Proof of Service Summons DLR CivilCal. Super. - 6th Dist.March 26, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 6/23/2021 10:26 PM Reviewed By: A. Rodriguez Case #21CV381409 Envelope: 6711564 21CV381409 Santa Clara - Civil A. Rodriguez POS-O10 ATTORNEY OR PARTY WITHOUT ATTORNEY: Michael Chin?) V11, EsqV (SEN 178148) \,-"U.S.A. Law Offices, AFC .142 E. Mission St San Jose, CA 9511 TELEPHONE NO; (408) 288-7400 ATTORNEY FOR: Plaintiff SUPER!OR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREETADDRESS: 191 North First Street MAILING ADDRESS: 191 North First Street CITY AND ZIP CODE: San Jose, 95113 BRANCH NAME: Civil FOR COURT USE ONLY PLAINTlFF: Pham, Alexuz Linh DEFENDANT; Thai, Hai Bang; does 1-10 CASE NUMBER: 21 CV 381409 PROOF OF SERVICE OF SUMMONS Ref, No. or File No.1 (Separate proof of sen/ice is required for each parfy served.) 1. At the time of service I was at least 18 years of age and not a party to this action. 2, | served copies of: a. summons complaint I Aitemative Dispute Resolution (ADR) package r-.. [M cross-Complaint LX other (specify documents): Notice to Litigants ?*rvanv 3. a Party served (specify name ofparty as shown on documents served): Hai Bang Thai F7 4. Address where the party was served: 542 Hobie Ln., San Jose, CA 951.27 5. I served the patty (check proper box) X I Civil Case Cover Sheet (served in complex cases only) 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) a. by personal service. l personaliy delivered the documents listed in item 2 to the party or person authorized to receive service of process for the party (1) on (dafe):06/19/2021 b. E by substituted service. On (date): at (?ime): (2) at (time):10 : O6 AMl 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) E (business) a person at least 18 years of age apparently in charge at the office or usual place of business ofthe person to be served. | informed him 0r her ofthe genera! nature ofthe papers. (2) E (home) a competent member ofthe household (at feast 18 years of age) at the dwelling house or usual place of abode of the party. l informed him or her ofthe general nature of the papers. (3) l (physicai address unknown) a person at least 18 years of age apparently in charge at the usual maiting address ofthe person to be served, other than a United States Postai Service post office box‘ I informed him 0r her ofthe general nature of the papers. (4) i I thereafter mailed (by first-Class, postage prepaid) copies of the documents to the person to be served at the place where copies were left (Code Civ. Proc‘, 415.20). | mailed the documents on (date): from (city): a declaration of mailing is attached (5) E l attached a declaration of diligence stating actions taken first to attempt personal service. Form Adop‘ed for Mandatory Use P533:[gt;uvéjzgggglqéggn PROOF 0F SERVICE 0F SUMMONS Page 1 of 2 Job Number COP-2021005534 PLAtNTiFF; Pham, Alexuz Limb CASE NUMBER: DEFENDANT; Thai, Haj. Bang; does 1-10 21 CV 381409 C, by mail and acknowledgment of receipt of service. I 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) E} with two copies of the Notice and Acknowledgement of Receipt and a postage-paid return envelope addressed to me‘ (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proo, 415.30.) (4) E to an address outside CaIifomia with return receipt requested. (Code Civ. Proc., 415.40.) d. D by other means (specify means of service and authorizing code section): E Additional page describing service is attached. 6. The "Notice to the Person Served“ (on the summons) was completed as follows: a. as an individual defendant. b. C1 as the person sued under the fictitious name of(specify): c. E] as occupant. d. D On behah‘ of(speC/'fy): under the following Code of Civil Procedure section:E 41610 (corporation)E 416.20 (defunct corporation) E: 416.30 (joint stock company/association)E 416.40 (association 0r partnership) [j 41660 (public entity) 415495 (business organization, form unknown) 416.60 (minor) 416.70 (ward or conservatee) 416.90 (authorized person) 415.46 (occupant) other: DDDDDE 7. Person who served papers a. Name:Scott M. Soto Firm;County Process Service, Inc. Addresgjfsl E. Julian Street, San Jose, CA 95112 Teiephone number: (438) 297-6070 The fee for the service was: $30 . OO | am: (1) E not a registered California process server. (2) E] exempt from registration under Business and Professions Code section 22350(b). (3) a registered CaIifomia process server: (i) owner I employee E independentoontractor. (ii) Registration NO.:9'7 9 {v9.0.6 (iii)COunty:Santa Clara County 8. | declare under penalty of perjury under the laws ofthe State of California that the foregoing is true and correct. or 9. [:3 I am a California sheriff or marshal and I certify that the foregoing is true and correct. Date: E9 M géwfi‘f K) , JQ fig)“; WMWNMmm“ ,5” MM...“ i x Scott M. Soto ’ g E (NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) \NKW (S|flW9MWW \ My} Page 2 of 2 Form Adopted for Mandatory Use JumcialCouncilofCalifornia PROOF OF SERVICE OF SUMMONS JOb Number COP-2021005534POSAmO [Rev January 1‘ 2007]
