Proof of Service SubstitutedCal. Super. - 6th Dist.April 28, 2020Electronically Filed by Superior Court of CA, County of Santa Clara, on 6/25/2020 5:00 PM Reviewed By: D. Pinheiro Case #20SC083252 Envelope: 4509216 20SC083252 Santa Clara - Civil SC-1 04 Proof of Service Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read What Is ”ProofofService”?, 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: 0 Owner (for a sole proprietorship) ' Partner (for a pannership) 01‘ general partner (for a limited partnership) 0 Any officer or general manager (corporation or association) ' Any person authorized for service by the business (corporation, association, general pannership, 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 pubiic entity, you must first file a claim with that entity, then serve one of the following people: - Clerk (of a city or county) ' Chief officer or directm: (of a public agency) , - Any person authorized for service by the entity a. If you are sewing a person, write the person’s name below: ROBERT FELDER 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: Clerk stamps date here when form is filed. W in court name and street addreSS: Superior Court of California, County of Santa Clara I91 NORTH FIRST STREET SAN JOSE, CA 951 13 FM In case number, case name, hearing date, day, time. and department below: Case Number: 208C083252 Case Name: Williams v. Felder Hearing Date: August 25, 2020 Business or Agency Name ' Time: 1:00 PM Dept: 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: 0 Give a copy of all the documents checked in© to the person in©, 0r ' Give a copy of all the documents checked in® t0 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 (D , 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 ccpy ofthe documents left with one ofthe Pdults in a, b, or c above to the person in CD. THEN 0 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 theform to befiled with the court at least 5 days before the hearing. l served the person in ® a copy of the documents checked below: a. E 80100, Plaintlfl‘s Claim and ORDER t0 Go to Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 Go‘to Small Claims Court D O (Ll ark) c. E] Order for examination (This form must be personally served. Check the form that was sewed): Note: The court can issue a civil arrest wan'ant if the served pal’ry does not come to court only if the order for examination was personaily served by a registered process sewer, sheriff, marshal, or someone appointed by the court (1) E] SC-134, Application and Order t0 Produce Statement ofAssets and to Appearfor Examination (2) [:3 AT-138/EJ-125, Application and OrderforAppearaI/zce and Examination d. D Other (Sp€CifiD: Proof of Service (Small Claims) Judicial Council of Calilomta, www,ooufls.ca.gov Rev. January 1, 2009. Optlona! Form Code of Clvli Procedure. §§ 116.340. 415.10. 415.20 SC-1 04, Page 1 of29 Case Number: Case Name: Williams v. Felder 208C083252 ® Fiil out “a” or “b” below: a. D Personal Service: I personally gave copies offhe documents checked in © t0 the person in® on (date): ‘ At (time): D a.m. D p.111. At this address: ' City: State: Zip: b, Substituted Service: I personally gave copies ofthe documents checked in ® (a) b, or d) t0 (check one): A competent adult (at Eeast 18) at the home of, and living with the person in (D , or D A11 adult who seems t0 be in charge where the person in (D usually works, 01‘ D An adult who seems t0 be in charge where the person in (D usually receives mail, 0r has a private post office box (not a U.S‘ Post Office box), ifthere is no known physical address for the person in (D I told that adult, "Please give these coun papers t0 (name ofperson in CD). I did this 0n (date): June 4, 2020 At (time): 7:03 D am. p.m. At this address: 2063 REDBUD WY City: ANTIOCH State: CA Zip: 94509 Name or description offhe person I gave the papers t0: Aiieged Name: "Kai" Doe Age: 20 Age: 20 Weight: 170 Hair: Brown Sex: Female Height: 5'5" Eyes: Brown Race: Black After serving the coun papers, 1 put copies 0fthe documents listed in© in an envelope, sealed the envelope, and put first-class prepaid postage 011 it. I addressed the envelope to the person in @at the address Where I left the copies. I mailed the envelope 0n (dare): June 4, 2020 r from (city, state): Oakland, Caiifomia by Eeaving it (check one): a. D At a U.S. Postai Service mail drop, 0r b. At an office 01' business mail drop wherel know the mail is picked up evely day and deposited with the U.S. Postal Service, 01' c. E] With someone else I asked t0 mail the documents t0 the person in® , and I have attached that person’ s i completed Form SC-104A. ' ® Server’s information Name: ALAMEDA Phone: (5m) 419-3940 Address (ifknmm): [NTERCEPTOR Legal Suppofl Sewice5 Inc. 55 Santa Clara Ava, Suite 146 City: OAKLAND - State: CA Zip: 94610 Fee for service: $ 80 Ifyou are a registered process server: County 0f registration: ALAMEDA Registration number: 1520 ® I declare under penalty 0f 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. O Date: June 4, 2020 Breeana Draper >5)W y $ . / . Type 0r pnm‘ server S name Serve; 5:577We after sei vmg Revised January 1. 