Proof of Service PersonalCal. Super. - 6th Dist.April 22, 2020I 'roof of Service Clerk statups date here when form isfiled, Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read Ifrhat Is "ProofofService "7, Form SC-1048. To learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, Form SC-104C, To serve a business, you must serve one of the following people: Owner (for 6 sole proprietorship) ~ Partner (for a partnership) or general partner (t'or a limited partnership) ~ Any officer or general manager (corporation or association) ~ Any person authorized for service by the business (corporation, association, general partnership, limited pattuership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLCj, limited liability partnership [LLP], limited partnership) To serve a public entity, you must first file a claim with tliat entity, then serve one of the following people: ~ Clerk (of a city or county) ~ Chief officer or director (of a public agency) ~ Any person authorized for service by the entity O1 a, If you are serving a person, write the person's name below: EVERSON 0 DOMINGUEZ 8ARILLAS b. If you 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: Fill irr court name and street address: Superior Court of California County of Santa Ciara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fi!! in case number, case nanre, hearing date, day, time, and de artment below: Case Number: 20SC083212 Case Name: OPORTVN INC. Against EVERSON 0 DOMINGVEZ BARILLAS Hearing Date: ! 0/27/2020 Business or Agency Name Time: I:00 PM Dept.: 15 Person Authorized for Service Job Titie Q2 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 Q3 to the person in Ql, or ~ Give a copy of all the documents checked in Qs to one of the following people: a. A competent adult(at least 18) living with, and at the home of the person in QI, or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in Q1, or c. An adult (at least 18) who seems to be in charge where the person in Q1 usually receives mail (but not a U.S, Post Office box), if there is no known physical address for the person in Q1 and mail a copy of the documents left with one of the adults in a, b, or c above to the person in Ql, 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 time for theform to befiled iftith the court at least S days before the hearing. (I I served the person in O1 a copy of the documents checked below: a. H SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court b, SC-120, Defendant's Claim and ORDER to Go to Small Claims Court c. Order for examination (Thisform must be personally served, Check theform that was setved): cYotet The court can issue a civil arrest wan ant if the setvedparty does not come to court only if the orderfor examination was personally setved by a registeredprocess server, sheriff, marshal, or someone appointed by the court. (1) SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) AT-138/EJ-125, Application and Orderfor Appearance and Examination H Other (zpec&fy) 'OTICE TO LITIGANTS j NOTICE TO SMALL CLAIM LITIGANTSj Judicial Council of Calffomie, www, courfinto.ca.oov Revised January 1, 2009, Optional Form Cods of Civil Procedure, SS 116.340, 415.10, 415.20 Proof of Service (Small Claims) Case ID: 5840378 SC-'I04, Page 1 of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/29/2020 8:45 AM Reviewed By: A. Granados Case #20SC083212 Envelope: 4391127 Case Number: 2DSCD83212 - 'ill out "a" or "b" below: a. H Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date); 5/19/2020 At (ti me): 7:24 PM Gender; MAI.E Age: 26-30 Skin Tone: MODERATE BROWN Hair; BLACK Eye Color: BLACK Height: 5FT OIN - 5FT 3IN Weight; 151 LBS - 170 LBS At this address: Home: 27S N 26TH ST City: SAN JOSE State: CA Zip: 95116 b. Substituted Service: I personally gave copies of the docmnents checked in Q3 (a, b, or d) to (check one): A competent adult (at least 18) at the home of, and living with the person in Q1, or An adult who seems to be in charge where the person in Q1 usually works, or An adult who seems to be in charge where the person in Q1 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 Q1. I told that adult, "Please give these court papers to (name of person in Q1)," I did this on (date): At(time).'t this address: Phone; 408288410S City: State: Name or description of the person I gave the papers to: After serving the court papers, I put copies of the documents listed in Q3 in an envelope, sealed the envelope, and put first-class prepaid postage on it, I addressed the envelope to the person in Q1 at the address where I left the copies, I mailed the envelope on (date): from (city, state): by leaving it (check one): a. At a U.S, Postal Service mail drop, or b. 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. With someone else I asked to mail the documents to the person in Q1, and I have attached that person' completed Form SC-104A, Agency Information: Name: LEGAL PURSUIT Address: 22 WEST ST. JOHN ST. SUITE 8 City: SAN JOSE State; CA Zip; 9S113 County of registration; SANTA CLARA Registration number; PS1719 Fee for service; $ S8.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS1719 Q6 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 S/20/2020 PAULINA A. ROCHA Type orprint server 's name Server signs here afte serving Revised January 1, 2009 Proof of Service (Small Claims) Case ID: 5840378 SC-'i 04, Page 2 of 2