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Filing # 129625939 E-Filed 06/28/2021 01:40:20 PM
RETURN OF SERVICE
State of Florida County of BROWARD Circuit Court
Case Number: CACE21-009583 (21) .
Plaintiff:
HEATHER GRANT
1 Y /I Iil
OJF202'0'0477
1/11 I
VS.
Defendant:
DAVID VADILLO, ET. AL.,
For:
JON ZEPNICK
ANSEL & MILLER, LLC
1939 TYLER STREET
HOLLYWOOD, FL 33020
Received by OJF SERVICES, INC. on the 23rd day of June, 2021 at 3:23 pm to be served on FRANCISCO
GABRIEL VADILLO, 628 NW 13TH STREET, APL 21, BOCA RATON, FL 33486
I, MICHAEL GONEDES, do hereby affirm that on the 24th day of June, 2021 at 7:27 am, I:
SUBSTITUTE RESIDENTIAL: served by delivering a true copy of the SUMMONS, AMENDED COMPLAINT,
-
INTERROGATORIES, REQUEST TO PRODUCE AND REQUEST FOR ADMISSIONS with the date and hour of
service endorsed thereon by me, to: YANNA PEREA as CO-RESIDENT at the address of 628 NW 13TH
STREET, APT. 21, BOCA RATON, FL 33486, of the within named person's usual place of abode, who resides
therein, who is fifteen (15) years of age or older and informed said person of the contents therein, in compliance
with state statutes.
Military Status: Based upon inquiry of party served, Defendant is not in the military service of the United States of
America.
Marital Status: Based upon inquiry of party served, they refused to state whether or not the Defendant is married.
I CERTIFY THAT I AM OVER THE AGE OF 18, HAVE NO INTEREST IN THE ABOVE ACTION, AND THAT I AM
A CERTIFIED PROCESS SERVER, IN GOOD STANDING, IN THE JUDICIAL CIRCUIT IN WHICH THE
PROCESS WAS SERVED. "UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE
FOREGOING (DOCUMENT) AND THAT THE FACTS STATED IN IT ARE TRUE, 92.525. ELECTRONIC
SIGNATURES ARE NOW PERMITTED PURSUANT TO FLORIDA STATUTE 48.21. NOTARY ARE NOT
REQUIRED PURSUANT TO F.S. 92.525(2).
H h-
4
MICHAEL GONEDES
CPS #1980
OJF SERVICES, INC.
13727 S.W. 152nd Street
P.M.B. 354
Miami, FL 33177
(786) 293-5750
Our Job Serial Number: OJF-2021010477
Copyright @ 1992-2021 Database Servicr In '
-Pri .-afs Ser r's Tc nlr.ixV82b
***
FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 06/28/2021 01:40:19 PM.****
6 Filing # 129241481 E-Filed 06/22/2021 12:31:37 PM
IN THE CIRCUIT COURT OF THE 17th
JUDICIAL CIRCUIT IN AND FOR
BROWARD COUNTY, FLORIDA
CASE NO.: 21-009583 (21)
HEATHER GRANT,
Plaintiff. T-h A r-E.
i),ilt.
I
G-261-21 IYI,.F. 7.27M
s'*m.s xt L w. .
VS.
FRANCISO GABRIEL VADILLO,
'.-'-i.--0 CO.-G
DAVID VADILLO and LYFT, INC.,
Defendants.
SUMMONS
THE STATE OF FLOR-IDA:
To Each Sheriff ofthe State:
YOU ARE COMMANDED to serve this Summons and copy of the Amended Complaint,
a
Interrogatories, Request to Produce and Request for Admissions in this action on Defendant:
FRANCISCO GABRIEL VADILLO
eth'
628 N.W. 131 Street
Apt. 21
Boca Raton, FL 33486
Each Defendant is required to serve written defenses to the Amended Complaint to Plaintiff's
attorney, Jon A. Zepnick, Esq. whose address is ANSEL & MILLER, LLC, 1939 Tyler Street,
Hollywood, FL 33020, within 20 days after service of this
Summons on that Defendant, exclusive of the day of service, and to file the original of the
defenses with the clerk of this court either before service on Plaintiffs attorney or immediately
thereafter. If a Defendant fails to do so, a default will be entered against that Defendant for the
relief demanded in the complaint or petition.
