Proof of Service PersonalCal. Super. - 6th Dist.March 27, 2020- Clerk stamps date here whenform isfilea'.flit; SC 104 PrOOf Of service Electronically Filed : ':”iii Use this form to serve a perason, abusiness, or a public entity. To learn mme byCSUpterloerCOI:fl Calf CA’ about proof 0f sewice, read What Is ”ProofofService”?, Form SC 104B. TO learn more oun y o an a_ ara’ about how to serve a business 0r entity, read How to Serve a Business or Public Entity, OP 5/1 8/2020 2 '32 PM Form SC-104C. ReVIewed By: A. Granados Case #208C083085 To serve a business, you must serve one ofthe foElowing people: - Owner (for a sole proprietorship) EnvelOPGI 4348752 ' Partner (for a partnership) or general partner (for a limited partnership) ' Any officer 01' general manager (corporation or association) Any person authorized for service by the business (corporation, association, genera} 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, limited County 0f Santa Clara liability company [LLC], limited liability partnership [LLP], limited partnership) 191 NORTH FIRST STREET To sews a public entity, you must first file a claim with that entity, then serve one 0f the following SAN JOSE’ CA 951 13 people; Fill in case number, case name, hearing date, day, time, and department below: - Clerk (0f a city or county) - Chief officer 0r director (0f a public agency) case Number: ZDSCOSMSS - Any person authorized for service by the entity Spagelgtafifiim ® a. Ifyou are serving a person, write the person’s name below: I Against JUAN ANTONIO VICTORIANO BACA JUAN ANTONIO VICTORIANO BACA 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: 9i10l2020 Time: Dept: Business or Agency Name 1 :00 PM 15 Person Authorized for Service Job Title ® 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® to the person in Q), or ' Give a copy of all the documents checked in® to one of the following people: a. A competent adult (at least 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 whale the person in (D usually receives mail (but not a U. S. Post Office box), ifthere ls no known physical address for the person in® and mail a copy of the documents left with one of the adults m 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 serve these court papers, in timefor theform to befiled with the court at least 5 days before the hearing. © I served the person in (D a copy 0f the documents checked below: O a. SC-IOO, Plaintif’s Claim and ORDER t0 G0 to Small Claims Court ' b. E] SC-IZO, Defendant’s Claim and ORDER to Go to Small Claims Court w c. D Order for examination (Thisform must be personally served. Check theform that was served): > Note: The court can issue a civil arrest warrant z'fthe servedpargz does not come to court only zfthe orderfor examination waspersonally served by a registeredprocess server, sheriffl marshal, or someone appointed by the court. (l) E] SC-l 34, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2)D AT-138fEJ-125, Application and Orderfor Appearance and Examination d, Other (Specgy); NOTICE T0 LITlGANTs; NOTICE To SMALL CLAIM LITIGANTS; Judiciamouncilomalsfonia, www.counmromgov Proof of Service Case ID: 5830045 Revised January 1. 2009. Opiional Form . Code orCMI P:ocedure,§§ 116.340. 415.10.415.20 (sma'l Claims) SC 104' Page 1 °f2 ‘T‘I'A TEAVTH'TT! Case Number: 208C083085 a. I Personal Service: Ipersonally gave copies ofthe documents checked 1n C3) to the person in (D: On (date). 5/12/2020 At (time): 1: 16 PM Gender: MALE Age: 3 1-35 Skin Tone. HISPANIC Hair: BLACK Eye Color: BROWN Height: SFT 4IN - SFT 7IN Weight: 151 LBS - 170 LBS At this address: Home: 1120 RANCHERO WAY APT 23 City: SAN JOSE State: CA Zip: 95117 b. D Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, 0r d) to (check one): D A competent adult (at least 18) at the home of, and living with the person in @, or D 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® Itold that adult, “Please give these court papers to (name ofperson in ®).” I-did this on (date): At (time): At this address: City: State. Zip: Name or description of the person I gave the papers to: After serving the court papers, Iput copies of the documents listed 1n C3) m an enveIOpe, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in® at the address Where I left the copies. Imailed the envelope on (date): from (city, state).- by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. E] 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, 01' c. D With someone else I asked to maii the documents to the person in ®, and I have attached that person’s completed Form SC-104A. © Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 951 13 County of registration: SANTA CLARA Registration number: 1585 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA ' Registration number: 1585 © I declare under penalty of perjury under California state law that I am at least l8 years old and not named in this case and that the information above is true and correct. Date 5/12/2020 > 61/“:HECTOR TORRES f " Dpe orprz'nt server 's name Server signs here after serving Revised January '1, 2009 V Proof of Service Case ID: 5830045 (Small Claims) 30-1 04. Page 2 of 2 ‘ITTA "lVfiTfT?