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  • Jennifer Adrian vs Paul Schultz Unlimited Civil - Civil Harassment document preview
  • Jennifer Adrian vs Paul Schultz Unlimited Civil - Civil Harassment document preview
						
                                

Preview

(ol SE AtT0) Proof of Personal Service Person Seeking Protegtion @ Name: Maro Adnol igen le @P ji SUPERIOR Cp erson From Naa Protection Is Sought ' COURT Name: GU { Jhu / te 201) HAR ~| PM (3) Notice to Server {4 RANDOy ¢ = ok The server must: G tea UF Z RILEY, Cray © Be 18 years of age or older. is . = iG i 4) Filin oft dared + Not be listed in items 1) or @). fs 4 SESE Superior Court oF of Form CH-100. i ¢ Cf * Give a copy of all documents checked in @w the person in@). SUPERIOR COURT OF CALI (You cannot send them by mail.) Then complete and sign this County of San Joaquin form and give or mail it to the person in). 180 E. Weber Ave. PROOF OF PERSONAL SERVICE Court fils case number when fonn is et Case Number: ® 1 gave the person in @a copy of the forms checked below: tw -20 2\ - (280 a. | CH-109, Notice of Court Hearing b. 7 CH-110, Temporary Restraining Order c. CH-100, Request for Civil Harassment Restraining Orders d. 1] CH-120, Response to Request for Civil Harassment Restraining Orders (blank form) e. (1) CH-120-INFO, How Can I Respond to a Request, for Civil Harassment Restraining Orders? f£ (J CH-130, Civil Harassment Restraining Order After Hearing ~ g. [0] CH-800, Proof of Firearms Turned In, Sold, or Stored (blank form) bh O Other (specify): G) I personally gave copies of the documents checked above to the person in@: a. On (date):_ 2 his; faoal >, Ar(ime: 1230 _ Cam. [pm c. Atthis address: /60 5: Crestend- Ave City: lodi State: C2}, Zip: FS 40 Server's Information Name: Greg Dlcer aon Address: A207 W- Elm Sr city; Lock State: Zip: 9S IY Telephone: ao ~ aey- 4894 (you are a registered process server): . County of registration: Registration number: I declare-under-penalty-of perjury” under the laws of the State of Califotaia that the information above is trie and correct. Date: a | Sy fi a pH "Type or print server's name Server tn sigh here tae count of Callas, cout. ge _ Proof of Personal Service : CH-200, Page 1 off Code of Civil Procedure, § $27.6 - (Civil Harassment Prevention)