Preview
MOANA
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SAN FRANCISCO
Document Scanning Lead Sheet
May-18-2009 8:09 am
Case Number: CSM-09-828285
Filing Date: May-18-2009 8:08
Juke Box: 001 Image: 02498009
PROOF OF SERVICE FILED ON CLAIM OF DEFENDANT
NICOLE CHETTERO VS. KARIL DANIELS
001002498009
Instructions:
Please place this sheet on top of the document to be scanned.Clerk stamps date here when form is filed.
oy Proof of Service
Use this form to serve a person, business, or a public entity. To learn more SMALL CLAIMS
about proof of service, read What Is "Proof of Service’?, Form SC-104B. To dy Db
learn more about how to serve a business or entity, read How to Serve a San Francisco County Superior Court
Business or Public Entity, Form SC-104C. MAY 18 2009
‘To serve a business, you must serve one of the following people:
* Owner (for a sole proprietorship)
+ Partner (for a partnership) or general partner (for a limited partnership) GORDON PARKsLI Clai
2, na
BY:
* Any officer or general manager (corporation or association)
* Any person authorized for service by the business (corporation, association,
general partnership, limited partnership) Fil 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 SAN FRANCISCO
(LLP), limited partnership) SMALL CLAIMS DIVISION
To serve a public entity, you must first file a claim with that entity, then 400 McAllister Street, Room 103
serve one of the following people: San Francisco, CA 94102-4514
* Clerk (ofa city or county)
+ Chief Officer or Director (of a public agency) Fill in case number, case name, hearing date,
+ Any person authorized for service by the entity Zt, time. one department below:
a. !f you are serving a person, write the person’s name below:
Mreale Chetlero
b. Ifyou are serving a business or entity, write the name of the business
or entity, the person authorized for service, and that person’s job title:
Case Name:
Chethero vs, Lemels
Hearing Date: -—_ 7-O 7
Business or Agency Name Person Authorized for Service Job Title
Time: 7. D SOG
(2) Instructions to Server: [me /: 32 pug amc reS |
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
+ A competent adult (at least 18) living with, and at the home of the person in@), or
+ An adult (at least 18) who seems to be in charge at the usual workplace of the person in@), or
+ An adult (af least 18) whe seems to be in charge where the person in (@yreceives mail,
(but not a U.S. post office box), if there is no known physical address for the person in @-
THEN,
+ Mail a copy of the documents to the person in ®,
+ Complete and sign this form, and
* Give or mail your completed form to the person who asked you to serve these court papers.
@) | served the person in @ a copy of the documents checked below: O
a, L} SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court
b. SC-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 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) 2 SC-t34, Application and Order to Produce Statement of Assets and to Appear for Examination
@) [1] AT-138/EJ-125, Application and Order for Appearance and Examination
a. O Other (specify):
Judicial Council of Cakforia, y. const a = 30-104, P Tor2
Revised January 1, 2007, Optonal fom Proof of Service oe 10
(Code of Civ Procedure, §§ 116.240, 415.10, 415.20 (Small Claims)lumber:
() Fill out “a” or “b” below:
a. Personal Service: | personally gave copies of. ire documents checked in @) to the person in @:
VV
On (date}: Oam. Opm.
At this address:
State: iE Zip: GAL: Za
Ci Z
b. tinea Service: | personally gave copies of the documents checked in @) (a, b, or d) to (check one):
a competent aduit (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 (1) usually works, or
© an adult who seems io be in charge where the persen in @ 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 @
1 did this on (date): $—-/GL-D z At (time): 3ST am. Dif pn.
Atthisaddress: 3 2 Sie peu gh SC. .
Cw Sa Ee TAS EL sue A tip: PELL
Name or description of the,person I gave the papers to: LAKH [dh IP PB
Mths gan feihae ge, eed 7S feat AS.
Ai ing the court papers put copie! he décuments listed in (3) in an enveloge, sealed the envelope,
and put first-class prepaid postage on it. I addressed the envelope to the person in @ at the address
where | left the copies.
I mailed the envelope on (date): £= id a q from (city, state): S L4, Eytnes ‘SO a
by leaving it (check one):
a. ek At a US. Postal Service mail drop, or
b. Li At an office or business mait drop where I know the mail is picked up every day and deposited with the
US. Postal Service, or
¢.[] With someone else | asked to mail the documents to the person in (@) and I have attached that person’s
completed Form SC-1044.
@) Server’s mayor ,
Name: oN Vow ge
Address: SSO Ua al atu. St
City: Sats Eun ede .
Fee for service: $ 4 0 ee
Ifyou are a registered process server: ~~
County of registration: Registration number:
Phone: Alo - Ato ~o4er
state:__&4 _ Zip:_Galis
@) I declare under penalty of perjury under California state law that | am at least 18 years old and not named in this
case and that the information above is true and correct.
Date: _§- tA |
ARDEN VAN Ut? ye Voge
Type or print server’s name
‘Rovsed January 2007 os
Revised Janvary 1. 2007 Proof of Service SC-104, Page 2 of 2
{Smalt Claims)