Proof of Service SubstitutedCal. Super. - 6th Dist.April 23, 2020SC-104 Proof of Service Use this form to serve a person, a business, 0r a public entity. T0 learn more about proof 0f service, read What Is “ProofofService ”?, Form SC-104B. T0 learn more about how t0 serve a business or entity, read How t0 Serve a Business 0r Public Entity, Form SC- 1 04C. To serve a business, you must serve one of the following people: ' Owner (for a sole proprietorship) ' Partner (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 (corporation, association, general partnership, limited partnership) ' Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC], limited liability partnership [LLP], limited partnership) T0 serve a public entity, you must first file a claim with that entity, then serve one of the following people: ° Clerk (of a city 0r county) ° Chief officer or director (of a public agency) ° Any person authorized for service by the entity CD a. If you are serving a person, write the person’s name below: EDUARDO MOJICA 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: Business or Agency Name Person Authorized for Service Job Title ® Instructions t0 Server: You must be at least 18 years 01d and not be named in this case. Follow these steps: ° Give a copy 0f all the documents checked in® t0 the person in G), 0r ° Give a copy 0f all the documents checked in® to one 0f the following people: Clerk stamps date here whenform isfiled. Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/29/2020 11:29 AM Reviewed By: A. Granados Case #203C083227 Envelope: 4392223 Fill in court name and street address: Superior Court of California County 0f Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 951 13 Fill in case number, case name, hearing date, day, time, and department below: Case Number: 208C083227 Case Name: OPORTUN INC. Against EDUARDO MOJICA Hearing Date: 10/29/2020 Time: Dept.: 1:00 PM 15 a. A competent adult (at least 18) living with, and at the home 0f the person in Q), or b. An adult (at least 18) Who seems to be in charge at the usual workplace of the person in G), 0r 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 Office box), if there is no known physical address for the person in ® and mail a copy of the documents left With one of the adults in a, b, or c above to the person in G). THEN ° Complete and sign this form, and 0 Give or mail your completed form to the person Who asked you to serve these court papers, in timefor theform to befiled with the court at least 5 days before the hearing. ® I served the person in CD a copy of the documents checked below: a. g SC-IOO, Plaintifl’s Claim and ORDER t0 G0 t0 Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 G0 t0 Small Claims Court £5) c. D Order for examination (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant zfthe servedparly does not come t0 court only z'fthe orderfor examination was personally served by a registeredprocess server, sheriff marshal, 0r someone appointed by the court. (1) D SC-134, Application and Order t0 Produce Statement ofAssets and t0 Appearfor Examination (2) D AT-138/EJ-125, Application and Orderfor Appearance and Examination d_ g Other (Specifl); NOTICE T0 LITIGANTS; NOTICE T0 SMALL CLAIM LITIGANTS; Judicial Council of California, www.courtinfo.ca.gov PrOOf Of semice Revised January 1, 2009, Optional Form S || C| ' Code of Civil Procedure, §§ 116.340, 415.10, 415.20 ( ma alms) VIA FAX FILE Case ID: 5840389 SC-1 04, Page 1 of 2 Case Number: 20$C083227 I: ' ‘ill out “a” 0r “b” below: a. D Personal Service: Ipersonally gave copies of the documents checked in® t0 the person in CD : On (date): At (time): At this address: City: State: Zip: b. E Substituted Service: Ipersonally gave copies 0f the documents checked in® (a, b, 0r d) t0 (check one): g A competent adult (at least 18) at the home of, and living With the person in CD, or D An adult who seems to be in charge where the person in CD usually works, or D An adult Who seems t0 be in charge Where the person in CD usually receives mail, 0r has a private post office box (not a U.S. Post Office box), if there is n0 known physical address for the person in CD. Itold that adult, “Please give these court papers t0 (name 0f person in CD)” I did this 0n (date): 5/17/2020 At (time): 12:57 PM At this address: 4002 CHATSWORTH CIR City: STOCKTON State: CA Zip: 95209 Name 0r description 0f the person I gave the papers t0: JUAN GARCIA,CO-RESIDENT Gender: MALE Age: 26-30 Skin Tone: LIGHT BROWN Hair: BLACK Eye Color: BROWN Height: 5FT 8IN - 5FT llIN Weight: 171 LBS - 190 LBS After serving the court papers, Iput copies 0f the documents listed in® in an envelope, sealed the envelope, and put first-class prepaid postage 0n it. I addressed the envelope t0 the person in CD at the address Where I left the copies. Imailed the envelope on (date): 05/18/2020 from (city, state): MODESTO, CALIFORNIA by leaving it (check one): a. E At a U.S. Postal Service mail drop, 0r b. D At an office 0r 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 t0 the person in CD, and I have attached that person’s completed Form SC-104A. C5) Agency Information: Name: CAINS MOBILE NOTARY & LEGAL SUPPORT SERVICES Phone: 21 84354911 Address: 2812 ZARAND DRIVE City: MODESTO State: CA Zip: 95355 County of registration: STANISLAUS Registration number: 17-0 1 0 Fee for service: $ 58.00 Process Server Information: County of registration: STANISLAUS Registration number: 17-010 © I declare under penalty of perjury under California state law that I am at least 18 years 01d and not named in this case and that the information above is true and correct. Date 05/18/2020 TISHA MARIE CAIN }jfimw CWHL Type 0rprint server ’s name Server signs here after serving Revised January 1, 2009 Proof of service Case ID: 5840389 (Small Claims) 3C4 04, Page 2 0f 2 VIA FAX FILE