CLERK OF THE CIRCUIT COURT JUN 23 2021
(SEAL)
BRENDA D FORMAN
(Name of Clerk)
As Clerk ofthe Court
By
AS
DeputGlililiilsamif IMPORTANT
A lawsuit haU8% Wir#t you. You have 20 calendar days after this Summons is served on
1
BRENDA D. FdRMAN 180618 ARY
***
FILED: BROWARD COUNTY, FL BRENDA D. FORMAN,
YE.S--- .,=IY-CSLD-
ELERi 06/22d{8Mi:31:33 PM.****
10477
,
you to file a written response to the attached Complaint with the clerk of this court. A phone call
will not protect you. Your written response, including the case number given above and the
names of the parties, must be filed if you want the court to hear your side of the case. If you do
not file your response on time, you may lose the case, and your wages, money, and property may
thereafter be taken without further warning from the court. There are other legal requirements.
You may want to call an attorney right away. If you do not know an attorney, you may call an
attorney referral service or a legal aid office (listed in the phone book).
If you choose to file a written response yourself, at the sametime you file your written response
to the court you must also mail or take a copy of your written response to the
Attorney" named below.
If you are a person with a disability who needs any accommodation in order to participate
in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance.
Please contact Jon A. Zepnick, Esq., ANSEL & MILLER, LLC, 1939 Tyler Street
Hollywood, FL 33020, (954) 922-9100 at least 7 days before
your scheduled court appearance, or immediately upon receiving this notification if the
time before the scheduled appearance is less than 7 days; if you are hearing or voice
impaired, call 711.
IMPORTANTE
Usted ha sido demandado legalmente. Tiene 20 dias, contados a partir del recibo de esta
notificaci6n, para contestar la demanda adjunta, por escrito, y presentarla ante este tribunal. Una
11amada telef6nica no lo protegeri. Si usted desea que el tribunal considere su defensa, debe
presentar su respuesta por escrito, incluyendo el numero del caso y los nombres de las partes
interesadas. Si usted no contesta la demanda a tiempo, pudiese perder el caso y podria ser
despojado de sus ingresos y propiedades, o privado de sus derechos, sin previo aviso del tribunal.
Existen otros requisitoslegales. Si lo desea, puede usted consultar a un abogado inmediatamente.
Si no conoce a un abogado, puede 1lamar a una de las oficinas de asistencia legal que aparecen
en la
guia telef6nica.
Si desea responder la demanda por su cuenta, al mismo tiempo en que presenta su respuesta
a
1
ante el tribunal, debera usted enviar por Coireo o entregar una copia de su respuesta a la persona
denominada abajo como Attorney" (Demandante o Abogado del
Demandante).
Si usted es una persona minusvhlila que necesita algdn acomodamiento para poder
participar en este procedimiento, usted tiene derecho, sin tener gastos propios, a que se le
provea cierta ayuda. Tenga la amabilidad de ponerse en contacto con Jon A. Zepnick, Esq.,
ANSEL & MILLER, LLC, 1939 Tyler Street, Hollywood, FL 33020,
(954) 922-9100 por 10 menos 7 dias antes de la cita fijada
i
para su comparecencia en los tribunales, o inmediatamente despu6s de recibir esta
notificaci6n si el tiempo antes de la comparecencia que se ha programado es menos de 7
dias; si usted tiene discapacitaci6n del oido o de la voz, 11ame al 711.
