On March 15, 2023 a
Proof of Service
was filed
involving a dispute between
Amelia Buenvenida Fnp Llc,
Buenvenida, Amelia,
Mansat, Arnold P.,
Mansat Jr., Dominador P.,
Mansat, Maria Belen T.,
Mansat, Matthew,
Mansat, Romella D.,
and
Aarb Medical & Healthcare Services, Inc,
Amelia Buenvenida Fnp Llc,
Buenvenida, Amelia,
Does 1 Through 25,
Does 1 Through 25, Inclusive,
Mansat, Arnold P,
Mansat Jr., Dominador P,
Mansat, Maria Belen T.,
Mansat, Matthew A,
Mansat, Romella D,
for Breach of Contract/Warranty Unlimited
in the District Court of San Bernardino County.
Preview
V '
\r POS-010
ATTORNEY 0R PARTY WITHOUT ATTORNEY (Name, State Barnumber, and address). FOR counr use ONLY
John E. Tiedt (Bar # 134667)
_Tiedt & Hurd F5 i L E U
1250 Corona Pointe Court, #402, Corona, CA 92879 COUNw‘EfiRS‘QS SEQSARDWO
TELEPHONE No: (95 1) 549-9400 FAX No. (Optionao- (95 l) 549-9800 SAN BERNARDlND DYSTRICT
E—MAILADDREss (Optional): jtiedt@tiedtlaw.com
JUN 2 9 7023
ATTORNEY FOR (Name). DOMINADOR P. MANSAT, JR., ET AL.
SUPERIOR COURT 0F CALIFORNgA, couurv 0F SAN BERNARDINO ‘ _ .
STREET ADDRESS: 247 W. Thlrd St
MAILING ADDRESS: BY fl
fl ,y.V“(v_g, C ”gm...—
DEPUTY
CITY AND ZIP CODE: San Bemardino 9241 5
BRANCH NAME: C1Vil
IPLAINTIFF/PETITIONER: DOMINADOR P. MANSAT, JR., AN CASE NUMBER:
AMELIA BUENVENIDA FNP LLC, A CIVSBZ306504
DEFENDANT/RESPONDENT;
Ref, No. or File No,,
PROOF OF SERVICE OF SUMMONS
(Separate proof of service is required for each party served.)
1. At the time of service | was at least 18 years of age and not a party to this action.
2. | served copies of:
a— summons
b complaint
.c. Alternative Dispute Resolution (ADR) package
d. EDIUD Civil Case Cover Sheet (served in complex cases only)
e cross-complaint
f other (specify documents): First Amended Com laint; Certificate of Assignment; Notice of Trial
Setting Conference and Notice 0f Case Asmgnment
3. a. name ofparty as shown on documents
Party served (specify served):
AMELIA BUENVENIDA. AN INDIVIDUAL
b. m 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):
JENNIFER A. KEARNS, DUANE MORRIS LLP COUNSEL FOR DEFENDANT
4. Address where the party was served: 750 B STREET, SUITE 2900 , SAN DIEGO, CA 92101
5 'l
served the party (check proper box)
a E by personal service. | personally delivered the documents listed
receive service of process for the party (1) on (date):
in item 2 to the party or person authorized to
(2) at (time):
b. E by substituted service. On (date):
in the presence of (name and title or relationship to
at (time):
person indicated in
|
item
left
3):
the documents listed in item 2 with or
(1) D (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 or her of the general nature of the papers.
I
(2) E (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.
I
(3) D (physical address unknown) a person at least 18 years of age apparently
address of the person to be served, other than a United States Postal Service post office box.
in charge at the usual mailing
| informed
him or her of the general nature of the papers.
(4) E |
at
thereafter mailed (by first-class, postage prepaid) copies of the
the place where the copies were left (Code Civ. Proc., § 415.20
documents
. |
to the person
mailed the documents on
to be served
from or a decIaration of mailing is attached.
(5) E (date):
|
(city):
attach a declaration of diligence stating actions taken first to attempt personal service.
