Proof of Service PersonalCal. Super. - 6th Dist.January 28, 2021® ® ® CH-ZOO Proof of Personal Service Person Seeking Protection Name: Harris Lee Winns Person From Whom Protection ls Sought Name: Sinue Torres Notice to Server The server must: [§23 :x J ' Be 18 years Ofage 0r Older' /;\? AF f Fillin court name and streetaddress: ' Not be listed in items® or© f f \, $ ’M/ Superior Court of California, County of of Form CH- 100. l“: r “x Santa Clara ° Give a copy of all documents checked in@ to the person in®. 191 N ISt St (You cannot send them by mail.) Then complete and sign this sen Jose CA 95] l3 form and give or mail it to the person in®. PROOF OF PERSONAL SERVICE Court fills in case number when form 1's filed. Case Number: I gave the person in®a copy ofthe forms checked below: 2] CH 009831 . CH-109, Notice ofCourt Hearing E CH-l 10, Temporary Restraining Order CH-IOO, Requestfor Civil Harassment Restraining Orders E CH-IZO, Response t0 Requestfor Civil Harassment Restraining Orders (blank form) CH-lZO-INFO, How Can I Respond t0 a Requestfor Civil Harassment Restraining Orders? D Cl-I- 130, Civil Harassmenl Restraining Order After Hearing CH-SOO, ProofofFirearms Turned 1n, Sold, or Stored (blank form) . E Other {specifix}:CCCS; CM-5014 S‘Qerwrbgpp‘w I personally gave copies of the documents checked above to the person in®: a. On (date):AEril 3, 2021 b. At (time): 10:36 AM E a,m_ U p,m_ c. At this address: 1320 Foxdale Loop #201 City: San Jose State: CA Zip: 95 122 Server's Information Name: Scott Soto Address: 31 E Julian St City: San Jose State: CA Zipz951 12 Telephone: 408-297-6070 {17};on are a registeredprocess server).- County of registration: Santa Clara Registration number: 979 I declare under penalty of perjury under the laws 0fthe State 0f California that th ' correct. formation above is true Date: April 5, 2021 Scott Soto > TYP" 0’15“” 59"?” '5 name Server ro sign here \--__) \J J aid Ic w vc n i, . n‘ 4 - CH-ZOO Page 1 of1 Rivgsfluflfl.Soifloiamn?” “39°" Proof of Personal Servuce I CMMW PWGU’B-W” (Civil Harassment Prevention)
