Proof of Service SubstitutedCal. Super. - 6th Dist.April 9, 2020about proof of sewice, read What Is "ProofofSerw'ce"?, Form SC-104B. To learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, 208C0831 57 Santa Clara - Civil _ Clerk stamps date here whenform isfiled. §§ SC- 104 Proof of Servace Electronically filed Use this form to serve a person, a business, or a public entity. To learn more by Superior Court Of CA County of Santa Clara, Form 301040 on 5/22/2020 8:32 AM . Reviewed By:D. Pinheiro To serve a business, you must serve one of the foliowmg peeple: - Owner (for a sole proprietorship) case #20800831 57 - Partner (for a partnership) or general partner (for a limited partnership) Env #4369748 ° Any officer or general manager (corporation or association) - Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and street address.- limited partnership) Superior Court of California 0 Any person authorized for service with the Secretary of State (corporation, association, limited County 0f Santa Clara liability company [LLC], limited liability partnership [LLP], limited partnership) ‘91 NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one of the following SAN JOSE’ CA 951 13 people: - Clerk (of a city or county) Fill in case number, case name, hearing dare, day, lime, and department below: ' Chief officer or director (of a public agency) case Number: 205C083!” ° Any person authorized for service by the entity gggimfic a. Ifyou are serving a person, write the person’s name below: ' Again“ ARTURO BELMONT RUIZ I ARTURO BELMONT RUIZ b. Ifyou arc serving a busipess or entity, write the name of the bgsiness or Hearing Date: entity, the person authorized for service, and that person’s job tltle: 10/220020 Time: Dept: Business or Agency Name 1:00 PM 15 Person Authorized for Service Job Title ® Instructions t0 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 ccpy 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 , or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in G), or c. A11 adult (at least 18) who seems to be in charge where the person in G) 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 of the documcnts iefi 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 these court papers, in timefar theform (a befiled with the court at least 5 days before the hearing. C3) I served the person in (D a copy of the documents checked below: a. E SC-IOO, Plaintzfl's Claim and ORDER to Go to Small Claims Court O b. D SC-‘IZO, Defendant's Claim and ORDER to Go to Small Claims Court @ c. D Order for examination (Thisform must be personally served. Check theform that was served): Note: 77w court can issue a civil arrest warrant ifthe servedparty does not come to court only I'fthe orderjbr examination was personally served by a registeredprocess server, sheriflf marshal, orsomeone appointed by the court. (1) D SC-l 34, Application and Order t0 Produce Statement ofAssets and Io Appearfor Examination (2) D AT-l 38/EJ-125, Application and Orderfor Appearance and Examination d. E Other (specyy); NOTICE TO LITIGANTS; NOTICE TO SMALL CLAIM LITIGANTS; Judicial Council otoanroma, mm.courrmro.ca.gov Proof of service Case ID: 5836467 Ra 'sad Janua 1. 2009. Oplional Form . _ Cage orcwn P'r‘éoeuure, §§ 11s.340,415.1o,415.2a (sma'l c'a'ms) , 3c 104' Page 1 Of 2 VIA FAX FILE Case Number: 20SC083157 ' z 'ill out “a” or “b” below: D Personal Service: Ipersonally gave copies ofthe documents checked in® to the person in® : On (date): At (time): At this address: City: State: Zip: b. Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, or d) to (check one): E A competent adult,(at least 18) at the home of, and living with the person in (D, or B An adult who seems to be in charge where the pexson in© usually works, or D An adult who seems to be 1n charge where the person in® usually receives mail, 0r has a private post office box (not a U. S. Post Office box), ifthere'1s no known physical address for the person in ®. I told that adult, “Please give these court papers to (name ofperson in @).” I did this on (date): 5/13/2020 At (time): 6:51 PM At this address: 8200 PARISH WAY APT B City: GILROY State: CA Zip: 5020 l Name or description of the person I gave the papers to: MICHELLE RUIngwUW ender: FEMALE Age: 36-40 Skin Tone: LIGHT BROWN Hair: BROWN Eye Color: GB_EEN Heigh: SFT 4IN-«éFT 7IN ' Weight. 151 LBS 17o LBS 1“)ofimm NW“; gives WW6 DU was now m . After serving the court papers, I tcopies of the documents listed 1n® m an envelope, sealed the envelope, i 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): 05/14/2020 fi'om (city, state): SAN JOSE, CALIFORNIA 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 (D, 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: 951 l3 County of registration: SANTA CLARA Registration number: 1585 Fee for service: $ 50.00 Process Server Information: County of registration: SANTA CLARA Registration number: 1585 © I declare under penalty ofperjury 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 051144’2020 I . HECTOR TORRES } V‘I) Type 0rprint server ’s name Server Signs here after serving Revised Januen, 1. 200$ Proof of Service Case ID: 5836467 (Small Claims} SC-‘l 04, Page 2 of 2 VIA FAX FILE
