Proof of Service SubstitutedCal. Super. - 6th Dist.April 9, 2020SC -1 04 Proof of Service Clerk stamps dare here when farm is filed. Use this form to seyve a person, business, or a ublic entity. To leam more about proofof servwe, read What is j’Proofof grvice"?, Form SC-104B. To learn more about how t0 serve a busmess 0r entlty, read How to Serve a Business 0r Public Entity, Form SC-104C. JUL 2 1 ZUZU To serve a business, you must serve one of the following people: ° Owner (for a sole proprietorship) Cleu 'l’ I 9 Court ° Partner (for a partnership) or general partner (for a limited partnership) BY , “mm” 0' Sam“ 0W“ ° Any officer 0r general manager (corporation 0r association) ° Any person authprizpdlfor service by the business (corporation, association, NO general partnerhlp, 11m1ted partnershlp) F ° Any pepson apthorizqd fqr service with the Seqretary qf State (corporation, Superior Court ~ assocmtgorl, 11m1ted 11ab1_11 company [LLC], 11m1ted hablllty partnershlp Santa Clara County, California [LLP], 11m1tecl partnershlp Small Claims . . . . . 191 N. 1st St T0 serve a public entlty, you must first file a clalm w1th that entlty, then San Jose, California 951 13 serve one of the followmg people: ° Clerk (of a city or county) ° Chief officer 0r director (of a public agency) ° Any person authorized for service by the entity Case Number: . . I 20 SC 083415® a. Ifyou are servmg a person, erte the persons name below: Case Name: ' Cady DC, Joseph Scott vs. Tropea Chiropractic |nc., aka Tony Tropea. DC b. Ifyou_are serving a busine§s, or entityxwrite the name ofthq business 0r entlty, the person authonzed for servwe, and that perSOn's Job tltle: Tropea Chiropractic Inc.. Aka Tonv Tropea, Dc Business or Agency Name Aqent: Tonv Tropea,_Dc / Authorized To Accept Hemmg Date: 8/26/2020 Person Authorized for Service JobTifle Time: 830 am I DBpt: 1H ® Instructions to Sewer: 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® t0 the person in® , 0r ' Give a copy 0f all the documents checked in© to one 0fthe 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 t0 be in charge at the usual workplace ofthe person in® , 0r 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), ‘ifthere i5 no known physical address for the person in® . and mail a copy of the documents left with one of the adults in a, b, or c above t0 the person in®. THEN, ° Complete and sign this form, and - Give 0r mail your completed form to the person who asked you to serve these court papers in timefor theform to befiled mt]: the court at least 5 days before the hearing. © I served the person in® a copy of the documents checked below: a. K SC-lOO, Plaintiffs Claim and ORDER t0 Go r0 Small Claims Court b. D SC-IZO, Defendant’s Claim and ORDER t0 Go t0 Small Claims Court c. D Order for examination, (Thisform must be personally served. Check theform that was servea): Note: The court can issue a civil arrest warrant ifthe sewedparty does not come to court only ifthe orderfor examination was personally served by a registeredprocess server, sherijf marshal, 0r someone appointed by the court. (1)D SC-134, Application and Order to Produce Statement ofAssets and t0 Appearfor Examination (2)D AT-lBS/EJ-125, Application and Orderfor Appearance and Examination d. Other, (spew): Notice to Small Claims Litigants Judwcia1 Council of Cam’omia Revised January 1. 2009. Optional Form PrOOf 0f Semice 8C4 04; Page 1 0f 2 Code ofCiviIProoedure116‘340.415.1D,415.20 (small Claims) Job Number COP_2020006542 Case Number: 20 SC 083415 Case name: Cad! DCI JoseEh Scott vs. Troeea Chirogractic lnc., a a ony ropea, ® Fill out "a" or "b" below: a. D Personal Service: I personally gave copies ofthe documents checked in@ to the person in©2 On (date): At (time): At this address: City: State: Zip: b. Substituted Service: I personally gave copies ofthe documents checked in© (a, b, d) to (check one): D A competent adult (at least 18) at the home of, and living with the person in® , or An adult who seems to be in charge where the person in® 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), ifthere is no known physical address for the person in@. Itold that adult, "Please give these court papers to (name ofperson in® )." I did this 0n (date): 0720/2020 At (time): 9:32 AM At this address: 260 S. Sunnyvale Ave.. Suite 2 City: Sunnyvale State: CA Zip: 94086 Name 0r description ofthe person I gave the papers to: Karen Espinosa l Apparently in Charge Afier 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 t0 the person in® at the address whereI left the copies. [mailed the envelope on (date); 07/20/2020 from (city, state): San Jose CA by leaving it (check one): a. D At a U.S. Postal Service mail drop, 0r b. E At an office 0r business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, 0r c. D With someone else I asked to mail the documents t0 the person in® and I have attached that person's completed Form SC-104A ® Server's Information Name: Kenny Alfaro Phone: (408) 297-6070 Address: 31 E. Julian Street City: San Jose State: CA Zip: 951 12 Fee for service: $ County ofregistration: Santa Cfara Registration Number: PS1675 © I declara 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: 7 {w I 7° Kenny Alfaro }k Type 0r print server’s name Sewer Signs here afier serving JRueTicsizlchgLézgnl‘yo:gaggfnsapfional Form PrOOf Of Sewice 80-1 04' Page 2 0f 2 Code omel Procedure 11EA340,415.10, 415.20 Job Number COP-2020006542 (Small Claims)
