On March 18, 2019 a
Summons
was filed
involving a dispute between
M.D.L.F.,
and
Arrowood, Cindy,
Does 1 Through 10, Inclusive,
Fisher, Diana,
Morongo Unified School District, A Government Entity,
for Personal Injury Non-Motor Vehicle Unlimited
in the District Court of San Bernardino County.
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POS 010
ATTORNEY OR PARTY WiTHOUT ATTORNEY Name Shate Barnumber and add ess FOR COURT USE 4MLY
Theida Salazar Esq SBN 29554
214p Narth Hoilywood Way 7192
Burbank CA9151d j
SUPERi r rt x Fn r n
H H 433 ZgO 4 E 7 fi i
TEI EPHONE NO fvt Na fopttonat 818 436 40Q9
a V
C Ei jf i
E MAILADDRESS Optional S8IaZ8rIaW 1 QU 7 t118II COt11
ATTORNEY FOR N2me P t Ifltlff q y r
t lt L f i
SUPERiOR COURT OF CALIFORNIA couNr r oF SAN BERNARDINO
STREE7ADDRESS 47 W 3CC St
MAILINGADDRESS Y X
iR
t
t t
tti s 4
e s a
CITYANDZIPCODE S II B IIBCCIIf1O rJ ti ii i
SRANCN NAME Scltl BeCC1arCIIt10
PtAlNTIFFlPETITIONER M D L F cnseNunnaER
CIVDS19Q8236
DEFENDANTIRESPORIDENT MOC4CigQ UC11f1 C SCI1001 DIStfICt 8t al
Ref No or File Na
PRO JF OF SERVICE flF SUMMONS
Separate proof of service is required for each party served
1 At the time of service I was at least 18 years af age and not a party to this action
2 served cop es of
a 0 summons
b 0 campiaint
c C Alternative Dispute Resolution ADR package
d
Civil Case Cover Sheet served in complex cases onry
e cross camplaint
f C other specify documents
3 a Party served specify name ofparfy as shown on documenfs served
Moronga Unified Schoo District
b Person ather than fhe party in item 3a served on behalf of an enfity or as an authorized agent and not a person
under item 5b on whom substituted service was made specify name and relationship to the party named in iterrr 3a
Tom Baumgarten Superintendent
4 Address whsre the party was served
5715 lltah Traii Twentynine Pairrrs GA 92277
5 I served the party check properbox
a by personal service I personally delivered the documents listed in item 2 ta the party or person authorized to
receive senrice of process for the party 1 on date 4 22 2019 2 at time 3 29 PM
b by substituted service On date at time 1 left the dacuments listed in item 2 with ar
in the presence of name and title orrelationship ta person indicated in ifem 3
1 business a person at least 18 years of age apparently i charge at the office or usual place af business
af the persan ta be served I informed him ar her af the general nature of the papers
2 hame a competent member of the household at least 18 years of age at the dwelling house or usual
place of abode of the party i infarmed him ar her of the ge erai nature of the papers
3 0 physical address unknown a persan at least 18 years of age apparently in charge at the usual mailing
address of the person ta be served ather than a United States Postal Service post office box I informed
him or her of the general nature of the papers
4
i thereafter mai ed by first ciass postage prepaid copies af the documents to the person to be served
at the place where the copies were left Code Civ Prac 415 20 i mailed the dacuments an
date from city or 0 a deciaratian of maiiing is attached
0 1 attach a deciaration af diligence stating actians taken first to attempt persona service
page 1 af 2
Form Adopted for Mandatory Use Code of Civii Procedure 417 10
PROOF OF SERYlCE OF SUMMONS
Jutlicial Council af Califomia
POS 010 Rev January 1 2007
PLAINTIFFIPETI710NER M D F CasE NUMeER
CIVDS1908236
DEFENDANTIRESPQNDENT MOt OC1 0 UtIIfIB SChOOI DIS CICt et al
5 c by mail and acknowledgment af 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 an date 2 from eity
3 with two copies of the IVotice and Acknowledgment of Receipt and a postage paid return envelope addressed
ta me Attach completed 1Votice and Acknowledgement of Receipt Code Civ Proc 415 30
4 to an address outside California with return receipt requested Gode Civ Proc 415 40
d 0 by other means specify means of service and authorizing code sectian
Additianai page describing service is attached
6 The Notice to the Person Served on the summons was completed as fallows
a 0 as an individua defendant
as the person sued under the fictitious name of specify
0 as occupant
On behalf of specify
under the following Cade af Civil Procedure section
C 416 10 corporation 0 415 95 business organization form unknown
O 41620 defunct corporation 416 60 minor
416 30 Qoint stock company association 416 70 ward qr conservatee
416 40 association or partnership 416 90 autharized person
0 416 5p public entity 0 415 46 occupant
ather
7 Persan who served papers
a rvame Theida Salazar Esq
b Address 2140 North Hollywood Way 7192 Burbank GA 91510
c Telephone number 18 433 7290
d The fee far service was 0
e I am
1 not a registered Califomia process server
2 0 exempt from registration under Business and Professions Code section 22350 b
3 a registered California process server
i 0 owner employee independent contractor
ii Registration No
iii Caunty
0 1 declare u der penalty af perjury under the laws of the State of Galifornia that the foregaing 9s true and correct
ar
9 I am a California sheriff ar marshal and i certify that the foregoing is true and correc
r
Date Q4 2 2019
Theida Salazar Esq
NAME OF PERSpN WHO SERVED PAPERS SHERIFF OR MARSHAL SIGNATURE
