On April 25, 2022 a
Proof of Service
was filed
involving a dispute between
Creditors Adjustment Bureau, Inc,
and
Does 1 Through 10, Inclusive,
Hospice Care At Home Inc.,
Hospice Care At Home, Inc,
Providence Hospice Inc.,
for Rule 3.740 Collections$10,000.01 - $25,000 Limited
in the District Court of San Bernardino County.
Preview
POS-OlO
ATTORNEY 0F PARTY WITHOUT ATTORNEY (Name. State Bar number, and address): F012 COURT USE ONLY
ERIC J. JUN 263502
L/O OF KENNETH J. FREED
4 3 4 O FULTON AVE 3RD FLOOR
.
,
C SUPERIOR coum or IFORNR
COUNTYOF SAN BERNARUNO
a
SHERMAN OAKS, CA 9 14 2 3 SAN BERNARDINO DtSTRICT
TELEPHONE: (818) 990—0888 «
ATTORNEY FOR: PLAINTIFF AUG O 4 2022
SAN BERNARDINO SUP CT /CNTRL . .
smmETAmmaw: per rule 2.150 (a)(8):
MAILING ADDRESS: the address of the court is not required '
BY .
CITY AND ZIP CODE:
(3L ’qu‘h‘AJNFm
BRANCH NAME:
l I
Plaintiff CREDITORS ADJUSTMENT BUREAU, INC. CASE NUMBER:
Defendant HOSPICE CARE AT HOME, INC. ET AL CIV382208629
Clt. Ref. or File No.:
I
PROOF OF SERVICE OF SWONS 6073197
(Separate proof of service is required for each party served.) HEARING:
DATE: 05/15/23
l. At the time of service I was at least 18 years of age and not a party to this action. TIME: 8:30
DIV/DEP’I‘: Sl7
2. I served copies of:
SUMMONS; COMPLAINT; CIVIL CASE COVER SHEET; CERTIFICATE OF ASSIGNMENT;
NOTICE OF CASE ASSIGNMENT FOR ALL PURPOSES NOTICE OF OSC:RE: SERVICE OF
SUMMONS & COMPLAINT/SANCTIONS CRC 3.740(E) NOTICE OF OSC:RE: STATUS OF
DEFAULT JUDGMENT/SANCTIONS CRC 3.740(F)
3. a. [XX] Party served
PROVIDENCE HOSPICE INC. DBA PROVIDENCE HOSPICE INC ADBA PROVIDENCE
HOSPICE
b. [XX] Person (other than the party in item 3a) served 9n behalf of an entity or as an authorized agent (and not
a person under item Sb on whom substituted service was made) (specify name and relationship to the party
named in item 3a):
ROWENA ABARICO, REGISTERED AGENT
4. Address where the party was served: 400 N MOUNTAIN AVE SUITE 123-D
ETH
Upland, CA 91786
5. I served the party (check proper box)
a. [XX] by personal service. I personally delivered the documents list in item 2 to the party or person authorized
A8
to receive service of process for the party (l) on (date): 06/08/22 (2) at (time): 11:08 am.
a
XVfi
(4) [___ I 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., 415.20). I mailed the documents
on (date): from (city): or [_] a declaration of mailing is attached
(5) [__ I attach a declaration of diligence stating actions taken first: to attempt personal service.
'
Page 1 of 2
Computer- generated form PROOF 0F SERVICE OF SIMONS Code of Civil Procedure, 417.10
Judicial Council of California
POS—Olo 1. ls
HIMllllllllWlll | IH ||| || IIINI | |||| IIIIH ||\
A 15- 25 7545
L \r
V
Plaintiff CREDITORS ADJUSTMENT BUREAU, INC. CASE NUMBER:
Defendant HOSPICE CARE AT HOME, INC. gT AL CIVSB2208629
C-[ ] by mail and acknowledgment of receipt of service, I mailed the documents lisced
in item 2 :0 the party, to the address shown in Item 4, by first—class mail ,
postage prepaid.
(1) on (date): (2) from (city):
(3) [—1 with two copies of the Notice and Acknowledgment of Receipt (form 982(a) (4)
and a postage paid return envelope addressed to me. (Attach completed
Notice and Acknowledgement of Receipt (form 982(a) (4).) (Code of civ.
