Preview
POS-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
David N. Barry, Esq. (SBN 219230)
- The Barry Law Firm
11845 W. Olympic Blvd., Suite 1270 Electronically Filed
Los Angeles, CA 90064 6/7/2022 3:43 PM
TELEPHONE NO.: (310) 684-5859 FAX NO. (Optional): (310) 862-4539
Superior Court of California
E-MAIL ADDRESS (Optional): dbarry@mylemonrights.com County of Stanislaus
ATTORNEY FOR (Name): Plaintiff, Ronnie Hernandez
Clerk of the Court
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Stanislaus By: Juliette Bingham, Deputy
STREET ADDRESS: 801 10th St.
MAILING ADDRESS:
CITY AND ZIP CODE: Modesto, CA 95354
BRANCH NAME: City Towers Courthouse
PLAINTIFF/PETITIONER: Ronnie Hernandez CASE NUMBER:
CV-22-002322
DEFENDANT/RESPONDENT: Ford Motor Company
Ref. No. or File No.:
PROOF OF SERVICE OF SUMMONS
(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 not a party to this action.
2. I served copies of:
a. [2J summons
b. CZ] complaint
c. [Z] Alternative Dispute Resolution (ADR) package
d. D Civil Case Cover Sheet (served in complex cases only)
e. D cross-complaint
f. D other (specify documents):
3. a. Party served (specify name of party as shown on documents served):
FORD MOTOR COMPANY, A Delaware Corporation
b. CZ] Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person
under item Sb on whom substituted service was made) (specify name and relationship to the party named in item 3a):
John Motijo, authorized agent for service of process
4. Address where the party was served:
330 N Brand Blvd, Suite 700, Glendale, CA 91203
5. I served the party (check proper box)
a. GZJ by personal service. I personally delivered the documents listed in item 2 to the party or person authorized to
receive service of process for the party (1) on (date): 6/6/22 (2) at (time): 9:00 a.m.
b. CJ by substituted service. On (date): at (time): 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) D (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. I informed him or her of the general nature of the papers.
(2) D (home) 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 informed him or her of the general nature of the papers.
(3) D (physical address unknown) a person at least 18 years of age apparently 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 of the general nature of the papers.
(4) D I thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be served
at the place where the copies were left (Code Civ. Proc.,§ 415.20). I mailed the documents on
(date): from (city): or D a declaration of mailing is attached.
(5) D I attach a declaration of diligence stating actions taken first to attempt personal service.
Page 1 of 2
Form Adopted for Mandatory Use Code of Civil Procedure,§ 417.10
Judicial Council of California
PROOF OF SERVICE OF SUMMONS
POS-010 [Rev. January 1, 2007]
PLAINTIFF/PETITIONER: Ronnie Hernandez CASE NUMBER:
CV-22-002322
DEFENDANT/RESPONDENT: Ford Motor Company
5. c. D by mail and acknowledgment of 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) on (date): (2) from (city):
(3) C=:Jwith two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed
to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc.,§ 415.30.)
(4) C=:J to an address outside California with return receipt requested. (Code Civ. Proc.,§ 415.40.)
d. D by other means (specify means of service and authorizing code section):
D Additional page describing service is attached.
6. The "Notice to the Person Served" (on the summons) was completed as follows:
a. as an individual defendant.
b. D as the person sued under the fictitious name of (specify):
c. D as occupant.
d. GZJOn behalf of (specify): FORD MOTOR COMPANY, A Delaware Corporation
under the following Code of Civil Procedure section:
GZ] 416.10 (corporation) D 415.95 (business organization, form unknown)
D 416.20 (defunct corporation) D 416.60 (minor)
D 416.30 Uoint stock company/association) D 416.70 (ward or conservatee)
D 416.40 (association or partnership) D 416.90 (authorized person)
D 416.50 (public entity) D 415.46 (occupant)
D other:
7. Person who served papers
a. Name: Susana Diaz
b. Address: 11845 W. Olympic Blvd., Suite 1270 Los Angeles, CA 90064
c. Telephone number: (310) 684-5859
d. The fee for service was: $
e. I am:
(1) C=:Jnot a registered California process server.
(2) [Z] exempt from registration under Business and Professions Code section 22350(b ).
(3) C=:Ja registered California process server:
(i) D owner D employee D independent contractor.
(ii) Registration No.:
(iii) County:
8. GZJ I declare under penalty of perjury under the laws of the S~(e~hat the foregoing is true and correct.
9. D ~~m a California sheriff or marshal and I certify that the forege_ingis true ~rect.
__ ,~
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Date: June 7, 2022
Susana Diaz â–º
(NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL)
POS-010 [Rev. January 1, 2007] Page 2 of2
PROOF OF SERVICE OF SUMMONS