P4S 010 Rev Januacy 1 2007 Page 2 of 2
PRt30F OF SERVICE OF SUMMQNS
Document Filed Date
April 29, 2019
Case Filing Date
March 18, 2019
Category
Personal Injury Non-Motor Vehicle Unlimited
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POS 010 ATTORNEY OR PARTY WiTHOUT ATTORNEY Name Shate Barnumber and add ess FOR COURT USE 4MLY Theida Salazar Esq SBN 29554 214p Narth Hoilywood Way 7192 Burbank CA9151d j SUPERi r rt x Fn r n H H 433 ZgO 4 E 7 fi i TEI EPHONE NO fvt Na fopttonat 818 436 40Q9 a V C Ei jf i E MAILADDRESS Optional S8IaZ8rIaW 1 QU 7 t118II COt11 ATTORNEY FOR N2me P t Ifltlff q y r t lt L f i SUPERiOR COURT OF CALIFORNIA couNr r oF SAN BERNARDINO STREE7ADDRESS 47 W 3CC St MAILINGADDRESS Y X iR t t t tti s 4 e s a CITYANDZIPCODE S II B IIBCCIIf1O rJ ti ii i SRANCN NAME Scltl BeCC1arCIIt10 PtAlNTIFFlPETITIONER M D L F cnseNunnaER CIVDS19Q8236 DEFENDANTIRESPORIDENT MOC4CigQ UC11f1 C SCI1001 DIStfICt 8t al Ref No or File Na PRO JF OF SERVICE flF SUMMONS Separate proof of service is required for each party served 1 At the time of service I was at least 18 years af age and not a party to this action 2 served cop es of a 0 summons b 0 campiaint c C Alternative Dispute Resolution ADR package d Civil Case Cover Sheet served in complex cases onry e cross camplaint f C other specify documents 3 a Party served specify name ofparfy as shown on documenfs served Moronga Unified Schoo District b Person ather than fhe party in item 3a served on behalf of an enfity or as an authorized agent and not a person under item 5b on whom substituted service was made specify name and relationship to the party named in iterrr 3a Tom Baumgarten Superintendent 4 Address whsre the party was served 5715 lltah Traii Twentynine Pairrrs GA 92277 5 I served the party check properbox a by personal service I personally delivered the documents listed in item 2 ta the party or person authorized to receive senrice of process for the party 1 on date 4 22 2019 2 at time 3 29 PM b by substituted service On date at time 1 left the dacuments listed in item 2 with ar in the presence of name and title orrelationship ta person indicated in ifem 3 1 business a person at least 18 years of age apparently i charge at the office or usual place af business af the persan ta be served I informed him ar her af the general nature of the papers 2 hame a competent member of the household at least 18 years of age at the dwelling house or usual place of abode of the party i infarmed him ar her of the ge erai nature of the papers 3 0 physical address unknown a persan at least 18 years of age apparently in charge at the usual mailing address of the person ta be served ather than a United States Postal Service post office box I informed him or her of the general nature of the papers 4 i thereafter mai ed by first ciass postage prepaid copies af the documents to the person to be served at the place where the copies were left Code Civ Prac 415 20 i mailed the dacuments an date from city or 0 a deciaratian of maiiing is attached 0 1 attach a deciaration af diligence stating actians taken first to attempt persona service page 1 af 2 Form Adopted for Mandatory Use Code of Civii Procedure 417 10 PROOF OF SERYlCE OF SUMMONS Jutlicial Council af Califomia POS 010 Rev January 1 2007 PLAINTIFFIPETI710NER M D F CasE NUMeER CIVDS1908236 DEFENDANTIRESPQNDENT MOt OC1 0 UtIIfIB SChOOI DIS CICt et al 5 c by mail and acknowledgment af 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 an date 2 from eity 3 with two copies of the IVotice and Acknowledgment of Receipt and a postage paid return envelope addressed ta me Attach completed 1Votice and Acknowledgement of Receipt Code Civ Proc 415 30 4 to an address outside California with return receipt requested Gode Civ Proc 415 40 d 0 by other means specify means of service and authorizing code sectian Additianai page describing service is attached 6 The Notice to the Person Served on the summons was completed as fallows a 0 as an individua defendant as the person sued under the fictitious name of specify 0 as occupant On behalf of specify under the following Cade af Civil Procedure section C 416 10 corporation 0 415 95 business organization form unknown O 41620 defunct corporation 416 60 minor 416 30 Qoint stock company association 416 70 ward qr conservatee 416 40 association or partnership 416 90 autharized person 0 416 5p public entity 0 415 46 occupant ather 7 Persan who served papers a rvame Theida Salazar Esq b Address 2140 North Hollywood Way 7192 Burbank GA 91510 c Telephone number 18 433 7290 d The fee far service was 0 e I am 1 not a registered Califomia process server 2 0 exempt from registration under Business and Professions Code section 22350 b 3 a registered California process server i 0 owner employee independent contractor ii Registration No iii Caunty 0 1 declare u der penalty af perjury under the laws of the State of Galifornia that the foregaing 9s true and correct ar 9 I am a California sheriff ar marshal and i certify that the foregoing is true and correc r Date Q4 2 2019 Theida Salazar Esq NAME OF PERSpN WHO SERVED PAPERS SHERIFF OR MARSHAL SIGNATURE P4S 010 Rev Januacy 1 2007 Page 2 of 2 PRt30F OF SERVICE OF SUMMQNS