On February 01, 2021 a
Summons
was filed
involving a dispute between
Elite Healthcare Staffing,
and
Adventist Health Facility,
Broadway Health Center,
Does 2-10,
Elite Health Providers, Llc,
for Breach of Contract/Warranty Unlimited
in the District Court of San Bernardino County.
Preview
V V POS-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): F°R COURTUSE W”
Christian u. Anyiam, Esq, SBN21 7326
ANYIAM LAWFIRM F I L E D
CALIFORNIA
357 W. 2nd Street, Suite 16 SUCPOEURhfig gggR;
.
A BF
ERNARDINO
sa” Bernard'm” CA 92401 SAN BERNARDINO mSTRICT
TELEPHONE N0; (909) 383—9500 FAX No. (Optional): (909) 383-9533
E-MAIL ADDRESS (Optional): anyiamlawfirm@gmail.com MAY O 5 2021
ATrORNEY FOR(Narne): Elite Healthcare Staffing
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO BY
STREET ADDRESS: 247 W. 3rd Street ANTHONY TWHTINEZ. SEPUTY
MAILING ADDRESS: Same
CITY AND ZIP CODE: San Bernardino, CA 9241 5
BRANCH NAME: Civil Division
Healthcare Staffing CASE NUMBER:
PLAINTIFF/PETITlONER: Elite
C'VBS 2101597
DEFENDANT/RESPONDENT: Elite Health Providers, LLC
Ref. No. or File No.1
PROOF 0F SERVICE OF SUMMONS
(Separate pmof of service is required for each party served.)
1. At the time of service | was at least 18 years of age and not a party to this action.
2. sewed copies of:
E
|
a. summons
b. E
E
complaint
Alternative Dispute Resolution (ADR) package
fiwao
E
E
Civil Case Cover Sheet (served in complex cases
cross-compiaint
only)
Certificate of Assignment,
other (specify documents): Notice of Trial Setting Conference and Notice of Case Assignment,
Initial Trial Setting Conference Statement (blank), and Notice and Acknowledgment of Receipt
3. a. Party served (specify name ofparty as shown on documents served):
Elite Health Providers, LLC
b.
E Person (other than the party in item Ba) 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 pan‘y named in item 3a):
Natalia Ramirez
4. Address where the party was served:
27926 Rockwood Avenue, Moreno Valley, CA 92555
5. served the par‘ty (check proper box)
E
l
a. by personal service. I personally delivered the documentfs listed in item 2 to the party or person authorized to
receive service of process forthe party (1) 0n (date)-'Ap”' 30:
2021 (2) at (time)-' 8115 a-m-
b.
E by substituted service. on (date):
in the presence of (name and title or relationship to
at (time):
person indicated in item 3):
l left the documents listed in item 2 with or
(1) E (business) a person at least 18 years of age apparently in charge at the office or usual place of business
ofthe person to be served. informed him or her ofthe general nature of the papers.
E
|
(2) (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual
place of abode ofthe party. informed him or her ofthe general nature ofthe papers.
|
(3) E (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing
address of the person to be sewed, other than a United States Postal Service post office box. informed l
him or her of the general nature ofthe papers.
(4) E |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) E | attach a declaration of diligence stating actions taken first to attempt personal service.
Page 1 of 2
Code of Civil Procedure, § 417.10
Form Adopted for Mandatory Use
Judicial Council of California
PROOF OF SERVICE OF SUMMONS
POS—O1O [RevA January 1, 2007]
\r V POS-010
PLAINTIFF/PETITIONER: Elite Healthcare Staffing CASE NUMBER:
DEFENDANT/RESPONDENT; Elite Health Providers, LLc ClVBS 2101597
5. c.
E by mail and acknowledgment of receipt of service. mailed the documents
address shown in item 4. by first-class mail, postage prepaid,
| listed in item 2 to the party, to the
(1) 0n (date): (2) from (city):
(3) D with two copies of the Notice
to
and Acknowledgment of Receipt and a postage-paid return envelope addressed
me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.)
(4) E to an address outside California with return receipt requested. (Code Civ. Proc., § 415.40.)
d. E by other means (specify means of service and authorizing code section):
E Additional page describing service is attached.
6. The "Notice to the Person Served" (on the summons) was completed as follows:
a.
b.
E
E
as an individua! defendant.
as the person sued under the fictitious name of (specify):
c.
d .
D
E
as occupant.
On behalf of (specify): Elite Health Providers, LLC
under the following Code of Civil Procedure section:
E
E
416.10 (corporation)
416.20 (defunctcorporation)
E
E
415.95 (business organization, form unknown)
416.60 (minor)
E
E
416.30 (joint stock company/association)
416.40 (association or partnership)
E
E
416.70 (ward or conservatee)
416.90 (authorized person)
E 416.50 (public entity) E
E
415.46 (occupant)
other:
7. Person who sewed papers
a. Name: Bert T. Knapp
Address: P.O. Box 1264, Claremont, CA 91711
Telephone number: (909) 438—0318
9.0-9.7
The fee for service was: $ 85.00
lam:
(1) E
E
not a registered California process server.
exempt from registration under Business and Professions Code section 22350(b).
(2)
(3) E E a registered California process server:
owner E employee E independent contractor.
(ii) Registration No.: 1649
(iii) County: San Bernardino
8. E |
or
declare under penalty of perjury under the laws ofthe State of California that the foregoing is true and correct.
