Proof of Service SubstitutedCal. Super. - 6th Dist.April 22, 2020I 'roof of Service Clerk stamps date here whenfornr isfiled. Use this foiTn to serve a person, a business, or a public entity. To learn more about proof of service, read Hrhat Is "ProofofService"?, Form SC-104B. To learn more about how to serve a business or entity, read How to Se&ve a Business or Public hntity, Form SC-104C, To serve a business, you must serve one of the following people: ~ Owner (for a sole proprietorship) Patter (for a partnership) or general partner (for a limited partnership) ~ Any officer or general manager (corporation or association) ~ Any person authorized for service by the business (cotporation, association, general partnership, 1iuiited parmership) ~ Any person authorized for service with the Secretary of State (cotporation, association, limited liability company [LLC], limited liability partnership [LLPI, limited partnership) To setve a public entity, you must first file a claim with that entity, then serve one of the following peopl.e: ~ 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: FLORENCIO ZURITA MARTINEZ 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: Fi/! in court iraine aird street address: Superior Court of Cailfornia County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fil! in case number, case name, hearing date, day, time, and department below: Case Number: 20SC083216 Case Name: aVOn UN INC. Against FLORENCIO ZURJTA MARTINEZ Hearing Date: 10/29/2020 Business or Agency Name Time: 1:00 Ptvf Dept.: 15 Person Authorized for Service Job Title O2 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 Ql, or c, An adult(at least 18) who seems to be in charge where the person in QI usuallyreceives 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 QI. 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 the form to befiled Ntith the court at least 5 days before the hearing. O3 I served the person in OI a copy of the docIIments checked be1ow: 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 (This form must be personally served, Check the form that vvaseved).'Vtt The court can issue a civil atirest warrantifthe servedparty does not come to court only if the orderfor examination it/as personally served 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) NOTICE TO LITIGANT S; NOTICE TO SMALL CLAIM LITIGANTS; Judicial Council of California, www.courttn/o,oa,gov Revised January 1, 2009, Optional Form Code of Civil Procedure, SS 1 15,340, 415.10, 415.20 Proof of Service (Small Claims) Case ID; 5840381 SC-104, Page 1 of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/29/2020 8:54 AM Reviewed By: A. Granados Case #20SC083216 Envelope: 4391163 Case Number: 20SC083216 - 'ill out "a" or "b" below: a. Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date). At (time): At fhis address: City: State: Zip: b. 2 Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (check one): H 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 ofperson in Q1)." I did this on (date); 5/18/2020 At (time): 3:02 PM At this address: 2258 STORY RD Phone; 4082884I05 City: SAN JOSE State: CA Z': 95122 Name or description of the person I gave the papers to: HENRY DOE 0-RESIDENT ender: MALE Age: 41-45 Skin Tone; HISPANIC Hair: BLACK Eye Color: BROWN eight; 5FT 4IN - 5FT 7IN Weight: 171 Lrra-I»L»g(9yifi'fVyud FloyenCiO &rural 3inSJ& bu~ru nefr~. After serving the court papers, I put copies of the documents listed in +3 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): 05/18/2020 from (city, state); SAN JOSE, CALIFORNIA by leaving it (check one): a. H 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, QS Agency Information: Name: LEGAL PURSUIT Address; 22 WEST ST, JOHN ST, SUITE B City: SAN JOSE State: CA Zip: 95113 County of registration; SANTA CLARA Registration number: PS1719 Fee for service; $ 58.00 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 Ieast 18 years old and not named in this case and that the information above is true and correct. Date 05/18/2020 PAULINA A. ROCHA Type orprint server's name Server signs here aft r serving / Revised January i, 2099 Proof of Service (Small Claims) Case ID; 5840381 SC-104, Page 2 of 2
