On August 03, 2022 a
Proof of Sub-Service Filed. As to:
was filed
involving a dispute between
Musharbash, Joseph,
and
American Medical Response,
American Medical Response, Inc.,
Cutler, M.D, Aaron,
Does 2-100, Inclusive,
Does 3 -100, Inclusive,
Gibani, M.D, Siraj,
Hide-A-While,
Hide-A-While Lounge,
Musharbash, Susan,
Rancho Cucamonga Fire Protection District,
San Antonio Regional Hospital,
Young, M.D, Richard,
City Of Rancho Cucamonga,
County Of San Bernardino,
for Medical Malpractice Unlimited
in the District Court of San Bernardino County.
Preview
K POS-01 0
ATrORNEY 0R PARTY WITHOUT ATrORNEY (Name, sm‘ta'aar number. and address):
xv FOR COURT use ONLY
Steven Calderwood, 323652
CaldenNood Law Group L E [g
SUPERIOR COURT OF ALl FORNIA
4024 HOOSIER LAWN WAY. COUNTY 0F SAN BERNARDINO
YORBA LINDA, CA 92886 SAN BERNAnmNo DISTRICT
TELEPHONE No.: 71 47854666
ATTORNEY FOR(Name): Plaintiff 550V 1 8 2022
SUPERIOR COURT 0F CALIFORNIA. COUNTY 0F
Superior Court of California, San Bernardino County /) .20"?
247 weSt 3rd St BY: mhméflohnson, Deputy
San Bernardino. CA 92401
CASE NUMBER:
PLAINTIFF/PETITIONER: Joseph Musharbash, et a|_
CIV3322171 17
DEFENDANT/RESPONDENT: San Antonio Regional Hospital, et al.
Ref. No. or file No.:
PROOF OF SERVICE OF SUMMONS
1. At the time of service | was a citizen of the United States. at least 18 years of age and not a party to this action.
2. Iserved copies of: Complaint, Amendment to Complaint, Summons, Civil Case Cover Sheet
3. a. Party served: Siraj Gibani, M.D.
b- Person Served: Party in item 3.a. I I,
a 5,}.
v
"
4. Address where the party was served: 255 E Bonita Ave, Building 9
Pomona, CA 91 767
5. Iserved the party
b- by SUbStitUted service- 0n (date): 1 1/07/2022 at (time): 9:1 5AM | left the documents listed in item 2 with or
in the presence of: Maggie DOE (C/F/25-35/5'-5'5/1 30-1 60) - Front Desk - Person In Charge Of Office
(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
sewed. l informed him or her of the general nature of the papers.
(4) A declaration of mailing is attached.
(5) | attach a declaration of diligence stating actions taken first to attempt personal service.
6. The “Notice to the Person Served“ (on the summons) was completed as follows:
a. as an individual defendant.
7. Person who sewed papers
a' Name:
Obed Garcia
b" Address: P-000618-Sonoma
One Legal -
1400 North McDowell Blvd, Ste 300
Petaluma, CA 94954
c. Telephone number: 415-491-0606
d. The fee for service was: $ 63.50
e. lam:
(3) registered California process server.
(i) Employee or independent contractor.
(ii) Registration No.: 1857
(iii) County: San Bernardino
8. l declare under penalty of periurv under the laws of the United States of Amen'ca and the Sta‘e of California that the foregoing
is true and correct.
Date: 1 1/1 5/2022
’
ObedWHO
Garcia
SERVED PAPERS) (SIGNATURE)
(NAME OF PERSON
Form Adopted for Mandatory Use Code of Civfl Procedure, 5 41110
J"“"“"?§33.”J:J ?,‘émms‘m"
‘
PROOF 0F SERVICE 0F SUMMONS
OL# 19236969
TELEPHONE
'
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address“
Steven Calderwood, 323652 \a 714789.46
Calderwood Law Group '
4024 HOOSIER LAWN WAY,
' i
YORBA LINDA, CA 92886 RetNuorFiIeNa
ATrORNEY FOR (Name): Plaintiff
Insert name of court. judicial dlstn'd or branch court, if any:
San Bernardino-Justice Center
247 West 3rd St
San Bernardino. CA 92401
PLAINTI FF:
Joseph Musharbash, et al.
DEFENDANT:
San Antonio Regional Hospital, et al.
CASE NUMBER:
DECLARATION OF
CIVSBZZ1 71 17
DILIGENCE
unable to personally serve said party.
Ireceived the within process on 11/3/2022 and that after due and diligent effort have been I
attempts the efforts required to effect personal service. Additional
The following itemization of the dates and times of details
costs for diligence are recoverable under CCP §1033.5 (a)(4)(B).
PARTY SERVED: Siraj Gibani, M.D.
(1)Business: 255 E Bonita Ave, Building 9, Pomona, CA 91767
As enumerated below:
On 11/4/2022 2:11:00 PM at address (1) above. Not Available
On 11/5/2022 10:16:00 AM at address (1) above. Not In
On 11/7/2022 9:15:00 AM at address (1) above. Not Available
declare under penalty of perjury under the laws of the United States of America and
the State of
I
California that the foregoing is true and correct and that this declaration was executed on
11/1 5/2022 at Petaluma, California.
