Preview
- q[22 & 1:0
Proof of Service o eT TED
d
“ — - = Superior Court of California
Use this form to-serve a person,-a business; or a public entity. To learn more ‘ounty of San IF y
about proof of service, read Whar'ls "Proof of Service”?, Form SC-104B. To st 2G
learn more about how to séi've’a business orentity; read How to Serve a JUN 23 2d
Business or-Public Entity, Form SC-104C. C
To serve a business, you must serve one of the fallowing'people:
-+ Owner (fora sole proprietorship) BY.,
» Partner (fora partnership) of:general parther (for alimited partnership)
+ Any officer or general manager (corporation or association)
« Any person authorized for service by. the business (corporation, association, |
Deputy Clerk:
general partnership, limited partnership) Fill in court name and street address: !
+ Any person authorized for service With the Secretary of State (corporation, Superior Court of California, County of
association, limited liability company [LLC], limited liability partnership San Fraticisco
[LLP}, limited partnership) San Francisco Courthouse
400 McAllister St, San Francisco,
Rin. 103
CA 94102
Fill in case number, case name, hearing date;
day, time; and department below: I
Case Number: |
CSM-22-865572
~ Case'Name:
b. If you.are serving a business or entity, write thie name of the business |. seve Unt felt
or entity, the person authorized for service, and that: person’s job title: Soldisvs. United Airlines
United Airlines
To serve a public entity, you must first file.aclaiin with that entity, then
serve one‘of the following people:
* Glerk-(of acity or county)
+ Chief officer or director-(of a public agency)
* Any. person authorized for service by: the entity
@) a: If you'are serving.a person, write the person’s name below:
Sines oF AGS Name Hearing Date: 96.99.2022 |
Sarai: Marin Authorized Agent-C T Corporation System .
Person Authorized for Service Job Te Time: | :30PM Dept: 506 |
@ instructions to Server: 7
You must be at léast 18 years old .and net’ be.named in this case. Follow these steps:, \
* Give a copy of all the documents checked’ in @) tothe person in @, or |
* Give a-copy of all'the documents checked'in@) to.one of the following people: I
a. A competent adult(at least 18) living with, and-atthe home of the person in @, or i
b. Anvadult (at least.18) who seems to be in-charge at the usual workplace of the-person in @), or |
¢. Anadult(at least 18) who seems to.be.in charge where the person. in @usually receives mail
(but nota U.S. Post Office box), if there is no known physical address for the person in@):
and tail a.copy of the documents left with one of the adults in a, b, or c above'to the: person in @.
THEN.
¢ Complete and sign this form, and.
+ Give or mail your‘completed form to'the person who asked you to serve-thése court papers, in time for
the form to be filed with the court at least 5 days before the hearing. .
al)
|
a. KJ SC-100, Plaintiff's:Claim and ORDER .to Go,to Small Claims: Court
b. 1) Sc-120, Deferidarit’s Claim anid ORDER to Go to Small Claims Court
c Order for examination (This: farm must.be personally served. Check the form that-was served): |
Note: The court can issue a civil.arrest warrant if the served parly:does'not come to court only if the order for I
examination was personally served by a'registered process server sheriff, marshal; or.someone.appointed by the court.
() ( SC-134,-Application and Order to Produce Statement of Assets and to Appear for Examination
(2) LV AT-138/EJ-125, Application and Order for ‘Appearance.and Examination ;
d. M1 Other (specify): Offer in Compromise (998) . i
“udiclat Council of California, yavaccourtinto.ca gov Proof of Service S$C-104, Page1 of 2
Revived January 12008, Optional For .
Cove of Civ Procedure, §§ 116.340, 415.40, 418.20 (Small Claims)
@) | served the person in @ a copy of the documents checked. below:”n
Case. Number:
CSM-22-865572
Case.name: Soldis vs. United-Airlnes
Fill out “a” orb” below:
a. Personal Service: I personally:gave copies of the:documents:checked in ® to the person'in @:
On-@dare); 0815/2022 at (time): 09334 am. Dp.
