Proof of Service SubstitutedCal. Super. - 6th Dist.April 29, 2020I 'roof of Service Clerk stanrps date here when fora» isfiled. " Use this form to serve a person, a business, or a public entity. To learn more about proof of service, read JFhat ls "ProofofService"?, FCITn 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 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 o f 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 of the fallowing people,' Clerk (of a city or county) ~ Chief officer or director (of a public agency) ~ Any person authokized for service by the entity Q1 a, If you are serving a person, write the person's name below: ORLANDO DARIEL CAMACHO CAMACHO b. Ifyou 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: Fill in court rrarne and street addi ess: Superior Court of California County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fill in case number, case narrre, lreardng date, day, tirrre, and department below: Case Number: 20SC083261 Case Name: OPORTIJN INC. Against ORLANDO DARIEL CAMACHO CAMACHO Hearing Date: 10/29/2020 Business or Agency Name Time: I:00 PM Dept,: 15 Person Authorized for Service Job Title Q2 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 QS to the person in Ql, or ~ Give a copy of all the documents checked in Q3 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 usually receives mail (but not a U,S. Post Office box), if there is no known physical address for the person in QI 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 time for thefornk to befiled with the cokkrt at least 5 days before the hearing. Q3 I served the person in QI a copy of the documents checked below: 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 Cour't c, Order for examination (Thisform must be personally served, Check theform that waservd).'ot: The court can issue a civil ar rest warrant ifthe servedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, sheriff, marshal, or someone appointed by the court. (I) SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) AT-138/EJ-I25, Application and Orderfor Appearance and Examination d H Other (zpec&fy) NOTICE TO LITIGANTS; NOTICE TO SMALL CLAIM LITIGANTS; Jvdicial Council or California, rMvvrcourtinfo.ca.gov Revised January 1, 2009, Optional Form Code of Civil Procedure, lirJ 115.340, 415.10, 415,20 Proof of Service (Small Claims) Case ID: 5842323 SC-1 04, Page 1 of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/29/2020 11:57 AM Reviewed By: A. Granados Case #20SC083261 Envelope: 4392485 Case Number: 20SC083261 . '1II out "a'. Personal Service: I personally gave copies of the documents checked in Q3 to the person in Q1 On (date): At (time): At this 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): g 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 Ql. I told that adult, "Please give these court papers to (name of person in Q1)," I did this on (date): 5/18/2020 At (time): 3:18 PM At this address; 1593 JUNE AVE Phone: 4082884105 City: SAN JOSE State; CA Pip: 95122 Name or description of the person I gave the papers to: MIKE DOE+0-RESIDEN Gender: MALE Age: 41- 45 Skin Tone: HISPANIC Hair; E}LACK Eye Color; BROWN Height: 5FT 8 - 5FT 11IN %eight: 171 »s-r»»s~rili"iyyrJLrl llrisrrvdo irvies W'rIJr. bu'i-~rid ne& r After serving the court papers, I put copies of the documents listed in Q3 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 8 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 least 18 years old and not named in this case aiid that the information above is true and correct, Date 05/18/2020 PAULINA A. ROCHA Type orprint server 's name Server signs here fter serving Revised January 1, 2009 Proof of Service (Smail Claims) Case ID; 5842323 SC-104, Page 2 of 2
