Proof of Service SubstitutedCal. Super. - 6th Dist.May 7, 2020I 'roof of Service Clerk starrrJrs date her'e ivhenform isfiled. 'se this form to serve a person, a business, or a public entity, To lean more about proof of service, read 8%atIs "P&oofofService"?, 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 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 (coiIMration, association, general partnership, limited partnership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC], limited liability partnership ILLP], limited partnership) To seive a public 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 director (of a public agency) ~ Any person authorized for service by the entity Q1 a. If you are serving a person, write the person's name below; RENE DAGOBERTO DIAZ HERNANDEZ 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 irr court nanre and sh eet address: Superior Court of California County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 9S113 Fill ln case number, case name, heari ng date, da&r, ttnre, and de artment below: Case Number: 20SC083312 Case Name: OPORTUN INC, Agairrst RENE DAGOI3ERTO DIAZ HERNANDEZ Hearing Date: I 1/10/2020 13usiness or Agency Name Time: 1:00 PM Dept.: 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 Q1, or ~ Give a copy of all the documents checked in QS to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in Q1, 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 Q1 usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in Q1 and mail a copy of the documents left with one of the adults in a, b, or c above to the person in Ql. 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 theform to befiled with the court at least 5 days before the hearing. I served the person in OI a copy of the documents checked below: a, H S C-100, Plaintiff's Claim and ORDER to Go to Small Claims Court b. g SC-120, Defendant's Claim and ORDER to Go to Small Claims Court c, Q Order for examination (This form must be personally served, Check the form that divas served): Aotet 1'he court can issue a civil arrest 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-125, Application and Orderfor Appearance and Examination d 2 Other (specify) NOTICE TO I ITIGANTSr NOTICE TO SMALL CLAIM LITIGANTSI Judirial Counel or California, ervrw.court/oto.ca.trov Revised January 1, 2009, Opnonal Foriir Code of Civil Procedure, rig 116.340, 415.10, 415.20 Proof of Service (Smail Claims) Case ID: 5844475 SC-1 04, Page 1 of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 6/9/2020 2:46 AM Reviewed By: A. Granados Case #20SC083312 Envelope: 4429100 Case Number: 20SC083312 -. 'ill out "a" or "b" below: a. Personal Service: I personally gave copies of the documents checked in Q3 to the person in QI On (date): At (time): At this address: City: State: Zip; b. H Substituted Service: I personally gave copies of the documents checked in Q3 (a, b, or d) to (check one): H 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). 5/26/2020 At (time): 7:16 PM At this address; 3278 TREBOL LN Phone: 4082884105 City: SAN JOSE State: CA Zip, 95148 Name or description of the person I gave the papers to: JAVIER DO@CO-RESIDENT ender: MALE Age: 46-50 Skin Tone: HISPANIC Hair: BLACK Eye Color: BRO~eight: 5FT 4 - 5FT 7IN Weight; 151 LBS-170 LBSg I'Op(i (~~@ ~~ ) l l/iI g ~( ~ '01) t- ~ Q.S Aci )- After serving the court papers, I put copies of the documents listed in (g 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); 05/26/2020 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. Q5 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 and that the information above is true and correct. Date 05/26/2020 PAULINA A. ROCHA Type orprint server 's name Server signs he e after servi g Revised Janus', 2009 Proof of Service (Small Claims) Case lD; 5844475 SC-'l04, Page 2 of 2