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AACA
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
Aug-03-2012 11:31 am
Case Number: CGC-12-520772
Filing Date: Jul-26-2012 11:30
Filed by: DAVID YUEN
Juke Box: 001 Image: 03711459
PROOF OF SERVICE OF SUMMONS AND COMPLAINT
TJADE JACKSON VS. CITY AND COUNTY OF SAN FRANCISCO et al
001C03711459
Instructions:
Please place this sheet on top of the document to be scanned.at
POS-010
"ATIORNEY OR PARTY V/ITHOUT ATTORNEY (Name, Siota Bar number, and adktoss)
Sanford M Cipinko, 88102
LAW OFFICE OF S. M. CIPINKO
55 Francisco Street Suite 403
San Francisco, CA 94133
TELEPHONENO: (415) 693-9905
ATTORNEY FOR (Nao) Plaintiff,
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
Superior Court of California, San Francisco County
400 McAllister Street, Civil
San Francisco, CA 94102-0000
T FOR COURT USE ONLY
San Francisco County Superior Court
JL 26 2012
CLERK OF JHE COURT
BY: Deputy Clerk}
PLAINTIFF/PETITIONER: T'Jade Jackson
DEFENDANT/RESPONDENT: City and County of San Francisco, et al.
CASE NUMBER:
CGC-12-520772
PROOF OF SERVICE OF SUMMONS
Fel. No or Fue No:
Jackson
1. Al the lime of service | was a citizen of the United States. al least 18 vears of aae and not 2 party to this action.
2. U served copies of: Summons, Complaint, Civil Case Cover Sheet, Notice to Plaintiff, ADR Program Information Package, Blank
Stipulation to ADR, Blank Case Management Statement, Judicin] Mediation
3. a. Party served: City and County of San Francisco
b. Person Served: Ashley Cheng, Employee
4, Address where the party was served: | Dr. Carlton B. Goodlett P] Room 200
San Francisco, CA 94102
5. I served the party
b. by substituted service, On (date): 7/13/2012
in the presence of: Ashley Cheng, Employee
al (time): 4:00 PM
{left the documents listed in item 2 with or
(1) (business) a parson al 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.
(4) A declaration of mailing is attached.
6. The"Nolice Io the Person Served” (an the summons) was completed as follows:
c. on behalf of:
City and County of San Francisco
under CCP 416.50 (public entity)
7. Person who served papers
a, Name: Dietrich S. Rapalski
b, Address: One Legal - 194-Marin
504 Redwood Blvd #223
Novato, CA 94947
¢. Telephone number: 415-491-0606
d. The fee for service was: S$ 80.90
e. lam:
(3) reqistered California process server.
{i) Emolovee or independent contracior.
(ii) Reaistration No. 2012-0001236
(iti) County SAN FRANCISCO.
8. | declare under penalty of perjury under the laws of the United States of ‘America Shid\he Sl
Date: 7/23/2012
Dietrich S. Rapalski
fs fue and correct.
2 of Dall
Form Adopled for Mandatory Use
eee PROOF OF SERVICE OF SUMMONS
{Fv Jon 1, 2007]
‘Gade at Con Procecure. § 417.10
OL# 6784460"ATTORNEY OR PARTY WITHOUT ATTORNEY (Namo and Adoress):
Sanford M Cipinko, 88102
LAW OFFICE OF S. M. CIPINKO
55 Francisco Street Suite 403
San Francisco, CA 94133
ATTORNEY FOR(Nore): Plaintiff
TELEPHONE NO:
(415) 693-9905
Ret. No.
Jackson
FOR COURT USE ONLY,
Trsetrame of cout, jcc distie o branch cour. ifanye
Superior Court of California, San Francisco County
400 McAllister Street, Civil
San Francisco, CA 94102-0000
‘PLAINTIFF:
T'Jade Jackson
DEFENDANT:
City and County of San Francisco, et al.
PROOF OF SERVICE BY MAIL ICGC-12-520772
1am a citizen of the United States, over the age of 18 and not a party to the within action. My business address is 504
Redwood Blvd #223, Novato, CA 94947.
| CASE NUMBER:
On 7/23/2012, after substituted service under section CCP 415.20(a) or 415.20(b) or FRCP 4(e)(2)(B) or FRCP 4(h)(1)(B) was.
made, | mailed copies of the:
Summons, Complaint, Civil Case Cover Sheet, Notice to Plaintiff, ADR Program Information Package, Blank Stipulation
to ADR, Blank Case Management Statement, Judicial Mediation
to the person to be served at the place where the copies were left by placing a true copy thereof enclosed in a sealed
envelope, with First Class postage thereon fully prepaid, in the United States Mail at Oakland, CA, California, addressed as
follows: :
City and County of San Francisco
Ashley Cheng, Employee
1 Dr. Carlton B. Goodlett Pl, Room 200
San Francisco, CA 94102
|am readily familiar with the firm's practice for collection and processing of documents for mailing. Under that practice, it would
be deposited within the United States Postal Service, on that same day, with postage thereon fully prepaid, in the ordinary
course of business. | am aware that on motion of the party served, service is presumed invalid if postal cancellation date or
postage meter date is more than one (1) day after date of deposit for mailing in affidavit.
$80.90
I declare under penalty of perjury under the laws of the United States of
America and the State of California that the foregoing is truc and correct and tha!
Kathleen Ubongen Bautista this declaration was executed on 7/23/2012 at Oakland, California.
