Proof of Service MailCal. Super. - 6th Dist.February 2, 2021PrOOf Of serVice Of Response by Clerk stamps date here when form is filed. Mail ® Person Seeking Protect" ® ® Name“ 3&th nowfuvma I L E Person From hom Protecti n Is Sought MAR 1 8 2021 : CY0” Name MWQ “‘73“ Clerk of tn Co m Notice to Server S“"°"°'C°“" 'V“ YEM DEPUT The server must: o Be 18 years of age or older. o Live 0r be employed in the county where the mailing took place. - Not be listed in items (D or© of Form CH-IOO. ' Mail a copy ofall documents checked in® t0 the person in® Fill in court na d streeTEidress; Superior Court of California, County of Superior Court 0|le Dlvlslon 191 N. FIntSt San Jase. CA 95113 0 Complete and sign this form and give Fi” i" case number: it to the person in@. Case Number: PROOF 0F SERVICE BY MAIL ’24 C“OOQ@’-\l I am l8 years of age 0r 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-l 20, Response t0 Requestfbr Civil Harassment Restraining Orders b. D Other (specifi’): I placed copies of the documents checked ab ve in a scaled envelope and mailed them as described below: a Mailed to (name): \l\ (JQDY l EL Ktfilfi-FLl b. To this address: 1 ( g0 S ~ KM 1E4 MC Zg4¢o ityi wo State. L&Zip:L C- On(date): 05 ‘Y Mfiéd from: City: 9M 34% State: Server’s Infor tion ~ Name: é \ W ?\VWN A Address: SQ 8 g DO“ MM Cbkfi Q} City 4M ?byd State: 0k Zip; QS \93 Telephone: {MU(1%.4' gqq1 (vaou are a Iegisterled process sen er). County of registration: 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: Sang quévq ’ $031M QLUA-ox Type 0r p; indsen CI s name Sewer 10 signae Judicial Councnl cf Cahfotnia‘ www mulls ca gov RManUary 1‘2o1z‘opmlpm Proof of Service of Response by Mail CH4“. P3981 of 1 CMW’CW“ Procedu'e- § 527.6 (Civil Harassment Prevention)
