Proof of Service Summons DLR Civil

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

21 CV383754 Santa Clara - CIVII POS-01 0 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY System Sy stem Engstrom, Lipscomb & Lack Electronically Filed 10100 Santa Monica Blvd., 12th Floor by Superior Court of CA L A | . A 7 ’OS TEESHESES)" ???1ocg55z3800 Ext 306 County of Santa Clara, ATTORNEYFORWame): p|aintifr on 9/27/2021 12:56 PM SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F eviewed By: System SystemR Superior Court of California, Santa Clara Countv case #21 CV383754 191 N. FirstStreet Envelope: 7345493 San Jose, CA 951 13-1090 PLAINTIFF/PETITIONER: TRAV|S ANDREW CHAPPELL CASE NUMBER: DEFENDANT/RESPONDENT: The Countv of Santa Clara. et al 21 CV383754 Ref. No. or File No.: PROOF OF SERVICE OF SUMMONS 38000/5990 1. At the time of service | was a citizen of the United States, at least 18 years of age and not a party to this action.BY FAX 2. | served copies of; Summons, Complaint, Civil Case Cover Sheet 3. a. Party served: THE COUNTY OF SANTA CLARA, a public entity b- Person Served: - Person Authorized to Accept Service of Process 4. Address where the party was served: 70 W Hedding St, East/9th San Jose, CA 951 10 5. | served the party b- by substituted seWice- On (date): 06/29/2021 at (time): 2:59PM | left the documents listed in item 2 with or in the presence Of: Les Clark - Person Authorized to Accept (1) (business) a person at least 18 years of age apparently in charge at the office or usual place of business of the person to be served. | informed him or her ofthe general nature of the papers. (4) A declaration of mailing is attached. 6. The "Notice to the Person Served" (on the summons) was completed as follows: d. on behalf of: THE COUNTY OF SANTA CLARA, a public entity under: CCP 41 6.50 (oublic entitv) 7. Person who served papers a. Name: Joseph Hussey b. Address: One Legal - P-000618-Sonoma 1400 North McDowell Blvd, Ste 300 Petaluma, CA 94954 c. Telephone number: 415-491-0606 d. The fee for service was: $ 83.00 e. | am: (3) registered California process server. (i) Employee or independent contractor. (ii) Reqistration No. ps1611 (iii) County Santa Clara 8. | declare under penalty of periurv under the laws of the United States of America and the State of California that the foregoing is true and correct. Date: 06/30/2021 flJoseph Hussev (NAME OF PERSON WHO SERVED PAPERS) (SIGNATURE) Form Adopted for Mandatory Use Code of Civil Procedure, § 417.10 J d' ‘ IC '| fC I‘f ' POS-010” ° PROOF 0F SERVICE 0F SUMMONS[Rev. Jan 1, 2007] OL# 16528383 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name andAddress): TELEPHONE NO.: FOR COURT USE ONLY 1 (31 0)552-3800 Ext 306 Engstrom, Lipscomb & Lack 10100 Santa Monica Blvd. LOS Anqelesi CA 90067 Ref. No.0rFile No. ATTORNEY F0R(Name)-‘ Plaintiff 38000/5990 Insert name of court, judicial district or branch court, if any: Santa Clara - First Street 191 N. First Street San Jose, CA 95113-1090 PLAINTIFF: TRAVIS ANDREW CHAPPELL DEFENDANT: The County of Santa Clara, et al CASE NUMBER: PROOF OF SERVICE BY MAIL 21CV383754 BY FAX | am a citizen ofthe United States, over the age of 18 and not a party to the within action. My business address is 1400 N. McDowell Blvd, Petaluma, CA 94954. On 06/30/2021, after substituted service under section CCP 415.20(a) or 41 5.20(b) or FRCP 4(e)(2)(B) or FRCP 4(h)(1 )(B) was made (if applicable), | mailed copies of the: Summons, Complaint, Civil Case Cover Sheet to the person to be served at the place where the copies were left by placing a true copy thereof enclosed in a sealed envelope, with First Class postage thereon fully prepaid, in the United States Mail at Petaluma, California, addressed as follows: THE COUNTY OF SANTA CLARA, a public entity 70 W Hedding St, East/9th San Jose, CA 951 10 | am readily familiar with the firm‘s practice for collection and processing of documents for mailing. Under that practice, it would be deposited within the United States Postal Service, on that same day, with postage thereon fully prepaid, in the ordinary course of business. | am aware that on motion of the party served, service is presumed invalid if postal cancellation date or postage meter date is more than one (1) day after date of deposit for mailing in affidavit. Fee for Service: $ 83.00 I declare under penalty of perjury under the laws of the United States 0f America and the State 0f California that the foregoing is true and correct and that this declaration was executed 0n 06/30/2021 at Petaluma, California. One Legal - P-OOO618-Sonoma 1400 North McDowell Blvd, Ste 300 X] C/ Petaluma, CA 94954 . Trav1s Carpenter OL# 16528383