Proof of Service Summons DLR Civil

Cal. Super. - 6th Dist.March 2, 2021

21 CV378996 Santa Clara - Civil POS-01 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) _ Breann D.H. Cortes | SBN: 293970 Breann DH Cortes 12393 Sunnyglen Dr Moorpark, CA 930212771 TELEPHONE NO.: (310) 800-3445 | FAX NO. |E-MAIL ADDRESS (Optional): bhamiltonesq@gmail.com ATTORNEY FOR (Name): Plaintiff: Vanessa Pagaduan FOR COURT USE ONLY Systerr Electronically Filed by Superior Court of CA, County of Santa Clara, Santa Clara County Court STREET ADDRESS: 191 N 1st St. MAILING ADDRESS: CITY AND ZIP CODE: San Jose, CA 951 13 BRANCH NAME: San Jose on 5/4/2021 12:09 PM Reviewed By: System Systerr Case #21 CV378996 Envelope: 6372182 PLAINTIFF: Vanessa Pagaduan DEFENDANT: HCA Management Services, L.P., et al CASE NUMBER: 21 CV378996 PROOF OF SERVICE OF SUMMONS Ref. No. or File No.:Vanessa Pagaduan 1. At the time of service | was at least 18 years of age and not a party to this action. 2. | served copies of: 8-M Summons b- Complaint C- D Alternative Dispute Resolution (ADR) package d- Civil Case Cover Sheet (served in complex cases only) e. Cross-complaint f. other (specify documents): Civil Case Cover Sheet 3. a. Party served (specify name ofparty as shown on documents served): HCA Health Services of California, |nc., a California corporation b-M Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person under item 5b on whom substituted service was made) (specify name and relationship to the party named in item 3a): Gabriella Sanchez - CT Process Specialist Age: 26- 30 Weight: 161-180 Lbs Hair: Black Height: 5'1 - 5'6 Eyes: Race: Latino 4. Address where the party was served: CT Corporation System 818 W 7th St Ste 930 Los Angeles, CA 90017-3476 5. | served the party (check proper box) Sex: Female a- by personal service. | personally delivered the documents listed in item 2 to the party or person authorized to receive service of process for the party (1) on (date): 4/5/2021 (2) at (time): 1:50 PM b- D by substituted service. On (date): at (time): | left the documents listed in item 2 with or in the presence of (name and title or relationship to person indicated in item 3b): (1) D (business) a person at least 18 years of age apparently in charge at the office or usual place of business of the person to be served. | informed him of her of the general nature of the papers. (2) D (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual place of abode of the party. | informed him or her of the general nature of the papers. (3) D (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing address of the person to be served, other than a United States Postal Service post office box. | informed him of her of the general nature of the papers. (4) D | thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be served at the place where the copies were left (Code Civ. Proc., §415.20). | mailed the documents on (date): from (city): 0|” D a declaration of mailing is attached. (5) D | attach a declaration of diligence stating actions taken first to attempt personal service. Form Approved for Mandatory Use Judicial Council of California POS-010 [Rev. January 1, 2007] PROOF OF SERVICE OF SUMMONS Page 1 of2 Code of Civil Procedure, § 417.10 POSO10-1 l1 24764D System PETITIONER: Vanessa Pagaduan CASE NUMBER: 21 CV378996 RESPONDENT: HCA Management Services, L.P., et al c, D by mail and acknowledgment of receipt of service. | mailed the documents listed in item 2 to the party, to the address shown in item 4, by first-class mail, postage prepaid, (1) on (date): (2) from (city): (3)D with two copies of the Notice and Acknowledgment of Receiptand a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.) (MD to an address outside California with return receipt requested. (Code Civ. Proc., § 41 5.40.) d. D by other means (specify means of service and authorizing code section): D Additional page describing service is attached. 6. The "Notice to the Person Served" (on the summons) was completed as follows: a- D as an individual defendant. b- as the person sued under the fictitious name of (specify): C- as occupant. d- On behalf of (specify): HCA Health Services of California, |nc., a California corporation under the following Code of Civil Procedure section: 416.10 (corporation) D 415.95 (business organization, form unknown) D 416.20 (defunct corporation) D 415-60 (minor) D 416.30 (joint stock company/association) D 415-70 (ward 0|“ conserVatee) D 416.40 (association or partnership) D 415-90 (aUthOVized Person) D 416.50 (public entity) D 415.46 (occupant) D other: 7. Person who served papers a. Name: V. ENRIQUE MENDEZ - DDS Legal Support b. Address: 2900 Bristol Street Costa Mesa, CA 92626 c. Telephone number: (714) 662-5555 d. The fee for service was: $ 38.85 e. | am: (1) D not a registered California process server. (2) exempt from registration under Business and Professions Code section 22350(b). (3) re istered California process sewer: M _ (i) owner employee Independent contractor. (ii) Registration No.2 3428 (iii) County: LOS ANGELES 3_M I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. or 9_ D I am a California sheriff or marshal and | certify that the foregoing is true and correct. Date: 4/6/2021 DDS Legal Support 5 2900 Bristol Street @115] Costa Mesa, CA 92626 (71 4) 662-5555 www.ddslegal.com V. ENRIQUE MENDEZ ’ (NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) POS-010 [Rev January 1, 2007] PROOF OF SERVICE OF SUMMONS Page 2 of2 POS-01 0/1 24764D