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  • HAROLD KOEPKE et al VS. FORD MOTOR COMPANY et al ASBESTOS document preview
  • HAROLD KOEPKE et al VS. FORD MOTOR COMPANY et al ASBESTOS document preview
  • HAROLD KOEPKE et al VS. FORD MOTOR COMPANY et al ASBESTOS document preview
  • HAROLD KOEPKE et al VS. FORD MOTOR COMPANY et al ASBESTOS document preview 
						
                                
Preview

                                POS-010

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, snd address):
Carole M. Bosch, Esq, (C.S.B. No. 239790)
| KAZAN, McCLAIN, SATTERLEY, LYONS, GREENWOOD & OBERMAN
A Professional Law Corporation
Jack London Market, 55 Harrison Street, Suite 400
Oakland, CA 94607
‘recepHone no: (510)302-1000
E-MAIL ADDRESS (Optionay: Chosch@kazanlaw.com
ATTORNEY FOR (Nemes: Plaintiffs

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO
street aooress: 400 McAllister Street
MAILING ADDRESS
civ ann zipcope: San Francisco, CA 94102
sranch name: Civic Center Courthouse,

FOR COURT USE ONLY

ELECTRONICALLY
FILED

Superior Court of California,
County of San Francisco

FEB 07 2014
Clerk of the Court
BY-ALISON-AGBA

PLAINTIFF/PETITIONER: HAROLD KOEPKE and NANCY KARIDIS-
KOEPKE
DEFENDANT/RESPONDENT: FORD MOTOR COMPANY, et al.

BY: ¥
CASE NUMBER: Deputy Clerk

CGC-13-276217

PROOF OF SERVICE OF SUMMONS

Rel. No. or Fle Nos

(Separate proof of service is required for each party served.)

At the time of service | was at least 18 years of age and not a party fo this action.
2. I served copies of:

a. |x] summons

b. [XJ complaint

c. {x_| Alternative Dispute Resolution (ADR) package

d. [x ] Civil Case Cover Sheet (served in complex cases only}
e. [+ cross-complaint

£ [x

other (specify documents): Preliminary Fact Sheet/New Filing/Ashostos Litigation; Notice to Plaintiff - Initial Case Management

Conference; and, Amended G.O. No. 158 Order Mandating Electronic Filing & Service of Asbestos Pleadings
3. a. Party served (specify name of party as shown on documents served}: THE BUDD COMPANY

b. [x] 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 5b an whom substituted service was made) {specify name and relationship fo the party named in item 3a):
CSC - LAWYERS INCORPORATING SERVICE, Agent for Service of Process by leaving
with Andrea Parsons, Process Specialist, Authorized to accept service

5. | served the party (check proper box)

Address where the party was served: 601 Abbot Road, East Lansing, MI 48823

a. {x.| by personal service. | personally delivered the documents listed in lem 2 to the party or person authorized to

receive service of process for the party (1) on (date}: December 11, 2013

b. [| by substituted service. On (date): at {lime}:

(2) at (fime): 11530 am
ileft the documents listed in item 2 with or

in the presence of (name and litle or relationship to person indicated in item 3):

q)

@ C

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

(home) a competent member of the household (at least 18 years of age) at the dwelling house or usual
place of abace of the party. | informed him or her of the general nature of the papers.

3) [ (physical address unknown) a person al jeasi 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. | informed
him or her of the general nature of the papers.

(4) ["] [thereafter maiied (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 the documents on
(date): from (city): or [-”"} adectaration of mailingis attached.

6) ["""] J attach a declaration of diligence stating actions taken first to attempt personal service.

Pago 1 of2

Form Adopled for Mandatory Uso
Judiial Counc of Calitornia
POS-010 (Rev. January 1, 2007}

Code of Civit Procedure, § 417.10

PROOF OF SERVICE OF SUMMONS soins
f& PlusPLAINTIFF/PETITIONER: HAROLD KOEPKE and NANCY KARIDIS-KOEPKE | | Ase sumser:
CGC-13-276217

[DEFENDANT/RESPONDENT: FORD MOTOR COMPANY, et al.

5. c. [-_] by mail and acknowledgment of receipt of service. | 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) [.} with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed

tome. (Affach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.)
(4) |] to an address outside California with return receipt requested. (Code Civ, Proc., § 415.40)

d. [...] by other means (specify means of service and authorizing code section}:

|] 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.
| as the person sued under the fictitious name of (specifyj:
] as occupant.
| On behalf of (specify): THE BUDD COMPANY
under the following Code of Civil Procedure section:
[x] 416.10 (corporation)
|] 446.20 (defunct corporation)
Ll 416.30 (joint stock company/association)

415.95 (business organization, form unknown)
416.60 (minor) .
416.70 (ward or conservatee)

ad co
__| 416.40 (association or partnership) “"} 416.80 (authorized person)
rt 416.50 (public entity) at 415.46 (occupant)
mo") other:

7. Person who served pa
c

2
C > , MICHIGAN CIVIL PROCESS SERVICE
. Address: 42815 Garfield Road, Suite 208, Clinton Township, MI 48038
Telephone number: (888) 551-5353

. The fee for service was:$ 105

lam:

e@aoges

(1) * | not a registered California process server.
I

(2) |] exempt from registration under Business and Professions Code section 22350{b).
(3) |__] registered California process server:

(i) [| owner [| employee £"_] independent contractor.

(i) Registration No.:

(iit) County:

8. [xX] I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
or

9. | am a California sheriff or marshal and | certify that the foregoing is true and correct.

Date: December _, 2013

Say Desay WC > Lis. [ef

(NAME OF PERSON WHO SERVED PAPERSISHERIFF OR MARSHAL) {SIGNATURE }

POS-810 TRov. Jenvary 1, 2007] PROOF OF SERVICE OF SUMMONS

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