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SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
Aug-20-2018 11:24 am
Case Number: CSM-18-858230
Filing Date: Aug-20-2018 11:24
Filed by: ELIAS BUTT
Image: 06462740
PROOF OF SERVICE ON CLAIM
ERNESTO AMILCAR ALVAREZ VS. JESSICA ARAUJO
001006462740
Instructions:
Please place this sheet on top of the document to be scanned.‘Jemmity aa Proof of Service Clerk stamps date here when form is filed.
Use this form to serve a person, a business, or a public entity. To learn more
about proof of service, read What Is "Proof of Service"? , Form SC-104B. To Superior Court of Californian
Conte af San Eramcisen
learn more about how to serve a business or entity, read How to Serve a AUG 20 2018
Business or Public Entity, Form SC-104C.
i SLERI a QURT
To serve a business, you must serve one of the following people: ~S OFT C
« Owner (for a sole proprietorship) * Aoi Clerk
« Partner (for a partnership) or general partner (for a limited partnership)
« Any officer or general manager (corporation or association) Filln court name and street address:
« Any person authorized for service by the business (corporation, association, | SuPerior Court of California, County of
general partnership, limited partnership)
Any person authorized for service with the Secretary of State (corporation, SMALL CLAIMS
. association, limited liability company [LLC], limited liability partnership SUPERIOR COURT
[LLP], limited partnership) 400 MCALLISTER , ROOM
1
SAN FRANCISCO, CALIFORNIA 94102
To serve a public entity, you must first file a claim with that entity, then
serve one of the following people:
¢ Clerk (of.a city 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:
CSSICA Aitaiwo Case Name:
b. If you are serving a business or entity, write the name of the business sme - $5 S230)
orentity, the person authorized for service, and that person's job title: cS M71 3
Fill in case number, case name, hearing date,
day, time, and department below:
Case Number:
Hearing Date:
Business or Agency Name AUG 29.2018
Time:
Person Authorized for Service Job Title a.
Instructions to Server:
You must be at least 18 years old and not be named in this case. Follow these steps:
¢ Give a copy of all the documents checked in ® to the person in (4), or
« Give a copy of all the documents checked in (8) to one of the following people:
a. A competent adult (at least 18) living with, and at the home of the person in(4) , or
b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in @ ,or
c. An adult (at least 18) who seems to be in charge where the person in @ usually receives mail
(but not a U.S. Post Office box), if there is no known physical address for the person in @.
and mail a copy of the documents left with one of the adults in a, b, or c above to the person in (1).
THEN
¢ Complete and sign this form, and
e Give or mail your completed form to the person who asked you to serve these court papers, in time for
the form to be filed with the court at least 5 days before the hearing.
@) I served the person in (1) a copy of the documents checked below: CO)
a. (} SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court
b. (2) -SC-120, Defendant's Claim and ORDER to Go to Small Claims Court
c. (2) Order for examination (This form must be personally served. Check the form that was served):
Note: The court can issue a civil arrest warrant if the served party does not come to court only if the order for
examination was personally served by a registered process server, sheriff, marshal, or someone appointed by the court.
(1) C) SC-134, Application and Order to Produce Statement of Assets and to Appear for Examination
(2) (J AT-138/EJ-125, Application and Order for Appearance and Examination
d. (2) Other (specify):
RITE TE OTT i
EE GHL ae Mtoe nom CoE Essent PTOOF OF Service SC-404, Page 1 of
CEB bore
(Small Claims)Case name:
Case Number:
©)
Fill out "a" or "b" below:
a. (.) Personal Service: I personally gave copies of the documents checked in ® to the person in @:
On (date): "OF Z2VG. At (time): ASS Clam Efpm.
At this address: oe ©. Ave nvr
City, Da OF States CR Zips PHS
b. CC) Substituted sevice | personally gave copies of the documents checked in @)(a, b, or d) to (check one):
() A competent adult (at least 18) at the home of, and living with the person in@) ,or
() An adult who seems to be in charge where the person in @ usually works, or
() An adult who seems to be in charge where the person in @ 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(4).
I told that adult,"Please give these court papers to (name of person in@)."
I did this on (date): At (time): Olam O)pm.
At this address:
City: State: Zip:
Name or description of the person I gave the papers to:
After serving the court papers, I put copies of the documents listed in @in an envelope, sealed the envelope,
and put first-class prepaid postage on it. I addressed the envelope to the person in @at the address where I
left the copies.
I mailed the envelope on (date): _____ from (city, state):
by leaving it (check one):
a. (J AtaU.S. Postal Service mail drop, or
b. () Atan office or business mail drop where I know the mail is picked up every day and deposited with the
USS. Postal Service, or
¢ (CQ With someone else I asked to mail the documents to the person in @, and I have attached that person's
completed Form SC-104A.
OSE La dap e snk ATS) SUPE P2
Address:
City: 23 ca State: LK zip. 24 2
If you are a registered process server:
County of registration: 700 6a £96 2 _ Registration number: 20 6 6 3 8. & é.
Fee for service: $ __O.0 ©
I declare under penalty of perjury under California state law that I am at least 18 years old and not named in this
case and that the information above is true and correct.
Date:
Me [acto ka der gee 2 >
ype or print server's name Server signs erving
Rowsed January 1, 2008 Proof of Service “104, Page 2 of 2
ae | SRermat (Small Claims)