Proof of Service Summons DLR Civil

Cal. Super. - 6th Dist.March 30, 2021

ATIORNEY OR PARTY WITHOUTATTORNEY (Name, State Bar number, and address): Scott Berman SBN 191460 Berman North LLP 2225 E Bayshore Rd 200 Palo Alto, CA 94303 TELEPHONE NO.: (650) 320-1685 FAX NO. (Optional). POS410 FOR COURT USE ONLY E-MAIL ADDRESS (Optional): scott@bermannorth.corn ATTORNEY FOR (Name): Plaintiff SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA - CENTRAL (ERLING) STREET ADDRESS: 191 N First St. MAILING ADDRESS: 191 N First St. CITY ANDZIP CODE: San Jose, CA95113 BRANCH NAME SUPERIOR COURT OF CALIFORNIA, COUNTYOF SANTACLARA- CENTRAL (EFILING) PLAINTIFF/PETITIONER: Michael Harbour DEFENDANTIRESPONDENT: PURE BLUE MEDICAL, INC. CASE NUMBER 21CV381529 PROOF OF SERVICE SUMMONS Ref. No. or File No.: 10262 (Separate proof of service is required for each party served.) 1. At the time of service I was atleast18 years of age and nota partyto this action. 2. I served copies of: Summons; Complaint; Notice of Lawsuit; Civil Case Cover Sheet 3. a. Partyserved (specify name ofparty as shown on documents served): Reeve Benaron b. ~ Person (other than the partyin item 3a) served on behalfofan entityor as an authorized agent(and nota person under item 5b on whom substituted service was made) (speci fy name and relationship to the party namedin item 3a): 4. Address where the party was served: 9722 Monte Nfar Dr, Los Angeles, CA 90035 I served the party(check properbox) a. ~3t, by personal service.! personallydelivered the documents listed in item 2 to the partyor person authorized to receive service of process for the party (1) on: 7/15/2021 (2) at: 10142 AM b. ~ bysubstituted service. On: at: I left the documents listed in item 2 with or in the presence of(name and title or relationship to personindicated in item 3): (1) ~ (3) (4) (business) a person at least 18 years of age apparently in charge at the office or usual place ofbusiness of the person to be served. I informed him or her of the general nature of the papers. (home) a competent member of the household (at least 18 years of age) at the dweling house or usual place of abode of the party. I informed him or her of the general nature of the papers. (physical address unknown) a person of 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. I thereafter mailed (byfirst-class, postage prepaid) copies of the documents to the person to be served at the place where the copies were leR(Code Civ. Proc., II 415.20). I mailed the documents: on: from: or ~a declaration of mailing is attached. POS-010 Iffev. January1, 2002I PROOF OF SERVICE OF SUMMONS Page1 of 3 Invoice ¹ 4719386-02 Electronically Filed by Superior Court of CA, County of Santa Clara, on 7/20/2021 2:03 PM Reviewed By: System System Case #21CV381529 Envelope: 6886221 21CV381529 Santa Clara - Civil System System PLAINTIFF/PETITIONER: Michael Harbour DEFENDANT/RESPONDENT: PURE BLUE MEDICAL, INC. CASE NUMBER: 21CV381529 (5) ~ I attach a declaration of diligence stating actions taken first to attempt personal service. c. ~ by mail and acknowledgment of receipt of service. I mailed the documents listed in item 2 to the party, to theaddress shown in item 4, byfirst-class mail, postage prepaid, (1) on: (2) from: (3) ~ with two copies of the Notice and Acknowledgment ofReceipt and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt.) (Code Civ. Proc., Q 415.30.) (4) ~ to an address outside California with return receipt requested. (Code Civ. Proc., Q 415.40.) d. ~ by other means (specify means of service and authorizing code section): Additional page describing service is attached. The "Notice to the Person Served" (on the summons) was completed as follows: a. ~~ as an individual defendant. b. ~ as the person sued under the fictitious name of (specify): c. ~ as occupant. d. ~ On behalf of (specify):under the following Code of Civil Procedure section: 416.10 (corporation) 416.20 (defunct corporation) 416.30 (joint stock company/association) 416.40 (association or partnership) 416.50 (public entity) 415.95 (business organization, form unknown) 416.60 (minor) 416.70 (ward or conservatee) 416.90 (authorized person) 415.46 (occupant) other: Person who served papers a. Name: John Gonzalez b. Address: P.O. Box 5383, Walnut Creek, CA 94596 c. Telephone number: 800-675-6666 d. The fee for seniice was: $95.00 e. Iam: (1) ~ nota registered California process server. (2) ~ exempt from registration under Business and Professions Code section 22350(b). (3) ~X a registered California process server: (i) ~ owner ~ employee ~X independent contractor. (ii) Registration No.: 2971 (iii) County; Los Angeles POS-010 [Rev. January1, 2007l PROOF OF SERVICE OF SUMMONS Page 2 of 3 Invoice¹: 4719386-02 PLAINTIFFiPETITIONER: Michael Harbour DEFENDANT/RESPONDENT: PURE BLUE MEDICAL, )NC. CASE NUMBER: 21CV381529 8. ~34 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DT John Gonzalez Date: 0 21 pOS-01 0 [Rer, Jerrrrry1, 2C07] PROOF OF SERVICE OF SUMMONS Pag93ot3 Invoice¹: 4719386-02