On December 28, 2016 a
Proof of Service
was filed
involving a dispute between
Hansen, Larry,
and
Corrales, Esmeralda,
Enhorabuena, Guadalupe Vega,
Gomez, Ricardo Hernandez,
for Small Claims $5,001 - $10,000
in the District Court of San Bernardino County.
Preview
Proof of Service Cferk stamps date here when form is filed
Use this form to serve a person a business or a public
entity To leam more
about proof of service read p I L E D
R hat Is Proof ofService Forn1 SC 104B To SUPERIOR CQ RT
leam more about how to serve a business COUNTY OF SAN k3ERNAfaDINa
or entity read HoN to Serve a
JOSHUA TREE DISTR t
Business or Public Entity Form SG104C
To serve a business you must serve one of the
following people AN 2 1
Owner for a sole proprietorship
Partner for a
partnership or general partner for a limited
partnership
Any officer or general manager corporation or association a
AMBA AA1DRAp 6
Any person authorized for service by the business corporation association
general
partnership Iimited partl7ershlp Fill in court name and street address
Any person authorized for service with the
Secretary State
of corporation Superior Court of California County of
association
LLP limitedlimited liability company LLC limited liability partnership C U T
J051dUA TR f g
partnership i
To serve a pablic
B Z W fTE E 1THE
entity you must first file a claim with that
entity then
oq j
serve one of the following people
Clerk of a city or county
dQSF 11 TR E p FOHNIA 92262
Chief officer or director of a public
agency Fi i in case number case name hearing dare
Aily person authorized for service
by the entity day time and departmenf below
Oa If you are
serving a person write the person s name below
Case Number
srn 1 4 r s s c ys j v
b If you are Case Name
serving a business entity write the name of the business
or Js
or entity the person authorized for serr ice and that person s job title E d g
eu F z Cnx E
Business orAgency Name HEe illg Dat
e
Person Authorized for Service
Job Titfe Time
d Dept
O2
Instructions to Server
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 30 to the person in 1 or
Give a copy of all the documents checked in 30 to one of the following people
ab AAncompetent least
adult18at least 18 livingbewith
adult at
and at the home of the person in 10 or
who seems to
in charge at the usual workplace of the person in
Q or
c An adult at least 18 who seems to be in charge where the person in 10usually receives mail
but not a U S Post Office box if there is no icnown physical address for the person in Q
and mail a copy of the docurnents left with one of the adults in a b or c above to the person in O
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 fimefor
theform to befiled with the court at leasi S days before the hearing
OI
served the person in Q a copy ofthe ciocuments checked below
a
SC 100 Plaintifj s Claim and ORDER to Go to Small Claims Court
b SC 120 Defendant Claim and ORDER to Go to Srnall Claims
s
Court L
c
Order for examination Thisform must be perso zall served Check theform that was served
Note The court can issue acivil arrest
examination was
by
ivarranr ifthe servedparty does not come to court only if the order for
personally served a registeredprocess server sher
1
marshal or someone appointed 6y the court
2
SC 134 Applicatron and Order to Produce Statement ofAssets a 1d to Appearfor Exarnination
AT 138 EJ 125 Application and Order forAppearance and Examination
d Other spec
Judiaat
Council of Celifomia www couRin o ca pov
Re nsed January 2009 ODtionai Form P roof of Service sc 04 Page 1 of 2
CodeofCivilProcedure 116 340 a s o aiszo
Small Claims
Hmerican LepalNel Inc
wow FortnsWo ow com
5
e
CaseNumber
S S f
t7 6
EA i
3
i
3 vc E 24
2c C
n f v g
Casc narne n
O4 Fill out a or b below
a Personal Service personally gave copies of the documents checked in Q to the person in 10
At time d 3 am p m
On date
43
At this address
j t
s State Zip
City
b Substituted Service I personally gave copies of the documents checked in 30 a b or d to check one
A competent adult at least 18 at the home of and livina with the person inQ or
to be in charge wbere the person in 1 usually works or
An adult who seems
An adult who seems to be in chaxge where the person inQusually receives mail or has a private
post office box not a U S Post Office box ifthere is no known physic l address for t e person in
I told that adult Please give these court papers to name of person in
At time am pm
I did tlus on date
At this address
State Zip
City
Name or description of the person I gave the papers to
After serving the court papers I put copies
it I
of the documents listed in 3 in an envelope sealed
in Q at the
addressed
the where
address
the
envelope
I
envelope ta the person
put first class prepaid postage on
and
left the copies
om city state f S i 4a a 7S
I mailed the envelope on date
by leaving it check one
a At a U S Postal Service mail drop or
b At an office or business mail drop where I know the mai is picked up every day and deposited with the
U S Postal Service or
c With someone else I asked to mail tlie documents to the person in 10 and I have attached that person s
completed Form SC 104A
Server s information
Phone l J
Name f
Address D 47 A
State Zip fS
Cin iY l k S
3
Fee for service
If you are a registered process server
Registration number
registration
County of
6O I declare under penalh of perjury under Califomia state law that I am at least 1S yeazs old and not named in this
case and that the information above is true and correct
Date
1N S 4
e
Se er gns here after ser ir
Type orprint server s mm
SC OR Page 2 ot 2
