hearing. 03 I s~eed the person in 0& a copy of the documents checked below: a. LI SC-100, PlaintifFs Claim and ORDER to Go to Small Claim Court b. 0 SC-120, Defendants Claim and ORDER to Go to Small Clams Court c. 0 Order for Examination (This form must be personally served. Put a check mark next to theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court but only lfthe Order for Examination was personally served by a registeredprocess server, sheriff marshal, or someone 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 Small Claims Litigants; Request to Participate in On-Line Dispute Resolution (ODR) For Small Claims Litigants s5204 Judicial Council of California, www.courfinto.ca.gov Revised January 1, 2009, Optional Form Code of Civil Procedure,tsg 116.340, 415.10, 415.20 PROOF OF SERVICE (Small Claims) SC-104, Page1 of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 7/1/2020 3:26 AM Reviewed By: D. Pinheiro Case #20SC083072 Envelope: 4534220 20SC083072 Santa Clara - Civil Caeename:n~aaaraa e.ar ataaat'nt* 20SC083072 04 Fill out "a" or "b" below: a.8 Personal Service: I personally gave copies of the documents checked in 03to the person in O~: On (dete): 6/9~I2 ,, At (rime); 6:6/5 PM At this address: 1185 Monroe Stre~e¹67 State: CA Zip:~939 b. Substituted Service:I personally gave copies of the docuinents checked in 0& (a, b or d) to (check one): A competent adult (at least 18) at the home of, and living with the per~on in, Qj or An adult (at least 18) who seems to be in charge where the person in MI usually works or An adult (at least 18) who seems to be in charge where the person in 0& receives mail, or has a private mailbox (not a U.S. Postal Service P.O. Box), if there is no known physical address for the person inO&. I told that adult, "Please give these court papers to (name ofperson in OI ). I did this on (date): At this address: At (/ime~ City/State/Zip: Name or description of the person I gave the papers to: AGE: 30's HEIGHT: 5'1" WEIGHT: 130 HAIR: Black RACE: Hispanic EYES: After serving the court papers, I put copies of the documents listed in Oin an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in 0& at the address where I left the copies. fiom (city, state)I mailed the envelope on (date): by leaving it at (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 OI, and I have attached that person's completed Form SC-104A. O~ Server's Information Name: Karism~aSi a/a Address: 4241 Jutland Dr ¹203 City: n Die o CA 92117~ Fee for service: 5 (Ifyou are a registeredprocess server): Phone: 877 789-6846 County of registration: Montere~ O6 I declare, under penalty of perjury under California State law, that I am at least 18 years old and not liste case and that the information above is true and correct. a Documents served in accordance with COVID-19 Safe Serving Policy, which includes social distancing. Date: 6/10/20 0 Karisma Si ala Type or print server's name Server signs here fter serving Revised January 1, 2009 PROOF OF SERVICE (Small Claims) SC-104, Page 2 of 2