Proof of Service PersonalCal. Super. - 6th Dist.April 23, 2020_ CIerk stamps dare here Ivhatfopari isfiled.SC-104 Proof of Semce Electronically filed - ' Use this form to serve a person, a business, or a public entity. T0 learn more by superior COUI‘t Of CA, about proof of service, read What Is “ProofofService”?. Form SC-104B. To learn more County of Santa Clara, :bout lslgwlgodrzerve a business or entity, read How to Serve a Business or Public Entity, on 6/1 8/2020 4:55 PM rm - . . . .° ReVIewed By:D. Plnhelro To serve a business, you must serve one of the following people: Case #208C083229 - Owner (for a sole proprietorship) ° Partner (for a partnership) or general panner (for a limited partnership) Env #4476359 - Any officer or general manager (corporation 01' association) v 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 0 Any pelson authorized for service with the Secretary of State (corporation, association, limited County 0f Santa Clara liability company {LLC}, limited liability partnership [LLP], limited partnership) éikfigggflgkggmfim To sewe a public entity, you must first file a ciaim with that entity, then serve one of the following ’ people; F111 in case number, case name. hearing date, day, time, and department below: ‘ Clerk (ofa city or county) - Chief officer or director (0f a public agency) case Number: mscos‘n” - Any person authorized for service by the entity gggigsgfic© a. Ifyou are serving a perscm, write the person’s name below: ' Against FRANCISCO R PAGOADA FRANCISCO R PAGOADA 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: 10/29I2020 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 be named in this case. Follow these steps: ' Give a copy of all the documents checked in® to the person in Q), or ’ Give a copy of all the documents checked in® to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in Q), 0r b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in G), 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 Office box), if there is no known physical address for the person in© and mail a copy of the documents lcfl 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 timefar thefom to befiled with the court at least 5 days before the hearing. © I served the person in® a copy of the documents checked below: O a. SC-IOO, Plaintzfl’s Claim. and ORDER to Go t0 Small Claims Court b. E] SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court . w c. D Order for examination (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only ifzhe arderjbr 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 to Appearfor Examination (2) D AT-l 38/EJ-125, Application and Orderfor Appearance and Examination Judldal Councilol‘ Callfomla. www.counhfomgav Proof of Sewlce Case ID: 5808621 Revised January 1, 2009, Optional Form . _ Code otCMI Procedure, §§ 116.340, 415.10, 415.20 (Sman Claims) SC 104’ Page 1 °f 2 ‘WA ITAVTH'TT? Case Number: 2080183229 - t ‘ill out “a” or “b” below: a . Personal Service: Ipersonally gave copies of the documents checked in® to the person in® : On (date): 6/10/2020 At (time): 3:44 PM Gender: MALE Age: 36-40 Skin Tone: LIGHT BROWN Hair: BLACK Eye Color: BROWN Height: SFT SIN d 5FT lllN Weight: 131 LBS - 150 LBS At this address: Home: 3802 CAS DR City: SAN JOSE State: CA Zip: 95 1 11 2405 b. D Substituted Service: Ipersonally gave copies of the documents checked in® (a, b, 0r d) t0 (check one): D A competent adult (at least 18) at the home of, and living with the person in ®, or D A11 adult who seems t'o be in charge where the person in® usually works, or D An adult who seems t0 be in charge where the person in® usually receives mail, or has a pn'vate post office box (not a U.S. Post Office box), if there is no known physical address for the person in Q). I told that adult, “Please give these court papers to (name ofperson in ®).” Idid this on (date): At (time): At this address: City: State: Zip: Name 0r description of the person I gave the papers to: After serving the court papers, [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 left the copies. I mailed the envelope on (date): from (city, state): by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. D 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. D With someone else I asked to mail the documents to the person in (D, 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: PS 1741 Fee for service: S 58.00 ‘ Process Server Information: County of registration: SANTA CLARA Registration number: PSI741 © I declare under penalty ofperjury 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 6/15/2020 , VDHECTOR TORRES Type orprint server ’s name Server signs here afier serving Revised January 1. 2009 Proof of Service C886 ID: 5808671 (Small Claims) 36-1 04. Page 2 of 2 ‘IYA "AVT-‘TTT!
