Proof of Service MailCal. Super. - 6th Dist.February 23, 2021Proof of Service of Response by CW stamps dafehere when 1‘0"“ 15W Maifl Person Seeking Protection ® Person From Whom Ptotection Esgought ® Notice to Server © ® Name: K\amq Manm n a YourNamc: Lg ah‘ q CQS‘rOknch The server must: e Be 18 yeals ofagc or older. Winmminameandmeetaddress: a Live 0r be employed in the county . . ' Su erior Court of California, Coun of whcrc tho mallmg took place. p ty e Not bc listed in items or ® ofForm Superior 3mm CH-loo. Civil Division o Maj] a copy Ofall documents 191 N" Him St checked in © to the person in@. SW JDBB' EA 95113 o Complete and sign this form and give Fm mm gunmen it to the person in® Case Number: PROOF 0F SERVICE BY MAEL X [677/ 00C?$66 I am 18 years of age or older and not a party to this proceeding. Ilive 0r am employed in the c0unty where the mailing took place. I mailed the person in® a copy of all documents checked below: @Form CH-120, Response to Requestfor Civil Harassment Restraining Orders b. D Other (512661352): Iplaced copies of the documents checked above in a sealed envelope and mailed them as described below: a. Mailed to (name): KR o‘no‘ Mmm'mg b. Tothisaddmss: 1 R :I- ’DdQM Pwe #5 City: Sam "305c State:i Zip:W c. On (date): 5 -. L!- 2_ | Mailed fmm: City: S a n 3Q 5c, State: Q a Servers finformation ' Name: Dekorfg5 €ms+ ammo Address: L-\ % q RY \ EA bf City: Sun SOS E. State: _CL Zip:M Telephone: @055) 5 %\ 57' q‘; (Ifyou are a registered process server): County of registration: Registration number: I declare under penalty ofpcxjury under the laws of the Slate of California that the information above is truc and 0011'ch Date: Rn L(- 2\m_figsflmdo- ?%A/Eg {01.0450ng Type arprint server's name Msign ere mum coma awm‘ www.coummw Proof of Service of Response by Mail / oH-zso, Page 1 on Rev.January1.2012.0pbondan . . .mamméms (0MB Harassment Prevention) For your protection and privacy. please plugs the Clear I . ‘ I This Faun human after you have minted me form. fl gmtv‘mis‘ tom. I fl Save this form [