Proof of ServiceCal. Super. - 6th Dist.January 29, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 2/5/2021 12:38 PM Reviewed By: K. Nguyen Case #21CH009835 Envelope: 5789209 , Clerk stamps date here when form is filed.WV*200 Proof of Personal SerVIce CD @6969 © Petitioner (Employer): THE JOHN STEWART COMPANY Employee in Need of Protection: CHRISTINA PAGKALINAWAN Respondent (Person From Whom Protection ls Sought): BRMN ALLEN Fill in court name and Street address: Notice to Server Superior Court of California, County of Santa Clara The server must: 191 N 1st 5t o Be 18 years ofage or older. SanJose. CA 951 13 o Not be listed in items @, ®, or® offerm WV-mo. o Give a copy of all documents checked in® below to the respondent. (You cannot send them by mail.) Then complete and sign this form and give or mail it to the Patitime“ Fill in case number: PROOF 0F PERSONAL SERVICE Case Number: 21CH009835lgave the respondent a copy of the forms checked below: a. E WV-109, Notice of Court Hearing b. E WV-1 1 O Temporary Restraining Order WV-I 00, Petition for Workplace Walence Restraining Orders WV-I 20,(Response to Petition for Workplace Walence Restraining Orders (blank form) WV-1 ZO-IN F0, How Can I Respond to a Petition for Workplace Wolence Restraining Orders? WV-I 30, Workplace Walence Restraining Order After Hearing WV-800, Proof of Firearms Turned In, Sold, or Stored (blank Form) Other (speafix): DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR CIVIL RESTRAINING ORDERS, CIVIL CASE COVER SHE ET, WV-ZSO PROOF OF SERVICE OF RESPONSE BY MAIL EEDEBE I personally gave copies ofthe documents checked above to the resondent a. 0n (dare): Thu, Feb o4 2021 b. At (time): 12:55 E a.m. E p.m. c. At this address: 1144 S 2nd St # 214 City: Sanjose State: CA le: 951 12 Server's information Name: CALVIN F. SMITH @LEGAL PURSUIT. INC. Address: 22 W. St. John Street # B City: SAN JOSE State: CA Zip: 951 13 Telephone: 408~28841 05 (lfyau are a registered process server): County of registration: SANTA CLARA Registration number: P51750 I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: 02/05/2021 CALVIN F.SMITH i I‘LJ Type or print server's name Server ta sign here Judlcial Council of California. mcourtinfocagav Proof of Personal Service WV-ZOO. Page 1 0“ ReVisedMy 1. 2014. Optional Form (Workplace Violence Prevention} Code ofCivII Procedure. §§ 527.8, 1011
