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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, Stofe Ber number, and adcress}>
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

‘receprone no.: (510)302-1000
E-MAIL ADDRESS (Optional: Chosch@kazanlaw.com
ATTORNEY FOR (Name): Plaintiffs

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO
streer appress: 400 McAllister Street

FOR COURT USE ONLY

ELECTRONICALLY
FILED

Superior Court of California,
County of San Francisco

DEFENDANT/RESPONDENT: FORD MOTOR COMPANY, et al.

MAILING ADDRESS:
city ano zipcove: San Francisco, CA 94102 FEB 07 2014
prancuname: Civic Center Courthouse Clerk of the Court
PLAINTIFF/PETITIONER: HAROLD KOEPKE and NANCY KARIDIS- CASE NUMBER Den
KOEPKE eputy Clerk

CGC-13-276217

PROOF OF SERVICE OF SUMMONS

Ref. No. oF File No-

(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 fc this action.
2. | served copies of:

a. [x] summons

b. £x_] complaint

C Altemative Dispute Resolution (ADR) package

d, Civil Case Caver Sheet (served in complex cases enty)

e cross-complaint

f. other (specify documents): Pretiminary Fact Sheet/New Filing/Asbestos Litigation; Notice to Plaintiff - Initial Case Manage-

ment Conference; and, Amended General Order Ne. 158 Order Mandating Electronic Piling and Service of Asbestus Pleadings
a. Party served (specify name of party as shown on documents served}: BURLINGAME AUTO SUPPLY

b. [x] Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and net a person
under item Sb on whom substituted service was made) (specify name and relationship to the party named in item 3a).

Michael Dees, owner, authorized to accept service
Address where the parly was served: 418 Mercy Street, Mountain View, CA

| served the party (check proper box)

a. [x] by personal service. | personaily delivered the documents fisted in item 2 to the party or person authorized to
receive service of process for the party (1) on (date): December 20, 2013 (2) at (mej: 7:30 p.m.

| by substituted service. On (date): at lime}: [left the documents listed in item 2 with or
in the presence of (name and title or relationship to person indicated in item 3}:

(4) (business) a person at least 18 years of age apparently in charge at ihe office or usual piace of business
of the person to be served. { informed him or her of the general nature of the papers.

(2) uJ (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. | informed him ov her of the general nature of the papers.

(3) t__} (physical address unknown) a person at feast 18 years of age apparently in charge at the usual maiting
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 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 the documents on

(date): from (city): or|__|adeclaration of mailingis attached.
(5) ["| attach a declaration of diligence stating actions taken first to attempt personal service.

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Form Adopted for Mandatory Use
Judicial Council of California
POS-010 (Rov. January 1, 2007]

PROOF OF SERVICE OF SUMMONS 5 (98%.
Bus

Code ot Civil Procedure, § 447.10PLAINTIFF/PETITIONER: HAROLD KOEPKE and NANCY KARxIDIS-KOBPEKE | case sumac:
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 retum envelope addressed
tome, (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 418.30.)
(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. [| asan individual defendant.
b. || asthe person sued under the fictitious name of (specify):
c, |) as occupant.

d. [x On behalf of (specify): BURLINGAME AUTO SUPPLY
under the following Code of Civil Procedure section:
Lx_] 416.10 (corporation)
[...] 416.20 (defunct corporation) E
|} 416.30 (joint stock company/association} §[—
[} 416.40 (association or partnership)
[""} 446.50 (public entity)

416.95 (business organization, form unknown)
416.60 (minor)

416.70 (ward or conservaies}

416.90 (authorized person)

418.46 (occupant)

other:

7. Person who served papers
a, Name: Jimmie Bruessard, RAPID RETURN SERVICES
b. Address: 4942 Ridgefield Circle, Fairfield, CA 94534
c. Telephone number: (877) 794-8300
d. The fee for service was: $ 400
e

lam:
(1) L S not a registered California process server.
(2) [7] exempt from registration under Business and Professions Code section 22350(b).

(2) [x.| registered California process server;
@ LxJ owner [“]employee ["] independent contractor.
(ii) Registration No.: 859
(ii) County: Alameda
8. |x] [declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
or

9. 1..} lama California sheriff or marshal and | certify that the foregoing is true and correct.

Date: Decembet”/ » 2013

Jimmie Bruessard >

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

POS-010 IRev. January 4, 2007] PROOF OF SERVICE OF SUMMONS

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