At this address; 330:N- Brand Blvd. Suite 70
City, Glendale State:__CA__ Zip;.91203
b. (2 Substituted Service: I personally'gave-copies of the documents checked in. ® (a, b, or d}to (check on):
(1 A competentiadult (at least 18):at the home of, and living with the person in@) , or
C1) Anadult who.seems to be in-charge where the person: in@) usually. works, or
|
C1} An.adult who seems to be in charge:where the person ii @)usually receives mail, or has.a private!
post office:box (not a U:S. Post Office box), if there. is no-known physical address for the person in®).
| told:that adult, "Please give these court papers to (name:of person in @).” |
I did this.on (date): . At (time): Dam O pam.
At this address: - !
City: States, Zip: i
Name or description of:thé persdn.Igave the papérs to:
7
: I
After serving the court-papers, I put copies of the. documents. listed in. @ in an-envelope, sealed thé-envelope,
and put first-class‘prepaid postage on it. 1 addressed the envelope'to the person in QD at the address where I
Jeft the copies, ‘
I mailed the envelope on (date) from (city, state). !
by leaving it (check one): :
ee ee. i
a. 0) Ata U.S: Postal Service mail-drop;or :
b. 0) Atan‘office.or business mail drop where I kriow the mail is picked up‘every day-and. deposited with the
US. Postal Service, or |
c.O1: With someone élsé:Lasked:to maif the documents to the person.in (4), and'l have attached that peson’s:
completed Form SC-104A.
® Server's Information
case and that the information above is true and-correct.
Dates 06/20/2022 bi Dd, /
f 4 ff
George Todd. . > Z More g
Type or print Server's nanie ServeMsigns here after Serving /
|
|
Namé: George Todd . Phone: (818) 515-4620
Address: 14417 Chase Street #187 i
City: Panorama City _ State: CA. Zip: 91402 |
. 1
Fee for service: $ 25.00.
Ifyou aré-a registered process server:
County of registration: Los Angeles Registration number:,.2016159739 i
in : |
6) | declare under penalty ofiperjury, under. California state law that I am at least.18-years old:and not named in this
|
$C-104, Page 2 of 2
|
Raviseu January 1.2008, Proof of Service
(Small Claims)
Preview
- q[22 & 1:0 Proof of Service o eT TED d “ — - = Superior Court of California Use this form to-serve a person,-a business; or a public entity. To learn more ‘ounty of San IF y about proof of service, read Whar'ls "Proof of Service”?, Form SC-104B. To st 2G learn more about how to séi've’a business orentity; read How to Serve a JUN 23 2d Business or-Public Entity, Form SC-104C. C To serve a business, you must serve one of the fallowing'people: -+ Owner (fora sole proprietorship) BY., » Partner (fora partnership) of:general parther (for alimited partnership) + Any officer or general manager (corporation or association) « Any person authorized for service by. the business (corporation, association, | Deputy Clerk: general partnership, limited partnership) Fill in court name and street address: ! + Any person authorized for service With the Secretary of State (corporation, Superior Court of California, County of association, limited liability company [LLC], limited liability partnership San Fraticisco [LLP}, limited partnership) San Francisco Courthouse 400 McAllister St, San Francisco, Rin. 103 CA 94102 Fill in case number, case name, hearing date; day, time; and department below: I Case Number: | CSM-22-865572 ~ Case'Name: b. If you.are serving a business or entity, write thie name of the business |. seve Unt felt or entity, the person authorized for service, and that: person’s job title: Soldisvs. United Airlines United Airlines To serve a public entity, you must first file.aclaiin with that entity, then serve one‘of the following people: * Glerk-(of acity or county) + Chief officer or director-(of a public agency) * Any. person authorized for service by: the entity @) a: If you'are serving.a person, write the person’s name below: Sines oF AGS Name Hearing Date: 96.99.2022 | Sarai: Marin Authorized Agent-C T Corporation System . Person Authorized for Service Job Te Time: | :30PM Dept: 506 | @ instructions to Server: 7 You must be at léast 18 years old .and net’ be.named in this case. Follow these steps:, \ * Give