IMPORTANT
Des poursuites judiciares ont ete entreprises contre vous. Vous avez 20 jours consecutifs a partir
2
de la date de l'assignation de cette citation pour deposer une reponse ecrite a la plainte cijointe
aupres de ce tribunal. Un simple coup de telephone est insuffisant pour vous proteger. Vous etes
obliges de deposer votre reponse ecrite, avec mention du numero de dossier ci-dessus et du nom
des parties nommees ici, si vous souhaitez que le tribunal entende votre cause. Si vous ne
deposez pas votre reponse ecrite dans le relai requis, vous risquez de perdre la cause ainsi que
votre salaire, votre argent, et vos biens peuvent etre saisis par la suite, sans aucun preavis
ulterieur du tribunal. Il y a d'autres obligationsjuridiques et vous pouvez requerir les services
immediats d'un avocat. Si vous ne connaissez pas d'avocat, vous pourriez telephoner a un
service de reference d'avocats ou a un bureau d'assistance juridique (figurant a l'annuaire de
telephones).
Si vous choisissez de deposer vous-meme une reponse ecrite, il vous faudra egalement, en meme
temps que cette formalite, faire
parvenir expedier
ou
copie de votre reponse ecrite
une au
s Attorney" (Plaignant ou a son avocat) nomme ci-dessous.
Si ou se yon moun ki enfim ki bezwen akomodasyon pou w kab patisipe nan pwosedi sa a,
ou gen dwa, pa bezwen peye okenn lajan, pou w jwenn yon s6ten Ld. Tanpri
san ou
kontakte Jon A. Zepnick, Esq. K6donatris pwogram Lwa Ameriken pou Moun ki Enfim yo
nan ANSEL & MILLER, LLC, 1939 Tyler Street, Hollywood, FL 33020,
(954) 922-9100 ft sa omwen 7 jou anvan dat gen randevou
ou
pou parjt nan Tribinal la, oswa fe
sa imedyatman apre ou fin resevwa konvokasyon an si
dat ou gen pou w parBt nan tribinal la mwens pase 7 jou; si ou gen pwobkm pou w tande
byen oswa pou w pale kl&, rele 711.
/SIJM A. Zepnick, Esq.
Jon A. Zepnick, Esq.
i
Florida Bar No.: 586951
ANSEL & MILLER, LLC
Counselfor the Plaintiff
1939 Tyler Street
Hollywood, Florida 33020
Phone: (954) 922-9100
Fax: (954) 922-9176
eansel@anselmiller.com
3
Preview
Filing # 129625939 E-Filed 06/28/2021 01:40:20 PM RETURN OF SERVICE State of Florida County of BROWARD Circuit Court Case Number: CACE21-009583 (21) . Plaintiff: HEATHER GRANT 1 Y /I Iil OJF202'0'0477 1/11 I VS. Defendant: DAVID VADILLO, ET. AL., For: JON ZEPNICK ANSEL & MILLER, LLC 1939 TYLER STREET HOLLYWOOD, FL 33020 Received by OJF SERVICES, INC. on the 23rd day of June, 2021 at 3:23 pm to be served on FRANCISCO GABRIEL VADILLO, 628 NW 13TH STREET, APL 21, BOCA RATON, FL 33486 I, MICHAEL GONEDES, do hereby affirm that on the 24th day of June, 2021 at 7:27 am, I: SUBSTITUTE RESIDENTIAL: served by delivering a true copy of the SUMMONS, AMENDED COMPLAINT, - INTERROGATORIES, REQUEST TO PRODUCE AND REQUEST FOR ADMISSIONS with the date and hour of service endorsed thereon by me, to: YANNA PEREA as CO-RESIDENT at the address of 628 NW 13TH STREET, APT. 21, BOCA RATON, FL 33486, of the within named person's usual place of abode, who resides therein, who is fifteen (15) years of age or older and informed said person of the contents therein, in compliance with state statutes. Military Status: Based upon inquiry of party served, Defendant is not in the military service of the United States of America. Marital Status: Based upon inquiry of party served, they refused to state whether or not the Defendant is married. I CERTIFY THAT I AM OVER THE AGE OF 18, HAVE NO INTEREST IN THE ABOVE ACTION, AND THAT I AM A CERTIFIED PROCESS SERVER, IN GOOD STANDING, IN THE JUDICIAL CIRCUIT IN WHICH THE PROCESS WAS SERVED. "UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING (DOCUMENT) AND THAT THE FACTS STATED IN IT ARE TRUE, 92.525. ELECTRONIC SIGNATURES ARE NOW PERMITTED PURSUANT TO FLORIDA STATUTE 48.21. NOTARY ARE NOT REQUIRED PURSUANT TO F.S. 92.525(2). H h- 4 MICHAEL GONEDES CPS #1980 OJF SERVICES, INC. 13727 S.W. 152nd Street P.M.B. 354 Miami, FL 33177 (786) 293-5750 Our Job Serial Number: OJF-2021010477 Copyright @ 1992-2021 Database Servicr In ' -Pri .