On May 06, 2019 a Proof of Service was filed involving a dispute between Anthony L Perez, Successor-In-Interest To The Estate Of Jordan Lee Perez, Perez, Anthony L, Perez, Sandra L, Sandra L Perez, Successor-In-Interest To The Estate Of Jordan Lee Perez, and Abongwa M.D., Chenue, Barcega M.D., Besh R, Bravo M.D, Thomas P, Brown M.D., Lance A, Collins M.D., Chelsea L, Does 2-200, Inclusive, Fteeh M.D., Gamil, Kheradpour M.D., Albert, Kim M.D., Tommy Y, Klooster M.D., Marquelle J, Kong, P.A., Yuthana, Li M.D., Natasha Y, Loma Linda University Children'S Hospital A Nonprofit Corporation, Loma Linda University Health A Nonprofit Corporation, Loma Linda University Medical Center A Nonprofit Corporation, Mehta M.D., Khyati P, Peterson M.D., Sarah C, Pichon M.D., Pilar D, Richter, David, Sadanand M.D., Venkatraman, Suterwala M.D., Batul, Thorp M.D., Andrea W, Zimmerman M.D, Kimberly R, Zouros M.D., Alexander, for Complaint for Medical Malpractice in the District Court of San Bernardino County.
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POS010 FdtCOURT 11SE ONLY ATTORNEY OR PARTY WITHOUT ATTORNEY Name Sl eBermwnber d addiass Anthony L Perez Sandra L Perez 14322 Arae St Hesperia CA 92344 if TELEPHONE NO 9S 1 S 15 3371 FAX NO OPUona s r I l rr r t S r y e w a 00 ss o no alpslp@live com C3 N R 3 FZ 9C fti lR nrroRN r FOR rr In Pro Per SUPERIOR COURT OF CALIFORNIA COUNTY OF S1ri B81 ri1t IriO Q1 srn r 247 West 3rd St r nona ss 247 West 3rd St c n ANo Z P cooE San Bernardino 92415 Bw cH w E San Bemardino District Civil Division CASENUMBER a PLAINTIFF PETITIONER PePBZ CIVDS1913814 DEFENDANT RESPONDENT LOIIIa L1I1 UIIIV6TSll MG 1Cal C6ritel 8t al Ref No or Fde Na PROOF OF SERVICE OF SUMMONS Separate proof of service is required for each pa iy senred 1 At the time of service I was at least 18 years of age and not a party to this action 2 I served copies of a summais b Q complaint c Altemative Dispute Resolution ADR package d Q Civil Case Cover Sheet served in complex cases orily e Q cxoss omplaint f other specify a ocuments Declara tion of Anthony L Perez Sandra L Perez pursuant to CCP337 32 3 a Party served specify name ofparty as shown on documerrts served Loma Linda University Children s Hospital b Q Person other than the party in item 3a serv on behafif of an eniity or as an authorized agent and not a person under item 5b on wharn substituted senrice was made specify name and re at onship to the party named in item 3a Kent A Hansen agent for service for LLUCH and their employees 4 Address where the party was served 2489Q Tulip Ave Loma Linda CA 92354 5 I served the party check proper box I personaUy delivered ihe documents listed in item 2 to tt a Q by personal ser rice party a person authorized to 2 time receive sen ice of process for he party 9 j on date O 1412019 at 3 30 p m b by substituted dafe servtice O at fime I left the documents Iisted in item 2 witli or in the presence of name and title or relationship to person irraiicated in item 3 1 Q business a persort at least 18 years of age apparentty in c arge at the affice or usual place of business of the person to be served 1 infortned him or her of the general natur e of the papers hwne a oompetent rr eariber of the household at le st 18 years of age at the dwelling hause or usual 2 Q place of abode of the party I informed him or her of the general nature of the papers 3 physical address unknown a person at least 18 years of age apparenUy 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 ofthe general nature of the papers 4 I tl ereafter mai d by first dass postage prepaid copies o the documerris to the person to be served at tl e place where the copies were left Code Civ Proc 415 20 mailed the documenis on date from city or a dedaration of mailing is attached 5 0 I attach a declaration of diligence stating actions taken first to attempt personal service e s rt Gy a F a g an o P p didal camci a ca6romia PROOF OF SERVICE OF SUMMONS POS010 Rev Janu y 1 2007J PLRf iTfFF PETITIONER F6I 2 CIVDS1913814 dEFENDANT RESPONDENT LOIT18 LiII c1 UII1VeI SI Met ICCc1 CCII eI 8t al b l mail and acknowiedgmer tof recxtipt o ae 5 c 0 1 mailed the documents listed in item 2 to the party to fie address shown in item 4 by first dass maii P 9e P 1 on date 2 from city 3 0 with two c bpies of the IYotice and Acknowledgment of Receipf and a postage paid retum envebpe addressed to me Attach completed Notice and Acknowledgement of Receipt Cade Civ Proc 415 30 4 Q to an address outside Califomia with retum receipt requesbed Code Civ Proc 415 40 d by other means specify means of rvice and authorizing code sectionj Additional page describing service is attaehed 6 The Notice to the Person Served on the summons was completed as follaws a Q as an individuai defendarrt b 0 as the person sued under tMe fictitious name of specify c 0 as occ pant d On behalf of specrtY under the olfo ring Code of Gvil Procedure section 416 10 rporatian 415 95 business cxganization form unknown 416 20 deiunct corporation 4 16 60 minor 0 416 30 joint stodccompanyiassociation 416 70 ward w conservatee 416 40 association or partnership 416 authorized personj 0 416 50 public e tity 0 415 46 pant other 7 Person who served papers a Name Ketsey Tiller b Address 14322 Arae St Hesperia CA 92344 c Telephone number 72Q q00 3634 d The fee for service was 0 e 1 am 1 0 not a registered Califomia process server 2 0 exempt from registrafion under Business and Professions Code section 22350 b 3 0 a registered Califomia process server 0 P Y independent contrador iij Registration No iii County 1 declare under penalty of perjury under the laws of the State of Calif nia tttat the foregoing is true and cwrect or 9 f arn aCalifomia sheriffor marshal and cefify that the foregoir is true and comect Date August 19 2U 19 Kelsey Titler NAME OF PERSON WHO SERVED PAPERS SHERIFF QR MARSHALj NATU Z Z PROOF OF SERVICE OF SUMMONS