Proof of Service PersonalCal. Super. - 6th Dist.April 29, 2020I 'roof of Service Clerk stamps date here wli en fom& isfiled, Use this form to serve a person, a business, or a public entity. To learn more about proof of setvice, read 8%at Is "ProofofService"?, Form SC-1048. To learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, Form SC-104C. To seive 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 parfrtership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC], limited liability partnership /LLPj, limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one of the following people: ~ C!erk (of a city or county) ~ Chief officer or director (of a public agency) ~ Any person authorized for service by the entity Ql a, If you are serving a person, write the person's name below: JOSE ALBERTO BEDOY CARRILLO 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: Fill in court name 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 nanre, hearing date, day, tinie, and department below: Case Number: 220SC083274 Case Kame: OPORTUN INC. Against JOSE ALBERTO BEDOY CARRILLO Hearing Date: I I/5/2020 Business or Agency Name Time: I:00 PM Dept.: 15 Person Authorized for Service Joh 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 Q3 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 QI, 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 Ql 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 theform to befried with the court at least 5 days before the ltearing. 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 Court c, Order for examination (Thisform must be personally served, Check theform that vvas served); Voter The court can issue a civil arrest warrant ifthe servedparty does not come to court only if the orderfor examination was 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 Examinatt'on d. H Other (specify)l NOTICE TO LITIGANT Si NOTICE TO SMALL CLAIM LITIGANTS; Judicial Council of California. www.oourrinta.ae.gov Revised January 1, 2009, Opfional Form Cade of Civil Procedure, I 11 6.340, 415.10, 415.20 Proof of Service (Small Claims) Case lD: 5842336 SC-104, Page 1 of 2 20SC083274 Santa Clara - Civil Electronically filed by Superior Court of CA, County of Santa Clara, on 6/17/2020 7:39 AM Reviewed By:D. Pinheiro Case #20SC083274 Env #4465306 Case Number: 220SC083274 'i11 out "a" or "b" below: a, 2 Personal Service: I personally gave copies of the documents checked in Q3 to the person in Oi On (date): 6/4/2020 At (time): 6:22 PM Gender: MALE Age: 36-40 Skin Tone: WHITE Hair: BLACK Eye Color: BROWN Height: 5FT 8IN- 5FT 11IN Weight: 131 LBS - 150 LBS At this address: Home: 5366 LARCH GROVE PL City; SAN JOSE State: CA Zip 95123 b, Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (check one): A competent adult (at least 18) at the home of, and living with the person in Ql, or An adult who seems to be in charge where the person in QI usually works, or An adult who seems to be in charge where the person in QI 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 Qi. I told that adult, "Please give these court papers to (name ofperson in Ql)," I did this on (date): At (time): At this address: State; CA Zip: 95113 Registration number: PS1741 City: State: Zip: Name or description of the person I gave the papers to; 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 Ql at the address where I left the copies. I mailed the envelope on (date); from (city, state): by leaving it (check one): a, 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 QI, and I have attached that person' completed Form SC-104A, QS Agency Information: Name; LEGAL PURSUIT Phone: 4082884105 Address; 22 WEST ST. JOHN ST. SUITE 8 City; SAN JOSE County of registration: SANTA CLARA Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS1741 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 and that the information above is true and correct. Date 6/8/2020 HECTOR TORRES Type orprint server 's name Server signs here after serving Revreed January 1, 2009 Proof of Service (Small Claims) Case ID: 5842336 sC-1 04, Page 2 of 2