Proof of Service: LIBERTY MUTUAL INSURANCE VS. CAMERON DYLAN JONES

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FILED
Superior Court of California,
County of San Francisco
‘SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO 03/26/2015
STREETADDRESS: 400 McAllister Street, Room {03 Clerk of the Court
MAILING ADDRESS; BY-WILLIAM TRUPEK
GITY AND ZIP CODE: _ San Franeleco 94102 Deputy Clerk

BRANCH NAME. Civic Center Courttiouse:

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§22-140152

PROOF OF SERVICE OF SUMMONS
2. | served copies of (specify documents): 2

1. Atthe time of service | was at least 18 years of age and not a party to this action.
‘COMPLAINT; CIVIL CASE COVER SHEET; NOTICE TO PLAINTIFF; ADR INFORMATION PACKAGE; BLANK
CASE MANAGEMENT STATEMENT
3. a. Party served (specify name of party as shown on documents served):
CAMERON DYLAN JONES, AN INDIVIDUAL

6 Person (other than the party In item 3a) served on behalf ofan entity or as an authorized agent (and not a person under
whom substituted service wes made} (specify name and relationship to the party named in item 3a ):

4. Address where the party was served:
1303 MERCED ST, RICHMOND, CA 94804

5. |-served the party (check proper box)
a Dd by Rorworral service | personally dellvered the documents Veted fn tern 2 to the perty cr parson sxthorized to receive
service of process for the party (1) on (date): 03/22/2018 at (time): 6:58 AM

b. [2] by substituted sorvice. On (date): at (tima): Left the documents listed in item 2 with
of in tha presence of (name and title or relationship to person indicated in item 3):

oo (busines) 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. | informed him or her of the general nature of the papers.

(2) [©] (home) a competent member of the household (at least 18 years of aga) at the dwelling house or usual place
of abode of the party, | informed him or her of the general nature of the papers,

(3) [J (physical address unknown) a person at least 18 years of age apparentty in charge et the usual malling
address of tha parson to be served, other than a United States Postal Service post office box. | informed him
or her of the general nature.of the papers,

(4) [_] | 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). | mailed tha documents on (date):
from (city): or[_] a declaration of mailing is attached.

«5) [1 [attach a declaration of diligence stating actions taken first to attempt personal service.

_Pags of
‘Code af Civil Procedure, § 417.10
PROOF OF SERVICE OF SUMMONS ‘Tracking #: 0006460866G oO by mall and acknowledgement of recolpt of sarvice. | mailed the documents listed in tem 2 to the perty, to the
address shown in item 4, by first-class mail, postage prepaid,

(1) on (date): {2) from (city):

@C] Nero tooa ae aa Notice and Acknowledgement of Receipt end» postage-paid return ervalope
addressed to me. (Attach completed Notice and Acknowledgement of Receipt) (Code Civ, Proc. § 415.30)
(4) [] to an address outside Califomie with return receipt requested. (Code Civ, Proc., § 415.40)

6. (1) _ by other means (specify means of service and authorizing code section):

[21 Additional page describing service is attached.

6. The “Notice to the Person Served” (on the summons) was completed as follows:

as an individual defendant.

as the person sued under the fictitious name of (specify):

4s occupant.

On behalf of (specify)

undar the followirig Code of Civil Procedure section:
[51 416.10 (corporation)
[1 416.20 (defunct corporation)
[£1 416.30 doirit stock company/association)
[1 416.40 (association or partnership)
(1 $416.50 (public entity)

OOO

a 9 F Pp

415.95 (business organization, form unknown)
416,60 (minor)

416.70 (ward or conservatee)

416.90 (authorized person)

415.48 (occupant)

other:

QOOOUdU

a. Name: Granville Smith

b. Address: 304 12th St, Sulte 4A, Oakland, CA 94607
¢ Teléphoneriumber —-—-§10-832-0701

G, The fee for service was: $ 69.50

e. lam:

(1) [1] note registered California process server. 2
(2) [=] exempt from registration under Gusinass and Professions Code section 22350(b). z
(3) CX] registered California process server: :
@ [71 camer [] employee [XJ independent contractor, For: ABC Legal Services, inc.
Gi) CX] Registration No: 1014 Registration #: 6778
Gi) CX county: Alameda County: Los Angeles.
se Cx) I declare under penalty of perjury under the !aws of the State of California that the foregoing is true and correct.
or
9. ([] | ama Calltomia sheriff or marshal and | certify that the foregoing is tue and correct.
Granville Smith
(NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) ATURE)
POS-010 [Reev. January t, 2007], Page 2az

poe PROOF OF SERVICE OF SUMMONS Tracking #: 0008460866
[greene UNCER HE