Proc., 415.30) .)
(4) [ ] to an address outside California with return receipt: requested.
(Code Civ. Proc., 415.40)
d. [ ] by other means specify means of service and authorizing code section):
6. The "Notice to the Person Served" (on the summons) was completed as follows:
a. [ J as an individual defendant.
as the person sued under the fictitious name of (specify):
c. [ ] as occupant/tenant.
d. [XX] on behalf of:
PROVIDENCE HOSPICE INC. DBA PROVIDENCE HOSPICE INC ADBA PROVIDENCE
HOSPICE
the following Code of Civil Procedure section:
] CCP 416.10 (corporation) [ ] 416,60 (minor)
] 416.20 (defunct corporation) [ ] 416370 (ward or conservatee)
] 416.30 (joint stock or company association) [ _] 416.90 (authorized person)
] 416.40 (association or partnership) '
[ ] 415.46 (occupant/tenant)
1 416.50 (public entity) [ ] other:
1 CCP 415.95 (business organization, form unknown)
7. Person who served papers
a. Name: V. CURIEL
b. Address: 5632 Van Nuys Blvd., # 240 Van Nuys CA 91401
c. Telephone number: (213) 928-7247
d. The fee for service was: $ 69.00 (recoverable under CCP1033.S (a) (4) (8))
e. I am:
(1) [ ] not a registered California process gerver.
(2) [ ] exempt from registration under Business and Professions Code
Section 22350(b).
(3) [XX] registered California process server:
(i) [____] Owner [_] Employee [XX] Independent contractor.
(ii)Regiutration No.: PS-001499
(iiiMouncy: RIVERSIDE
31H
8. [XX] I declare under penalty of perjury under the laws of the State of California that
the foregoing is true and correct.
or A8
9. [___] I am a California sheriff or marshal and I certify that the foregoing is true and correct.
Date: 06/09/22
xva
V. CURIEL
(NAME 0F PERSON WHO SERVED PAPERs/SHERIFF 0R MARSHAL) v\ (SIGNATURE)
Page 2 of 2
Computergenerated form PROOF OF SERVICE OF SWONS Code of Civil Procedure. 417.10
Judicial Council of California
POs-Olo (Rev. January 1, 2007) GO: 15
Document Filed Date
August 04, 2022
Case Filing Date
April 25, 2022
Category
Rule 3.740 Collections$10,000.01 - $25,000 Limited
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Preview
POS-OlO ATTORNEY 0F PARTY WITHOUT ATTORNEY (Name. State Bar number, and address): F012 COURT USE ONLY ERIC J. JUN 263502 L/O OF KENNETH J. FREED 4 3 4 O FULTON AVE 3RD FLOOR . , C SUPERIOR coum or IFORNR COUNTYOF SAN BERNARUNO a SHERMAN OAKS, CA 9 14 2 3 SAN BERNARDINO DtSTRICT TELEPHONE: (818) 990—0888 « ATTORNEY FOR: PLAINTIFF AUG O 4 2022 SAN BERNARDINO SUP CT /CNTRL . . smmETAmmaw: per rule 2.150 (a)(8): MAILING ADDRESS: the address of the court is not required ' BY . CITY AND ZIP CODE: (3L ’qu‘h‘AJNFm BRANCH NAME: l I Plaintiff CREDITORS ADJUSTMENT BUREAU, INC. CASE NUMBER: Defendant HOSPICE CARE AT HOME, INC. ET AL CIV382208629 Clt. Ref. or File No.: I PROOF OF SERVICE OF SWONS 6073197 (Separate proof of service is required for each party served.) HEARING: DATE: 05/15/23 l. At the time of service I was at least 18 years of age and not a party to this action. TIME: 8:30 DIV/DEP’I‘: Sl7 2. I served copies of: SUMMONS; COMPLAINT; CIVIL CASE COVER SHEET; CERTIFICATE OF ASSIGNMENT; NOTICE OF CASE ASSIGNMENT FOR ALL PURPOSES NOTICE OF OSC:RE: SERVICE OF SUMMONS & COMPLAINT/SANCTIONS CRC 3.740(E) NOTICE OF OSC:RE: STATUS OF DEFAULT JUDGMENT/SANCTIONS CRC 3.740(F) 3. a. [XX] Party served PROVIDENCE HOSPICE INC. DBA PROVIDENCE HOSPICE INC ADBA PROVIDENCE HOSPICE b. [XX] Person (other than the party in item 3a) served 9n behalf