2009 Proof of Service 33-1 04’ page 2 of 2 (Small Claims I Sc 1 04 ' I Clerk stamps dare hare when form is fifed ' Proof of Servuce ’ Use this form t0 serve a person, a business, 01‘ a public entity. T0 learn more about proof 0f service, read Wharls ’TroofofService"?, Form SC-IO4B. To ieam more about how t0 serve a business 0r entity, read How to Serve a Businesx 0r Public Entity, Foml SC-104C. T0 serve a business, you must serve one 0fthe following people: 0 Owner (for a sole proprietorship) ' - ° Farmer (for a partnership) 0r general pamler (for a limited partnership) 0 Any officer or general manager (corporation or association) ° Any person authorized for service by the business (corporation, association, general partnership, limited partnership) Fill in court name and street address: Superior Court of California, County of Santa Clara - Any person authorized for service with the Secretaly 0f State (corporation, 19] NORTH FIRST STREET association, limited liability company [LLC], limited Iiabiiity partnership SAN JOSE CA 951 13 {LL13}, limited partnership) T0 serve a public entity, you must first file a claim with that entity, then serve one 0f the {Oflowmg people: Fm m case number, case name, hearing date, ' Clerk (ofa city 0r county) day, time, and department below: ° Chief officer or director (ofa public agency) case Nun‘be" 0 Any person authorized for service by the entity , 208C083252 a. 1f you are sewing a person, write the person’s name bekow: case Name: ROBERT FELDBR Williams v. Felder b. If you are serving a business or entity, write the name offhe business Hearing Date: August 25, 2020 01‘ entity, the person authorized for service, and that person’sjob title: Time: 1:00 PM Dept: Business 0r Agency Name Person Authorized for Service 30b 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 0f a1] the documents checked in® t0 the person in G), 0V ‘ Give a copy 0f a1] the documents checked in® t0 one 0fthe foilowing people: a. A competent adult (at {east 18) Eiving with, and at the home ofthe person in CD , 0r b. An adult (at least 18) who seems t0 be in charge at the usual workplace Ofthe person in ® , 0r c. An adult (at least 18) who seems t0 be in charge where the person in ® usually receives mail (but not a U.S. Post Office box), ifthere is n0 known physicai address for the person in and mail a copy 0fthe documents 16ft with one 0fthe adults in a, b, or c above t0 the person in® THEN ' 0 Complete and sign this form, and ' ' Give 01‘ mail your completed form to the person who asked you to sewe these com“: papers, in timefar tlzeform t0 befiled with the court at least 5 days before the hearing. ® | served the person in ® a copy of the documents checked below: 0 (l a. SC-IOO, Plaintiff's Claim and ORDER r0 G0 1‘0 Small Claims Court (i L)b‘ D SC-lZO, Defendam 's Claim and ORDER (0 Go to Small Claims Court " @374 0.8 d.[j Order for examination (This form must be personaily served. Check the form that was served): Note: The couIT can issue a civil arrest warrant if the served party does not come t0 coun only if the order for examination was personally served by a registered process server, sheriff, marshal, 01' someone appointed by the court. (1) D SC-134, Application and Order f0 Produce Statement ofAssefs and f0 Appearfor Examination (2) D AT-i38/EJ-125, Application and Ordel‘for Appearance and Examination Other (Speczfii) : JudiciaICouncll ofCalItomla,www.counaca‘gov Proof'of Service sc_1 04’ Page 1 sz Rev. Janualy X 2009, Optional Form . Code orcwn Procedure, §§ 1162.40, 415.10. 415,20 (Small Clalms) v Case Number: Case Name: Williams v. Felder 208C083252 <9 Fi|| out “a” or “b” below: a. [:1 Personal Service: l personally gave copies 0fthe documents checked in ® t0 the person in CD on (dare): At (time): D am. [3 p.111 At this address: City: ' State: Zip: b. Substituted Service: I personally gave copies ofthe documents checked in © (a, b, 0r d) to (check one): A competent adult (at least 18) at the home 0f, and living with the person in® , or D An adult who seems t0 be in charge where the person in ® usuaiiy works, 0r D An adult who seems t0 be in charge where the person in ® usually receives mail, 0r has a private post Office box (not a U.S. Post Office box), ifthere is no known physical address for the person in G) I told that adult, "Please give these court papers to (name of person in CD). Idid this on (dare): June 4, 2020 At (time): 7:03 D a.m, pm. At this address: 2063 REDBUD WY City: ANTIOCH State: CA Zip: 94509 Name or description 0f the person I gave the papegs to: Alleged Name: “Kai" Doe Age: 20 Age: 20 Weight: E70 Hair: Brown Sex: Female Height: 5'5" Eyes: Brown Race: Biack After serving the court papers, I put copies 0f the documents listed in© in an enveiope, sealed the envelope, and put first-class prepaid postage 0n it. I addressed the envelope to the person in (D3: the address where I left the copies. I mailed the envelope 0n (dare): June 4, 2020 from (city, stare): Oakiand, Caiifornia by leaving it (chéck one): a. [:1 At a U.S, Postal Service maii drop, 0r l b- At an office 0r business maii drop where I know the mail is picked up evely day and'deposited with the U.S. Postal Sewice, 01‘ c. [I With someone else I asked t0 mail the documents t0 the person in@ , and 1 have attached that person’ s completed Form SC-104A. ® Server’s Information Name: ALAMEDA Phone: (510) 419-3940 Address (q’fknown): INTERCEPTOR Legal Support Sewice, Inc. 55 Santa Clara Ave., Suite 146 City: OAKLAND State: CA Zip: 94610 Fee for service: $80 ' Kym! are a registeredprocess sewer: County of registration: ALAMEDA Registration number: 1520 C5) I declare under penaity ofperjmy under California state law thatl am at least 18 years old and not named in this case and that the information above is true and correct. Date: June 4, 2020 Breeana Draper } fi ‘ L’i/QW/jgwfiawxf v 9 . . Type 0r print server S name Server Slgjsjfl after servmg Revisemnuary a, 2009 Proof of Service 30-104, Page 2 of 2 (SmaEl Claims