Page 1 of 2
Code ofCiviI Procedure, §417V10
Fommem Manda“! Use PROOF 0F SERVICE 0F SUMMONS
Judicial Council of California I r . I ‘
POS-o1o [Rev. January 1, 2007] LexisNexis® Automated California Judlctal Counctl Forms
\n . V
PLAINTIFF/PETITIONER: DOMINADOR P. MANSAT, JR., AN CASE NUMBER:
CIVSBz306504
BEF'ENDANT/RESPONDENT: AMELIA BUENVENIDA FNP LLC, A
5. c. by mail and acknowledgment of receipt of service. | mailed the documents listed in item 2 to the party, to the
address shown in item 4, by first—class mail, postage prepaid,
(1) on (date): June 8, 2023 (2) from (city): Corona, California
(3) with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed
(4) E to
to
me. (Attach completed Notice and Acknowledgement of Receipt.) (Code
an address outside California with return receipt requested. (Code
Civ. Proc.,
Civ. Proc., § 415.40.)
§ 415.30.)
d_ D by other means (specify means of service and authorizing code section):
D Additional page describing service is attached.
6. The "Notice to the Person Served" (on the summons) was completed as follows:
a as an individual defendant.
b D
E as the person sued under the fictitious name of (specify):
.C-
d- D as occupant.
0n behalfof
under the following Code of
(specify).-
Civil Procedure section:
D 416.10 (corporation) D 415.95 (business organization. form unknown)
E 416.20 (defunct corporation) D 416.60 (minor)
E 416.30 (joint stock company/association) D 416.70 (ward or conservatee)
D 416.40 (association or partnership) D 416.90 (authorized person)
E 416.50 (public D 415.46 (occupant)
7. Person who served papers
entity)
D other:
a Name: JILL HUSK
Address; 1250 CORONA POINTE COURT SUITE 402, CORONA CA 92879
Telephone number: 951-549-9400
snaov.
The fee for service was: $0
| am:
(1) x not a registered California process server.
(2) exempt from registration under Business and Professions Code section 22350(b).
(3)
(i)
(ii)
owner
Registration No.:
E
a registered California process server:
a employee E independent contractor.
(iii) County:
8.
m | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
or
E
9.
Date‘: 6/27/23
lam
JILL HUSK
a California sheriff or marshal and
(NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL)
| certify that the foregoing
K" ){M
/
,
is true
\
M
.
and correct.
(SIGNATURE )
Pom [Rev’m’y 1' 2°”
PROOF 0F SERVICE 0F SUMMONs
Page 2 of 2
LexisNexis® Automated California Judicial Council Forms
Document Filed Date
June 29, 2023
Case Filing Date
March 15, 2023
Category
Breach of Contract/Warranty Unlimited
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
V ' \r POS-010 ATTORNEY 0R PARTY WITHOUT ATTORNEY (Name, State Barnumber, and address). FOR counr use ONLY John E. Tiedt (Bar # 134667) _Tiedt & Hurd F5 i L E U 1250 Corona Pointe Court, #402, Corona, CA 92879 COUNw‘EfiRS‘QS SEQSARDWO TELEPHONE No: (95 1) 549-9400 FAX No. (Optionao- (95 l) 549-9800 SAN BERNARDlND DYSTRICT E—MAILADDREss (Optional): jtiedt@tiedtlaw.com JUN 2 9 7023 ATTORNEY FOR (Name). DOMINADOR P. MANSAT, JR., ET AL. SUPERIOR COURT 0F CALIFORNgA, couurv 0F SAN BERNARDINO ‘ _ . STREET ADDRESS: 247 W. Thlrd St MAILING ADDRESS: BY fl fl ,y.V“(v_g, C ”gm...— DEPUTY CITY AND ZIP CODE: San Bemardino 9241 5 BRANCH NAME: C1Vil IPLAINTIFF/PETITIONER: DOMINADOR P. MANSAT, JR., AN CASE NUMBER: AMELIA BUENVENIDA FNP LLC, A CIVSBZ306504 DEFENDANT/RESPONDENT; Ref, No. or File No,, PROOF OF SERVICE OF SUMMONS (Separate proof of service is required for each party served.) 1. At the time of service | was at least 18 years of age and not a party to this action. 