Proof of Service PersonalCal. Super. - 6th Dist.March 30, 2020> Proof of Service Use this form to serve a person, a business, or a public entity. To learn more about proofofservice, read What Is ’TroofofService"?, Form SC-1043. To learn more about how to serve a business or entity, read How ta Serve a Business or Public Entity, Form SC-104C. To serve a business, you must serve one ofthe following people: ° Owner (for a sole proprietorship) ~ Partner (for a partnership) or gcncral partner (for a limited partnership) i Any oficer or general manager (corporation or association) ' I - Any person authorized for service by the business (corporation, association, r ‘ ‘ "@5233, Emma 6mm ‘ d 5590f? general parinership, limited partnership) Fifi in court name and‘street address: 0 Any person authorized for service with the Secretary of State (corporation, S‘We’iwCW“ °f ca‘ifmniaa COWW 0‘ association, muiccd liability company [LLC], limitsd Liability parmgrsmp SANTA CLARA [LLP], limited partnership) To serve a public entity, you must first file a claim with that entity, then 191 N‘ BEST STREET serve one ofthe following people: SAN JOSE, CA 951 13 - Clerk (ofa city or county) ° Chief ofiicer or director (ofa public agency) F171 1'" 93-53 301mm case name: 118311779 date: . . . da , time, andde rt Mela ,- ° Any person authonzed for semce by the ennty y pa men w . . ‘ Case Number: 6) a. Ifyou are servmg a person, wnte the person’s name below: 20$C083088 KEITH TIEN Case Name: b. Ifyou are serving a business or entity, write the name ofthe business I a I I or entity, the person authorized for service, and that person’s job title: giEBENAST BADEA VS' KEITH Hearing Date: 6/23/2020Business or Agency Name Pason Authon‘zed for Service ' Job Title “me: 830m Dept: 14 ® Instructions to Server: You must be at least 18 years old and not be named in this case. Follow these steps: e Give a copy of all the documents checked in® to the person in@, or r - Give a copy o'f all the documents checked in® to one ofthe following people: a A competent mink (at least 18) living with, and at the home ofthe person in G), or b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in @, or c. An adult (at least 18) who seems to be in charge where the person in @1151!me receivas mail (but not a U.S. Post Ofiice box), ifthere is no known physical address for the personin. and mail a copy ofthe documents left with one ofthe adults in a, b, or c above to the person in®. THEN ' Complete and Sig: this form, and & Give or mail your completed farm to the person who asked yau to sarve these court papers, in timefor theform to befiled with the com at least 5 days before tlze hearing. ® I sewed the person in (D a copy of the documents checked below: ‘ i a a. E SC-lOO, Plainttfi’s Claim andORDER to G0 to Small Claims Court b. U SC-IZO, Defendant’s Claim andORDER to Go to Shall Claims Court >6. D Order for examination misform must bepersonally served. Check theform tha} {V&E sgfiezflg; 1‘ - Note: The court can issue a civil arms: warm”! ifthe servedparly does not come to court only thhe orderfiv examination was personafiy served by a registeredpmcess server; sherifi marshal, or someone cppoiniea’ by the court. (1) D SC-134, Application and Order to Produce Statement afAssets and to Appearfor Examination (2) D AT-138/EJ-125, Application and Orderjbr Appearance and Examination d. D Other (specifiz): REM Jamary 1. 2999, Opi'anel Form Judicial Coma oicwiomia. wwmaoum‘mcagov Proof of service 66-104, Page1 of2 ~ Code ctcm Pmoedure. §§ 116.340. 415.10. 415.20 ($ma" Claims) é LL1 Case Number: Case name- SEBASTIAN BADEA vs. KEITH TIEN 2080083088 ® Fifi out “a” or “b” below: a I Personal Service: I personally gave copies ofthe documents checked m© to the person in®z On (date):M At (tzme):2:15- U am lpm‘ At this address: 1241 Balboa Ct City: sumyvale State. CA Zip: 94086 b. D Substituted Service: I pmonafly gave copies ofthe documents checked in (a, b, or d) to (check one): D A competent adult (at least 18) at the home of, and iiving with the person in® , or D An adultwho 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), ifthere is no known physical address for the person in® I told that aduit, "Please give these court papers to (name ofperson in© “ I did this on (date): At (time):_U a.m. D p.m. At this address: City: ~ State: Zip: Name or description 0fthe pefson I gave the papers t0: After serving the court papers, I put copies ofthe documents listed in© in an envelope, sealed the envelope, and put first-class prepaid postage on it. I addressed the envelope to the person in® at the address where I lefi the copies. Imailed the envelope on (date): from (city, state): by leaving it (check one): a‘ D At a U.S. Postal Sgrvice mail drop, or b.U At an ofiice or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or c.D With someone eise I asked to mail the documents to the person in G), and I have attached that person’s completed Form SC-104A. ® Server’s Information Name; Rui Cordeiro ' Phone: (403) 509-0502 Address: P.0.Box 361181 Fee for service: $ 100.00 Ifyozz are a registeredprocess server: County Ofregisfl‘aflon: Alameda Regisu-afion number: 133] I declare under penaity ofperjury under California state 121w that I am at least 18 years old and not named-in this case and that the information above is true and correct Date: 4/30/2020 Rui Cordeiro a. Type orprint server ’s name SeWWervinR Revised Janualy 1, 2809 Proof of Sewige sc-1o4, Page 2 Of 2 (Small Claims)
