On May 06, 2019 a Proof of Service was filed involving a dispute between Anthony L Perez, Successor-In-Interest To The Estate Of Jordan Lee Perez, Perez, Anthony L, Perez, Sandra L, Sandra L Perez, Successor-In-Interest To The Estate Of Jordan Lee Perez, and Abongwa M.D., Chenue, Barcega M.D., Besh R, Bravo M.D, Thomas P, Brown M.D., Lance A, Collins M.D., Chelsea L, Does 2-200, Inclusive, Fteeh M.D., Gamil, Kheradpour M.D., Albert, Kim M.D., Tommy Y, Klooster M.D., Marquelle J, Kong, P.A., Yuthana, Li M.D., Natasha Y, Loma Linda University Children'S Hospital A Nonprofit Corporation, Loma Linda University Health A Nonprofit Corporation, Loma Linda University Medical Center A Nonprofit Corporation, Mehta M.D., Khyati P, Peterson M.D., Sarah C, Pichon M.D., Pilar D, Richter, David, Sadanand M.D., Venkatraman, Suterwala M.D., Batul, Thorp M.D., Andrea W, Zimmerman M.D, Kimberly R, Zouros M.D., Alexander, for Complaint for Medical Malpractice in the District Court of San Bernardino County.
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POS 040 ATTORNEY OR PARTY WiTHOUT A Tf ftNEY STATE 6RR NO r FOR CQUft7 USE CNILY r Ar e Anthony L Perez Sandra L Perez FlRM NAME p j STREET HDDRESS A 8B St t 3 o a a d C P S 1 a J eirr Hesperia srare CA ziPcooe 92344 f t r t s IW re rhorve No 951 515 3371 Fax No e r ai aoaRess iive com alpslp r n RITORNEYFOR name St P 0 P2 SUPERIOR GOURT OF CALIFORMA COUNTY OF San Bernardino 1 J i s fteernoaRess 247V113rd St j l c J Grt r PZ MAILING ADDRESS 24 W3 d t crnallo z P co e San Bemardtno 924t 5 aRAr H arae 5an Bernardino District Civii Divisian GASEtdUMSER PiaintifflPetitioner Perez CIVDS1913814 De endantlRespondent Lama Linda University Medica Center et al JUDICIRL QFF CER I PROC3F O SERViCE C1VtL Alvarez Check method of service onty one oePnRT n NT By Personal Service 0 By Mail By Overnight Delivsry S23 8y Messenger Service By Fax Donot use this farm to show service of a sum nons and complaini or for electronic senrice 3ee USE OF TNIS FURM on page 3 1 At the time of service I tinras over 18 years of age and not a party to this ac4on 2 My residence or business address is 1h322 Arae St Hesperia CR 92344 3 The fax number from which I served the documents is cvmplete if service was y fax 4 On dafe 1v31 2o 9 I served the foilowing documents specifyj Reply to Defendants Opposition of Plaintiffs Motion for Order Granting Leave to File Second Amended Complaint The documents are listed in the Aftach nenf to Proof ofService Civil Documents Served form PQS 440 Q 5 I served the documents an the person or persons beiow as follows 8 r3tT1@ Of t fSO t S@fV@d Meii sa E Fischer Esq At arney for Defenoants b Ox Complete it service 4vas by persona service mait overrrighf delivery or messenger service Business or residentiai address where person was served LafoAeite Johnson et al 2677 N Main St 901 Santa Ana GA 92705 6632 c 0 Complete if service was by iax Fax number where person was served The names addresses and other applicable information about persons served is on the Atfachment to Proof of Service Civi Persons Served form POS 040 P 6 The documents wese served by the following means specify a 0 By personal senrice 1 personaliy delivered the documents to the persons at the addresses listed in item 5 1 For a party represented by an attorney delivery was made a to the attorney personaily or b by leaving the documents at the attorney s affice in an anvelope or package clearly labeled to identify the attorney being served witt a receptionsst or an individual in charge of the office or c if there was no person in the affice with whom thz notice or papers could be left by leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the evening 2 For a party delivery was made to the party or by leavsng the documents st the pariy s residence with some person not younger than 18 years of age between the haurs of eight in the moming ancf aight in the evening Page 1 af S A Code ofiCivil Procedure L 1051 1013 t013a Form proved for Optionai Use pR Qf Qf SER1llCE CI IL 2015 5 Gai Rules of Court ruie 2 306 Judici i Cou cif of Gai rtomia nv cou tssa gov POSO40 Rev January 1 2020 Proof of Service w as o4a CASE NAME CASE NUMBER Perez v oma Linda University Medica Center et al 8 b By United States mail i enciased the documents in a seaied enveiope or package addressed ta the persons at the addresses in item 5 and specifyone 1 deposited the sealed envelope with the Uni ed States Postal Service with the postage fully prepaid 2 pfaced the envefope tor coliection and mailing fotlawring our ordinary business practices 1 am readily famiiiar with this business s practice for coilecting and processing carrespondence for mailing C n the same day that corr spor der cce is piacsd for coNectron and mailistig it ss deposited in the ard nary course of business wsth the United 5tates Postal Service in a sealed envelope with postage fully prepaid I am a resident c r employed in the county where the mailing occurred The envelope or package was p aced in the maii at city and state c By overnight delivery I enc osed the documents in an enve ope or package provided by an ovemight delivery carrier and addressed to the persons at the addresses in item 5 I placed the envelope or package for collection and overnight deiivery at an office or a regularly utilized drop box of the overnight delivery carrier d By messenger service I served the documents by placing them in an envelope or package addressed to the persons at the addresses listed in item 5 and providing them to a professionai messenger senrice for service A de laration by fhe messenger must accompanyfhis Proof of Service or be contained in the Declarafion of Messenger betow e 0 By fax transmission Based on an agreement of the parties to accept service by fau transmission I faxed the documents to the persons at the fax numbers listed in item 5 No error was reported by the fax machine that I used A copy of th record of the faac transrr ission which f printed out is attact ed 1 deciare under penaliy of perjury under the laws of the State af California that the foregoing is true and correct Date 2ia 2a s I 1 Ke sey Tiiier 1 TYPE t R PRINT NAME C F DECCARAtdT r iGlVATURE C F ARANT fitem 6d above is checked the decleration belaw must be camptefed ar a separate deciaration from a messeny r mctst be attached DECLARATIOM OF MESSENGER 0 By personal service I personaliy defivered the envelope or package received from the declarant above to the parsons at the addresses listed in item 5 1 For a party represented by an attomey delivery was made a ta the attorney personally or b by leaving the documents ai the atiorney s office in an envelopa or package cfeariy labeled to identity ihe attorney being servetl with a receptionist or an individual in charge of the office or c if thare was no person in the office with wham the notice or papers could be left by leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the evening 2 For a party deGvery was made o the party or by ieaving the docurrtents at the party s residence with some person not younger than 18 years of age between the hours of eight in the morning and eight in the evening At the time of service was over 18 years of age I am not a party to the above referenced egal proceeding I served the envelope or package as stated above on date I dectare under penalty of perjury under fha la vs of the State of Ga ifornia that the foregoing is true and correct Date NAME Y F DECLARANT 5lGNATURE OF pEGLARANT POS 040 Rev January 1 2020 PROf3F OF SERVICE C V L Page 2 af 3 Proaf of Service