of an entity or as an authorized agent (and not a person under item Sb on whom substituted service was made) (specify name and relationship to the party named in item 3a): ROWENA ABARICO, REGISTERED AGENT 4. Address where the party was served: 400 N MOUNTAIN AVE SUITE 123-D ETH Upland, CA 91786 5. I served the party (check proper box) a. [XX] by personal service. I personally delivered the documents list in item 2 to the party or person authorized A8 to receive service of process for the party (l) on (date): 06/08/22 (2) at (time): 11:08 am. a XVfi (4) [___ I 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., 415.20). I mailed the documents on (date): from (city): or [_] a declaration of mailing is attached (5) [__ I attach a declaration of diligence stating actions taken first: to attempt personal service. ' Page 1 of 2 Computer- generated form PROOF 0F SERVICE OF SIMONS Code of Civil Procedure, 417.10 Judicial Council of California POS—Olo 1. ls HIMllllllllWlll | IH ||| || IIINI | |||| IIIIH ||\ A 15- 25 7545 L \r V Plaintiff CREDITORS ADJUSTMENT BUREAU, INC. CASE NUMBER: Defendant HOSPICE CARE AT HOME, INC. gT AL CIVSB2208629 C-[ ] by mail and acknowledgment of receipt of service, I mailed the documents lisced in item 2 :0 the party, to the address shown in Item 4, by first—class mail , postage prepaid. (1) on (date): (2) from (city): (3) [—1 with two copies of the Notice and Acknowledgment of Receipt (form 982(a) (4) and a postage paid return envelope addressed to me. (Attach completed Notice and Acknowledgement of Receipt (form 982(a) (4).) (Code of civ. Proc., 415.30) .) (4) [ ] to an address outside California with return receipt: requested. (Code Civ. Proc., 415.40) d. [ ] by other means specify means of service and authorizing code section): 6. The "Notice to the Person Served" (on the summons) was completed as follows: a. [ J as an individual defendant. as the person sued under the fictitious name of (specify): c. [ ] as occupant/tenant. d. [XX] on behalf of: PROVIDENCE HOSPICE INC. DBA PROVIDENCE HOSPICE INC ADBA PROVIDENCE HOSPICE the following Code of Civil Procedure section: ] CCP 416.10 (corporation) [ ] 416,60 (minor) ] 416.20 (defunct corporation) [ ] 416370 (ward or conservatee) ] 416.30 (joint stock or company association) [ _] 416.90 (authorized person) ] 416.40 (association or partnership) ' [ ] 415.46 (occupant/tenant) 1 416.50 (public entity) [ ] other: 1 CCP 415.95 (business organization, form unknown) 7. Person who served papers a. Name: V. CURIEL b. Address: 5632 Van Nuys Blvd., # 240 Van Nuys CA 91401 c. Telephone number: (213) 928-7247 d. The fee for service was: $ 69.00 (recoverable under CCP1033.S (a) (4) (8)) e. I am: (1) [ ] not a registered California process gerver. (2) [ ] exempt from registration under Business and Professions Code Section 22350(b). (3) [XX] registered California process server: (i) [____] Owner [_] Employee [XX] Independent contractor. (ii)Regiutration No.: PS-001499 (iiiMouncy: RIVERSIDE 31H 8. [XX] I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. or A8 9. [___] I am a California sheriff or marshal and I certify that the foregoing is true and correct. Date: 06/09/22 xva V. CURIEL (NAME 0F PERSON WHO SERVED PAPERs/SHERIFF 0R MARSHAL) v\ (SIGNATURE) Page 2 of 2 Computergenerated form PROOF OF SERVICE OF SWONS Code of Civil Procedure. 417.10 Judicial Council of California POs-Olo (Rev. January 1, 2007) GO: 15