Proof of Service SubstitutedCal. Super. - 6th Dist.March 27, 2020I 'roof Of Service Cterh stanfps date here ivhen thrm isfited. Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read W~at Is "ProofofService".~, 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 fotloiving people: ~ Owner {for a sole proprietorship) ~ Partner (for a partnership) or general partner (for a limited pattrtership) ~ Any ofiicer 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 paitnership [LI.P], 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: DKAYNE DOMINIC NUNEZ 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 cnalt name and street address: Superior Court of California County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fill in case nuntber, case name. hearing date, daft time, and dettartment helovtc Case IVumber: 20SC083074 Case I%arne: OPORTUN INC. .dgailrist DWAYiiiE DOMINIC NLtNEZ Hearing Date: 9t1012020 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 case. Follow these steps: ~ Give a copy of all the documents checked in Q3 to the person in Q1, or ~ 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 usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in Q1 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 form, and'ive or mail your completed form to the person who asked you to serve these court papers, in timefor thefortn to beguiled with the court at least 5 days before the hearing. Q3 I served the person in QI a copy of the documents checkedblved'. H SC-100, Plaintiff's Claim and ORDER fo Go to Small Claims Court b. SC-120, Defetzdant's Claim and ORDER to Go to Small Claims Court c, Order for examination (Thisform must be personally served. Check the form that lvas served); Aotet The cohort can issue a civil arrest warrant zf'the served party does not come to caught only if'he order for examination ivas personally served by a registered process server, sheriff, marshal, or someone apy&ointed 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; Judicial Council of California, ivvrvr.courtinfo.caigov Revised January 1, 2000, Optional Form Code of Civil Procedure, Q 116.340, 415.10, 415.20 Proof of Service (Small Claims) Case ID: 5830053 SC-104, Page 1 of 2 20SC083074 Santa Clara - Civil Electronically filed by Superior Court of CA, County of Santa Clara, on 5/14/2020 8:57 AM Reviewed By:D. Pinheiro Case #20SC083074 Env #4337685 Case Number: 20SC003074 111 out 8 ol' helvv'. 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: Zlp: b. 2 Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (chec/t one): H 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 QI 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 Qt. 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); 8:24 AM At this address: 1487 PINTAIL CIR 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 DEFENDANT RESIDES,CO-RESIDENT Gender: MALE Age: 56-60 Skin Tone: LIGHT BROWN Hair: BLACK/GRAY Eye Color: BROWN Height: 5FT 8IN - 5FT 11IN Weight: 191 LBS - 210 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 Q1 at the address where I left the copies. I mailed the envelope on (date): '5- f: -,. 'r~i from (city, state): CHO%CHILLA, '+ y 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: CHOWCHILLA 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 t-s = t" "," 3.34 VICTOR MARTINEZ REYES Type orprint server s name Server signs het e after serving Revised January 1. 2009 Proof of Service (Small Claims) Case ID: 5830053 SC-1 04, Page 2 of 2