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ACTON
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
May-29-2009 8:39 am
Case Number: CSM-09-829672
Filing Date: May-27-2009 5:54
Juke Box: 001 Image: 02510332
PROOF OF SERVICE FILED
KASIA SEVEREID VS. STEPHANIE SZUCS
001002510332
Instructions: .
Please place this sheet on top of the document to be scanned.Siem Til.) Proof of Service
Use this form to serve a person, a business, or a public entity. To lear more
about proof of service, read What Is “Proof of Service"?, Form SC-104B. To
learn more about how to serve a business or entity, read How to Serve a
Business or Public Entity, Form SC-104C.
To serve a business, you must serve one of the
+ Owner (for a sole proprietorship)
* Partner (for a partnership) or general partner (for a limited partnership)
+ Any officer or general manager (corporation or association)
+ Any person authorized for service by the business {corporation, association,
general partnership, limited partnership)
* Any person authorized for service with the Secretary of State (corporation,
association, limited liability company [LLC], limited liability partnership
[LLP], limited partnership)
To serve a public entity, you must first file a claim with that entity, then
serve one of the following people:
+ Clerk (ofa city or county)
+ Chief officer or director (of a public agency)
+ Any person authorized for service by the entity
a) a. If you are serving a person, write the person’s name below:
Seplaaiaa £ Mes
b. Ifyou dre serving a business or entity, write the name of the business
or entity, the person authorized for service, and that person’s job title:
following people:
Business or Agency Name
Person Authorized for Service
Job Title
@) Instructions to Server:
You must be at least 18 years old and not be named in this case. Follow these
+ Give a copy of all the documents checked in@) to the person in @, or
Clerk stamps date here when form is filed.
hee Cos
MAY 2.7 250%
Fil io court name and strest address:
‘Superior Court of California, County of
SAN FRANCISCO
SMALL CLAIMS DIVISION
400 MCALLISTER ST., Rm 103
SAN FRANCISCO, CA 94102
Fill in case number, case name, hearing date,
day, time, and department below:
Case Number:
steps:
+ Give a copy of all 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 adult (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 @usually 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 c above to the person in).
THEN
+ Complete and sign this form, and
* Give or mail your completed form to the person who asked
the form to be filed with the court at least 3 days before the hearing.
I served the person in @Ma copy of the documents checked below:
a. PNSC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court
6 Ose 120, Defendant's Claim and ORDER to Go to Small Claims Court
c. ) Order for examination (This form must be personally served. Check the form that
you to serve these court papers, in time for
Lal
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
¢xamination was personally served by a registered [process server,
@)
@
4. OO other (specify):
sheriff; marshal, or someone appointed by the court,
SC-134, Application and Order to Produce Statement of Assets and to Appear. for Examination
(j AT-138/EJ-125, Application and Order for Appearance and Examination
Judicial Council of California, www courtinio.ca. gov
Revised January 1, 2009, Optional Form
‘Code of Civil Procedura, §§ 116.340, 415.10, 415.20
Proof of Service
(Smail Claims)
SG-104, Page 1 of 2
>
[American LegaiNet, Ine.
raw Formsiorktow.com[" Number:
RBAUTS
Case name: SeViAMAA Ven. GLUES
(4) Fill out “a” or “b” below:
a. LC) Personal Service: I personally gave copies of the documents checked in ® to the person in@):
On (date): - At (time): Olam. Cpm.
At this address:
City: State:. Zip:
b. a Substituted Service: I personally gave copies of the documents checked in @ (a, b, or d) to (check one):
Da competent adult (at least 18) at the home of, and living with the person in) > Or
KX] An adult who seems to be in charge where the person in(1) 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).
I told that adult, "Please give these court papers to (name of person in@)."
1 did this on (dave): _ OS [9A] 07 At (time): YSU Oam. pm.
At this address: TOO. Valen CA St-
City: Gain yA sn O1Sco state: CA zip, CTU D
Name or description of the person I gave the papers to:_ CALLA Stews 4
After 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 I
left the copies. . .
T mailed the envelope on (date SZ Atom (city, state): Newcastle CF
by leaving it (check one):
a. Ata U.S. Postal Service mail drop, or
b.O1 At an office or business mail drop where I know the mail is picked up every day and deposited with the
U.S. Postal Service, or .
c With someone else I asked to mail the documents to the person in ®, and I have attached that person’s
completed Form SC-104A.
