Proof of Service Summons DLR Civil

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

ATTORNEY OR PARTY WITHOUT ATTORNEY (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): POS-010 FOR COURT USE ONLY E-MAIL ADDRESS (Optional): scottlebermannorth.corn ATTORNEY FOR (Name): P la intiff SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA - CENTRAL (EFILING) STREET ADDRESS: 191 N First St. MAILING ADDRESS: 191 N First St. CITY ANDZIP CODE San Jose, CA95113 BRANCH NAME SUPERIOR COURTOF CALIFORNIA, COUNTYOF SANTACLARA- CENTRAL (EFILING) PLAINTIFF/PETITIONER: Michael Harbour DEFENDANT/RESPONDENT; PURE BLUE MEDICAL, INC. CASE NUMBER 21CV381529 PROOF OF SERVICE SUMMONS Ref. No. or File No 2 10262 (Separate proof of service is required for each party served.) 1. At the time of service I was at least 18 years of age and nota partyto this action. 2. I served copies of: Summons; Complaint; Notice of Lawsuit; Civil Case Cover Sheet 3. a. Party served (specify name ofparty as shown on documents served): Pure Blue Medical, inc. b. ~~ Person (other than the partyin item 3a) served on behalfofan entityoras an authonmd agent(andnota person under item 5b on whom substituted service was made) (specify name and relationship to the party namedinitem 3a): REEVE BENARON, white, male, 50+, 6'0, 160, gray hair, Agent of service Address where the party was served: 9722 Monte Mar Dr, Los Angeles, CA 90035 I served the party (check proper box) a. ~~ by personal service. I 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. ~ by substituted service. On: at: I 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) ~ (2) (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 ofthe person to be served, other than a United States Postal Service postoffice 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 left (Code Civ. Proc., g 415.20). I mailed the documents: on: from: or ~a declaration of mailing is attached. POS-010 [Rea January 1, 2007I PROOF OF SERVICE OF SUMMONS Page 1 of 3 Invoice ¹4719386-01 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 ofReceiptand a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt.) (Code Civ. Proc., g 415.30.) (4) ~ to an address outside California with return receipt requested. (Code Civ. Proc., g 415.40.) d. ~ by other means (specify means ofservice 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. ~~ Onbehalfof(specify): Pure Blue Medical, Inc.under the following Code of Civil Procedure section: 416.10 (corporation) 416.20 (defunct corporation) '*'16*.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 service was: $75.00 e. I am: (1) ~ not a registered California process server. (2) ~ exempt from registration under Business and Professions Code section 22350(b). (3) ~g a registered California process server: (i) ~ owner ~ em ployee ~X independent contractor. (ii) Registration No.: 2971 (iii) County. Los Angeles POS-010 [Ray. January1, 2007I PROOF OF SERVICE OF SUMMONS Page 2 of 3 Invoicetf: 4719386-01 PLAINTIFF/PETITIONER: Michael Harbour DEFENDANT/RESPONDEhlT: PURE BLUE MEDICAL, INC. CASE NUMBER; 21CV381529 8. ~34 I declare under penaltyof perjury under the laws of the State of California that the foregoing is true and correct. DT Eegal aetv&&ee John Gonzal te: 07/1 6/2021 POS-Ofo [Rev. Jaa~y1. mrl PROOF OF SERVICE OF SUMMONS Page 3 ef 3 In vp ics ¹: 4719386.01