Proof of Service PersonalCal. Super. - 6th Dist.April 22, 2020208C08321 O _ Santa Clara - CiV” Clerk stamps dare here whenfonn isfiied. ' - SC-104 Proof of Serwce Electronically filed ' ' Use this form to serve a person, a business, or a public entity. To learn more by superior court 0f CA, about proofof service, read What Is ”ProofofService“?, Form SC-104B. To learn more County of Santa Clara, about how to serve a business or entity, read How to Serve a Business 0r Public Entity, 0n 6/3/2020 1 2:03 PM Form 501040 Reviewed By:D. Pinheiro To serve a business, you must serve one of the following people: Case #208C08321 O t Owner (for a sole proprietorship) Env #4408389 . Partner (for a partnership) or general palmer (for a limited partnership) - Any officer or general manager (corporation 01' 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 - Any person authorized for service with the Secretary of State (comoration, association, limited Count?! 0f santa Clara liability company [LLC], limited liability pannership {LLP}, limited partnership) éflfigggHCfliSJISBTREET To serve a public entity, you must first file a claim with that entity, then serve one of the following ’ people; Fifi: in case number, case name, hearing dale, day. . time, and department below: - Clerk (of a c1ty or county) C N b . 2080183210 ° Chief officer or director (ofa public agency) age um er' - Any person authorized for service by the entity I gggelgfiilnggc a. If you are serving a person, write the person’s name below: ‘ Again“ MARTIN MONTIEL HERNANDEZ MARTIN MONTIEL HERNANDEZ 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: 10/270020 Time: Dept.: Business 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 he named in this case. Follow these steps: 0 Give a copy of all the documents checked in C3) to the person in @, or - Give a copy of ali the documents checked in® to one of the following people: a. A competent adult (at least 18) living with, and at the home ofthe person in (D, 0r b. A11 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 l8) 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 (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 these court papers, in timefor theform to befiled wit}: the court at least 5 days before the hearing. ® I served the person in ® a copy of the documents checked below: ' O a. E $0100, Plaintzfi’s Claim and ORDER to Go to Small Claims Court b. D SC-IZO, Defendant’s Claim and ORDER to Go to Small Claims Court w c. D Order for examination (Thisform must bepersonally Served. Check theform that was kewedfl > Note: The court can issue a civil arrest warrant ifthe sewedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, Sheriff marshal, or someone appointed by the court. (1) D SC-134, Application and Order to Produce Statement ofAssets and t0 Appearfor Examination (2) D AT-138/EJ-125, Application and Orderfor Appearance and Examination d, Other (31,3059); NOTICE T0 LITIGANTS; NOTICE T0 SMALL CLAIM LITIGANTS; Judicial Coundl chalifqrnia. m.courfinfo.ca.gav Proof of Service C886 lDZ 5840376 Revised January 1. 2009. Optional Form . _ Coda orcmProoedure. §§116.34o.415.1o.415.2o (Smau Claims) SC 104' Page 1 °f2 ‘T‘I‘A Tl'kv‘lT‘l'T‘l'} Case Number: ZOSCUSSZIO 1.... 'ill out “a” or “b” below: X Personal Service: Ipersonally gave copies of the documents checked in® to the person in® : On (date): 5/27/2020 At (time): 4:42 PM Gender: MALE Age: 36-40 Skin Tone: LIGHT BROWN Hair: BLACK Eye Color: BROWN Height: SFT SIN - SFT lllN Weight: 151 LBS - 170 LBS At this address: Home: 4200 THE WOODS DR APT 209 City: SAN JOSE State: CA Zip: 95 136 h. 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 (D, or D An adult who seems to be in charge where the person in CD 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® 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 0r description of the person I gave the papers to: Afler serving the court papers, Iput copies of the documents listed 1n® m an envelope, sealed the envelope, and put flrst-class prepaid postage on it. I addressed the envelope to the person in (D at the address where I left the copies I mailed the envelope on (date): from (city, state): by ieaving it (check one). a. D At a U. S. Postal Service mail drop, or bD 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 G), 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 13 County of registration: SANTA CLARA Registration number: P81741 Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PSI’MI © 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 5/28/2020 I HECTOR TORRES > M Type orprinr server ’s name Server signs here after serving Revised January 1. 2009 Proof of Service Case ID: 5840376 (Small Claims) SC-1 04, Page 2 of 2 1nn nAanT‘n