kevised Jenuary 1 2009 PrOOf Of SeNICe
Small Claims
Document Filed Date
January 03, 2017
Case Filing Date
December 28, 2016
Category
Small Claims $5,001 - $10,000
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Preview
Proof of Service Cferk stamps date here when form is filed Use this form to serve a person a business or a public entity To leam more about proof of service read p I L E D R hat Is Proof ofService Forn1 SC 104B To SUPERIOR CQ RT leam more about how to serve a business COUNTY OF SAN k3ERNAfaDINa or entity read HoN to Serve a JOSHUA TREE DISTR t Business or Public Entity Form SG104C To serve a business you must serve one of the following people AN 2 1 Owner for a sole proprietorship Partner for a partnership or general partner for a limited partnership Any officer or general manager corporation or association a AMBA AA1DRAp 6 Any person authorized for service by the business corporation association general partnership Iimited partl7ershlp Fill in court name and street address Any person authorized for service with the Secretary State of corporation Superior Court of California County of association LLP limitedlimited liability company LLC limited liability partnership C U T J051dUA TR f g partnership i To serve a pablic B Z W fTE E 1THE entity you must first file a claim with that entity then oq j serve one of the following people Clerk of a city or county dQSF 11 TR E p FOHNIA 92262 Chief officer or director of a public agency Fi i in case number case name hearing dare Aily person authorized for service by the entity day time and departmenf below Oa If you are serving a person write the person s name below Case Number srn 1 4 r s s c ys j v b If you are Case Name serving a business entity write the name of the business or Js or entity the person authorized for serr ice and that person s job title E d g eu F z Cnx E Business orAgency Name HEe illg Dat e Person Authorized for Service Job Titfe Time d Dept O2 Instructions to Server 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 30 to the person in 1 or Give a copy of all the documents checked in 30 to one of the following people ab AAncompetent least adult18at least 18 livingbewith adult at and at the home of the person in 10 or who seems to in charge at the usual workplace of the person in Q or c An adult at least 18 who seems to be in charge where the person in 10usually receives mail but not a U S Post Office box if there is no icnown physical address for the person in Q and mail a copy of the docurnents left with one of the adults in a b or c above to the person in O 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 fimefor theform to befiled with the court at leasi S days before the hearing OI served the person in Q a copy ofthe ciocuments checked below a SC 100 Plaintifj s Claim and ORDER to Go to Small Claims Court b SC 120 Defendant Claim and ORDER to Go to Srnall Claims s Court L c Order for examination Thisform must be perso zall served Check theform that was served Note The court can issue acivil arrest examination was by ivarranr ifthe servedparty does not come to court only if the order for personally served a registeredprocess server sher 1 marshal or someone appointed 6y the court 2 SC 134 Applicatron and Order to Produce Statement ofAssets a 1d to Appearfor Exarnination AT 138 EJ 125 Application and Order forAppearance and Examination d Other spec Judiaat Council of Celifomia www couRin o ca pov Re nsed January 2009 ODtionai Form P roof of Service sc 04 Page 1 of 2 CodeofCivilProcedure 116 340 a s o aiszo Small Claims Hmerican LepalNel Inc wow FortnsWo ow com 5 e CaseNumber S S f t7 6 EA i 3 i 3 vc E 24 2c C n f v g Casc narne n O4 Fill out a or b below a Personal Service personally gave copies of the documents checked in Q to the person in 10 At time d 3 am p m On date 43 At this address j t s State Zip City b Substituted Service I personally gave copies of the documents checked in 30 a b or d to check one A competent adult at least 18 at the home of and livina with the person inQ or to be in charge wbere the person in 1 usually works or An adult who seems An adult who seems to be in chaxge where the person inQusually receives mail or has a private post office box not a U S Post Office box ifthere is no known physic l address for t e person in I told that adult Please give these court papers to name of person in At time am pm I did tlus on date At this address State Zip City Name or description of the person I gave the papers to After serving the court papers I put copies it I of the documents listed in 3 in an envelope sealed in Q at the addressed the where address the envelope I envelope ta the person put first class prepaid postage on and left the copies om city state f S i 4a a 7S I mailed the envelope on date by leaving it check one a At a U S Postal Service mail drop or b At an office or business mail drop where I know the mai is picked up every day and deposited with the U S Postal Service or c With someone else I asked to mail tlie documents to the person in 10 and I have attached that person s completed Form SC 104A Server s information Phone l J Name f Address D 47 A State Zip fS Cin iY l k S 3 Fee for service If you are a registered process server Registration number registration County of 6O I declare under penalh of perjury under Califomia state law that I am at least 1S yeazs old and not named in this case and that the information above is true and correct Date 1N S 4 e Se er gns here after ser ir Type orprint server s mm SC OR Page 2 ot 2 kevised Jenuary 1 2009 PrOOf Of SeNICe Small Claims