Proof of Service PersonalCal. Super. - 6th Dist.April 3, 2020I " Proof of Service Clerk statnps date here wllen fornr isfiled. " Use this form to serve a person, a business, or a public entity. To learn more about proof of selvice, read I/I/hat Is "ProofofService"?, Form SC-1048. To learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, Form SC-104C. To seive a business, you must serve one of the following people; ~ Owner (for a sole proprietorship) 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 paiinership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited liability company fLLC], limited liability partnerslup fLLP], litnited partnership) To serve a public entity, you must tirst file a claim with that entity, then serve one of the foiiowing people: ~ Clerk (of a city or county) ~ Chief officer or director (of a public agency) ~ Any person authorized for service by the entity Ql a, lf you are serving a person, write the person's name below; MIRELLA BUCIO 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: Fillin court name and street address: Superior Court of California County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fill in case number, case name, hearing date, day, time, arrd de artment below: Case Number: 20SC083106 Case Name: OPORTUN INC. Against MIRELLA BUCIO Hearing Date: 10/13/2020 Business or Agency Name Time: 1:00 PM Dept.: 15 Person AuthorIzed for Service Joh Title O2 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 Q3 to the person in QI, or ~ Give a copy of all the documents checked in Q3 to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in QI, ot b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in QI, or c. An adult (at least 18) who seems to be in charge where the person in QI usually receives ms.il (but not a U.S. Post Office box), if there is no known physical address for the person in QI and mail a copy of the documents left with one of the adults in a, b, or c above to the person in QI. 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 be filed ffritlt the court at least 5 days before the hearing. O3 I served the person in Ol a copy of the documents checked below: a. H SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court b. SC-120, Defendt2nt 's Claim and ORDER to Go to Small Claims Court ic. Order for examination (This form must be personally served, Check theform that was served): Note: The court can issue a civil arrest warrant if the servedparty does not co ie to court only ifthe orderfor examination was personally served by a registeredprocess server, sheriff, marshal, or someone appointed by the court. (I) SC-134, Application t2nd Order to Produce Statement ofAssets and to Appearfor Examination (2) AT-138/EJ-125, Application ctnd Orderfor Appearance and Examination d. H Other (spenfy): NOTICE TO LITIGANTS'OTICE TO SMALL CLAIM LITIGANTS Judicial Council of California, rvrvrv.courtinto.ca.gov Revised January 1, 2009, Oplional Form Code of Civil Procedure, rig 116.340, 415.10, 415.20 Proof of Service (Small Claims) Case ID: 5834850 SC-104, Page 1 of 2 Electronically filed by Superior Court of CA, County of Santa Clara, on 5/28/2020 2:02 PM Reviewed By:D. Pinheiro Case #20SC083106 Env #4388261 Case Number: 20SC083106 ~ 'ill out "a" or "b" below: a. H Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date): 5/19/2020 At (time): 4:31 PM Gender: FEMALE Age: 46-50 Skin Tone: LIGHT BROWN Hair; BROWN Rye Color: BROWN Height: 5FT OIN - 5FT 3IN Weight; 131 LBS - ISO LBS At this address; Home: 468 SUMMERLAND DR City: SAN JOSE State: CA Zip; 95134 b. Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (check one): 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 Q1 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 Q1. I told that adult, "Please give these court papers to (name ofperson in Q1)," I did this on (date): At (time): At this address.'tate: CA Zip; 95113 Registration number: PS1719 City: State: Zip: Name or description of the person I gave the papers to: After serving the court papers, I put copies of the documents listed in Q3 in an envelope, sealed the envelope, and put first-class prepaidpostage 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): from (city, state): by leaving it (check one): a. At a U,S. Postal Service mail drop, or b, At an oNce 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' compIeted Form SC-104A, Q5 Agency Information: Name; LEGAL PURSUIT Phone: 4082884105 Address: 22 %EST ST, JOHN ST. SUITE 8 City: SAN JOSE County of registration: SANTA CLARA Fee for service: $ 50.00 Process Server Inforinatio: County of registration: SANTA CLARA Registration number: PS1719 Q6 I declare under penalty of perjuryunder 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 5/20/2020 PAULINA A. ROCHA Type orprint server 's name Server signs here after serving Revleed Jaeuaqr 1, 2009 Proof of Service (Smail Claims) Case !D: 5834850 SC-104, Page 2 of 2