Proof of Service SubstitutedCal. Super. - 6th Dist.March 27, 2020Proof of Service Cled'ta&nps date here rrltentinrn is filed. ~ W'se this form to serve a person, a business, or a public entity. To learn more about proof of service, read Nzhat Ls "ProofofService *'?, Form SC-104B. 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 fo(losving people: ~ Owner (for a sole proprietorship) ~ Partner (for a partnership) or general partner (for a limited partnershilt) ~ 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 0 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. Ifyou are serving a person, write the person's name below: JOSE ADRIAN ARELLANO GAYTAN 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 nttnfber, case name. bearing date, day. time, and department lielaw: Case I%umber: 20SC083080 Case lvame: OPORTVN INC. Against JOSE ADRIAN ARELLANO OAYTAN Hearing Date: 9/10/2020 Business or Agency Name Tline: i;00 PM Dept.: 15 Person Authorized for Service Job Title Q2 Instructions to Server: You must be at least lg 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 „or Give a copy of all the documents checked in Q3 to one of the following people: a. A competent adult (at least Ig) living with, and at the home of the person in , or b. An adult (at least Ig) who seems to be in charge at the usual workplace of the person in , or c. An adult (at least Ig) 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 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 Give or mail your completed form to the person who asked you to serve these court papers, in time for the form to be filed tvith the court at least 5 days before the hearing. Q3 I served the person in Qi a copy of the documents checked below: a. H SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court b. SC-I20, Defendant's Claim and ORDER to Cro to Small Claims Court c. Order for examination (This form must be personally served. Check theform that was served): ,Yotet The court can issue' civil arrest warrant ifthe served partv does not come to court only if the order jor examination ivas persortally served by a registered process server, sheriff, marshal, or sotneone appointed by lhe court. (1) SC-134, Application and Order to Produce Statement ofA.ssets and to Appearfor Examination (2} AT-138/EJ-125, Application and Orderfor Appearance and Examination d. H Other (specify'OTICE TO LITIGANTS; NOTICE TO SiviALL CLAIM LITIGANTS; Judicial Council of California, irrwvr.courtinfo,ca.gov Revised January 1, 2009, Optional Form Code of Civd Procedure, titJ 116.340, 415.10, 415.20 Proof of Service (Small Claims) Case ID: 5830042 SC-104, Page 1 of 2 20SC083080 Santa Clara - Civil Electronically filed by Superior Court of CA, County of Santa Clara, on 5/14/2020 8:20 AM Reviewed By:D. Pinheiro Case #20SC083080 Env #4337520 Case Number: 20SC083080 . '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. g Substituted Service: I personally gave copies of the documents checked in Q3 (a, 0, or d) to (i;heck 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 Ql 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): 8:10 AM At this address: 101 N SANTA RITA ST State: CA Registration number: 106 City: LOS BANOS State: CA Zip: 93635 Name or description of the person I gave the papers to: JANE DOE WHO CONFIRMED DEFENDANT RESIDES,CO-RESIDENT Gender: FEMALE Age: 56-60 Skin Tone: MODERATE BROWN Hair: BLACK/GRAY Eye Color: BROWN Height: 5FT 01N - 5FT 31N Weight: 111 LBS - 130 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): P-& '-',. ), - 'i from (city, state). CHOWCHILLA, ~& by leaving it (check one): a. At a U.S. Postal Service mail drop, or b. 2 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 thai the information above is true and correct. Date VICTOR MARTINEZ REYES Type orprint server 's name Server signs here after serving Revised January 1, 2009 Proof of Service (Small Claims) Gase ID: 5830042 SC-1 04, Page 2 of 2