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MN
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
Jul-25-2013 7:38 am
Case Number: CSM-13-844080
Filing Date: Jul-25-2013 7:36
Filed by: PARAM NATT
Juke Box: 001 Image: 04139224
GENERIC CIVIL FILING (NO FEE)
ALEX GREENBERG VS. SAN FRANCISCO STATE UNIVERSITY
001004139224
Instructions:
Please place this sheet on top of the document to be scanned.f
Clerk stamps date here when fomm is filed.
FLLED
County of Sant Francisco
Proof of Service
Use this form to serve a person, a business, or a public entity. To learn more
about proof of service, read What Ls "Proof of Service"?, Form SC-104B. To
Jearn more about how to serve a business or entity, read How to Serve a
Business or Public Entity, Form SC-104C. cnn
To serve a business, you must serve one of the following people: JUL, 2 4 2013
+ Owner (for a sole proprietorship) .
+ Partner (for a partnership) or general partner (for a limited partnership) oe OF THE COURT
+ Any officer or general manager (corporation or association) BY:
+ Any person authorized for service by the business (corporation, association, Sa Peputy ler,
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
[LLP], limited partnership) SMALL CLAIMS, 7
To serve a public entity, you must first file a claim with that entity, then sUEERIOR ; OUR 403
serve one of the following people: SAN FRANCISCO, CALIFORNIA 94102
* Clerk (of a city or county)
* Chi i: i Fill in case number, case name, date,
Chief officer or director (of a public agency) tay, ‘aes se er, case name, pearing
* Any person authorized for service by the entity
Case Number:
@) a, Ifyou are serving a person, write the person’s name below: se Num
CSM- ‘13 - 8440980
b. If you are serving a business or entity, write the name of the business Cage Name: ; Saenory vs
or entity, the person authorized for service, and that person’s job title: Sz . .
State University - San Francisco, California eee Un hes 7
gate: SUL 2-4 20%
Business or Agency Name «
Petrier er Barliiher. Liniversity louse sea ae
@) 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 @, or
* Give a copy of ail the documents checked in) to one of the following people:
a. A competent adult (at least 18) living with, and at the home of the person in ® or
b. An aduit (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 @usualty 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 ¢ above to the person in (4).
THEN
* Complete and sign this form, and
* 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 @ a copy of the documents checked below: & Q
a. J SC-i00, Plaintiff's Claim and ORDER to Go to Small Claims Court
b. 0 SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court al)
c. [1] 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) (1 SC-134, Application and Order to Produce Statement of Assets and to Appear for Examination
(2) (9 AT-138/EJ-125, Application and Order for Appearance and Examination
d. i Other (specify):
ioncmmsaaee” ———séProofofService —SSSSCCAOR Page Th
Revised January 1, 2008, Optional Form .
Code of Civil Procadura, §§ 116.340, 415.10, 415.20 (Small Claims)- om o™
“SMe 13 - 844986
Case name:
@) Fill out “a” or “b” below:
a, (1 Personal Service: I personally gave copies of the documents checked in® to the person in@:
On (date): At (time): Oam. Opm.
At this address:
City: State... Zip:
b. wf Substituted Service; I personally gave copies of the documents checked in @ (a, b, or d) to (check one):
C1 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
1 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(1),
[told that adult, "Please give these court papers to (name of person in(@)." ,
I did this on (date): 06/ O57 20/3 At (time): “20 (am. O pm.
At this address: 14600 OHO Wa ave.
ciy:_ fan Feanciteo state: CA zig IY/ BD
Name or description of the person I gave the papers to: Da7 bite O B. Bartcchsin 'S
persona/ _ass/staut Marg
Afier 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 1
left the copies.
I mailed the envelope on (date).
by leaving it (check one):
a. Ata US. Postal Service mail drop, or
6.0 At an office or business mail drop where I know the mail is picked up every day and deposited with the
US. Postal Service, or
c.C] With someone else I asked to mail the documents to the person in (4), and I have attached that person’s
completed Form SC-104A.
® Server's Information a
Name: Of/ga leyanthy
Address: of 55 Buckingham eg apt Fi S06
City: Sav ea vciteo state: CA zip, 9¥73 2
Fee for service: $
from (city, state):
Phone: 75 - $25 30
Ifyou are a registered process server:
County of registration: Registration number:
I declare under penalty of perjury under California state iaw that I am at least 18 years old and not named in this
case and-that-the information-above is true-and.correct.. a
Date: 06/05/20/3
he Porugansty >
‘print server's rn Server sis serving
en
Revised January 1, 2009 Proof of Service SC-104, Page 2 of 2
(Small Claims)