Document for POWELL VS WASCO RECREATION AND PARK DISTRICT ET AL

• 
• 
• 
• 

						
                                
Preview
                                POS-010

 

[ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
Matthew C. Clark, Esq. (SBN 218784) FOR COURT USE ONLY

CHAIN COHN STILES
1731 Chester Avenue
Bakersfield, CA 93301

TELEPHONENO: (661) 324-1352 FAX NO. (Optional
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name): Plaintiff
SUPERIOR COURT OF CALIFORNIA, COUNTY OF KERN
STREET ADDRESS: 1215 Truxtun Avenue
MAILING ADDRESS: Same
CITY AND ziP CODE: Bakersfield, CA
BRANCH NAME: Metropolitan Division
PLAINTIFF/PETITIONER: TYNA POWELL CASE NUMBER:
DEFENDANT/RESPONDENT: WASCO RECREATION AND PARK DISTRICT, ET AL vee

 

 

 

Ref, No. or File No.

PROOF OF SERVICE OF SUMMONS

 

 

 

 

(Separate proof of service is required for each party served.)
At the time of service | was at least 18 years of age and not a party to this action.
2. | served copies of:
a. [5¢] summons
b. [6¢] complaint
c. [__] Alternative Dispute Resolution (ADR) package
d. [5] Civil Case Cover Sheet (served in complex cases only)
e. [__] cross-complaint
f. [Ge] other (specify documents): Notice of Assignment, Statement of Damages (x3)

3. a. Party served (specify name of party as shown on documents served):
City of Wasco

b. [7] Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person
under item 5b on whom substituted service was made) (specify name and relationship to the party named in item 3a):
Maria Martinez, Authorized to Accept
4. Address where the party was served:
746 8th Street, Wasco, CA 93280
5. | served the party (check proper box)

a. [5c] by personal service. | personally delivered the documents listed in item 2 to the party or person authorized to
receive service of process for the party (1) on (date): 03/18/2022 (2) at (time): 3:45 p.m.

b. [__] by substituted service. on (date): at (time): I left the documents listed in item 2 with or
in the presence of (name and title or relationship to person indicated in item 3):

(1) [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. | informed him or her of the general nature of the papers.

(2) [_] (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual
place of abode of the party. | informed him or her of the general nature of the papers.

(3) (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing
address of the person to be served, other than a United States Postal Service post Office box. | informed
him or her of the general nature of the papers.

(4) [_]| 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). | mailed the documents on
(date): from (city): or[__] a declaration of mailing is attached.

(5) [_] | attach a declaration of diligence stating actions taken first to attempt personal service.

Page 1 of 2

Form Adopted for Mandan Use PROOF OF SERVICE OF SUMMONS Code of Civil Procedure, § 417.10

POS-010 [Rev. January 1, 2007]POS-010

 

PLAINTIFF/PETITIONER: TYNA POWELL ‘CASE NUMBER:
DEFENDANT/RESPONDENT: WASCO RECREATION AND PARK DISTRICT, ET AL BCV-22-100328

 

 

 

 

5. c. [_] by mail and acknowledgment of receipt of service. I mailed the documents listed in item 2 to the party, to the
address shown in item 4, by first-class mail, postage prepaid,

(1) on (date): (2) from (city):

(3) [-_]with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed
to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code 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):

[] Additional page describing service is attached.

6. The "Notice to the Person Served" (on the summons) was completed as follows:
a. [__] asan individual defendant.
b. [__] as the person sued under the fictitious name of (specify):
c. [__] as occupant.
d. [5<] On behalf of (specify): City of Wasco
under the following Code of Civil Procedure section:

[J 416.10 (corporation) [] 415.95 (business organization, form unknown)
[] 416.20 (defunct corporation) [] 416.60 (minor)
[J 416.30 (joint stock company/association) [—] 416.70 (ward or conservatee)
[J 416.40 (association or partnership) [] 416.90 (authorized person)
[Be] 416.50 (public entity) [) 415.46 (occupant)
[} other:

7. Person who served papers
a. Name: J. Sandidge / NIGHTHAWK PROCESS SERVICE
Address: P.O. Box 10239, Bakersfield, CA 93389
Telephone number: (661) 428-5411
The fee for service was: $39
lam:
(1) [--] not a registered California process server.
(2) [] exempt from registration under Business and Professions Code section 22350(b).
(3) [2] a registered California process server:
(J owner [(_] employee [_X] independent contractor.
(ii) Registration No.: 570
(iii) County: Kern

eaon

8. [<] | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
or
9. [] lam a California sheriff or marshal and | certify that the foregoing is true and correct.

Date: March 25, 2022 %

J. SANDIDGE >
fades e-=
(NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL)

 

POS-010 [Rev. January 1, 2007] PROOF OF SERVICE OF SUMMONS Page 2 of 2