Proof of Service PersonalCal. Super. - 6th Dist.April 2, 2020SC-l 04 Proof of Service I Use this form to serve a person, a business, or a public entity. To learn more about proofof service, read What Is “ProofofService ”.7, Form SC-IO4B. To learn more about how to serve a business or entity, rcad How lo Serve a Business or Public Entity, Form SC-I 04C. To serve a business, you must serve one of the following people: ' Owner (for a sole pmprietorship) 0 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 ofStatc (corporation, association, limited liability company [LLC], limitedzliability partnership [LLP], limited pmership) To serve a public entity, you must first file a claim with that entity, then serve one of the following people: Clerk stamps dale here whenform ixjiled Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/1 8/2020 3:17 PM Reviewed By: A. Granados Case #203C083093 Envelope: 43491 32 Fill in court name and street address: Superior Court of California County of Santa Clara I91 NORTH FIRST STREET SAN JOSE, CA 9S! 13 Fill in case number. case name, hearing date, day. lime, and depm-tmem below: - Clerk (of a city or county) 0 Chiefofficer or director (ofa public agency) cu“ Numb": 205cm” - Any person authorized for service by the entity gxgamgc a. Ifyou are serving avperson, write the person’s name below: ' A340", JONATHAN TORRES BARRERA JONATHAN TORRES BARRERA b. [fyou are serving a business or entity, write the name ofthe business or Hearing Due; entity, the person authorized for service, and that person’s job title: 9/24/2020 ‘ Time: Dept: Businm or Agency Name 1 1:00 PM 15 PemAuzhorimd for Smicé 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 CD, or 0 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 ofthe person in (D, or b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in (D, 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), ifthere is no known physical address for the person in® and mail a copy ofthe documents lefi with one ofthe adults in a, b, or c above to the person in ®. THEN 0 Complete and sign this form, and o Give or mail your compieted 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 ® a copy of the documents checked below: a a. X SC-IOO, Plaintifl’s Claim and ORDER to Go to Small Claims Court b. D SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court w c. D Order for examination flhisform must be personally served. Check theform that was served): Note: The court can issu'e a civil arrest warrant ifthe servedparty does not come to court only ifthe arderfor examination was personally served by a registeredprocess server, sherifl marshal, or someone appointed by the court. (1)D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2)D AT-138/EJ-125, Application and Orderfor Appearance and Examination d_ Other (specify); NOTICE TO LITIGANTS; NOTICE TO SMALL CLAIM LITIGANTS; SC-109 AUTHORIZATION TO APPEAR manual Counal mesuramia. mooumnmcagoy Proof of Service Revised January 1. 2009. Optima: Form om arcm Procedure. 95 116.340, 415.10, 415.2} (sma'l Clams) 5 VIA FAX FILE Case ID: 5834869 sc-1o4, Page1 ofz ‘ Case Number: 2080183093 ,g-j's ‘ill out “a” or “b” below: a. g Personal Service: [personally gave copies of the documents checked in® to the person in (D : 0n (date): 5/10/2020 At (time): 10:59 AM Gender: MALE Age: 36-40 Skin Tone: LIGHT BROWN Hair: BLACK Eye Color: BROWN Height: SFT 81N - SFT IIIN Weight: 211 LBS - 230 LBS At this address: Home: 1326 RED TEAL DR City: NEWMAN State: CA Zip: 95360 b. D Substituted Service: I personally gave copies of the documents checked in® (a, b, or 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 Q) 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 Q). l told that adult, “Please give thae court papers to (name of person in ®)." l did this on (date): At (time): At this address: City: State: Zip: Name or descriptiOn ofthe person I gave the papers to: Afler 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 (D at the address where I lefi the copies. > I mailed the envelope on (date): from (city, stare): by leaving it (check one): a.D At a U S. Postal Service mail drop, or b.D At an office or business mail drop where I know the mail ls picked up every day and deposited with the U S. Postal Service, or c.D With someone else I asked to mail the documents w the person in @, and I have attached that person’s completed Form SC«104A. ® Agency Information: Name: CAINS MOBILE NOTARY & LEGAL SUPPORT SERVICES Phone: 2184354911 Address: 28 12 ZAgAND DB! yE City: MODESTO State: CA Zip: 95355 County of registration: STANISLAUS Registration number: 17-009 Fee for service: S 50.00 Process Server Information: County of registration: STANISLAUS Registration number: 17-009 © 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 5/10/2020 GREGORY ALAN CAIN ’ /2 L/ Type orprint server ’s mime Server’signs here afier 32;:ng ReviudJanuuy 1.2009 § Proof of Service Case ID: 5834869 ‘ (Small Claims) sc-1o4. Pagez orz VIA FAX FlLE