Preview
1
-
erk stamps date here when form is filed.
Proof vu: Service
FILED ‘Eq
Use this form to serve a person, a business, or a public entity. To learn more Sup erior Court of California
ounty of Los Anaeles /
about proof of service, read What Is "Proof of Service"?, Form SC-104B. To &é
learn more about how to serve a business or entity, read How to Serve a
Business or Public Entity, Form SC-104C.
DEC 18205,“ 18by, IS
Sher R, Carter, Execuiy otticerciert VIL Os
“dias en
To serve a business, you must serve one of the following people: ~
+ Owner (for a sole proprietorship) By.
Deputy
+ Partner (for a partnership) or general partner (for a limited partnership) A. Allen
+ 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:
+ Any person authorized for service with the Secretary of State (corporation, Superior Court of California, County of
association, limited liability company [LLC], limited liability partnership INGLEWOOD COURTHOUSE
[LLP], limited partnership) IONE REGENT STREET, ROOM
To serve a public entity, you must first file a claim with that entity, then 1630
serve one of the following people: INGLEWOOD, CA 90301
+ Clerk (ofa city or county)
+ Chief officer or director (of a public agency) Fill in case number, case name, hearing date,
day, time, and department below:
+ Any person authorized for service by the entity
Case Number:
@) a. If you are serving a person, write the person’s name below:
15808392
Case Name:
b. If you are serving a business or entity, write the name of the business
Qe or entity, the person authorized for service, and that person’s
job title:
Misha Design
Ine .A Gliton raid Cor pave 104 OBA Specialty Car Hearing Date:
BuSiness or Agency Name
craft, 01/25/2016
Rade Djordjevic, Agent for service of process
Person Authorized for Service Job Title Time:08:30AM Dept.: ov
@) Instructions to Server: v
You must be at least 18 years old and not be named in this case. Follow these steps:
+ Give a copy of all the documents checked in ® to the person in @, or
* Give a copy of all the documents checked in@® to one of the following people:
a. A competent adult (at least 18) living with, and at the home of the person in ), or
b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in @, or
c. An adult (at least 18) who seems to be in charge where the person in @)usually receives mail
(but not a U.S. Post Office 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
+ Complete 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 form to be filed with the court at least 5 days before the hearing.
@) | served the person in @ a copy of the documents checked below:
a. SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court ~
4
b. oO SC-120, Defendant's Claim and ORDER to 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 come to court only if the order for
examination was personally served by a registered process server, sheriff, marshal, or someone appointed by the court.
t
(1) ( Sc-134, Application and Order to Produce Statement of Assets and to Appear for Examination
(2) (J AT-138/EJ-125, Application and Order for Appearance and Examination
d. (1 Other (specify):
Judicial Council of California, www.courtinfo ca.gov Proof of Service SC-104, Page 1 of 2
Revised January 1, 2009, Optional Form
Cora of Civ Prosed, §§ 116-340, 416.10, 41520 (Small Claims)
Preview
1 - erk stamps date here when form is filed. Proof vu: Service FILED ‘Eq Use this form to serve a person, a business, or a public entity. To learn more Sup erior Court of California ounty of Los Anaeles / about proof of service, read What Is "Proof of Service"?, Form SC-104B. To &é learn more about how to serve a business or entity, read How to Serve a Business or Public Entity, Form SC-104C. DEC 18205,“ 18by, IS Sher R, Carter, Execuiy otticerciert VIL Os “dias en To serve a business, you must serve one of the following people: ~ + Owner (for a sole proprietorship) By. Deputy + Partner (for a partnership) or general partner (for a limited partnership) A. Allen + 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: + Any person authorized for service with the Secretary of State (corporation, Superior Court of California, County of association, limited liability company [LLC], limited liability partnership INGLEWOOD COURTHOUSE [LLP], limited partnership) IONE REGENT STREET, ROOM To serve a public entity, you must first file a claim with that entity, then 1630 serve one of the following people: INGLEWOOD, CA 90301 + Clerk (ofa city or county) + Chief officer or director (of a public agency) Fill in case number, case name, hearing date, day, time, and department below: + Any person authorized for service by the entity Case Number: @) a. If you are serving a person, write the person’s name below: 15808392 Case Name: b. If you are serving a business or entity, write the name of the business Qe or entity, the person authorized for service, and that person’s job title: Misha Design Ine .A Gliton raid Cor pave 104 OBA Specialty Car Hearing Date: BuSiness or Agency Name craft, 01/25/2016 Rade Djordjevic, Agent for service of process Person Authorized for Service Job Title Time:08:30AM Dept.: ov @) Instructions to Server: v You must be at least 18 years old and not be named in this case. Follow these steps: + Give a copy of all the documents checked in ® to the person in @, or * Give a copy of all the documents checked in@® to one of the following people: a. A competent adult (at least 18) living with, and at the home of the person in ), or b. An adult (at least 18) who seems to be in charge at the usual workplace of the person in @, or c. An adult (at least 18) who seems to be in charge where the person in @)usually receives mail (but not a U.S. Post Office 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 + Complete 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 form to be filed with the court at least 5 days before the hearing. @) | served the person in @ a copy of the documents checked below: a. SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court ~ 4 b. oO SC-120, Defendant's Claim and ORDER to 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 come to court only if the order for examination was personally served by a registered process server, sheriff, marshal, or someone appointed by the court. t (1) ( Sc-134, Application and Order to Produce Statement of Assets and to Appear for Examination (2) (J AT-138/EJ-125, Application and Order for Appearance and Examination d. (1 Other (specify): Judicial Council of California, www.courtinfo ca.gov Proof of Service SC-104, Page 1 of 2 Revised January 1, 2009, Optional Form Cora of Civ Prosed, §§ 116-340, 416.10, 41520 (Small Claims)