Proof of Service Mail

Cal. Super. - 6th Dist.April 26, 2021

I -’ POS-030 ' ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, end address)? FOR COQRT USE ONLY5W (2mm ‘gou Q‘vfl; wuw CiV Sam 83$) , CA Q93; TELEPHONE No; Qog-mZI-Zm FAX Noxomonal): E-MAILADDRESS{Optionauwamiwspwfl'm F I L E D menumomamex SELF-REPRESENTED , SUPERIOR COURT 0F CALIFORNIA,COUNTY 0F Santa Clara g m1 JUN lb . A ll: 3L, STREETADDRESS: 1m L), (51's? SVM MNLINGADDRESS: CLERK OF THE 0U v CITYANDZIPCODE: Saw 5936, C” “5W5 SUPERHL‘ CDUR‘? OFRCTA M BRANCH NAME: mm“ W “WW "CIV“ (?UNTY r; 52AM“? CLARA ‘ PETITIONER/PLAINTIFF: 0‘10,“ gawk, .m _______________BEPUW RESPONDENT/DEFENDANT; Wk (2mm L 3390446“ PROOF 0F SERVICE BY FIRST-CLAss MAIL - CIVIL “SE“UMngj (N 3&1 60‘ (Do not use this Proof of Servicé to show service of a Summons and Complaint.) 1. l am over 18 years of age and not a party to this action. l am a resident of or employed in the county where the mailing took place. 2_. My residence or business address is: 1501.1 0mg, flouow’ Onto SmeDwI (A W563 3. On (date): 00 I 1512031 | mailed from (city and state): the following documents (specify): Answer - Contract 5M 39"". (A D The documents are listed in the Attachment to Proof of Service by First-Class Mai! - Civil {Documents Served) (form POS-030(D)). 4. | served the documents by enclosing them in an envelope and (check one): a. a depositing the sealed envelope with the United States Postal Service with the postage fully prepaid. b. D placing the envelope for collection and mailing following our ordinary business practices. I am readily famiiiar with this business's practice for collecting and processing correspondence for mailing, On the same day that correspondence is piaced for collection and mailing, it is deposited In the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid. 5. The envelope was addressed and mailed as follows: a. Name of person served: Owg’ww WM" b. Address of person served: 1901-! WW vaim/ Ctr Sm 3050, 0P“ qs‘g5 D The name and address of each person to whom l mailed the documents is listed in the Attachment to Proof of Service by First-Class MaiI-Civil (Persons Served) (POS-030(P)). I deciare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Cnfivfit’ Qamliwa } k/fW (TYPE 0R PRINT NAME OF PERSON COMPLETING THIS FORM) (SIGNATURE OF PERSON COMPLETING THIS FORM) ForrnAp rovedforO tional Use PROOF OF SERVICE BY FlRST-CLASS MAIL - CIVIL Code ofCivil Procedure. §§ 1018. 10133 Jucfid Council of alifornla . wmv.couninfo.ca‘gov P054330 [New January 1, 2005] ataranbcant (Proof Of Seerce) m ESSENTIAL FHHMS’" INFORMATION SHEET FOR PROOF OF SERVICE BY FlRST-CLASS MAIL - CIVIL (This information sheet is not part of the Proof 0f Service and does not need to be copied, served, or filed.) NOTE: This form should not be used for proof 0f service ofa summons and complaint. For that purpose, use Proof of Service of Summons (form POS-01 0). Use these instructions to complete the Proof of Service by First-Class Mail - Civil (form POS-OSO). A person over 18 years of age must serve the documents. There are two main ways to serve documents: (1) by personal delivery and (2) by mail. Certain documents must be personally served. You must determine whether personal service is required for a document. Use the Proof of Persona! Service - Civil (form POS-OEO) if the documents were personally sewed. The person who served the documents by mail must complete a proof of service form for the documents served. You cannot serve documents if you are a party to the action. INSTRUCTIONS FOR THE PERSON WHO SERVED THE DOCUMENTS ‘ The proof of service should be printed or typed. lf you have Internet access, a filIable version of the Proof of Service form is available at Www‘courfinfo.ca.gov/fonns. Compiete the top section of the proof of service form as follows: First box Iéft side : 1n this box print the name, address, and telephone number ofthe person for whom you served the documents. Second box left side: Print the name of the county in which the legal action is filed and the court’s address in this box. The address for the court should be the same as on the documents that you served. ~ Third box left side: Print the names ofthé PetitionerlPlaintiff and Respondent/Defendant in this box. Use the same names as are on the documents that you served. First box. top of farm, riqht side: Leave this box blank for the court's use. Second box right side: Print the case number in this box. The case number should be the same as the case number on the documents that you served. Complete items 1-5 as follows: 1. You are stating that you are over the age of 18 and that you are not a party to this action. You are also stating that you either live in or are employed in the county where the mailing took place. 2. Print your home or business address. Provide the date and place ofthe mailing and list the name of each document that you mailed. If you need more space to list the documents, check the box in item 3, complete the Attachment to Proof of Service by First-Class Mail - Civil (Documents Served)(form POS-030(D)), and attach It to forrn POS-030. 4. For item 4: Check box a If you personally put the documents in the regular U.S. mail. Check box b if you put the documents in the mail at your place of business. 5. Provide the name and address 0f each person to whom you mailed the documents. If you mailed the documents to more than one person, check the box in item 5. complete theAttachment to Proof of Service by First-Class Mail - Civil (Persons Served)(form POS-030(P)), and attach it to form POS-030. At the bottom, fill in the date on which you signed the form, print your name, and sign the form. By signing, you are stating under penalty of perjury that all the information you have provided on form POS-030 is true and correct. Pos-030[New January 1,2005] PROOF 0F SERVICE BY FIRST CLASS MAIL - CIVIL Ea ManinDcan's (PTOOf Of service) BSEHHM FHRMSN