Proof of Service Summons DLR Civil

Cal. Super. - 6th Dist.April 7, 2021

POS-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLYimam Sdkcmkék E m bl mmm Em E JoJe, (Ar qr”? TELEPHONE NO; I FAX NO. {OpfionaU.’ E-MAILADDRESMOpaonaUQéer “)7 7Qj/aaII-CUA-L SEP 2 7 2021 AWORNEY FOR (Name): SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F he Court STREET ADDRESS: 9 ' s ma Clara 1 1N. Fir {Sf DEFMAILING ADDRESS: San JUse CA 95113 CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETIHONERWruf ‘ Ebkrp h‘SeS case NUMBER: DEFENDANT/RESPONDENT: Cr/u Asphfc/l g/C/g79/90 y Ref. No. or File No.: PROOF OF SERVICE OF SUMMONS (Separate proof of service is required for each party served.) ‘I. At the time of service Iwas at least 18 years of age and not a party to this action. 2. | served copies of: a- summons .0' DUEEELEL complaint Alternative Dispute Resoiution (ADR) package Civil Case Cover Sheet (served in complex cases only) cross-complaint other (specify documents): 3. a. Party served (specify name ofparry as shown on documents served): 6/516 5/00’ 7 U under item 5b on whom substituted service was made) (specify name and relationship to the party named in item 3a):$ o nov0A 4. Address where the party was sewed: 900 elm 13¢de wa/ .W Person (other than the party in item 3a) served on behalf 0f an entity or as an authorized agent (and not a person 5. | served the party (check proper box) a. E 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): (2) at (time): b. E 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 3): (1) |:| (business) a person at least 18 years of age apparently in charge at the office or usual place of business of the person t0 be served. l informed him or her 0f the general nature of the papers. (2) E (home) a competent member of the household (at [east 18 years of age) at the dwelling house or usual place of abode ofthe party. | informed him or her of the general nature of the papers. (3) E (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. I informed him or her of the general nature of the papers. (4) E | 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 (dale): from (city): or a decfaration of mailing is attached. (5) E l attach a declaration of diligence stating actions taken first to attempt personal service. Page1 of2 Form Adopted for Mandatory Use PROOF OF SERVICE 0F summoNS Coda of Civil Procedure. 5417,10 Judicial Council of Califomfa POS-O‘io [Rev. January 1, 2007] PLAINTIFF/PETITIONER: \mCorfi7 En krprigeg CASE NUMBER; BEFENDANT/RESPONDENT:C[ “b <90,qu 9/6/37?/?0 5_ Cr by mail and acknowledgment of receipt of service. | mailed the documents Eisted in item 2 to the party. to the address shown in item 4, by first-class mail, postage prepaid. (1) on date): f/go/go;( (2) from (city):SM Joy; (3) with two copies of the Notice andAcknowledgment ofReceipt and a postage-paid return envelope addressed to me. {Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.) (4) E to an address outside California with return receipt requested. (Code Civ. Proc., § 415.40.) d. E by other means (specify means of service and aurhorizr‘ng code section): E Additional page describing service is attached.” o 6. The "Notice t0 the Person Served“ (on the summons) was completed as follows: a. E as an individual defendant. - as the person sued under the fictitious name of (specify): as occupant. On behalf of (specify): under the following Code of Civil Procedure section: D 416.10 (corporation) E 415.95 (business organization. form unknown)D 416.20 (defunct corporation) 416.60 (minor)E 416.30 (joint stock company/associaiion) D 416.70 (ward or conservatee) 9.06 EBB E 41 6.40 (association 0r paflnership) D 41 6.90 (authorized person) Cl 416.50 (pubtic entity) E 415.46(occupant)D other: 7. Person who served papers a. Name'flnnix Pofifl / 1?, Address://7 5mm kw” 70’ Telephone numberzyvj’f'éfi ‘ya‘s o The fee for service was: $ ETD O | am: (1) E not a registered California process server. (2) exempt from registration under Business and Professions Code section 2235003). (3) a registered Catifornia process server; (i) E owner D employee E independent contractor. (ii) Registration N0; (iii) County: @906 8. ¢ l declare under penalty 0f perjury under the [aws 0f the State 0f California that the foregoing is true and correct. or 9. E l am a California sheriff or marshal and | certify that the foregoing is true and correct. Dat917.§7gyqu/ (NAME 0F PERSON WHO SERVED PAPERS/SHERIFF 0R MARSHAL) AV ‘ V j (S1GNATURE 3’ Pagez ofzF0301“ [RQV'JWW ”0°" PROOF 0F SERVICE 0F SUMMONS i El Completeitems‘l, 2. and3. A 5' nature ' El Print your name and addréss on the reverse x ??%tfi/v/ SC fi/Agem i so that we can r‘etum the card to you. ~ D Address I U Attach this card to the back of the mailpiece. B' Hecewec‘ by (Printed Name) fl yetefiof Del've or on the front if space permits. “MDJM CNSOW 1. Article Addressed to: D. rs delivery addra‘ss drrrerentrmmitem 1? D es ‘ If YES. enter defivery address bélom No Mupsw ' . i §§[ID E???thckié4fi253 _ r mag; " ~ : 3. 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