Proof of Service SubstitutedCal. Super. - 6th Dist.April 9, 2020SC ._1 04 Proof of Service ‘ Cierk stamps date here when form is filed. ‘ v; ‘ F.“idly?” Use this form to seyve a person, business, or a ublic entity. T0 learn more about proofofsemee, read Mat is _"Pr00f0f _ervice"?, Form SC-104B. To learn more about how t0 serve a busmess 0r entlty, read How to Serve a Business or Public Entity, Form SC-I 04C. T0 serve a business, you must serve one of the following people: ‘ Owner (for a sole proprietorship) ° Partner (for a partnership) or general panner (for a limited partnership) ° Any officer or general manager (corporation 0r association) ' Any person authpriz'ed'for service by the business (corporation, association, general partnerhlp, 11m1ted partnershlp) ' Any person authorized for service with the Secretaly of State (corporation, Superior Court \\ association, limited liability company [LLC], limited liability partnership Santa Clara County, California [LLP], llmlted partnershlp) Small Claims . . . . . . 1 St To serve a public entity, you must first file a clalm w1th that entlty, then 15:; [joseStCaHfomia 95113 serve one ofthe followmg people: ' Clerk (of a city or county) ° Chief officer or director (0f a public agency) I ° Any person authorized for service by the entity Case Number: I » . . , 20 SC 083447® a. Ifyou are servmg a person, vmte the person s name below: Maria A. Balderas-Vasquez Case Name: . . . . . Santa Clara Coun Federal Credit b. If you are servmg a busmess, 0r entity, wnte the name of the busmess Union VS. BalderagVasquezl Maria or enti , the erson authorized for service, and that erson‘s 'ob title:P P J A. Business or Agency Name Hearing Date: 11/212020 Person Authorized for Service Job Title Time: '1 :00 pm I Dept: ' ‘S ® 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 a1] the documents checked in© to the person in® , 0r 0 Give a copy 0f all the documents checked in© to one of the following people: a. A competent adult (at leasj 18) living with, and at the home of the person in® , 0r b. An adult (at least 18) who seems to be in charge at the usual workplace ofthe person in® , or c. An adult (at least 18) who Seems to be in charge where the person i116) usually receives mail, (but not a U.S. Post Office box), ifthere is no known physical address for the person in© . and mail a copy of the documents left with one ofthe adults in a, b, 0r c above to the person inG) . THEN, ° Complete and sign this form, and ° Give or mail your completed form to the person who asked you to serve these c0un papers in timefor theform ‘to befiled With the court at least 5 days before the hearing. ® I served the person in® a copy of the documents checked below: a. SC-lOO, Plaintiff's Claim and ORDER to G0 t0 Small Claims Court b. D SC-120, Defendant’s Claim and ORDER t0 Go t0 Small Claims Court g c. D Order for examination, (Thisform must be personally served. Check theform that was served): Note: The court can issue a civil arrest warrant ifthe servedparty does not come to court only {fthe order'for examination was personally served by a registeredprocess server, sherifi marshal, 0r someone appointed by the court. (1)D SC-134, Application and Order t0 Produce Statement ofAssers and t0 Appearfor Examination (2)D AT-138/EJ-125, Application and Orderfor Appearance and Examination d. Other, (specz‘jjz): Re uest to Partici ate in On-Line Dis ute Resolution ODR for SmaII Claims Liti antS' ;:€§:;%::::;°:F:$sai"ezm. Fm Proof of Service 50-104, Page 1 °f 3 Code of Civil Procedure 116340, 415.10, 415.20 Job Number COP_20200081 90 (Small Claims) Case Number: 20 SC 083447 Case name: Santa Clara Coun§¥ Federal Credit Union vs. a eras- asquez, ana . ® Fill out "a" or "b" below: a. D Personal Service: I personally gave copies ofthe documents checked in© to the person in®z On (date): At (time): At this address: City: State: Zip: I 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 t0 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, 0r has a private post office box (not a U.S. Post Office box), ifthere is no known physical address for the person in© . I told that adult, "Please give these court papers to (name of person in® )." I did this on (date): 09/18/2020 At (time): 1:00 PM Atthis address: 70 West Hedding 8th Floor City: San Jose State: CA Zip: 951 10 Name or description 0fthe person I gave the papers to: Julian Doe (refused last name) I' Apparently In Charge Age: 25, Sex: m, Race/Skin Color: hisp, Height: 5'6", Weight: 130, Hair: black. Glasses: y I 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. Iaddressed the envelope to the person in® at the address where] lefi the copies. I mailed the envelope 0n (date): 09/1 8/2020 fiom (city, state): San Jose CA by leaving it (check one): a. D At a U.S. Postal Service mail drop, or b. 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, 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 ' © Server's Information Name: Joe Biv Phone: (408) 297-6070 Address: 31 E. Julian Street City: San Jose State: CA Zip: 95112 Fee for service: $ 40.00 : County ofregistration: Santa Clara County Registration Number: 979 © I decIare under penalty 0f perjury under California state law that I am at least 18 years 01d and not named 1n this case andttat the formation above ls true and correct. Date: Z Z Z OZ Joe Bly } A A / X/ \ " /v7 JR?J::L?J:::::::.CZEOIngnCJDaptional Form PrOOf Of semizz 80-1 04‘ Page 2 Of 3 Coda o!CivilPruudura 116.340_415.1o,415.20 I Job Number COP_20200081 90 (Small Claims) Case name: Santa Clara Coun¥ Federal Credit Union vs. a eras- asquez, ana . Case Number: 20 SC 083447 Type 0r print server’s name Server signs here afler serving Judicial Council ofCaTifomia Reulsed January 1. 2009. Optional Fem Code of Civil Procedure 116.340. 415.10. 415.20 Proof of Service (Small Claims) sc-1o4L‘Page 3 of 3 Job Number COP-20'20008190