Proof of Service: Reyes et al -v- Knolls West et al Print

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                                POS-010
        ATTORNEY OR PARTY WITHOUT ATTORNL'Y                                                      (Hame,$‘tate Bar number.        ar'
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                                                                                                                                           ‘dress)                                                                               FOR COURT USE ONLY
                   Daniel Azizi, Esq.                               SBN: 268995                                                                                                                                       \1-
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                   DOWNTOWN                           LA LAW
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                                                                                                                                                                                                         SUPERIOR COURT OF CALIFORNIA
                                                                                                                                                                                                                                           ED
                 601 N. Vermont Ave.                                     Los Angeles.              CA 90004                                                                                               COUNTY OF SAN BERNARDINO
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                                                                                                                                                                                                                  %M
                  ATTORNEY FOR                       (Name):          Plaintiff:
                                                                                                                                                                                                                       MAR            l   0 202i
        San Bernardino Superior Court
                                     STREET ADDRESS: 247 W. Third St                                                                                                                                mr                                                    '4

                                     MAILING ADDRESS:                                                                                                                                                           DANIEL                    IsnLEmpEPurV
                                    oITv   AND Zip CODE: San Bernardino,                            CA 92415
                                           BRANCH NAME: San Bernardino

                                   PLAINTIFF: Veronica Reyes,                           et al,                                                                                                          CASE NUMBER:

             DEFENDANT:                                Knolls          West Convalescent                       Hospital, et     al.                                                                     CIV88202814O

                                                                                                                                                                                                        Ref. W0. or Fl e   No;
                                                                                      PROOF OF SERVICE OF SUMMONS                                                                                                           Veronica Reyes, et aL


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

        .        At the time of service                                    |   was     at least           18 years of age and not a party to                          this action.
        .        I                 served copies                of:


                                           Summons
                                    g      Complaint
                                           Alternative Dispute Resolution  (ADR) package
                 -*-.