Registered California process server.
County: San Bernardino
Registration No.2
Obed Garcia
1857
One Legal - P—000618-Sonoma
fiQ
1409 Nonh_Mchyye_ll Blvd, Ste 300 m # 1 Gomono
Document Filed Date
November 18, 2022
Case Filing Date
August 03, 2022
Category
Medical Malpractice Unlimited
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K POS-01 0 ATrORNEY 0R PARTY WITHOUT ATrORNEY (Name, sm‘ta'aar number. and address): xv FOR COURT use ONLY Steven Calderwood, 323652 CaldenNood Law Group L E [g SUPERIOR COURT OF ALl FORNIA 4024 HOOSIER LAWN WAY. COUNTY 0F SAN BERNARDINO YORBA LINDA, CA 92886 SAN BERNAnmNo DISTRICT TELEPHONE No.: 71 47854666 ATTORNEY FOR(Name): Plaintiff 550V 1 8 2022 SUPERIOR COURT 0F CALIFORNIA. COUNTY 0F Superior Court of California, San Bernardino County /) .20"? 247 weSt 3rd St BY: mhméflohnson, Deputy San Bernardino. CA 92401 CASE NUMBER: PLAINTIFF/PETITIONER: Joseph Musharbash, et a|_ CIV3322171 17 DEFENDANT/RESPONDENT: San Antonio Regional Hospital, et al. Ref. No. or file No.: PROOF OF SERVICE OF SUMMONS 1. At the time of service | was a citizen of the United States. at least 18 years of age and not a party to this action. 2. Iserved copies of: Complaint, Amendment to Complaint, Summons, Civil Case Cover Sheet 3. a. Party served: Siraj Gibani, M.D. b- Person Served: Party in item 3.a. I I, a 5,}. v " 4. Address where the party was served: 255 E Bonita Ave, Building 9 Pomona, CA 91 767 5. Iserved the party b- by SUbStitUted service- 0n (date): 1 1/07/2022 at (time): 9:1 5AM | left the documents listed in item 2 with or in the presence of: Maggie DOE (C/F/25-35/5'-5'5/1 30-1 60) - Front Desk - Person In Charge Of Office (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 sewed. l informed him or her of the general nature of the papers. (4) A declaration of mailing is attached. (5) | attach a declaration of diligence stating actions taken first to attempt personal service. 6. The “Notice to the Person Served“ (on the summons) was completed as follows: a. as an individual defendant. 7. Person who sewed papers a' Name: Obed Garcia b" Address: P-000618-Sonoma One Legal - 1400 North McDowell Blvd, Ste 300 Petaluma, CA 94954 c. Telephone number: 415-491-0606 d. The fee for service was: $ 63.50 e. lam: (3) registered California process server. (i) Employee or independent contractor. (ii) Registration No.: 1857 (iii) County: San Bernardino 8. l declare under penalty of periurv under the laws of the United States of Amen'ca and the Sta‘e of California that the foregoing is true and correct. Date: 1 1/1 5/2022 ’ ObedWHO Garcia SERVED PAPERS) (SIGNATURE) (NAME OF PERSON Form Adopted for Mandatory Use Code of Civfl Procedure, 5 41110 J"“"“"?§33.”J:J ?,‘émms‘m" ‘ PROOF 0F SERVICE 0F SUMMONS OL# 19236969 TELEPHONE ' FOR COURT USE ONLY ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address“ Steven Calderwood, 323652 \a 714789.46 Calderwood Law Group ' 4024 HOOSIER LAWN WAY, ' i YORBA LINDA, CA 92886 RetNuorFiIeNa ATrORNEY FOR (Name): Plaintiff Insert name of court. judicial dlstn'd or branch court, if any: San Bernardino-Justice Center 247 West 3rd St San Bernardino. CA 92401 PLAINTI FF: Joseph Musharbash, et al. DEFENDANT: San Antonio Regional Hospital, et al. CASE NUMBER: DECLARATION OF CIVSBZZ1 71 17 DILIGENCE unable to personally serve said party. Ireceived the within process on 11/3/2022 and that after due and diligent effort have been I attempts the efforts required to effect personal service. Additional The following itemization of the dates and times of details costs for diligence are recoverable under CCP §1033.5 (a)(4)(B). PARTY SERVED: Siraj Gibani, M.D. (1)Business: 255 E Bonita Ave, Building 9, Pomona, CA 91767 As enumerated below: On 11/4/2022 2:11:00 PM at address (1) above. Not Available On 11/5/2022 10:16:00 AM at address (1) above. Not In On 11/7/2022 9:15:00 AM at address (1) above. Not Available declare under penalty of perjury under the laws of the United States of America and the State of I California that the foregoing is true and correct and that this declaration was executed on 11/1 5/2022 at Petaluma, California. Registered California process server. County: San Bernardino Registration No.2 Obed Garcia 1857 One Legal - P—000618-Sonoma fiQ 1409 Nonh_Mchyye_ll Blvd, Ste 300 m # 1 Gomono