Proof of Service PersonalCal. Super. - 6th Dist.May 13, 2020l 'roof of Service Clerk stamps date her e whenform isII/ed, Use this form to serve a person, a business, or a public entity. To leam more about proof of service, read What Is "PraofofService"?, 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 of the following people; ~ Owner (for a sole proprietorship) ~ Partner (for a partnerslup) or general partner (for a limited partnership) ~ Any officer or general manager (corporation or associabon) Any person authorized for service by the business (corporation, association, general partnership, limited partnership) ~ Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC], limited liability partnership [LLP], liniited partnership) To serve 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 Ql a. If you are serving a person, write the person's name below: ROBERTO ADRIAN CERVANTES VAZQUEZ 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 nanie and street address: Superior Court of California County of Santa Clara 191 NORTH FIRST STREET SAN JOSE, CA 95113 Fill in case number, case rrame, /reanng date, day, time, and department below; Case Number: 20SC083335 Case Name: OPORTUN INC. Against ROBERTO ADRIAN CERVANTES VAZQUEZ Hearing Date: 11/12/2020 Business or Agency Name Time: I:00 PM Dept.: DEPT, 15 Person Authorized for Service Job Title O2 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 QI, 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 Ql, 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 QI and mail a copy of the documents lefty 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 befiled with the cour t at least 5 days before the hearing. 08 I served the person in Ol 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 (This form must be personally served. Check theform that was served): IVotet The court can issiie a civil arrest warrant ifthe servedparty does not come ta court only if the orderfor examination was personally served by a registered process 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-I25, Application and Orderfor Appearance and Examination d. H Other (speci+): NOTICE TO LITIGANTSr NOTICE TO SMALL CLAIM LITIGANTS& Judicial Council of California, www.couninfo.ca,gov Revised January 1, 2009, Dorian*i Form Cods of Civil Procedure, SS 116.340, 415.10, 415.20 Proof of Service (Small Claims) Case iD: 5845890 SC-104, Page I of 2 Electronically Filed by Superior Court of CA, County of Santa Clara, on 6/9/2020 2:44 AM Reviewed By: A. Granados Case #20SC083335 Envelope: 4429098 Case Number: 20SC083335 .. 'ill out "a" or "b" below: a, 2 Personal Service: I personally gave copies of the documents checked in Q3 to the person in Ql On (date): 5/28/2020 At (time): 8:40 PM Gender: MALE Age: 36-40 Skin Tone: WHITE Hair: BLACK Eye Color: BROWN Height: 5FT 8IN- 5FT 11IN Weight; 151 LBS - 170 LBS At this address: Home; 590 STONEY CT APT II201 City: GILROY State: CA Zip: 95020 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 Q1, or An adult who seems to be in charge where the person in Q1 usually works, or . Q 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 Qt. I told that adult, "Please give these court papers to {name ofperson in Qt)." I did this on (date); At (time): At this address: Phone: 4082884105 City: Sta.te: Name or description of the person I gave the papers to: Af'ter 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 Ql, and I have attached that person' completed Form SC-104A, Q5 Agency Information: Name; LEGAL PURSUIT Address; 22 WEST ST. JOHN ST. SUITE B City; . SAN JOSE State: CA Zip; 95113 County of registration: SANTA CLARA Registration number; PS1741 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 1 am at least 18 years old and not named in this case and that the information above is true and correct. Date 5/29/2020 HECTOR TORRES Type orprint server 's name Server signs here after serving Revised January i, 2009 Proof Of Service (Small Claims) Case ID: 5845890 SC-'I 04, Page 2 of 2
