Proof of ServiceCal. Super. - 6th Dist.March 3, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 3/10/2021 11:02 AM Reviewed By: K. Nguyen Case #21CH009899 Envelope: 6002982 _ Ierk stamps date here when form is filed. CH-ZOO Proof of Personal SerVIce ® Person Seeking Protection Name: Monica Martinez-Mendoza ® Person From Whom Protection ls Sought Name: Benjamin Samiel Dolida ® Notice to Server g rr‘“\) The server must: g? cg) {I ) \ K ' Be 18 years Of age 0r Older- /\ b\\ aéA Fill in court name and street address: o Not be listed in items® or® f )‘ n/jfi (‘1 I / I Superior Court of California, County of of Form CH- 1 00. f‘r r VN /7 Santa Clara ' Give a copy 0f all documents checked in@ to the person in®. $91 JN IStCSAt 951 1 3(You cannot send them by mail.) Then complete and sign this an 056 form and give or mail it to the person in (D. PROOF OF PERSONAL SERVICE Court fills in case number when form is filed. _ Case Number: G) I gave the person 1n®a copy ofthe forms checked below: 21 CH 009899 m . E CH-109, Notice ofCourt Hearing b. E CH-l 10, Temporary Restraining Order . E CH-lOO, Requestfor Civil Harassment Restraining Orders . E CH-lZO, Response to Requestfor Civil Harassment Restraining Orders (blank form) . E CH-lZO-INFO, How Can I Respond t0 a Requestfor Civil Harassment Restraining Orders? D CH-130, Civil Harassment Restraining Order After Hearing . E CH-800, ProofofFirearms Turned In, Sold, 0r Stored (blank form) . E Other (specifiz):CCCS; Dec] re Ex Part6 0-0 B‘UQWG ® I personally gave copies ofthe documents checked above to the person in®2 a. On (date):March 6, 2021 b. At (time): 12:07 PM D a.m. E p.m. c. At this address: 2558 Berryessa City: San Jose State: CA Zip: 95132 ® Server's Information Name: Scott Soto Address: 31 E Julian St City: San Jose State: CA Zip: 951 12 Telephone: 408-297-6070 (Ifyou are a registeredprocess server): County of registration: Santa Clara Registration number: 979 I declare under penalty 0f perjury under the laws of the State of California that the information above is and correct. Date: March 8, 2021 Scott Soto > Type orprint server 's name Server to sign hereW j) Judicial CouncilofCalifomia, www.caurts.ca.gov Proof Of Personal Service CH-zoo, Page 1 0f1Revised ngy 1, 2014, Optional Form 0°“°‘C’V"Pr°°ed”'9-§527-6 (Civil Harassment Prevention)