Proof of Service PersonalCal. Super. - 6th Dist.April 6, 2020Electronically filed: Use this form to serve a person, a business, or a public entity. To learn more . about proof of service, read What Is "ProofofService ”?, Form SC-104B. To learn more by SUperlor court Of CA’ about how to serve a business or entity, read How to Serve a Business or Public Entity, county 0f santa Clara, Form SC-IO4C. 0n 5/20/2020 4:18 PM Reviewed By:D. PinheiroTo serve a business, you must serve one of the following people: ' Owner (for a sole proprietorship) C339 #208C0831 21 - Partner (for a partnership) or general panner (for a limited partnership) Env #4358603 ' Any officer or general manager (corporation or association) ' Any person authorized for service by the businws (corporation, association, general partnership, Fill in coun‘ name and street address: limited partncrship) Superior Court of California ‘ Any person authorized for service with the Secretary of State (corporation, association, limited County 0f Santa C18"! liability company [LLC], ”mixed liability partnemhip [LL?I, limited partnership) 191 NORTH FIRST STREET To serve a public entity, you must first file a cEaim with that entity, then serve one ofthe following SAN JOSE’ CA 951 13 people: Fill in case number. case name, hearing date, day, time. and department below: ° Clerk (of a city or county) ° Chiefofficer or director (of a public agency) case Number: zoscnssul e Any person authorized for service by the entity g;g:¥8§?§c® a. Ifyou are serving a person, write the person’s name below: ‘ ' Again“ LILIANA RUIZ LILIANA RUIZ 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: 10/13I2020 ' Time: Dept.: Businas or Agency Name 1:00 pM 1 5 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 (D, or ° Give a copy of all the documents checkcd in® to one of the foliowing 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 (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 Ofi'lce box), if there is no known physical address for the person in (D and mail a copy of the documents left with one of the adults in 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 thcse court papers, in timefar 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. E SC-IOO, Plainnfi’s Claim and ORDER to Go to Small Claims Court b. D SC-120, Defendant’s Claim and ORDER to Go t0 SmallCIaims Court M c. D Order for examination (Thisform must bepersonally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only tfthe orderfor examination was personally served by a registeredprocess server, sheriff marshal, or someone appointed by the couri. (1)D SC-l 34, Application and Order to Produce Statement ofAssetS and to Appearfor Examination (2)D ATJ38/EJ-125, Application and Orderfor Appearance and Examination d_ Other (Specw); NOTICE T0 LITIGANTS; NOTICE To SMALL CLAIM LITIGANTS; JuuldaICounaaorCaIsromia. wmcaunmracagav Proof of sewlce Case ID: 5834864 R IedJ 1,2ooe.ouanF cgzesotcwggcedure, §§316?340.°§Ts.1o.415.2o (small c'aims) sc'1 D4" Page 1 °f2 ‘ITA HAVTPI'TT.‘ Case Number: 2080183121 ; ‘ill out “a” or “b” below: Personal Service: I personally gave copies of the documents checked in C3) to the person in® : On (date): 5/1312020 At (time): 7:51 PM Gender: FEMALE Age: 41-45 Skin Tone: HISPANIC Hair: BROWN Eye Color: BROWN Height: SFT OIN - SFT BIN Weight: 151 LBS - 170 LBS At this address: Home: 540 BONITA AVE SPC 101 City: SAN JOSE State: CA Zip: 95 1 l6 b. D Substituted Service: {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® usually works, or D An adult who seems t0 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 (9).” 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 coun papers, Iput copies of the documents listed'1n C3) 1n 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 left the copies. I mailed the envelope on (date): from (city, state): 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 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: 95113 County of registration: SANTA CLARA Registration number: PS 1 7 19 Fee for service: $ 50.00 Process Server Information: County 0f registration: SANTA CLARA Registration number: PS l7 l9 © 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 Sfl 5,9020 PAULINA A. ROCHA > 7L/ELK Type orprint server’s name Server Signs here 4fter serving“; ,1 Revised January 1. 2009 Proof of Service case ID: 5334864 (Small Claims) 53-1 04. P899 2 0f 2 ‘FTA TEAV‘I'I'YTT‘.
