Preview
‘Clerk stamps date here when form is filed.
Proof of Service
Use this form to serve a person, business, or public entity. To learn more about FILE
proof of service, read What Is Proof of Service?, Form SC-104B, To learn more Supe rior Court of California
about how to serve a business or public entity, read How to Serve a unty of Los Angeles
Business,Form SC-104C, .
To serve a business, you must serve one of the following people: MAR 0.1 2021
°Owner (for a sole proprietorship or a business, form unknown) Sherri R. Car Exer Officer/Clerk of Court
Partner (for a partnership) or general partner (for a limited partnership)
By.
Any officer or general manager (corporation or association)
Any person authorized for service by the business (corporation, association,
General partnership, limited partnership) Fill in court name and street address
eAny person authorized for service with the Secretary of State (corporation,
association, limited-liability company (LLC), limited-liability partnership Superior Court of California, County of
(LLP), limited partnership) LOS ANGELES
To serve a public entity,you must first file a claim with that entity, then 6230 Sylmar Ave
serve one of the following people: Van Nuys, CA 91401
eClerk (of a city or county) Van Nuys East
e Chief officer or director (of a public agency)
e Any person authorized for service by the entity. Fill in case number, case name, hearing date, day, time, and
department below:
a. If you are serving a person, write the person's name below: Case Number:
20VESC02860
Ggaik Gabrielyan_
b. If you are serving a business or public entity, write the name of the Case Name:
business or entity, the person authorized for service, and that person's Walter Lazaryan vs.
job title: Ani Gabrielyan, et al
Business or Agency Name Hearing Date:
3/1/2024
Person Authorized for Service - Job Title Time: Dept:
8:30 AM
@ instructions to Server
You must be at least 18 years old and not be med in this case, Follow these steps:
e Give a copy of the documents checked in fo the person in or
e Give a copy of the documents checked in Yt
a. A competent adult (at least 18) at the home of and living with the person in Dor
b. An adult (at least 18) who seems to be in charge or
c. An adult (at least 18) who seems to be in charge at the place where the person receives mail (not a
U.S. Postal Service P.O. 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
eComplete and sign this form, and
Give or mail your completed form to the person who asked you to serve these court papers, in time for the
el)
form to be filed with the court at least 5 days before the hearing.
Ls ed the person in © a copy of the documents
SC-100, Plaintiff's Claim and ORDER to Go to Small Claim Court
b. sc-120, Defendants Claim and ORDER to Go to Small Clams Court
checked below:
c. C1 Order for Examination (This form must be personally served. Put a check mark next to the form that was
served):
Note: The court can issue a civil arrest warrant if the served party does not come to court but only if the Order
for Examination was personally served by a registered process server, sheriff, marshal, or someone appointed by
the court.
()L1 sc-134, Application and Order to Produce Statement of Assets and to Appear for Examination
Q) AT-138/EJ-125, Application and Order for Appearance and Examination
a0 Other (specify):
1049974
“Judicial Council of Califomia, www.courtinfo.ca.gov
Revised January 1, 2009, Optional Fe PROOF OF SERVICE ‘SC-104, Page 1 of 2
Code of Civil Procedure,§§ 116.340, 415.10, 415.20 (Small Claims)