-afs Ser r's Tc nlr.ixV82b *** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 06/28/2021 01:40:19 PM.**** 6 Filing # 129241481 E-Filed 06/22/2021 12:31:37 PM IN THE CIRCUIT COURT OF THE 17th JUDICIAL CIRCUIT IN AND FOR BROWARD COUNTY, FLORIDA CASE NO.: 21-009583 (21) HEATHER GRANT, Plaintiff. T-h A r-E. i),ilt. I G-261-21 IYI,.F. 7.27M s'*m.s xt L w. . VS. FRANCISO GABRIEL VADILLO, '.-'-i.--0 CO.-G DAVID VADILLO and LYFT, INC., Defendants. SUMMONS THE STATE OF FLOR-IDA: To Each Sheriff ofthe State: YOU ARE COMMANDED to serve this Summons and copy of the Amended Complaint, a Interrogatories, Request to Produce and Request for Admissions in this action on Defendant: FRANCISCO GABRIEL VADILLO eth' 628 N.W. 131 Street Apt. 21 Boca Raton, FL 33486 Each Defendant is required to serve written defenses to the Amended Complaint to Plaintiff's attorney, Jon A. Zepnick, Esq. whose address is ANSEL & MILLER, LLC, 1939 Tyler Street, Hollywood, FL 33020, within 20 days after service of this Summons on that Defendant, exclusive of the day of service, and to file the original of the defenses with the clerk of this court either before service on Plaintiffs attorney or immediately thereafter. If a Defendant fails to do so, a default will be entered against that Defendant for the relief demanded in the complaint or petition. CLERK OF THE CIRCUIT COURT JUN 23 2021 (SEAL) BRENDA D FORMAN (Name of Clerk) As Clerk ofthe Court By AS DeputGlililiilsamif IMPORTANT A lawsuit haU8% Wir#t you. You have 20 calendar days after this Summons is served on 1 BRENDA D. FdRMAN 180618 ARY *** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, YE.S--- .,=IY-CSLD- ELERi 06/22d{8Mi:31:33 PM.**** 10477 , you to file a written response to the attached Complaint with the clerk of this court. A phone call will not protect you. Your written response, including the case number given above and the names of the parties, must be filed if you want the court to hear your side of the case. If you do not file your response on time, you may lose the case, and your wages, money, and property may thereafter be taken without further warning from the court. There are other legal requirements. You may want to call an attorney right away. If you do not know an attorney, you may call an attorney referral service or a legal aid office (listed in the phone book). If you choose to file a written response yourself, at the sametime you file your written response to the court you must also mail or take a copy of your written response to the Attorney" named below. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact Jon A. Zepnick, Esq., ANSEL & MILLER, LLC, 1939 Tyler Street Hollywood, FL 33020, (954) 922-9100 at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days; if you are hearing or voice impaired, call 711. IMPORTANTE Usted ha sido demandado legalmente. Tiene 20 dias, contados a partir del recibo de esta notificaci6n, para contestar la demanda adjunta, por escrito, y presentarla ante este tribunal. Una 11amada telef6nica no lo protegeri. Si usted desea que el tribunal considere su defensa, debe presentar su respuesta por escrito, incluyendo el numero del caso y los nombres de las partes interesadas. Si usted no contesta la demanda a tiempo, pudiese perder el caso y podria ser despojado de sus ingresos y propiedades, o privado de sus derechos, sin previo aviso del tribunal. Existen otros requisitoslegales. Si lo desea, puede usted consultar a un abogado inmediatamente. Si no conoce a un abogado, puede 1lamar a una de las oficinas de asistencia legal que aparecen en la guia telef6nica. Si desea responder la demanda por su cuenta, al mismo tiempo en que presenta su respuesta a 1 ante el tribunal, debera usted enviar por Coireo o entregar una copia de su respuesta a la persona denominada abajo como Attorney" (Demandante o Abogado del Demandante). Si usted es una persona minusvhlila que necesita algdn acomodamiento para poder participar en este procedimiento, usted tiene derecho, sin tener gastos propios, a que se le provea cierta ayuda. Tenga la amabilidad de ponerse en contacto con Jon A. Zepnick, Esq., ANSEL & MILLER, LLC, 1939 Tyler Street, Hollywood, FL 33020, (954) 922-9100 por 10 menos 7 dias antes de la cita fijada i para su comparecencia en los tribunales, o inmediatamente despu6s de recibir esta notificaci6n si el tiempo antes de la comparecencia que se ha programado es menos de 7 dias; si usted tiene discapacitaci6n del oido o de la voz, 11ame al 711. IMPORTANT Des poursuites judiciares ont ete entreprises contre vous. Vous avez 20 jours consecutifs a partir 2 de la date de l'assignation de cette citation pour deposer une reponse ecrite a la plainte cijointe aupres de ce tribunal. Un simple coup de telephone est insuffisant pour vous proteger. Vous etes obliges de deposer votre reponse ecrite, avec mention du numero de dossier ci-dessus et du nom des parties nommees ici, si vous souhaitez que le tribunal entende votre cause. Si vous ne deposez pas votre reponse ecrite dans le relai requis, vous risquez de perdre la cause ainsi que votre salaire, votre argent, et vos biens peuvent etre saisis par la suite, sans aucun preavis ulterieur du tribunal. Il y a d'autres obligationsjuridiques et vous pouvez requerir les services immediats d'un avocat. Si vous ne connaissez pas d'avocat, vous pourriez telephoner a un service de reference d'avocats ou a un bureau d'assistance juridique (figurant a l'annuaire de telephones). Si vous choisissez de deposer vous-meme une reponse ecrite, il vous faudra egalement, en meme temps que cette formalite, faire parvenir expedier ou copie de votre reponse ecrite une au s Attorney" (Plaignant ou a son avocat) nomme ci-dessous. Si ou se yon moun ki enfim ki bezwen akomodasyon pou w kab patisipe nan pwosedi sa a, ou gen dwa, pa bezwen peye okenn lajan, pou w jwenn yon s6ten Ld. Tanpri san ou kontakte Jon A. Zepnick, Esq. K6donatris pwogram Lwa Ameriken pou Moun ki Enfim yo nan ANSEL & MILLER, LLC, 1939 Tyler Street, Hollywood, FL 33020, (954) 922-9100 ft sa omwen 7 jou anvan dat gen randevou ou pou parjt nan Tribinal la, oswa fe sa imedyatman apre ou fin resevwa konvokasyon an si dat ou gen pou w parBt nan tribinal la mwens pase 7 jou; si ou gen pwobkm pou w tande byen oswa pou w pale kl&, rele 711. /SIJM A. Zepnick, Esq. Jon A. Zepnick, Esq. i Florida Bar No.: 586951 ANSEL & MILLER, LLC Counselfor the Plaintiff 1939 Tyler Street Hollywood, Florida 33020 Phone: (954) 922-9100 Fax: (954) 922-9176 eansel@anselmiller.com 3