Proof of Service MailCal. Super. - 6th Dist.January 21, 2021PrOOf Of SerVice Of order Clerk stamps dare here when form ls filed After Hearing by Mail )rm mq sum lwn C/l- I30 Cixil Harassment Restraining Order After I I E Hearing. 0;: n'zc rc5.mir.uipc‘rwn b}. mm! {f ML nmamedpelson uas m! u: (he hearing and: MAR 1 6 202] ’ Before [he hearing. h’ze resn‘ainedperson u'us personally sen‘ed n‘i/lz Form r of the Court CH-HO. Temporary Restraining Order, andproqfofsen'icy ofForm Supo a Sam. cum CH-HO was prescmcd 10 (he court ar the hearing: and BY N DEPUTY - Thejudg L y ordcrs in Form CH-130 are (/10 5am; :15 in Form CH-l/O F,” m com name and Wee! address. eXcemfor (1:: expiration dare. Superior Court of California. Coumy of Santa Clara “Protected Person Civil Division Name: E?(Iémflflvmacfi 191 N First Street San Jose, CA 95113 ® Restraine Person ‘,fl Fm Ir? case nun‘bef Namei Case Number: QlCH 0mm PROOF OF SERVICE BY MAIL G) [am 18 years ofage or older and not a party t0 this proceeding or a person listed in item© 0f Form CH-ISO. Hive or am employed in the county where the mailing took place. I mailed (he restrained person a copy of: a. Fonn CH-l 30, Civil Harassment Resu‘airzing Om’erAfier Hearing b. D Other (specifi'): ® I placed copies ohhe documents aboxe in a scaled cmelopc and mailed them as described below: a. Mailed to (name): QlknflMQfl75] l (’7 b. Tothisad ess: /AH3] H0(Sfmghog 1306 City: O(bi/L} Iv 3/ State:§Afl__ Zip: / C On (dare), , )Zl (‘2! 4‘ I Mailed from: City: 33‘7( 05C State: C5) Server’sgormation/ I Name: (aflm?foo 9r Telephone: H05 H76!@7g Address: ‘Q‘q (?{LQ‘KGCHVZ Vf- Ciry: 3;th hCCJ Swab Zip: gig! 2; (Ifyou are a regzsh red process server).- County of registration: Registration number: I declare under penalty ofperjury under the 1:1sz ofthe State ofCalifomia that the information above is true and correct. Date: fi( Qan‘P'oos/t > / / Type orprin/ sen er s name Server t0 sign here Amos! Comet ar‘ Cam'cma mm rams ca gov “mew,“zc._z.c:.m.;c,~ Proof of Service of Order After Hearing by Mail CH'250' Page 1 0H wac‘vdpwcedwa 95275 (Civil Harassment Prevention)