9. E I am a California sheriff or marshal and | certify that the foregoing is true and correct.
Date: May 3, 2021
Bert T. Knapp
(NAME OF PERSON WHO SERVED PAPERSISHERIFF OR MARSHAL)
’Léf /fl @747
(SIGNATURE)
PosowlRev'Januarymzoon PROOF OF SERVICE OF SUMMONS Pagezofz
Document Filed Date
May 05, 2021
Case Filing Date
February 01, 2021
Category
Breach of Contract/Warranty Unlimited
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
V V POS-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): F°R COURTUSE W” Christian u. Anyiam, Esq, SBN21 7326 ANYIAM LAWFIRM F I L E D CALIFORNIA 357 W. 2nd Street, Suite 16 SUCPOEURhfig gggR; . A BF ERNARDINO sa” Bernard'm” CA 92401 SAN BERNARDINO mSTRICT TELEPHONE N0; (909) 383—9500 FAX No. (Optional): (909) 383-9533 E-MAIL ADDRESS (Optional): anyiamlawfirm@gmail.com MAY O 5 2021 ATrORNEY FOR(Narne): Elite Healthcare Staffing SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO BY STREET ADDRESS: 247 W. 3rd Street ANTHONY TWHTINEZ. SEPUTY MAILING ADDRESS: Same CITY AND ZIP CODE: San Bernardino, CA 9241 5 BRANCH NAME: Civil Division Healthcare Staffing CASE NUMBER: PLAINTIFF/PETITlONER: Elite C'VBS 2101597 DEFENDANT/RESPONDENT: Elite Health Providers, LLC Ref. No. or File No.1 PROOF 0F SERVICE OF SUMMONS (Separate pmof of service is required for each party served.) 1. At the time of service | was at least 18 years of age and not a party to this action. 2. sewed copies of: E | a. summons b. E E complaint Alternative Dispute Resolution (ADR) package fiwao E E Civil Case Cover Sheet (served in complex cases cross-compiaint only) Certificate of Assignment, other (specify documents): Notice of Trial Setting Conference and Notice of Case Assignment, Initial Trial Setting Conference Statement (blank), and Notice and Acknowledgment of Receipt 3. a. Party served (specify name ofparty as shown on documents served): Elite Health Providers, LLC b. E Person (other than the party in item Ba) 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 pan‘y named in item 3a): Natalia Ramirez 4. Address where the party was served: 27926 Rockwood Avenue, Moreno Valley, CA 92555 5. served the par‘ty (check proper box) E l a. by personal service. I personally delivered the documentfs listed in item 2 to the party or person authorized to receive service of process forthe party (1) 0n (date)-'Ap”' 30: 2021 (2) at (time)-' 8115 a-m- b. E by substituted service. on (date): in the presence of (name and title or relationship to at (time): person indicated in item 3): l left the documents listed in item 2 with or (1) E (business) a person at least 18 years of age apparently in charge at the office or usual place of business ofthe person to be served. informed him or her ofthe general nature of the papers. E | (2) (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual place of abode ofthe party. informed him or her ofthe general nature ofthe papers. | (3) E (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing address of the person to be sewed, other than a United States Postal Service post office box. informed l him or her of the general nature ofthe papers. (4) E |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) E | attach a declaration of diligence stating actions taken first to attempt personal service. Page 1 of 2 Code of Civil Procedure, § 417.10 Form Adopted for Mandatory Use Judicial Council of California PROOF OF SERVICE OF SUMMONS POS—O1O [RevA January 1, 2007] \r V POS-010 PLAINTIFF/PETITIONER: Elite Healthcare Staffing CASE NUMBER: DEFENDANT/RESPONDENT; Elite Health Providers, LLc ClVBS 2101597 5. c. E by mail and acknowledgment of receipt of service. mailed the documents address shown in item 4. by first-class mail, postage prepaid, | listed in item 2 to the party, to the (1) 0n (date): (2) from (city): (3) D with two copies of the Notice to and Acknowledgment of Receipt and a postage-paid return envelope addressed me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.) (4) E to an address outside California with return receipt requested. (Code Civ. Proc., § 415.40.) d. E by other means (specify means of service and authorizing code section): E Additional page describing service is attached. 6. The "Notice to the Person Served" (on the summons) was completed as follows: a. b. E E as an individua! defendant. as the person sued under the fictitious name of (specify): c. d . D E as occupant. On behalf of (specify): Elite Health Providers, LLC under the following Code of Civil Procedure section: E E 416.10 (corporation) 416.20 (defunctcorporation) E E 415.95 (business organization, form unknown) 416.60 (minor) E E 416.30 (joint stock company/association) 416.40 (association or partnership) E E 416.70 (ward or conservatee) 416.90 (authorized person) E 416.50 (public entity) E E 415.46 (occupant) other: 7. Person who sewed papers a. Name: Bert T. Knapp Address: P.O. Box 1264, Claremont, CA 91711 Telephone number: (909) 438—0318 9.0-9.7 The fee for service was: $ 85.00 lam: (1) E E not a registered California process server. exempt from registration under Business and Professions Code section 22350(b). (2) (3) E E a registered California process server: owner E employee E independent contractor. (ii) Registration No.: 1649 (iii) County: San Bernardino 8. E | or declare under penalty of perjury under the laws ofthe State of California that the foregoing is true and correct. 9. E I am a California sheriff or marshal and | certify that the foregoing is true and correct. Date: May 3, 2021 Bert T. Knapp (NAME OF PERSON WHO SERVED PAPERSISHERIFF OR MARSHAL) ’Léf /fl @747 (SIGNATURE) PosowlRev'Januarymzoon PROOF OF SERVICE OF SUMMONS Pagezofz