Proof of Service MailCal. Super. - 6th Dist.January 27, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 3/11/2021 1:58 PM Reviewed By: K. Nguyen Case #21CH009824 Envelope: 6015613 Proof of Service of Response by Clerk stamps date here when form is filed. CD Person Seeking Protection 7 Name: Phuong Ngugen ® Person From Whom Protection ls Sought Your Name: Jizhi Pan ® Notice to Server The server must: 0 Be 18 years of age or older. o Live or be employed in the county where the mailing took place. Fi/I in court name and street address: Superior Court of California, County of . . . SANTA CLARA. Elgigélsted 1n ltems (D or @ ofForm SPP‘erio‘r Csmrt - =‘: C1v11 D1v1310n o Mail a copy of all documents 191 N. First ST. checked in ® to the person in@. San Jose, CA 951 13 o Complete and sign this form and give Fm in case number,- it to the person in®. Case Number: 2 lCH009824@ PROOF 0F SERVICE BY MAIL I am 18 years of age or older and not a party to this proceeding. I live or am employed in the county where the mailing took place. I mailed the person in® a copy of all documents checked below: a. Form CH-120, Response to Requestfor Civil Harassment Restraining Orders b. D Other (Specifi): ® I placed copies of the documents checked above in a sealed envelope and mailed them as described below: a. Mailed to (name): Phuong Ngugen b. To this address: 831 Spindrift Ave. City: San Jose State: CA Zip: 95134 c. On (date): March 10, 2021 Mailed from: City: San Jose State: CA @ Server’s Information Name: Lin Chen Address: 27 1 North First Street City: San Jose State: CA Zip: 95113 Telephone: 408-299-0800 (Ifyou are a registeredprocess server): County 0f registration: Registration number: I declare under penalty ofpeljury under the laws ofthe State of California that the information above is true and correct. Date: March 11, 2021 E r! . W >"‘f?‘/7 r" LinChen ’ £24m b" é 05V Type orprint server ’s name Server to sign here éudicialCouncilofCaIifom‘ia, www.couns.ca_gov Proof Of Service Of Response by Mail CH-250, Page 1 of1ev. January 1, 2012, Optional Form _ _ ,Code or own Procedure, § 527.6 (CIVII Harassment Prevention) E” |,, Save this fgrm i