Proof of Service SubstitutedCal. Super. - 6th Dist.April 2, 2020/,7’ 'r i SC-1 04 Proof of Service Use this form to serve a person, a business, or a public entity. To learn more about proofof service, read What Is "ProofofService"?, Form SC-104B. To learn more about how to serve a business or entity, read How t0 Serve a Business or Public Entity, Form SC-104C. To serve a business, you must serve one ofthe following people: - Owner (for a sole proprietorship) ° Partner (for a partnership) 0r 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 of State (corporation, association, limited liability company [LLC], limited liability partnership [LLP], limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one of the following people: - Clerk (of a city 0r county) - Chief officer or director (of a public agency) - Any person authorized for service by the entity ® a. Ifyou are serving a person, write the person’s name below: b. If you are serving a business or entity, write the name ofthe business or entity, the person authorized for service, and that person’s job title: JSE CUSTOM BUILDERS Business or Agency Name SHERRE ENGLAND Person Authorized for Service Instructions to Server: Authorized for Service Job Title Clerk stamps date here when form is filed. ,v 5.] FF": I N5Dam HEMME’E‘ Fill in coun name and street address: Superior Court of California, County of Santa Clara Downtown Superior Court 191 North First Street San Jose, CA. 951 13 Fill in case number, case name, hearing date, day, time, and department below: Case Number: 208C083 127 Case Name: Plastering Solutions, Inc. vs. JSE Custom Builders Hearing Date: 07/08/2020 Time= 01 :OOPM Dept.: 14 You must be at least 18 years 01d and not be named in this case. Follow these steps: - Give a copy of all the documents checked in© to the person in ®, or - 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 of the person in G), 0r b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in G), 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), if there is no known physical address for the person in®. and mail a copy ofthe documents left with one of the adults in a, b, or c above to the person in CD. 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. ® | served the person in (D a copy of the documents checked below: a. SC-IOO, Plaintiff’s Claim and ORDER t0 G0 t0 Small Claims Court b. D SC-120, Defendant ’s Claim and ORDER t0 Go t0 Small Claims Court (3&3 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 to 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-l 38/EJ-125, Application and Orderfor Appearance and Examination d. D Other (specifiz): Judicial Council of California, www.oourtinfo.ca.gov Revised January 1, 2009, Optional Form Code of Civil Procedure, §§ 116.340, 415.10, 415.20 Proof of Service (Small Claims) SC-104, Page 1 of29 4'? Case Number: 203C083 127 Case name; Plastering Solutions, Inc. vs. JSE Custom Builders Q) Fill out “a” or “b” below: a. D Personal Service: I personally gave copies ofthe documents checked in® to the person in G): 0n (date):W At (time):fli- a.m. D pm. At this address: 80 CABRILLO HWY N. STE Q252 City; HALF MOON BAY State. CA. Zip: 94019 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, or An adult Who seems to be in charge where the erson in usually receives mail, or has a rivatep P post office box (not a U.S. Post Office box), if there is no known physical address for the person in®. I told that adult, "Please give these court papers to (name of person ind)" laid this on (date); 05/30/2020 At (time): 09:15 a.m. D p.m. At this address: 80 CABRILLO HWY N. STE Q252 City; HALF MOON BAY State; CA. Zip; 94019 Name or description ofthe person I gave the papers to: sara JOhnson/Person in Charge at Mailbox- Afier 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): 0530/2020 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 @, and I have attached that person’s completed Form SC-l 04A. C5) Server’s Information Name; Steven Montgomery r Phon_e: AddreSS: 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 thatl 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 b Type 0r print server ’s name Server sign ter servin RevisedJanuary 1, 2009 proof of Service SC-104, Page 2 of 2 (Small Claims)