One Legal - 194-Marin
504 Redwood Blvd #223
Novato, CA 94947
futowrger
Kathleen Ubongen Bautista
OL# 6784460
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AACA SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO Document Scanning Lead Sheet Aug-03-2012 11:31 am Case Number: CGC-12-520772 Filing Date: Jul-26-2012 11:30 Filed by: DAVID YUEN Juke Box: 001 Image: 03711459 PROOF OF SERVICE OF SUMMONS AND COMPLAINT TJADE JACKSON VS. CITY AND COUNTY OF SAN FRANCISCO et al 001C03711459 Instructions: Please place this sheet on top of the document to be scanned.at POS-010 "ATIORNEY OR PARTY V/ITHOUT ATTORNEY (Name, Siota Bar number, and adktoss) Sanford M Cipinko, 88102 LAW OFFICE OF S. M. CIPINKO 55 Francisco Street Suite 403 San Francisco, CA 94133 TELEPHONENO: (415) 693-9905 ATTORNEY FOR (Nao) Plaintiff, SUPERIOR COURT OF CALIFORNIA, COUNTY OF Superior Court of California, San Francisco County 400 McAllister Street, Civil San Francisco, CA 94102-0000 T FOR COURT USE ONLY San Francisco County Superior Court JL 26 2012 CLERK OF JHE COURT BY: Deputy Clerk} PLAINTIFF/PETITIONER: T'Jade Jackson DEFENDANT/RESPONDENT: City and County of San Francisco, et al. CASE NUMBER: CGC-12-520772 PROOF OF SERVICE OF SUMMONS Fel. No or Fue No: Jackson 1. Al the lime of service | was a citizen of the United States. al least 18 vears of aae and not 2 party to this action. 2. U served copies of: Summons, Complaint, Civil Case Cover Sheet, Notice to Plaintiff, ADR Program Information Package, Blank Stipulation to ADR, Blank Case Management Statement, Judicin] Mediation 3. a. Party served: City and County of San Francisco b. Person Served: Ashley Cheng, Employee 4, Address where the party was served: | Dr. Carlton B. Goodlett P] Room 200 San Francisco, CA 94102 5. I served the party b. by substituted service, On (date): 7/13/2012 in the presence of: Ashley Cheng, Employee al (time): 4:00 PM {left the documents listed in item 2 with or (1) (business) a parson al 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. (4) A declaration of mailing is attached. 6. The"Nolice Io the Person Served” (an the summons) was completed as follows: c. on behalf of: City and County of San Francisco under CCP 416.50 (public entity) 7. Person who served papers a, Name: Dietrich S. Rapalski b, Address: One Legal - 194-Marin 504 Redwood Blvd #223 Novato, CA 94947 ¢. Telephone number: 415-491-0606 d. The fee for service was: S$ 80.90 e. lam: (3) reqistered California process server. {i) Emolovee or independent contracior. (ii) Reaistration No. 2012-0001236 (iti) County SAN FRANCISCO. 8. | declare under penalty of perjury under the laws of the United States of ‘America Shid\he Sl Date: 7/23/2012 Dietrich S. Rapalski fs fue and correct. 2 of Dall Form Adopled for Mandatory Use eee PROOF OF SERVICE OF SUMMONS {Fv Jon 1, 2007] ‘Gade at Con Procecure. § 417.10 OL# 6784460"ATTORNEY OR PARTY WITHOUT ATTORNEY (Namo and Adoress): Sanford M Cipinko, 88102 LAW OFFICE OF S. M. CIPINKO 55 Francisco Street Suite 403 San Francisco, CA 94133 ATTORNEY FOR(Nore): Plaintiff TELEPHONE NO: (415) 693-9905 Ret. No. Jackson FOR COURT USE ONLY, Trsetrame of cout, jcc distie o branch cour. ifanye Superior Court of California, San Francisco County 400 McAllister Street, Civil San Francisco, CA 94102-0000 ‘PLAINTIFF: T'Jade Jackson DEFENDANT: City and County of San Francisco, et al. PROOF OF SERVICE BY MAIL ICGC-12-520772 1am a citizen of the United States, over the age of 18 and not a party to the within action. My business address is 504 Redwood Blvd #223, Novato, CA 94947. | CASE NUMBER: On 7/23/2012, after substituted service under section CCP 415.20(a) or 415.20(b) or FRCP 4(e)(2)(B) or FRCP 4(h)(1)(B) was. made, | mailed copies of the: Summons, Complaint, Civil Case Cover Sheet, Notice to Plaintiff, ADR Program Information Package, Blank Stipulation to ADR, Blank Case Management Statement, Judicial Mediation to the person to be served at the place where the copies were left by placing a true copy thereof enclosed in a sealed envelope, with First Class postage thereon fully prepaid, in the United States Mail at Oakland, CA, California, addressed as follows: : City and County of San Francisco Ashley Cheng, Employee 1 Dr. Carlton B. Goodlett Pl, Room 200 San Francisco, CA 94102 |am readily familiar with the firm's practice for collection and processing of documents for mailing. Under that practice, it would be deposited within the United States Postal Service, on that same day, with postage thereon fully prepaid, in the ordinary course of business. | am aware that on motion of the party served, service is presumed invalid if postal cancellation date or postage meter date is more than one (1) day after date of deposit for mailing in affidavit. $80.90 I declare under penalty of perjury under the laws of the United States of America and the State of California that the foregoing is truc and correct and tha! Kathleen Ubongen Bautista this declaration was executed on 7/23/2012 at Oakland, California. One Legal - 194-Marin 504 Redwood Blvd #223 Novato, CA 94947 futowrger Kathleen Ubongen Bautista OL# 6784460