On September 18, 2020 a
Proof of Service
was filed
involving a dispute between
Dignes, Larry B,
Kirchert, Lori M,
Larry B Dignes,
Lori M Kirchert,
Lowe, Sheila M,
Sheila M Lowe,
and
Covenant Care California Llc,
Covenant Care Llc,
for Elder Abuse or Dependent Adult Abuse: Unlimited
in the District Court of Stanislaus County.
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Df1C_A~A
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR CDURT USE ONLY
Wendy York, 166864
York Law Corporation Electronically Filed
1 111 Exposition Blvd., Building 500 1/25/2021 10:30 AM
Sacramento, CA 95815 Superior Court of California
TELEPHONE NO.: g ~ 6-~4,3-22d~
ATTORNEY FOR (Name):
County of Stanislaus
p~allltl~
Clerk of the Court
SUPERIOR COURT OF CALtFORN1A, COUNTY OF
By: Sonia Krohn, Deputy
Superior Court of California, Stanislaus County
801 10th Street, 4th Floor
Modesto, CA 95354
PLAINTIFF/PETITIONER: LORI M. KIRCHERT, an individual CASE NUMBER:
DEFENDANT/RESPONDENT: COVENANT CARE. LLC. et al CV-ZO-OO4057
Ref. No. or File No.:
PROOF OF SERVICE OF SUMMONS
1. At the time of service I was a citizen of the United States, at least 18 years of age and not a party to this action.~ Y rHx
2. 1 served copies of: Summons, Civil Case Cover Sheet - Plaintiff(s), Declaration, Declaration, Complaint, Notice
3. a. Party served: COVENANT CARE, LLC, a Delaware Corporation
b. Person Served: Andrew F. Torok -Person Authorized to Accept Service of Process
4. Address where the party was served: 120 VantiS Dt'ive, SUite 200
Aliso Viejo, CA 92656
5. i served the party
b. by substituted service. On (date): 12/21/2020 at (time): 10:42AM I left the documents listed in item 2 with or
in the presence of: Aimee Housley -Person In Charge of Office
(1)(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. I informed him or her of the general nature of the papers.
(4)A declaration of mailing is attached.
6. The "Notice to the Person Served"(on the summons) was completed as follows:
d. on behalf of:
COVENANT CARE, LLC, a Delaware Corporation
under: CCP 416.10 (corgorationl
7. Person who served papers
a. Name: Jason Karotkin
b. Address: One Legal - P-000618-Sonoma
1400 North McDowell Blvd, Ste 300
Petaluma, CA 94954
c. Telephone number: 415-491-0606
d. The fee for service was: $ 61.75
e. I am:
(3} registered California process server.
(i) Employee or independent contractor,
(ill Registration No. PSC 5063
(iii) County Orange
8. I declare under penalty of perjury under the Caws of the United States of America and the State of California that the forepoinq is true and correct.
Date: 12/21/2020
Jason Karotkin ~^
(NAME OF PERSON WHO SERVED PAPERS> (SIGNATURE)
Form Adopted for Mandatory Use Code of Civil Procedure, § 417.10
Judicial Council of California POS-010
[Rev. Jan 1,200~~ PROOF OF SERVICE OF SUMMONS
OL# 15585865
Document Filed Date
January 25, 2021
Case Filing Date
September 18, 2020
Category
Elder Abuse or Dependent Adult Abuse: Unlimited
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Df1C_A~A ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR CDURT USE ONLY Wendy York, 166864 York Law Corporation Electronically Filed 1 111 Exposition Blvd., Building 500 1/25/2021 10:30 AM Sacramento, CA 95815 Superior Court of California TELEPHONE NO.: g ~ 6-~4,3-22d~ ATTORNEY FOR (Name): County of Stanislaus p~allltl~ Clerk of the Court SUPERIOR COURT OF CALtFORN1A, COUNTY OF By: Sonia Krohn, Deputy Superior Court of California, Stanislaus County 801 10th Street, 4th Floor Modesto, CA 95354 PLAINTIFF/PETITIONER: LORI M. KIRCHERT, an individual CASE NUMBER: DEFENDANT/RESPONDENT: COVENANT CARE. LLC. et al CV-ZO-OO4057 Ref. No. or File No.: PROOF OF SERVICE OF SUMMONS 1. At the time of service I was a citizen of the United States, at least 18 years of age and not a party to this action.~ Y rHx 2. 1 served copies of: Summons, Civil Case Cover Sheet - Plaintiff(s), Declaration, Declaration, Complaint, Notice 3. a. Party served: COVENANT CARE, LLC, a Delaware Corporation b. Person Served: Andrew F. Torok -Person Authorized to Accept Service of Process 4. Address where the party was served: 120 VantiS Dt'ive, SUite 200 Aliso Viejo, CA 92656 5. i served the party b. by substituted service. On (date): 12/21/2020 at (time): 10:42AM I left the documents listed in item 2 with or in the presence of: Aimee Housley -Person In Charge of Office (1)(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. I informed him or her of the general nature of the papers. (4)A declaration of mailing is attached. 6. The "Notice to the Person Served"(on the summons) was completed as follows: d. on behalf of: COVENANT CARE, LLC, a Delaware Corporation under: CCP 416.10 (corgorationl 7. Person who served papers a. Name: Jason Karotkin b. Address: One Legal - P-000618-Sonoma 1400 North McDowell Blvd, Ste 300 Petaluma, CA 94954 c. Telephone number: 415-491-0606 d. The fee for service was: $ 61.75 e. I am: (3} registered California process server. (i) Employee or independent contractor, (ill Registration No. PSC 5063 (iii) County Orange 8. I declare under penalty of perjury under the Caws of the United States of America and the State of California that the forepoinq is true and correct. Date: 12/21/2020 Jason Karotkin ~^ (NAME OF PERSON WHO SERVED PAPERS> (SIGNATURE) Form Adopted for Mandatory Use Code of Civil Procedure, § 417.10 Judicial Council of California POS-010 [Rev. Jan 1,200~~ PROOF OF SERVICE OF SUMMONS OL# 15585865