6) Server's Information
Name: Llaeda DIA ie. Phone: |” iw) ZovgAvVo
Address: Cle7] O Wise Ed :
City: SAW Cac 2 State: CA Zip: ABS e
Fee for service: $ &
Ifyou are a registered process server:
County of registration: Registration number:
(©) Idectare under penalty of perjury under California state law that | am at least 18 years old and not named in this
L Drak C/
or print server's name
Revised January 1, 2008 Proof of Service SC-104, Page 2 of 2
(Small Claims)
Preview
ACTON SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO Document Scanning Lead Sheet May-29-2009 8:39 am Case Number: CSM-09-829672 Filing Date: May-27-2009 5:54 Juke Box: 001 Image: 02510332 PROOF OF SERVICE FILED KASIA SEVEREID VS. STEPHANIE SZUCS 001002510332 Instructions: . Please place this sheet on top of the document to be scanned.Siem Til.) Proof of Service Use this form to serve a person, a business, or a public entity. To lear more about proof of service, read What Is “Proof of Service"?, Form SC-104B. To learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, Form SC-104C. To serve a business, you must serve one of the + Owner (for a sole proprietorship) * Partner (for a partnership) or general partner (for a limited partnership) + Any officer or general manager (corporation or association) + Any person authorized for service by the business {corporation, association, general partnership, limited partnership) * Any person authorized for service with the Secretary of State (corporation, association, limited liability company [LLC], limited liability partnership [LLP], limited partnership) To serve a public entity, you must first file a claim with that entity, then serve one of the following people: + Clerk (ofa city or county) + Chief officer or director (of a public agency) + Any person authorized for service by the entity a) a. If you are serving a person, write the person’s name below: Seplaaiaa £ Mes b. Ifyou dre serving a business or entity, write the name of the business or entity, the person authorized for service, and that person’s job title: following people: Business or Agency Name Person Authorized for Service Job Title @) Instructions to Server: You must be at least 18 years old and not be named in this case. Follow these + Give a copy of all the documents checked in@) to the person in @, or Clerk stamps date here when form is filed. hee Cos MAY 2.7 250% Fil io court name and strest address: ‘Superior Court of California, County of SAN FRANCISCO SMALL CLAIMS DIVISION 400 MCALLISTER ST., Rm 103 SAN FRANCISCO, CA 94102 Fill in case number, case name, hearing date, day, time, and department below: Case Number: steps: + Give a copy of all 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 adult (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 @usually 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 c above to the person in). THEN + Complete and sign this form, and * Give or mail your completed form to the person who asked the form to be filed with the court at least 3 days before the hearing. I served the person in @Ma copy of the documents checked below: a. PNSC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court 6 Ose 120, Defendant's Claim and ORDER to Go to Small Claims Court c. ) Order for examination (This form must be personally served. Check the form that you to serve these court papers, in time for Lal 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 ¢xamination was personally served by a registered [process server, @) @ 4. OO other (specify): sheriff; marshal, or someone appointed by the court, SC-134, Application and Order to Produce Statement of Assets and to Appear. for Examination (j AT-138/EJ-125, Application and Order for Appearance and Examination Judicial Council of California, www courtinio.ca. gov Revised January 1, 2009, Optional Form ‘Code of Civil Procedura, §§ 116.340, 415.10, 415.20 Proof of Service (Smail Claims) SG-104, Page 1 of 2 > [American LegaiNet, Ine. raw Formsiorktow.com[" Number: RBAUTS Case name: SeViAMAA Ven. GLUES (4) Fill out “a” or “b” below: a. LC) Personal Service: I personally gave copies of the documents checked in ® to the person in@): On (date): - At (time): Olam. Cpm. At this address: City: State:. Zip: b. a Substituted Service: I personally gave copies of the documents checked in @ (a, b, or d) to (check one): Da competent adult (at least 18) at the home of, and living with the person in) > Or KX] An adult who seems to be in charge where the person in(1) 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). I told that adult, "Please give these court papers to (name of person in@)." 1 did this on (dave): _ OS [9A] 07 At (time): YSU Oam. pm. At this address: TOO. Valen CA St- City: Gain yA sn O1Sco state: CA zip, CTU D Name or description of the person I gave the papers to:_ CALLA Stews 4 After 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 I left the copies. . . T mailed the envelope on (date SZ Atom (city, state): Newcastle CF by leaving it (check one): a. Ata U.S. Postal Service mail drop, or b.O1 At an office or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service, or . c With someone else I asked to mail the documents to the person in ®, and I have attached that person’s completed Form SC-104A. 6) Server's Information Name: Llaeda DIA ie. Phone: |” iw) ZovgAvVo Address: Cle7] O Wise Ed : City: SAW Cac 2 State: CA Zip: ABS e Fee for service: $ & Ifyou are a registered process server: County of registration: Registration number: (©) Idectare under penalty of perjury under California state law that | am at least 18 years old and not named in this L Drak C/ or print server's name Revised January 1, 2008 Proof of Service SC-104, Page 2 of 2 (Small Claims)