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SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
Oct-08-2010 10:16 am
Case Number: CGC-10-503755
Filing Date: Sep-28-2010 2:14
Juke Box: 001 Image: 02997557
SUMMONS ON COMPLAINT FILED BY PLAINTIFF
ADRIATIC INSURANCE COMPANY VS. AUGUSTO ISIDDO PANGAN JR et al
001002997557
Instructions:
Please place this sheet on top of the document to be scanned.POSs-010
‘ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
David B Green, 52434
LAW OFFICE OF DAVID B GREEN 2h10 SEP 28 PH 2 6,
4300 Redwood Hwy
San Rafael, CA 94903
TELEPHONE NO: (415) 472-5009
ATTORNEY FOR (ame): Plaintifl BY!
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
Superior Court of California, San Francisco County
400 McAllister Street, Civil
San Francisco, CA 94102-0000
OURT
‘CASE NUMBER:
CGC-10-503755
PLAINTIFFIPETITIONER: 4 driatic Insurance Company
DEFENDANT/RESPONDENT: Pangan, Jr., et al
[rate oF ne
PROOF OF SERVICE OF SUMMONS 0013431
1. At the time of service | was a citizen of the United States, at least 18 years of age and nat a party to this action.
2. | served copies of: Summons, Complaint, Civil Case Cover Sheet, ADR Info. Package, Notice to Plaintiff
3. a Partyserved: Augusto Isiddo Pangan, Jr.
b. Person Served: Maria Pavon, Relative - Co-Occupant
4, Address where the party was served: 634 Price Street
Daly City, CA 94014
5. | served the party
b. by substituted service. On (date): 9/27/2010 at (time): 11:00 AM | left the documents listed in item 2 with or
in the presence of: Maria Pavon. Relative
(2) (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 or her of the general nature of the papers.
(4) A declaration of mailing is attached.
(5) | attach a declaration of diligence stating actions taken first to attempt personal service.
6. The "Notice to the Person Served” (on the summons) was completed as follows:
a. as an individual defendant.
7. Person who served papers
a. Name: Wantaregh -
b. Address: One Legal - 194-Marin
504 Redwood Blvd #223
Novato, CA 94947
c. Telephone number: 415-491-0606
d. The fee for service was: $: 75.25
e. lam:
(3) registered California process server. B F A
(i) Employee or independent contractor.
(ii) Registration No. 1188
(iii) County ALAMEDA :
8.1 declare under penalty of perjury under the laws of the United States of America and the Worn that the fdxeqoing is true and correct.
Date: 9/28/2010
Wantaregh -
NAME OF PERSON WHO SERVED PAPERS) SIGNATURE)
Form Adopted for Mandatory Use
eo PROOF OF SERVICE OF SUMMONS
Code of Civil Procedure, § 417.10
OL# 6727557ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
David B Green, 52434
LAW OFFICE OF DAVID B GREEN
4300 Redwood Hwy
San Rafael, CA 94903
ATTORNEY FOR (Name): Plaintiff
Tnsen name of cout, judeial strict or branch court, Wary.
FOR COURT USE ONLY
Superior Court of California, San Francisco County
400 McAllister Street, Civil
San Francisco, CA 94102-0000
PLAINTIFF:
Adriatic Insurance Company
DEFENDANT:
Pangan. Jr.. et al
DECLARATION OF |
CASE NUMBER:
CGC-10-503755
DILIGENCE
{received the within process on 9/20/2010 and that after due and diligent effort | have been unable to personally serve said party. The following
itemization of the dates and times of attempts details the efforts required to effect personal service. Additional costs for diligence are
recoverable under CCP §1033.5 (a)(4)(B).
PARTY SERVED: Augusto Isiddo Pangan, Jr.
(1) HOME: 634 Price Street, Daly City, CA 94014
As enumerated below:
9/24/2010 7:50PM ataddress (1) above. No answer. Chevy Van #6MME645 in driveway. No lights on. No activity.
9/25/2010 7:30 AM. ataddress (1) above. No answer. Same. No change in activity.
9/26/2010 2:00 PM at address (1) above. Not home. Subject not home per Maria Pavon, Relative. Subject is in the process of moving
ut.
