Proof of Service PersonalCal. Super. - 6th Dist.February 4, 2021POS-OZO ATTORNEY OR PARTY WITHOUT ATTORNEY (Mm, $b 8Umm and oddms) FOR COURTwE ONLY Chelsea Pacheco 1558 Trieste Way San Jose CA 95122 TELEPHONE No 408.585-9387 FAX No (0pm) E-MNL ADDRESS (Oplml) ATTORNEY FOR (Nam) SUPERIOR COURT OF CALIFORNIA. COUNTY OF Santa Clara l L ESTREET ADDRESS 191 North First Street MNUNG ADDRESS San Jose CA 95113 QTY ANDZIPCODE FEB 1 0 2021 BRANCH NAME. Limited PETITIONER/PLAINTIFF: Chelsea Pacheco RESPONDENT/DEFENDANT: Yesenia Martinez CASE NUMBER PROOF OF PERSONAL SERVICE-CIVIL 21CH009847 LEVYING OFFICER FILE NUMBER 21892299 (Do not use this Proof of Service to show service ofa Summons and Complaint.) I am over 18 years of age and not a patty to this action. l served me following documents (specify): Nr‘ m The documents are listed in the Attachment to Proof of Personal Service-Civil (Documents Served) (form POS-020(D)). 3. I personally served the following persons at the address, date, and time stated: a- Namei Yesenia Martinez b- AddFGSSI 55 West YoungerAvenue San Jose CA 95110 C- Date: 02/09/2021 Remarks: d. Time: 1:15 pmD The persons are listed in the Attachment to Proof of Persond Service-Civi/ (Persons Served) (form POS-020(P)). Remarks: Hearing date: 03/30/2021 Time: 9:00 am Fee for service was: $40.00 Bill to Court 5. My name, address, telephone number. and. if applicable, county of registration and number are (specify): Name M. Flores Address 55 w YoungerAve San Jose, CA 95110 Telephone number (408) 808.4800 6. D l declare under penalty of perjury under the laws ofthe State of California that the foregoing is true and correct. 7. m l am a California sheriff or marshal and certify that the foregoing is true and correct. Laurie Smith, Sheriff Datei Tuesday, February 9, 2021 County of Santa c ra Sig re of Sheriff's Authorized Agent Famprwod'orWUu CodedCNIlProooduro.§1O11- PROOF OF PERSONAL SERVICE-CIVILaged6&2?an mooumnb cavgov Court Copy Pos-ozom) SHORT TITLE: Chelsea Pacheco vs. Yesenia Martinez CASE NUMBER _ 21CH009847 ATTACHMENT TO PROOF OF PERSONAL SERVICE-CIVIL (DOCUMENTS SERVED) (This Attachment is for use with form POS-020) The documents that were personally served are as follows (describe each document specifically): CH-110 TEMPORARY RESTRAINING ORDER, CH-100 REQUEST FOR CIVIL HARASSMENT RESTRAINING ORDERS, CH-109 NOTICE OF COURT HEARING, CH-120 RESPONSE TO REQUEST FOR CIVIL HARASSMENT RESTRAINING ORDERS, CH-120-INFO HOW CAN | RESPOND TO A REQUEST FOR CIVIL HARASSMENT RESTRAINING ORDERS? CH-800 PROOF OF FIREARMS TURNED IN, SOLD, OR STORED, CM-010 CIVIL CASE COVER SHEET, CV-5014 DECLARATION IN SUPPORT OF EX PARTE APPLICATION FOR CIVIL RESTRAINING ORDERS. CH-250 PROOF OF SERVICE OF RESPONSE BY MAIL (CIVIL HARASSMENT), CH-800-INFO HOW DO | TURN IN, SELL OR STORE MY FIREARMS?. FW-OO1-INFO, FW-003 FEE WAIVER Fm?dww ATTACHMENT TO PROOF OF PERSONAL SERVICE-CIVIL 1_d._1_ Posmmmum 1. 20051 (Documents Served)
