On October 02, 2017 a
Summons
was filed
involving a dispute between
Khazan Shahran,
and
Metusal Leor,
Toro Carlos Miguel Barahona,
for Motor Vehicle - Personal Injury/Property Damage/Wrongful Death (General Jurisdiction)
in the District Court of Los Angeles County.
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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar 1, and address) POS-01.
Cameron Y. Brock, Esq. | SBN: 183112
FOR COURT USE ONLY
Burg & Brock
4554 Sherman Qaks Avenue Sherman Oaks, CA 91403
TELEPHONE NO.: (818) 676-9800 | FAX NO. (818) 676-9804 [E-MAIL ADDRESS. (Optional): FILED
ne pk CP
ATTORNEY FOR (Name): Plaintiff: Shahram Kazan Sur ae ne oles, aE
Cor
Los Angeles County Superior Court . FEB 15 2018 bs
‘STREET ADDRESS: 111 North Hill Street
MAILING ADDRESS:
CITY AND ZIP CoE: Los Angeles, CA 90012
Sherri BR. Caner, caguuiee uiti
By.NodRaul Sanchez We Oepul
cer/Cig
So
ES
BRANCH NAME: Stanley Mosk - Central District E>
7
PLAINTIFF: Shahram Khazan CASE NUMBER: |= SS
Ks
DEFENDANT: Carlos Miguel Barahona Toro;et al. BC678279 en
PROOF OF SERVICE OF SUMMONS Ref. No, or File No,
Khazan
(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.
| served copies of:
DAD
a Summons
b. Complaint
c Alternative Dispute Resolution (ADR) package
d. Civil Case Cover Sheet
e. Cross-complaint
f. other (specify documents): Civil Case Cover Sheet Ad idendum and Statement of Location;
Seventh Amended General Order; Fourth Amended Ger neral Order - Final Status Conference,Notice of Case Assignment;
Personal Injury ("PI") Courts
a. Party served (specify name of party as shown on documents served):
Carlos Miguel Barahona Toro
oO Person (other than the party in item 3a) served on behalf of an entity or as an authorized
agent (and not a person under
item 5b on whom substituted service was made) (specify name and relationship to the party
named in item 3a):
Address where the party was served: 1806 Mentone Ave
Pasadena, CA 91103-1424
Ise 'd the party (check proper box)
a. by personal service. | personally delivered the documents listed in item 2 to the party or person
authorized to
receive service of process for the party (1) on (date): 2/9/2018 (2) at (time): 1:58 PM
b. O by substituted service. On (date): at (time): | left the documents listed in item
2 with or
in the presence of (name and title or relationship to person indicated in item 3b):
(1) oO (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 served. | informed him of her of the general nature of the papers.
@O (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual place
of
abode of the party. | informed him or her of the general nature of the papers.
@O (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing
address of the person to be served, other than a United States Postal Service post office box.
| informed him of
her of the general nature of the papers.
@O | thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be
served at the
place where the copies were left (Code Civ. Proc., §41 5.20). | mailed the documents on
(date): from (city): or] a declaration of mailing is attached.
©) 0 attach a declaration of diligence stating actions taken first to attempt personal service.
on
Form Apy ved for Mandatory Use Page 1of2
Judicial ecu uncil of California PROOF OF SERVICE OF SUMMONS Code
of Civil Procedure, § 417.10
POS-010 [Rev. January 1, 2007)
POS010-1/61743
Document Filed Date
February 15, 2018
Case Filing Date
October 02, 2017
Category
Motor Vehicle - Personal Injury/Property Damage/Wrongful Death (General Jurisdiction)
Status
Request for Dismissal - Before Trial not following ADR or more than 60 days since ADR 08/02/2019
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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar 1, and address) POS-01. Cameron Y. Brock, Esq. | SBN: 183112 FOR COURT USE ONLY Burg & Brock 4554 Sherman Qaks Avenue Sherman Oaks, CA 91403 TELEPHONE NO.: (818) 676-9800 | FAX NO. (818) 676-9804 [E-MAIL ADDRESS. (Optional): FILED ne pk CP ATTORNEY FOR (Name): Plaintiff: Shahram Kazan Sur ae ne oles, aE Cor Los Angeles County Superior Court . FEB 15 2018 bs ‘STREET ADDRESS: 111 North Hill Street MAILING ADDRESS: CITY AND ZIP CoE: Los Angeles, CA 90012 Sherri BR. Caner, caguuiee uiti By.NodRaul Sanchez We Oepul cer/Cig So ES BRANCH NAME: Stanley Mosk - Central District E> 7 PLAINTIFF: Shahram Khazan CASE NUMBER: |= SS Ks DEFENDANT: Carlos Miguel Barahona Toro;et al. BC678279 en PROOF OF SERVICE OF SUMMONS Ref. No, or File No, Khazan (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. | served copies of: DAD a Summons b. Complaint c Alternative Dispute Resolution (ADR) package d. Civil Case Cover Sheet e. Cross-complaint f. other (specify documents): Civil Case Cover Sheet Ad idendum and Statement of Location; Seventh Amended General Order; Fourth Amended Ger neral Order - Final Status Conference,Notice of Case Assignment; Personal Injury ("PI") Courts a. Party served (specify name of party as shown on documents served): Carlos Miguel Barahona Toro oO Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person under item 5b on whom substituted service was made) (specify name and relationship to the party named in item 3a): Address where the party was served: 1806 Mentone Ave Pasadena, CA 91103-1424 Ise 'd the party (check proper box) a. by personal service. | personally delivered the documents listed in item 2 to the party or person authorized to receive service of process for the party (1) on (date): 2/9/2018 (2) at (time): 1:58 PM b. O by substituted service. On (date): at (time): | left the documents listed in item 2 with or in the presence of (name and title or relationship to person indicated in item 3b): (1) oO (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 served. | informed him of her of the general nature of the papers. @O (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual place of abode of the party. | informed him or her of the general nature of the papers. @O (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing address of the person to be served, other than a United States Postal Service post office box. | informed him of her of the general nature of the papers. @O | thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be served at the place where the copies were left (Code Civ. Proc., §41 5.20). | mailed the documents on (date): from (city): or] a declaration of mailing is attached. ©) 0 attach a declaration of diligence stating actions taken first to attempt personal service. on Form Apy ved for Mandatory Use Page 1of2 Judicial ecu uncil of California PROOF OF SERVICE OF SUMMONS Code of Civil Procedure, § 417.10 POS-010 [Rev. January 1, 2007) POS010-1/61743