2. | served copies of: a— summons b complaint .c. Alternative Dispute Resolution (ADR) package d. EDIUD Civil Case Cover Sheet (served in complex cases only) e cross-complaint f other (specify documents): First Amended Com laint; Certificate of Assignment; Notice of Trial Setting Conference and Notice 0f Case Asmgnment 3. a. name ofparty as shown on documents Party served (specify served): AMELIA BUENVENIDA. AN INDIVIDUAL b. m 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): JENNIFER A. KEARNS, DUANE MORRIS LLP COUNSEL FOR DEFENDANT 4. Address where the party was served: 750 B STREET, SUITE 2900 , SAN DIEGO, CA 92101 5 'l served the party (check proper box) a E by personal service. | personally delivered the documents listed receive service of process for the party (1) on (date): in item 2 to the party or person authorized to (2) at (time): b. E by substituted service. On (date): in the presence of (name and title or relationship to at (time): person indicated in | item left 3): the documents listed in item 2 with or (1) D (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 or her of the general nature of the papers. I (2) E (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. I (3) D (physical address unknown) a person at least 18 years of age apparently address of the person to be served, other than a United States Postal Service post office box. in charge at the usual mailing | informed him or her of the general nature of the papers. (4) E | at thereafter mailed (by first-class, postage prepaid) copies of the the place where the copies were left (Code Civ. Proc., § 415.20 documents . | to the person mailed the documents on to be served from or a decIaration of mailing is attached. (5) E (date): | (city): attach a declaration of diligence stating actions taken first to attempt personal service. Page 1 of 2 Code ofCiviI Procedure, §417V10 Fommem Manda“! Use PROOF 0F SERVICE 0F SUMMONS Judicial Council of California I r . I ‘ POS-o1o [Rev. January 1, 2007] LexisNexis® Automated California Judlctal Counctl Forms \n . V PLAINTIFF/PETITIONER: DOMINADOR P. MANSAT, JR., AN CASE NUMBER: CIVSBz306504 BEF'ENDANT/RESPONDENT: AMELIA BUENVENIDA FNP LLC, A 5. c. by mail and acknowledgment of receipt of service. | mailed the documents listed in item 2 to the party, to the address shown in item 4, by first—class mail, postage prepaid, (1) on (date): June 8, 2023 (2) from (city): Corona, California (3) with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed (4) E to to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code an address outside California with return receipt requested. (Code Civ. Proc., Civ. Proc., § 415.40.) § 415.30.) d_ D by other means (specify means of service and authorizing code section): D Additional page describing service is attached. 6. The "Notice to the Person Served" (on the summons) was completed as follows: a as an individual defendant. b D E as the person sued under the fictitious name of (specify): .C- d- D as occupant. 0n behalfof under the following Code of (specify).- Civil Procedure section: D 416.10 (corporation) D 415.95 (business organization. form unknown) E 416.20 (defunct corporation) D 416.60 (minor) E 416.30 (joint stock company/association) D 416.70 (ward or conservatee) D 416.40 (association or partnership) D 416.90 (authorized person) E 416.50 (public D 415.46 (occupant) 7. Person who served papers entity) D other: a Name: JILL HUSK Address; 1250 CORONA POINTE COURT SUITE 402, CORONA CA 92879 Telephone number: 951-549-9400 snaov. The fee for service was: $0 | am: (1) x not a registered California process server. (2) exempt from registration under Business and Professions Code section 22350(b). (3) (i) (ii) owner Registration No.: E a registered California process server: a employee E independent contractor. (iii) County: 8. m | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. or E 9. Date‘: 6/27/23 lam JILL HUSK a California sheriff or marshal and (NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) | certify that the foregoing K" ){M / , is true \ M . and correct. (SIGNATURE ) Pom [Rev’m’y 1' 2°” PROOF 0F SERVICE 0F SUMMONs Page 2 of 2 LexisNexis® Automated California Judicial Council Forms