a copy of all the documents checked’ in @) tothe person in @, or | * Give a-copy of all'the documents checked'in@) to.one of the following people: I a. A competent adult(at least 18) living with, and-atthe home of the person in @, or i b. Anvadult (at least.18) who seems to be in-charge at the usual workplace of the-person in @), or | ¢. Anadult(at least 18) who seems to.be.in charge where the person. in @usually receives mail (but nota U.S. Post Office box), if there is no known physical address for the person in@): and tail a.copy of the documents left with one of the adults in a, b, or c above'to the: person in @. THEN. ¢ Complete and sign this form, and. + Give or mail your‘completed form to'the person who asked you to serve-thése court papers, in time for the form to be filed with the court at least 5 days before the hearing. . al) | a. KJ SC-100, Plaintiff's:Claim and ORDER .to Go,to Small Claims: Court b. 1) Sc-120, Deferidarit’s Claim anid ORDER to Go to Small Claims Court c Order for examination (This: farm must.be personally served. Check the form that-was served): | Note: The court can issue a civil.arrest warrant if the served parly:does'not come to court only if the order for I examination was personally served by a'registered process server sheriff, marshal; or.someone.appointed by the court. () ( SC-134,-Application and Order to Produce Statement of Assets and to Appear for Examination (2) LV AT-138/EJ-125, Application and Order for ‘Appearance.and Examination ; d. M1 Other (specify): Offer in Compromise (998) . i “udiclat Council of California, yavaccourtinto.ca gov Proof of Service S$C-104, Page1 of 2 Revived January 12008, Optional For . Cove of Civ Procedure, §§ 116.340, 415.40, 418.20 (Small Claims) @) | served the person in @ a copy of the documents checked. below:”n Case. Number: CSM-22-865572 Case.name: Soldis vs. United-Airlnes Fill out “a” orb” below: a. Personal Service: I personally:gave copies of the:documents:checked in ® to the person'in @: On-@dare); 0815/2022 at (time): 09334 am. Dp. At this address; 330:N- Brand Blvd. Suite 70 City, Glendale State:__CA__ Zip;.91203 b. (2 Substituted Service: I personally'gave-copies of the documents checked in. ® (a, b, or d}to (check on): (1 A competentiadult (at least 18):at the home of, and living with the person in@) , or C1) Anadult who.seems to be in-charge where the person: in@) usually. works, or | C1} An.adult who seems to be in charge:where the person ii @)usually receives mail, or has.a private! post office:box (not a U:S. Post Office box), if there. is no-known physical address for the person in®). | told:that adult, "Please give these court papers to (name:of person in @).” | I did this.on (date): . At (time): Dam O pam. At this address: - ! City: States, Zip: i Name or description of:thé persdn.Igave the papérs to: 7 : I After serving the court-papers, I put copies of the. documents. listed in. @ in an-envelope, sealed thé-envelope, and put first-class‘prepaid postage on it. 1 addressed the envelope'to the person in QD at the address where I Jeft the copies, ‘ I mailed the envelope on (date) from (city, state). ! by leaving it (check one): : ee ee. i a. 0) Ata U.S: Postal Service mail-drop;or : b. 0) Atan‘office.or business mail drop where I kriow the mail is picked up‘every day-and. deposited with the US. Postal Service, or | c.O1: With someone élsé:Lasked:to maif the documents to the person.in (4), and'l have attached that peson’s: completed Form SC-104A. ® Server's Information case and that the information above is true and-correct. Dates 06/20/2022 bi Dd, / f 4 ff George Todd. . > Z More g Type or print Server's nanie ServeMsigns here after Serving / | | Namé: George Todd . Phone: (818) 515-4620 Address: 14417 Chase Street #187 i City: Panorama City _ State: CA. Zip: 91402 | . 1 Fee for service: $ 25.00. Ifyou aré-a registered process server: County of registration: Los Angeles Registration number:,.2016159739 i in : | 6) | declare under penalty ofiperjury, under. California state law that I am at least.18-years old:and not named in this | $C-104, Page 2 of 2 | Raviseu January 1.2008, Proof of Service (Small Claims)