Iserve one of the following people: \ "r , 7.\ ‘ ‘9V Clerk stamps date here when form is filed. SC-1 04 Proof of Service Use this form to serve a person, a business, or a public entity. To learn more about proof 0f service, read What Is ’TroofofService"?, Form SC-104B. To learn more about how to serve a business or entity, read How to Serve a Business 0r 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) or general paflner (for a limited paflnership) - Any officer 0r general manager (corporation 0r 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 0f State (corporation, suF’e'i” CW" °f ca'ifmnia’ COU'W 0f association, limited liability company [LLC], limited liability partnership Santa Clara [LLP], limited partnership) Downtown SUperior Court To serve a public entity, you must first file a claim with that entity, then 191 North FlrSt Street , ...San_l9$e, 04-25} 13V “w 3'C'ler15'6f a_cify or‘county) - Chief officer or director (of a public agency) F’” ”7 F7356 "W’be’: case name! ”95”"9 date! . . . day, time, and department below: - Any person authorlzed for serv1ce by the entlty Case Number. a. If you are serving a person, write the person’s name below: Jobanjeet Singh 208C083130 Case Name: b. Ifyou are servmg a busmess 0r entlty, wrlte the name of the busmess Kaur VS. Singh 0r entity, the person authorized for service, and that person’s job title: Hearing Date: Business or Agency Name 07/08/2020 person Authorized for Service Job Title Time: ()1 ;00PM 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 ED, 0r - Give a copy of all the documents checked in® to one of the 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 t0 be in charge where the person in ©usua11y 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 of the documents left with one of the adults in a, b, or c above to the person in G). THEN v W, _ Hdfl; Nfl-n ---
- ‘ r Complete'and’ sigfi'thiE fo'rfn, 5nd ' 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 G) a copy of the documents checked below: a. SC-lOO, Plaintifl’s 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, sherifif marshal, 0r someone appointed by the court. (1) D SC- 1 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): JudicialCouncil of Califomia. www.oourtinfo.ca.gov Proof of service sc-1 o4, Page 1 $2Revised January 1, 2009, Optional Form _ Coda of Civil Procedure. §§ 116.340, 415.10. 415.20 (Small Clalms) '4‘; Case Number: 20$C083130 Case name; Kaur vs. Singh ® Fill out “a” or “b” below: a. D Personal Service: I personally gave copies of the documents checked in® to the person in©z On (date):--- At (time):----- D a.m. D p.m. At this address: City: State' Zip: b. Substituted Service: I personally gave copies of the documents checked in® (a, b, 0r a) to (check one): 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 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 in®. __Iled thatvadultr'fPlease give these court papers to-(namerof person in@2" UM” “ I did this on (date): 05/17/2020 At (time): 09:10 a.m. D p.m. At this address: 3661 WEST SHIELD AVE. Name or description ofthe person I gave the papers to: Beena Singh/CO'OccuPam 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 lefi the copies. Imailed the envelope on (date): 05/17/2020 from (city, state): FRESNO, 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), andI have attached that person’s completed Form SC-104A. ® Server’s Information Name: Steven Montgomery Phone: _ w Address: 6569/N~River»side Dr Ste 102- > - "“ ' "‘ ‘ ‘ " 4 ’ ““n‘ ”- ' ‘ City: Fresno State: CA- Zip: 93722 Fee for service: $ 350.00 Ifyou are a registeredprocess server: County of registration: san Mateo Registration number; 377 ® 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: 05/18/2020 Steven Montgomery } Type 0r print server ’s name Server SignsW Revised January 1. 2009 Proof of Service SC-1 04, Page 2 0f 2 (Small Claims)