9/27/2010 11:00 AM ataddress (1) above. Not home. Subject not home per Maria Pavon, Relative. Sub-served to Maria.
| declare under penalty of perjury under the laws of the United States of
America and the State of California that the foregoing is true and correct and
Et, that this declaration was executed on 9/28/2010 at Oakland, California.
Registered California process server.
County: ALAMEDA :
Registration No.: 1188
Wantaregh -
One Legal - 194-Marin Wantaregh -
504 Redwood Blvd #223
Novato, CA 94947 OL# 6727557ATTORNEY OR PARTY WITHOUT ATTORNEY (lame and Acres):
David B Green, 52434
LAW OFFICE OF DAVID B GREEN
4300 Redwood Hwy
San Rafael, CA 94903 Rel. No. or Fie No,
ATTORNEY FOR (Neme): Plaintiff 0013431
‘seri name of court judelal disc or branch cout, any.
FOR COURT USE ONLY
Superior Court of California, San Francisco County
400 McAllister Street, Civil
San Francisco, CA 94102-0000
PLAINTIFF:
Adriatic Insurance Company
DEFENDANT:
Pangan, IJr., et al
PROOF OF SERVICE BY MAIL
| am 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 Bivd #223,
Novato, CA 94947.
CASE NUMBER:
CGC-10-503755 _|
On 9/28/2010, after substituted service under section CCP 415.20(a) or 415.20(b) or FRCIV.P 4(d)(1) was made, | mailed copies of the:
Summons, Complaint, Civil Case Cover Sheet, ADR Info. Package, Notice to Plaintiff
to the person to be served at the place where the coples 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:
Augusto Isiddo Pangan, Jr.
634 Price Street
Daly City, CA 94014
| 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.
$275.25
Fee for Service: I declare under penalty of perjury under the laws of the United States of
America and the State of California that the foregoing is true and correct and
Lee Major that this declaration was executed on 9/28/2010 at Oakland, California.
One Legal - 194-Marin _7
504 Redwood Blvd #223 Be WY: i
Novato, CA 94947 ° 0
Lee Major
OL# 6727557
Preview
IOV SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO Document Scanning Lead Sheet Oct-08-2010 10:16 am Case Number: CGC-10-503755 Filing Date: Sep-28-2010 2:14 Juke Box: 001 Image: 02997557 SUMMONS ON COMPLAINT FILED BY PLAINTIFF ADRIATIC INSURANCE COMPANY VS. AUGUSTO ISIDDO PANGAN JR et al 001002997557 Instructions: Please place this sheet on top of the document to be scanned.POSs-010 ‘ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): David B Green, 52434 LAW OFFICE OF DAVID B GREEN 2h10 SEP 28 PH 2 6, 4300 Redwood Hwy San Rafael, CA 94903 TELEPHONE NO: (415) 472-5009 ATTORNEY FOR (ame): Plaintifl BY! SUPERIOR COURT OF CALIFORNIA, COUNTY OF Superior Court of California, San Francisco County 400 McAllister Street, Civil San Francisco, CA 94102-0000 OURT ‘CASE NUMBER: CGC-10-503755 PLAINTIFFIPETITIONER: 4 driatic Insurance Company DEFENDANT/RESPONDENT: Pangan, Jr., et al [rate oF ne PROOF OF SERVICE OF SUMMONS 0013431 1. At the time of service | was a citizen of the United States, at least 18 years of age and nat a party to this action. 2. | served copies of: Summons, Complaint, Civil Case Cover Sheet, ADR Info. Package, Notice to Plaintiff 3. a Partyserved: Augusto Isiddo Pangan, Jr. b. Person Served: Maria Pavon, Relative - Co-Occupant 4, Address where the party was served: 634 Price Street Daly City, CA 94014 5. | served the party b. by substituted service. On (date): 9/27/2010 at (time): 11:00 AM | left the documents listed in item 2 with or in the presence of: Maria Pavon. Relative (2) (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 or her of the general nature of the papers. (4) A declaration of mailing is attached. (5) | attach a declaration of diligence stating actions taken first to attempt personal service. 6. The "Notice to the Person Served” (on the summons) was completed as follows: a. as an individual defendant. 