Proof of Service SubstitutedCal. Super. - 6th Dist.April 2, 2020' 2080083097 CI k t d h h f ff! d' ' - ' ' er samps ate erew en arm s 1e . _ SC-l 04 Proof of Servlce Santa Clara CIVII Electronically filed Use this fmm to serve a person, a business, or a public entity. To learn more by Superior Court of CA, about proof ofsewice, read What Is "ProofofSewice ”?, Form SC-104B. To learn more County Of Santa Clara, gbout how to serve a busmess or ennty, read How to Serve a Busmess o: Publzc Entity, on 5/22/2020 8:24 AM orm SC-104C. , . . ReVIewed By:D. Plnhelro To serve a business, you must serve one of the following people: Case #2080083097 ' Owner (for a sole r0 rietorship) ' Palmer (for a partrlllersphip) or general partner (for a limited partnership) Env #436971 7 ‘ Any officer or general manager (corporation or association) - Any person authon'zcd for service by the business (corporation, association, general partnership, Fill m court name andmeet address.- limited partnership) Superior Court of California ~ Any person authorized for service with the Secretary of State (corporation, association, limited County 0f51mm Clara liability company [LLC], limited liability partnership [LLP], limited partnership) éflfigzéflggssrfIS3TREET To serve a public entity, you must first file a ciaim with that entity, then serve one of the foilowing ’ people: Fill in case number, case name. hearing dare, day. . time, and department below: ' Clefk (Ofa my 01: count” . Case Number- 205(3083097- Chlef officer or dlrector (of a pubhc agency) ' - Any person authorized for service by the entity 3:311:33ng® a. Ifyou are sewing a person, write the person’s name below: ‘ Again“ JOSIEL MENDEZ MEZA JOSIELMENDEZ MEZA 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: 9124/2020 Time: Dept: Business or Agency Name 1:00 PM 15 Person Authorized for Service Job Title ® Instructions t0 Server: You must be at least 18 years 01d and not be named'm this case. Follow these steps: ° Give a copy of all the documents checked 1n® to the person in (D, or 0 Give a copy of all the documents checked 1n® to one of the following people: a. A competent adult (at least 18) iiving with, and at the home of the person in @, or b An adult (at least 18) who seems to be m charge at the usual workplace of the person in ®, or c. An adult (at least 18) who seems to be 1n charge where the person in® usually receives mail (but not a U.S. Post Office box), if there ls no known physical address for the person in© and mail a copy of the documents lefi with one of the adults 1n 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. C3) I served the person in® a copy of the documents checked below: a. SC-IOO, Plaintifl’s Claim and ORDER to Go to Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 Go to Small Claims Court fiM c. D Order for examination (Thisform must be personalb) served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does nor come to court only ifthe orderfor examination waspersonaliy served by a registeredprocess server sherifi? 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~138IEJ- 125, Application and Orderfor Appearance and Examination (1r Other (Spea‘fi), NOTICE To LITIGANTS; NOTICE To SMALL CLAIM LITIGANTS; Judicial Council crossromia, m.counmro.ca.gov Proof of servlce Case ID: 5834876 Revlsed Janua 1. 2&9. Options! Form _ Code otcwil Pgadure. §§ 115.340. 415.10. 415.20 (sman c'a'ms) SC 104’ Page 1 Of 2 ‘WA TEIV'I'H’TT.‘ Case Number: 208C083097 “ill out “a” 0r “b” below: D Personal Service: Ipersonaily gave copies of the documents checked in C3) to the person in® : On (date): At (time): At this address: City: State: Zip: b. Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, or d) to (check one): ‘ E A competent adult (at least 18) at the home 0f, and living with the person in ®, or D An adult who seems to be in charge Where the person in G) usually works, 0r 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 n0 known physical address for the person in @. Itold that adult, “Please give these court papers to (name of person in (9).” Idid this on (date): 5/13/2020 At (time): 7:35 PM At this address: 250 PALACIO ROYAL CIR City: SAN JOSE State: CA Zip: 95122 \ Name or description ofthe person I gave the papers to: EDITH GONZALE CO-RESIDENT ender: FEMALE Age: 31-35 Skin Tone: HISPANIC Hair: BLONDE Eye Color: ROWN Hei t: 5FT OIN 45FT 3rN Weight 151 LBS 170 LBS m ”mayos‘e 1N6; Web w- was n¢+ Afier serving the court papers, Iput c pies00f the documents isted m in an envelope, sealed the envelope, m and put first-class prepaid postage on it. I addressed the envelope to the person in (D at the add1ess where I left the copies. Imailed the envelope on (date): 05113/2020 fiom (city, state): SAN JOSE, CALEORNlA by leaving it (check one): a. E At a U.S. Postal Service mail drop, or b.D At an office or business maii drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or c. D With someone else I asked to mail the documents to the person in (D, and I have attached that person’s completed Form SC-l 04A. © Agency Information: Name: LEGAL PURSUIT Phone: 4082884105 Address: 22 WEST ST. JOHN ST. SUITE B City: SAN JOSE State: CA Zip: 951 l3 County ofregistration: SANTA CLARA Registration number: PSE7 19 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: PSI7I9 © Ideclare under penalty of perjury under California state law that I am at least 18 years 01d and not named in this case and that the information above is true and correct. Date 05/13/2020 ...... PAULINA A. ROCHA p l>/L"""7Z/Q Typé orprint server ’s name Server signs hefe after servmg Revised January1.2009 Proof of Service Case ID: 5834876 (Small Claims) SC~1 04, Page 2 of 2 ‘I’TA ITAVTT‘I’TT.‘