Other - (name extension) - Other - Proof of Service by Mail - Evidence

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                          . i Case Number:
lems Proof of Service by Mail a

See instructions on other side.
M1 This form is attached to the document checked in @® below.

Server’s information \
Name: __Cnristopher BicYo\mann Phone:_&18 (ol 4sSO
Street or mailing address: AYDoS Lav yu, CT

city:__ \\alencia State: CY Zip: _F (ASY
1 Check here if you are a registered process server, and write:
County where registered: Registration #:

@) Form or document served

a. [] Form SC-105, Request for Court Order and Answer Superior FILED California

b. [x] Form SC-109, Authorization to Appear County of Los Angeles

¢. [] Form SC-114, Request to Amend Claim Before Hearing cen nd 2812022 camotous
d. [Form SC-133, Judgment Debtor's Statement of Assets ey A Aghakian Depaty
©. [] Form SC-150, Request to Postpone Trial OO

f. [] Form SC-221, Response to Request to Make Payments

g. XX] Other document allowed to be served by mail (specify):

0 Check here if there is not enough space below to list the document served. List the …