Proof of Service SubstitutedCal. Super. - 6th Dist.May 7, 2020' 208C083283 CI kt d I h f .111“,fl .. S t Cl _ - -| er sump: ate Jerew en ormzs e . . SC-104 Proof of Serwce a” “a C'V' h. - '. Electronically filed ' -"J' £54“ Use this form to serve a person, a business, or a public entity. To learn more by Superior Court 0f CA, about proof of sewice, read What Is ”ProofofService "?, Form SC-104B. To learn more County Of Santa Clara about how to serve a business or entity, read How to Serve a Business or Public Entity, 6/1 1 l2020 4_51 PM, Form SC-l 04C. 0n ' Reviewed By:D. Pinheiro To sews a business, you must serve one of the following people: Case #208CO83283 ° Owner (for a sole proprietorship) - Partner (for a partnership) or general partner (for a limited partnership) Env #4446389 ' Any officer or genera} manager (corporation or association) - Any person authorized for service by the business (corporation, association, general partnership, Fill in court name and street address.- Iimited partnership) . Superior Court of California ' Any person authorized for service with the Secretaly of State (corporation, associatiou, limited County 0f Santa Clara liability company [LLC], limited liability partnership [LLP], limited partnership) 191 NORTH FIRST STREET To serve a public entity, you must first file a claim with that entity, then serve one of the following SAN JOSE’ CA 951 13 people: Fill in case number, case name, hearing dare, day. time, and department beiow: - Clerk (ofa city 0r county) - Chief officer or director (of a public agency) case Number: zuscomzm - Any person authorized for service by the entity Eggiggggc® a. If you are serving a person, write the person’s name beiow: ' Against MY THUY THI NGUYEN MY THUY THI NGUYEN 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: 11150020 Time: Dept: Businfis or Agency Name 1:00 pM DEPT 1 5 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 of all the documents checked in® to the person in ®, 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 ®, or 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 (D and mail a copy of the documents left 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 fonn to the person who asked you to serve these calm papers, in timefor theform to befilea‘ with the court at least 5 days before the hearing. C3) I served the person in ® a copy of the documents checked below: O a. E SC-lOO, Plaintiff’s Claim and ORDER to Go to Small Claims Court ’ b. D $0120, Defendant’s Claim and ORDER to Go t0 Small Claims Court my c. D Order for examination (Thisform must bepersonally served. Check theform that was served): Nate: The court can issue a civil an'est warrant {fthe servedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, sheriff marshal, 0r someone appointed by the court. (1) m SC-l34, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) E] AT~138fEJ-125, Application and Orderfor Appearance and Examination d. Other (Specifi); NOTICE T0 LITIGANTS; NOTICE T0 SMALL CLAIM LITIGANTS; JudicialCoundlomanromia. www.courfinfonagov Proof of Service Case ID: 5844478 Revlsed January 1. 2009, Optima! Form . _ Code ofCéviIProcedure. §§11s.340,415.1o.415.2o (small Clams) SC 104’ Page 1 “£2 1Nk flkv‘l'Z‘YT‘r.‘ Case Number: 2030183283 a. D Personal Service: Ipersonally gave copies of the documents checked in® to the person in® : On (date): At (time): At this address: City: State: Zip: b. g Substituted Service: Ipersonally gave copies 0f the documents checked in® (a, b, or d) to (check one): A competent adult (at least 18) at the home of, and living with the person in Q), or E] An adult Who seems to be in charge where the person in (D usually works, or D An adult Who seems to be in charge where the person in® 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 G). I told that adult, “Please give these court papers to (name ofperson in ®).” Idid this on (date): 6/2/2020 ' At (time): 5:17 PM At this address: 2077 SHILOH AVE City: MILPITAS State: CA Zip: 95035 ‘ Name or description of the person I gave the papers to: CATWAUN DOEQO~RESIDENTjGenderz MALE Age: 18-20 Skin Tone: ASIAN Hair: BLACK Eye Color: BROWN Helght: SFT 4IN - SFT 7IN Weight: 151 LBS- 170 LBS 3r Lonh‘zm Mu "Mm \wo Ham bu+ww mm m. r After serving the court papers, I put ccpies ofthe documents 11sted 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. Imailed the envelope on (date): 06/02/2020 from (city, state): SAN JOSE, CALIFORNIA by leaving it (check one): a. At a U.S. Postal Service mail drop, or b.D At an office or business mail drop where I know th_e 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 @, 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 l3 County of registration: SANTA CLARA Registration number: PS l 719 Fee for service: $ 58.00 Process Server Information: County of registration: SANTA CLARA Registration number: PS 1719 © 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 couect. Date 06/02/2020 PAULINA A. ROCHA ’ . , . . I Type orprmt server s name Server szgns herjafz‘er servmg Revised January 1. 2009 Proof 0f Service Case ID: 5844478 (Small Claims) SC-1 04, Page 2 of 2 111‘; nAvm‘l‘I“:
