Proof of Service: STUART K TIELENS, JR. VS FORD MOTOR COMPANY

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January 17, 2023FILED by Superior Court of California, County of Los Angeles on 01/17/2023 03:57 PM David W. Slayton, Executive Officer/Clerk of Court, by A. Lopez,Deputy Clerk
                                                                                                                                                                       POS-010
     ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address)                                                                 FOR COURT USE ONLY
_ Farid Yaghoubtil, Esq. | SBN: 282476
  DOWNTOWN LA LAW GROUP
  601 N. Vermont Ave. Los Angeles, CA 90004
 '    TELEPHQNE NO.: (213) 389-3765 | FAX NO (877) 389-2775 | E-MAIL ADDRESS (Optional):
       ATTORNEY FOR (Name): Plaintiff. Stuart K Tielens Jr



     STANLEY MOSK COURTHOUSE
           STREET ADDRESS: 1 1 1 NORTH HILL ST.

           MAILING ADDRESS:

          city and zip code:   LOS ANGELES, CA 90012
               BRANCH NAME: LOS Angeles

         PLAINTIFF. Stuart K Tielens Jr                                                                                     CASE NUMBER. 22STCV40206

      DEFENDANT. Ford Motor Company                                                                                         Dept: 52

                                                                                                                          Ref. No. or File No..
                                            PROOF OF SERVICE OF SUMMONS                                                                           11077684

                                                    (Separate proof of service is required for each party served.)

1. At the time of service I was at least 18 years of age and not a party to this action.
2. I served copies of:
       a. V Summons
       b. V Complaint
       c. 7 Alternative Dispute Resolution (ADR) package
       d. LV Civil Case Cover Sheet (served in complex cases only)
       e. • Cross-complaint
       f V other (specify documents): Civil Case Cover Sheet Addendum; Notice of Case Assignment; Notice of Case Management
          Conference; First Amended General Order; Stipulation Packet; ORDER PURSUANT TO CCP 1054(a)
3. a. Party served (specify name of party as shown on documents served):
       Ford Motor Company

       b. IV Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person under
                item 5b on whom substituted service was made) (specify name and relationship to the party named in item 3a):
           Daisy Montenegro - Authorized to Accept Service
4. Address where the party was served: 330 N Brand Blvd Ste 700
                                                             Glendale, CA 91203-2336
5. I served the party (check proper box)
   a. V by personal service. I personally delivered the documents listed in item 2 to the party or person authorized to
                receive service of process for the party (1) on (date): 1 /1 7/2023             (2) at (time): 11:56 AM
       b. •     by substituted service. On (date): at (time): I left the documents listed in item 2 with or
                in the presence of (name and title or relationship to person indicated in item 3b):

               (1) •       (business) a person at least 18 years of age apparently in charge at the office or usual place of business of the
                           person to be served. I informed him of her of the general nature of the papers.
               (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. I informed him or her of the general nature of the papers.
               (3) •       (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing
                           address of the person to be served, other than a United States Postal Service post office box. I informed him of
                           her of the general nature of the papers.
               (4) •       I thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be served at the
                           place where the copies were left (Code Civ. Proc., §415.20). I mailed the documents on
                           (date): from (city):                                        or • a declaration of mailing is attached.
               (5)                 •       I attach a declaration of diligence stating actions taken first to attempt personal service.




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Form Approved for Mandatory Use                                                                                                                    Code of Civil Procedure, § 417.10
Judicial Council of California                                   PROOF OF SERVICE OF SUMMONS
POS-010 [Rev January 1, 2007]
                                                                                                                                                       POS010-1/CW457788