Preview
SC-104 Proof of Service Clerk stamps cateret PER filed.
Superior Courtof California
Usethis form to serve a person, business, or a public entity. To learn more Countyof Los Angeles
aboutproofof service, read Whatis "Proofof Service"?, Form SC-104B. To , ‘
learn more about howto serve a business or entity, read How to Serve a OCT 752019
Business or Public Entity, Form SC-104C. —
To serve a business, you must serve oneofthe following people: Sherri K. Carigy ¢ Vilicer/Clerk
* Owner(for a sole proprietorship)
-—___: Deputy
* Partner (for a partnership) or general partner(for a limited partnership) CharleneVita!
* Anyofficer or general manager(corporation or association)
* Any person authorized for service by the business (corporation, association,
generalpartnerhip,limited partnership)
* Any person authorized for service with the Secretary of State (corporation, Superior Court of California
association, limited liability company [LLC], limited liability partnership Los Angeles County, California
[LLP], limited partnership) Santa Monica Courthouse-West
District
To serve a public entity, yen mustfirst file a claim withthat entity, then serve 1725 Main Street
one of the following people: California, California 90401
* Clerk (of a city or county)
* Chief officer or director (of a public agency)
Case Number:
* Any person authorized for service by the entity
19SMSC01900
q) a. If you are serving a person,write the person's name below:
Case Name:
Cynthia Howell Daniel A. Coccia, Jr vs. Cynthia
b. If youare serving a business, or entity, write the name of the business Howell
or entity, the person authorized for service, and that person's jobtitle:
Business or Agency Name Hearing Date: 11/15/2019
Time: 8:30 am Dept:
Person Authorized for Service Job Title
@) Instructions to Server:
You mustbe atleast 18 years old and not be namedin this case. Follow these steps:
¢ Give a copy ofall the documents checked in@) to the person in@), or
* Give a copy ofall the documents checked in@) to oneof the following people:
a. A competent adult (at least 18) living with, and at the home ofthe person in@), or
b. An adult (at least 18) who seemsto be in chargeat the usual workplaceof the person in@, or
c. An adult (at least 18) who seems to be in charge where the person in@) usuallyreceives mail,
(but not a U.S. Post Office box), if there is no known physical addressfor 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,
¢ Complete and sign this form, and
* Give or mail your completed form to the person who asked you to serve these court papers in timefor
theform to befiled with the courtat least 5 days before the hearing.
| served the person in® a copy of the documents checked below:
a. [x] SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court
b. [J SC-120, Defendant's Claim and ORDERto 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 cometo courtonly if the orderfor
examination was personally served bya registered process server, sheriff, marshal, or someone appointed bythe
court.
(1) J se-134, Application and Orderto Produce Statement ofAssets and to Appearfor Examination
(2) (_] AT-138/EJ-125, Application and Orderfor Appearance and Examination
d. [| Other, (specify):
Judicial Council of California
Revised January 1, 2009, Optional Form Proof of Service SC-104, Page 1 of 3
Codeof Civil Procedure 116.340, 415.10, 415.20
(Small Claims) Job Number SRU-2019001900
Preview
SC-104 Proof of Service Clerk stamps cateret PER filed. Superior Courtof California Usethis form to serve a person, business, or a public entity. To learn more Countyof Los Angeles aboutproofof service, read Whatis "Proofof Service"?, Form SC-104B. To , ‘ learn more about howto serve a business or entity, read How to Serve a OCT 752019 Business or Public Entity, Form SC-104C. — To serve a business, you must serve oneofthe following people: Sherri K. Carigy ¢ Vilicer/Clerk * Owner(for a sole proprietorship) -—___: Deputy * Partner (for a partnership) or general partner(for a limited partnership) CharleneVita! * Anyofficer or general manager(corporation or association) * Any person authorized for service by the business (corporation, association, generalpartnerhip,limited partnership) * Any person authorized for service with the Secretary of State (corporation, Superior Court of California association, limited liability company [LLC], limited liability partnership Los Angeles County, California [LLP], limited partnership) Santa Monica Courthouse-West District To serve a public entity, yen mustfirst file a claim withthat entity, then serve 1725 Main Street one of the following people: California, California 90401 * Clerk (of a city or county) * Chief officer or director (of a public agency) Case Number: * Any person authorized for service by the entity 19SMSC01900 q) a. If you are serving a person,write the person's name below: Case Name: Cynthia Howell Daniel A. Coccia, Jr vs. Cynthia b. If youare serving a business, or entity, write the name of the business Howell or entity, the person authorized for service, and that person's jobtitle: Business or Agency Name Hearing Date: 11/15/2019 Time: 8:30 am Dept: Person Authorized for Service Job Title @) Instructions to Server: You mustbe atleast 18 years old and not be namedin this case. Follow these steps: ¢ Give a copy ofall the documents checked in@) to the person in@), or * Give a copy ofall the documents checked in@) to oneof the following people: a. A competent adult (at least 18) living with, and at the home ofthe person in@), or b. An adult (at least 18) who seemsto be in chargeat the usual workplaceof the person in@, or c. An adult (at least 18) who seems to be in charge where the person in@) usuallyreceives mail, (but not a U.S. Post Office box), if there is no known physical addressfor 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, ¢ Complete and sign this form, and * Give or mail your completed form to the person who asked you to serve these court papers in timefor theform to befiled with the courtat least 5 days before the hearing. | served the person in® a copy of the documents checked below: a. [x] SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court b. [J SC-120, Defendant's Claim and ORDERto 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 cometo courtonly if the orderfor examination was personally served bya registered process server, sheriff, marshal, or someone appointed bythe court. (1) J se-134, Application and Orderto Produce Statement ofAssets and to Appearfor Examination (2) (_] AT-138/EJ-125, Application and Orderfor Appearance and Examination d. [| Other, (specify): Judicial Council of California Revised January 1, 2009, Optional Form Proof of Service SC-104, Page 1 of 3 Codeof Civil Procedure 116.340, 415.10, 415.20 (Small Claims) Job Number SRU-2019001900