Proof of ServiceCal. Super. - 6th Dist.January 27, 2021&Hssklf& I .I prppf pf SerVICe pf Reapprlse by Gterlrstampsdateberewhenlormisliied. Q1 Person Seeking Protection Name: Nicole L. Frandsen Q2 Person From Whom Protection Is Sought Your Name: Victor Moreno Q3 Notice to Server The server must: ~ Be 18 years of age or older. ~ Live or be employed in the county where the mailing took place. ~ Not be listed in items Q1 or Q3 of Form CH-100. ~ Mail a copy of all documents checked in Q4 to the person in Q1 ~ Complete and sign this form and give it to the person in Q2. W.M - Fill in court name and street address: Superior Court of California, County of Santa Clara 191 N. First Street, San Jose, FCA 95113 CIVIL DIVISION Fillin case number: Case Number: 21CH009828 Q4 PROOF OF SERVICE BY MAIL I am 18 years of age or older and not a pmty to this proceeding. I live or am employed in the county where the mailing took place. I mailed the person inQ1 a copy of all documents checked below: a. Foim CH-120, Response to Requestfor Civil Harassment Restraining Orders b. Other (spec!fy)t 5 I placed copies of the documents checked above in a sealed envelope and mailed them as described below:Q a. Mailed to (nanle): Nicole L. Frandsen State: CA b. To this address: 1098 South 6th Street (Front Office) City: San Jose c. On (date): Mailed from: City: San Jose Q6 Server's Information Name: Tommve Wintle Address: 96 North Third Street, Ste. 260 Zip: 95112 State: CA City: San Jose Telephone: 408-993-2100 (Ifyou are a registeredprocess server): County ofregistration: State: CA Zip: 95112 Registration number: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: + f- "b/ Tommye Wintle Type orprint sef'ver 's name Judicial Counml of California, vnvocoudaca gov Rev January 1, 2012, Opsonal Form Cods of Cive Procedure, 6 627 6 Server to sign Here Proof of Service of Response by Mail (Civil Harassment Prevention) CH-250, Page 1 of 1 Electronically Filed by Superior Court of CA, County of Santa Clara, on 3/12/2021 10:25 AM Reviewed By: M. Sorum Case #21CH009828 Envelope: 6022297 21CH009828 Santa Clara - Civil M. Sorum