Proof of ServiceCal. Super. - 6th Dist.March 4, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 4/23/2021 3:52 PM Reviewed By: K. Nguyen Case #21CH009906 Envelope: 6307637 CH_250 PrOOf Of seI'Vice Of Response by Clerk stamps date here when form is filed. Mail ® Person Seeking Protection Name: Deborah Raquel Cardenas Barragan ® Person From Whom Protection ls Sought YourName: Maria Elena Cruz Gonzalez ® Notice to Sewer The server must: Fill in court name and street address: Superior Court of California, County of Santa Clara Civil Division 191 North First Street San Jose, CA 951 13 o Be 18 years of age or older. o Live or be employed in the county where the mailing took place. o Not be listed in items@ or@ of Form CH-lOO. ° Mail a copy of all documents checked in@ to the person in®. 0 Complete and sign this form and give Fi” in case number: it to the person in® . Case Number: 21 CH009906 PROOF OF SERVICE BY MAIL ® I am 18 years of age or 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 CD a copy of all documents checked below: a. Form CH-lZO, Response to Requestfor Civil Harassment Restraining Orders b. D Other (specifji): ® Iplaced copies of the documents checked above in a sealed envelope and mailed them as described below: a_ Mailed t0 (name); Deborah Raquel Cardenas Barragan b_ To this address: 224 North 12‘lh Street City; San Jose State: CA Zip: 95111 c. 0n (daze): 04/22/2021 Mailed from: City: San Jose State: CA ® Server’s Information Name: Odalis Valencia Ortega Address: 84 West Santa Clara Street Suite 560 City: 3a" J°Se State: CA Zip: 95113 Telephone: (408) 564'8051 (Ifyou are a registeredprocess server): County of registration: N/A Regisfiation number: N/A I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: 04/22/2021 Odalis Valencia Ortega D Type orprint server ’s name Server t0 sign here ( S Judicia! Council of California. www.courtsna'gov Remus”nmopummm Proof of Service of Response by Mail °”‘25°’ P89“ °” cm °‘ CW" Pmedure- § 5275 (Civil Harassment Prevention)
