Proof of Service SubstitutedCal. Super. - 6th Dist.April 2, 2020"-i '1' ‘ . Clerk stamps date here when form is filed. SC-1 04 Proof of SerVIce Use this fdrm to serve a person, a business, or a public entity. To learn more abouf proof of service, read What Is ’ProofofService ”?, Form SC-l 04B. To learn more about how to serve a business or entity, read How t0 Serve a Business 0r Public Entity, Form SC-l 04C. To serve a business, you must serve one 0fthe 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 partnership) Fill in court name and street address: - Any person authorized for service with the Secretary of State (corporation, SUPeri°r c°urt °f calif°mia’ county °f association, limited liability company [LLC], limited liability partnership santa Clara _ [LLP], limited partnership) Downtown SUpeI‘IOI‘ Court To serve a public entity, you must first file a claim with that entity, then 191 North FHSt Street serve one ofthe following people: san Jose: CA- 951 13 _- CLerk (of_a city_or county) " - Chief officer or director (of a public agency) Fi” in 0889 "umber, case name, hearing date, . . . da , time, and de artment below: - Any person authorlzed for serv1ce by the entlty y p . _ Case Number:® a. Ifyou are servmg a person, wrlte the person’s name below: SHERRE DEANNE ENGLAND AKA SHERRE ENGLAND 2030083127 Case N'ame: Plastering Solutions, Inc. vs. JSE Custom Builders b. Ifyou 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: Hearing Date: 07/08/2020Business or Agency Name Person Authorized for Service Job Title Time: 01 'OOPM Dept: 14® 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 ®, 0r - Give a copy of all the documents checked in® to one ofthe following people: a. A competent adult (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 CD, 0r 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 ind). and mail a copy ofthe documents left with one of the adults in a, b, or c above to the person in G). 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 t0 befiled with the court at least 5 days before the hearing. ® lserved the person in G) a copy of the documents checked below: & > O a. SC-100, Plaintijfs Claim and ORDER t0 G0 t0 Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 G0 t0 Small Claims Court c. D Order for examination (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come t0 court only ifthe orderfor examination was personally served by a registeredprocess server, sherifl marshal, 0r someone appointed by the court. (1) D SC-l 34, Application and Order t0 Produce Statement ofAssets and t0 Appearfor Examination (2) D AT-138/EJ- 1 25, Application and Orderfor Appearance and Examination d. D Other (specifiz): Judicial Council of California, www.courtinfo.ca.gov ' SC-104 Pa e1 of2 Revised January 1, 2009, Optional Form PrOOf Of se_r‘"ce ’ g 9 Code of Civil Procedure, §§ 116.340, 415.10. 415.20 (Small Clalms) Case name; Plastering Solutions, Inc. vs. JSE Custom Builders Case Number: 20$C083127 @ Fill out “a” or “b” below: a. D Personal Service: I personally gave copies of the documents checked in® to the person in G): On (date): ------ At (time):---- D a.m. D p.m. At this address: City: State' Zip: b. Substituted Service: I personally gave copies ofthe documents checked in© (a, b, 0r 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, 0r 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 no known physical address for the person ind). I told that adult, "Please give t_hese court papers to (name of person in 6)." rdid this on (date); 05/30/2020 ‘ At (fiiné): 09:15 ami D p.m. At this address: 80 CABRILLO HWY N. STE Q252 Name or description of the person I gave the papers to: sara JOhnson/Person in Charge at Mailbox- After serving the court papers, I put copies of the 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 left the copies. I mailed the envelope on (date): 05/30/2020 from (city, state): HALF MOON BAY, CA- by leaving it (check one): a. At a U.S. Postal Service mail drop, or b. D At an office 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 else I asked to mail the documents to the person in G), and I have attached that person’s completed Form SC-l 04A. ® Server’s Information Namg; Steven Montgomery H “phiei _ H fl_ ~__m Addresst 235 Westlake Center City: Daly City State: CA- Zip: 94015 Fee for service: $ 350.00 Ifyou are a registeredprocess server: County of registration: Registration number: I declare under penalty of perjury under California state law thatI am at least 18 years old and not named in this case and that the information above is true and correct. Date: 06/02/2020 Steven Montgomery ’ ( §‘é E 7 Type 0r print server ’s name Server signs Revised January 1, 2009 Proof of Service 30-1 04, Page 2 0f 2 (Small Claims)