Proof of Service PersonalCal. Super. - 6th Dist.February 26, 2021[mmmlanll CH -200 Proof of Personal Service ”mmh”m" "m"M Person Seeking Protocflona G) Name: Katoryna Pomogaibo I L E n® Person From Whom Prouch'on ls Sought MAR 1 0 2021 Name: Roman Halondovicb ® Notice to Server a fan- Thc server must: {35%. F > o Be 18 ywrs 0f age 0r Older. /;‘z *x fl Fill in mun name andMass: 0 Not be listed in items 0r f ' .\ s "' ' Superior Court of Calflomla, Cou of \ v , I “‘V ofForm CH-lOO. I”. “i santa Clara 0 Give a copy of all documents checked in® to the person in®. (You cannot send them by mail.) Then complete and sign this form and give or mail it to the person in@. 191 N.First street, San joae,CA, 95113 PROOF 0F PERSONAL SERVICE ““"fi's "" “8°"WWWm '8M . Case Number:® I gave me person m®a copy ofthc forms checked below: 2 lcfloogsgo a. m CH-109, Notice ofCourt Hearing E CH-l 10, Temporary Restraining Order E CH- 1 00, Requestfor Civil Harassment Restraining Orders m CH-120, Response to Requestfor Civil Harassment Restraining Orders (blank form) m CH- 1 20-INFO, How Cw: I Respond to a Requestfor Civil Harassment Restraining Orders? D CH-130, Civil Harassment Restraining Order Afier Hearing m CH-800, ProofofFirearms Turned 1n, Sold, or Stored (blank form) E Other (specifl): Civil case cover sheet annppw a ® I personally gave copies of the documents checked above to the person in®: a. On(date): March 7, 2021 b. At (time): 11.55 a am. D p.m_ c. At this address; 675 tasman drive City; Sunnyvale State; CA Zip: 94089 Server's Informau'on Name; Elena Halendevich Address= 300:) mInlrvu‘t five City: Fremont State: CA Zip: 9415.38 Telephone: SIS 33‘ "9696 (Ifyou are a registeredprocess server): County of regish‘ation: Regisu'ation number: a I declare under penalty of perjury under the laws of the Smte ofCalifomia that the information above is true and con'cct. Elena Malendevich Date: March 8, 2021 Type arpn‘ruserwr’sm Server Io sign here wmamm.Maw Proof of Personal Service CH3 CH-m. P0991 oH.uy 1, 2014,WFm Coa- d cmPm. 5m e (CIVII Harassmont Provontlon) www.mheom L mum I