Proof of Service PersonalCal. Super. - 6th Dist.March 18, 2021Proof of Personal Service ® Person Seeking Protection Name: TH 2M WJHHM ® Person From Whom Protection ls Sought Name: _-*-@“Notice t0SW" fl ‘ The server must: ' Be 18 years ofage or older. 0 Not be listed in items CD or C3) ofForm CH-IOO. K&OA Nam E Cierk stamps dare here when form is flied. Fill in court name and street address: Superior Court of California, County of Santa Clara 191 N. First St.° GiVe a copy ofall documents checked in® to the person in®. Sa Jose CA 951 13n a(You cannot send them by mail.) Then complete and sign this form and give 0r mail it to the person in PROOF 0F PERSONAL SERVICE I gave the person in®a copy 0f the forms checked below: a. I CH-109, Notice ofCourt Hearing b.lI CH-l l 0, Temporary Restraining Order c. I CH- I 00, Requestjbr Ciw'l Harassment Restraining Orders d. CH-120, Response (0 Requestjbr Civil Harassment Restraining Orders (blank form) e f. g Case Number: zlcflooflaa . CH-120-INFO, How Can I Respond t0 a Requestfor Civil Harassment Restraining Orders? D CH-l 3 0, Civil Harassment Restr(lining Order After Hem ing E CH-800, ProofofFireanns Turned In Sold or Stored (blank form) h. E Other (specifil). Decl. CV-5014 and Civil Case Cover Sheet CM-010 Ipersonallycrave copies of the documents checked above to the person in® a. 0n (date): b At (time):i: 2C) D a_m®grpm c. Atthis address: (345%;mowp$w $17 City Mibyi'fooé (Jr 145095 State: (Li? 450 5? Server's Information Name: HMM WUMW Address: )0 7/ 5WP7‘FI 5MW Clty-9W} OLAM OA- qufa State: CxA Zip: qgafo (403)243-4206 (Ifyou are a regiyteredprocess server): County of registration: Telephone: Registration number: Ideclare under penalty ofpexjury under the laws of the State of California that the information above is true and correct. Date: MMMM Me orpn‘nr :en-er 's name Sen~er to sign here } MUM Q ”a/fl/‘l/ fl Judidal Couna'l of Caflfornia, m‘comscagov Revised July 1. 2014, Optimal Form Code o! Civil Procedute. § 527.5 Proof of Personal Service C-H'zoo' P3991 °“ (Civil Harassment Prevention)