Proof of Service SubstitutedCal. Super. - 6th Dist.April 21, 2020’a .\4:\ 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 Wat Is 'TroofofService"?, Form SC-104B. 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 ofthe following people: ~ Owner (for a sole proprietorship) ° Partner (for a partnership) 0r general partner (for a limited partnership) ' Any oficer or general manager (comoration or association) ' Any person authorized for service by the business (corporation, association, general partnership, limited partnership) 0 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 0fthe following people: - Clerk (ofa city or county) - Chief ofl‘icer or director (ofa public agency) ' Any person authorized for service by the entity a. Ifyou are serving a person, write the person’s name below: YINGYINGMAO b. Ifyou are serving a business or entity, write the name ofthe business or entity, the person authorized for service, and that person’s job title: Businfis or Agency Name Pemn Authorized for Service Job Title ® Instructions to Server: Clerk stamps date hem when form ls filed. - tam 55?"? ‘i' q, "“ my of Santa Ciara .- .~T_DEI-‘UTV Superior Court of California, County of Santa Clara 191 N. First Street, San Jose, CA 951 13 (Civil) Fill in case number, case name. hearing date, day, time, and department below: Case Number: 208C08321 5 Case Name: Qing Wang vs. Yingying Miao Hearing Date: 6/23/2020. Time: 8:30AM Dept: '14 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®, or - Give a copy of all the documents checkedin® to one ofthe following people: a A competent adult (at least 18) living with, and at the home ofthe person in , or b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in @, or 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 Ofiice box), ifthere is no known physical address for the person in®. and mail a copy ofthe documents lefi with one ofthe 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 askad you to serve thcsc court papers, in timefor titefier to befiled will: the court at least 5 days before the hearing. l served the person in’Ci) a copy of the documenis checked below: a. SC-IOO, Plaintfis Claim andORDER to Go t0 Small Claims Court b- D SC-120, Defendant’s Claim andORDER to Go to Small Claims Court M c. D Order for examination (Thisform must bepersonalbz served. Checktheform that was served).- Note: The court can issue a civil arresi warrant g’fthe servedparty does not come to court only g‘fthe orderfin’ examination waspersonally served by a registeredprocess server, shertfl marshal, or someone appointed by the court. (1) D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) D AT-l38/EJ-125, Application and OrderfiJr Appearance qnd Examination d. D Other (spectfiz): Judidal Councfl o! Caulomla, wwwcoum‘nlo.ca.gov Revised Jammy 1. 2009, Opfiona! Form Code 01 CM! Procedme. §§ 116.340. 415.10. 415.20 Proof of Service (Small Claims) 56-104, Page 1 of 2 .9 Case Number: 208C0832 15 Case name- Qing Wang vs. Yingying Miao @ Fin out “a” or “b” below: a. D Personal Service: I personally gave copies ofthe documents checked m® to the person in©z 0n (date):---- At (time): -------- U am. U pm. At this address: City: State' Zip: b. Substituted Service: I personally gave copies ofthe documents checked in© (a, b, or d) to (check one): m A competent adult (at least 18) at the home of, and living with the person in® , 0r 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 inC‘D I told that adult, "Please give these court papers to (name ofperson in®.“ I did this on (date): 5/14/2020 At (time): 11:40 a.gn. D p.m. At this address: 6919 Hollybrook Dr. City Sacramento State; CA Zip 95823 Name or description ofthe personl gave the papers t0. ASian male (mele‘m'law) 1701b5 5' 1 0 light-skinned color, walked with 2 females; between 42yrs to 45 yrs;video record served After sewing the court papers, I put copies ofthe 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). 5/14/2020 fiom (city, state): Milpitas: CA by leaving it (check one). a. At a U.S. Postal Service mail drop, or b.D At an ofiice or business mail drop where I know the mail is picked up every day and deposited wifl1 the U.S. Postal Service, or c.U With someone else I asked to mailthe documents to the person in@, and I have attached that person’s completed Form SC-104A. G) Server’s Information Name; RuiCordeiro ‘ Phone; (408)509-0502 AddICSS: P.O.Box 361181 City: Milpitas . State; CA zip:95036 Fee for service: $ 175.00 Ifyou are a registeredprocess server: County ofregistration: Alameda Registration number; 1331 © I declare under penalty ofperjury under California state law that I am at least 18 years old and not named 1n this case and that the information above ls true and correct. Date: 5/14/2020 Rui Cordeiro ‘ § Type orprint server ’s name Server sigflhere afler serving Revised Janualy 1, 2009 Proof of Service > sc-1o4, Page 2 0f 2 (Small Claims)
