Proof of Service PersonalCal. Super. - 6th Dist.February 20, 2020Use‘this form to serve a person, a business, or a public entity. To learn more about proof of service, read What Is 'TroafofService”?, Form SC-104B, To learn more about how to serve a business or entity, readHow to Serve a Business or Public Entity, Form SC-l 04C. I To serve a business, you must serve one ofthe following people: |._ Owner (for a sole proprietorship) I ~ Clerk stamps date here when form is filed. SC-1 04 Proof of SerVIce ‘ @3131 V .1 . I y r131 mam (3.5mm ' ' ”Partner (for a partnership) or general partner (for a limited partnership) BY , ,' [pgfl’ ‘ > ‘ mgm-w : I Any officer or general manager (corporation or association) DQVId Pinheiro ' -' FlII In court name and street address: I Superlo'r Court of California, Couhty of. ' Any person authorized for service by the business (corporation, association, general partnership, limited partnership) i Any person authorized for service with the Secretary of State (corporation, SUPefl‘” 90“" association, limited liability company [LLC], limited liability partnership CW" ”Mai” [LLP], limited partnership) $21” ’jégrséi" To serve a public entity, you must first file a claim with that entity, then 951 13 ' . 3 = . g serve one of the following people: W ' Clerk (of a city or county) . _ ‘ ' Chief officer or director (of a public agency) case Numm" I Any person authorized for service by the entity 2080088389 a. Ifyou are sewing a person, write the person’s name below: case name: ‘ o I24 I70 b. Ifyou are serving a business or entity, wn'te the name ofthe business Hearing Dag:W or entity, the person authorized for service, and that person’s job title: ' Hangzhou Silk Development Inc. Time: 1 -99/pm_ Dept.:/(4 I6 Business or Agency Name Jian Ye CEO I ' S aM Person Authorized for Service ‘Job Titl'e g % _ lnstructlons‘ to Sewer: You must be at least 18 years old and not be named In this case. Follow these steps: I 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 ofthe person in ® , or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in © , or ' c. An adult (at least 18) who seems to be in charge where the person .i'n ® usually receives mail (but not a U.S. Post Office box), if there is no known physical address for the person in and mail a copy of the documents lefi with one ofthe adults in a, b, orlc above to the person in ®. THEN I 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 beflled with the court at least 5'days before the hearing. A ' , ' I served the person in ® a copy of the documents checked below: K} j} (Q a. E SC-100, Plaintiffs Claim and ORDER to Go to Small Claims Court (J3 b) b. D SC-120, Defendant's Claim and ORDER to Go to Small Claims Court " @3554 c. D Order for examination (This form must be personally served. Check the form that was served): Note: The court can issue a civil arrest warrant if the served party does not come to court only if the order for ~ I examination was personally served by a registered process server. sheriff, marshal, or someone appointed by the court. (1.) D SC-134, Application and Order to Produce Statement ofAssets and to Appearfor Examination (2) D AT-138/EJ-125, Application and Orderfqr Appearance and Examination d. D Other (specifii): ‘ Jud!clalCounclI ofCallfomlamwmmmmv Proof of Servlce _ sc_1M. Page 1‘ ofz ~ ->Rav. January 1. 2009. Optional FormCode of own Fromm. §§ 116.340. 415.10. 415.20 (Small Clalms) Case Number: Case Name: ® Fill out “a” or “b” below: a. Z Personal Service: I personally gave copies of the documents checked in ® to the person in CD on (date): 07/20/2020 At(time): 8:47 El am. E pm. At this addreSSI 4467 Cardinal Cushinq City? Claremont State: CA Zip: 91711 b. D Substituted Service: I personally gave copies ofthe documents checked in © (a, b, or d) to (check one).- D A competent adult (at least 18) at the home of, and living with the person in CD , or D An adult who seems to be in charge Where the person in G) usually works, or D An adult who seems to be in charge where the person in CD usually receives mail, or has a private post office box (not a U.S. Post Office box), ifthcre is no known physical address for the person in @. I told that adult, "Please give these court papers to (name ofperson in @). Idid this on (date): At (time): D am. D pm. At this address: City: State: Zip: l Name or description of person I gave the papers to: After serving the court papers, I put copies of the documents listed 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 lefi the copies. I mailed the envelope on (date): fiom (city, state): by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. D 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. D With someone else I asked to mail the documents to the person in® , and I have attached that person’ s completed Form SC-l 04A. © Server’s Information Name: Amy Bracy Phone: 805-776-3087 Address (if/mown)! 530 E. Los Anqeles Suite #1 15-216 City: Moomark State: CA Zip: 93021 Fee for service: $ 150 Ifyou are a registeredprocess server: County of registration: Ventura County Registration number: 705 ® I declare under penalty ofpetjury 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: 07l21l2020-_.__- / Amy Bracy ’ / 14W Type orprint server 3' name Server signs ere a ' i'ng ' RevLsedJanuary 1.2009 Proof of Service sc-1o4, Page 2 of 2 (Small Claims For your protectlon and privacy, please press me Clear This Form button after you have printed the form. FE’riht’th“ form! Iisavefihis fowl , .‘‘V 4 ",w w«nu. «4., _. A. .. t_uwvuv : J... h . w . . . _ . L . . , x . _. . . 2 mw.uw.mun“a.4-.” -.x .