7. Person who served papers a. Name: Wantaregh - b. Address: One Legal - 194-Marin 504 Redwood Blvd #223 Novato, CA 94947 c. Telephone number: 415-491-0606 d. The fee for service was: $: 75.25 e. lam: (3) registered California process server. B F A (i) Employee or independent contractor. (ii) Registration No. 1188 (iii) County ALAMEDA : 8.1 declare under penalty of perjury under the laws of the United States of America and the Worn that the fdxeqoing is true and correct. Date: 9/28/2010 Wantaregh - NAME OF PERSON WHO SERVED PAPERS) SIGNATURE) Form Adopted for Mandatory Use eo PROOF OF SERVICE OF SUMMONS Code of Civil Procedure, § 417.10 OL# 6727557ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): David B Green, 52434 LAW OFFICE OF DAVID B GREEN 4300 Redwood Hwy San Rafael, CA 94903 ATTORNEY FOR (Name): Plaintiff Tnsen name of cout, judeial strict or branch court, Wary. FOR COURT USE ONLY Superior Court of California, San Francisco County 400 McAllister Street, Civil San Francisco, CA 94102-0000 PLAINTIFF: Adriatic Insurance Company DEFENDANT: Pangan. Jr.. et al DECLARATION OF | CASE NUMBER: CGC-10-503755 DILIGENCE {received the within process on 9/20/2010 and that after due and diligent effort | have been unable to personally serve said party. The following itemization of the dates and times of attempts details the efforts required to effect personal service. Additional costs for diligence are recoverable under CCP §1033.5 (a)(4)(B). PARTY SERVED: Augusto Isiddo Pangan, Jr. (1) HOME: 634 Price Street, Daly City, CA 94014 As enumerated below: 9/24/2010 7:50PM ataddress (1) above. No answer. Chevy Van #6MME645 in driveway. No lights on. No activity. 9/25/2010 7:30 AM. ataddress (1) above. No answer. Same. No change in activity. 9/26/2010 2:00 PM at address (1) above. Not home. Subject not home per Maria Pavon, Relative. Subject is in the process of moving ut. 9/27/2010 11:00 AM ataddress (1) above. Not home. Subject not home per Maria Pavon, Relative. Sub-served to Maria. | declare under penalty of perjury under the laws of the United States of America and the State of California that the foregoing is true and correct and Et, that this declaration was executed on 9/28/2010 at Oakland, California. Registered California process server. County: ALAMEDA : Registration No.: 1188 Wantaregh - One Legal - 194-Marin Wantaregh - 504 Redwood Blvd #223 Novato, CA 94947 OL# 6727557ATTORNEY OR PARTY WITHOUT ATTORNEY (lame and Acres): David B Green, 52434 LAW OFFICE OF DAVID B GREEN 4300 Redwood Hwy San Rafael, CA 94903 Rel. No. or Fie No, ATTORNEY FOR (Neme): Plaintiff 0013431 ‘seri name of court judelal disc or branch cout, any. FOR COURT USE ONLY Superior Court of California, San Francisco County 400 McAllister Street, Civil San Francisco, CA 94102-0000 PLAINTIFF: Adriatic Insurance Company DEFENDANT: Pangan, IJr., et al PROOF OF SERVICE BY MAIL | am 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 Bivd #223, Novato, CA 94947. CASE NUMBER: CGC-10-503755 _| On 9/28/2010, after substituted service under section CCP 415.20(a) or 415.20(b) or FRCIV.P 4(d)(1) was made, | mailed copies of the: Summons, Complaint, Civil Case Cover Sheet, ADR Info. Package, Notice to Plaintiff to the person to be served at the place where the coples 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: Augusto Isiddo Pangan, Jr. 634 Price Street Daly City, CA 94014 | 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. $275.25 Fee for Service: I declare under penalty of perjury under the laws of the United States of America and the State of California that the foregoing is true and correct and Lee Major that this declaration was executed on 9/28/2010 at Oakland, California. One Legal - 194-Marin _7 504 Redwood Blvd #223 Be WY: i Novato, CA 94947 ° 0 Lee Major OL# 6727557