On June 17, 2021 a
Proof of Service
was filed
involving a dispute between
City Of Needles,
and
Countrywide Title Corporation,
Cusson, Lorraine L,
Does 1 Through 10,
Schmidt, William,
for Other Complaint (Not Spec) Unlimited
in the District Court of San Bernardino County.
Preview
*
‘v ORIGINAL
POS-030
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
Lena D. Wade, Esq. (SBN# 258356)
Slovak Baron Empey Murphy & Pinkney LLP
74785 Highway 111, Suite 105
Indian Wells, CA 92210
TELEPHONE NO.:7600-322-9240 FAX No‘ (Optional):760—565-1 189
E-MAIL ADDRESS (Optional)wade@sbemp_com F I
SUPERIOR COURT 0F CALiFORNIA
L E D
ATTORNEY FOR (Name): City 0f Needles COUNTY 0F SAN BERNARDINO
SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F San Bemardino SAN BERNARDINO DISTRICT
STREET ADDRESS:247 West Third Street
JAN 1 2 2022
MAILING ADDRE582247 West Third Street
CITY AND zuP cooE:San Bemardino, 924 1 5 j”
BRANCH NAME:San Bemardino - Civil Division By
PETITIONER/PLAINTIFFzmty OI Needles Deputy
RESPONDENT/DEFENDANTzLOITame L- CUSSOH, et 31.
CASE NUMBER:
PROOF OF SERVICE BY FIRST-CLASS MAIL—CIVIL CIVSB21 16938
(Do not use this Proof of Service show service of a Summons and Complaint.)
to
1. |am over 18 years of age and not a party to this action. am a resident of or employed in the county where
l the mailing
took place.
2. My residence or business address is:
74785 Highway 11, Suite 105, Indian Wells, CA 92210
GH'IH
3. On (date):January 11, 2022 mailed from (city | and state):Indian Wells, CA
the following documentséspecif}?
Request for Entry of rder
A8
E The documents are
(form POS-030(D)).
listed in the Attachment to Proof of Service by First—Class Mail—Civil (Documents Served)
served the documents by enclosing them an envelope and (check one): XV:|
4. |
E
m
a.
b.
in
depositing the sealed envelope with the United States Postal Service with the postage
placing the envelope for collection and mailing following our ordinary business practices.
fully
| am
prepaid.
readily familiar with this
business’s practice for collecting and processing correspondence for mailing. On the same day that correspondence is
placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in
a sealed envelope with postage fully prepaid.
5. The envelope was addressed and mailed as follows:
a. Name of person servedzLorraine L, Cusson
b. Address of person served:
5 11 Bazoobuth Street, Needles, CA 92363
E The name and address of each person to whom mailed the documents
by First-Class Mail—Civil (Persons Served) (POS—030(P)).
| is listed in the Attachment to Proof of Service
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
DatezJanuary 11, 2022
Zavra Botello
(TYPE OR PRINT NAME OF PERSON COMPLETING THIS FORM) (SIGflU
?%m 53% F PERSON COMPLETING THIS FORM)
Code 3. 1013a
of Civil Procedure, §§ 101
Form Approved for Optional
Judicial Council of California
Use
PROOF 0F SERVICE BY FIRST-CLASS MAIL—CIVIL _
www.courfinfocagov
POS-030 [New January 1, 2005] (Proof of SerVIce)
American LegalNet, Inc.
www. USCourtForms‘com
INFORMATION SHEET FOR PROOF OF SERVICE BY FlRST-CLASS MAlL—CIVIL
(This information sheet is not part of the Proof of Service and does not need to be copied, served, or filed.)
NOTE: This form should not be used for proof of service of a summons and complaint. For that purpose, use Proofof
Service of Summons (form POS-01 0).
Use these instructions to complete the Proof of Service by First-C/ass Mail—Civil (form POS-030).
A person over 18 years of age must serve the documents. There are two main ways to serve documents:
(1) by personal delivery and (2) by mail. Certain documents must be personally served. You must determine whether
personal service is required for a document. Use the Proof of Personal Service—Civil (form POS—OZO) if the documents
were personally served.
The person who served the documents by mail must complete a proof of service form for the documents served. You
cannot serve documents if you are a party to the action.
INSTRUCTIONS FOR THE PERSON WHO SERVED THE DOCUMENTS
The proof of service should be printed or typed. lf you have Internet access. a fillable version of the Proof of Service
form is available at www.courtinfo.ca.gov/forms.
Complete the top section of the proof of service form as follows:
First box, left side: In this box print the name, address, and telephone number of the person forwhom you served the
documents.
Second box, left side: Print the name of the county in which the legal action is filed and the court’s address in this box.
The address for the court should be the same as on the documents that you served.
Third box, left side: Print the names of the Petitioner/Plaintifi' and Respondent/Defendant in this box. Use the same names
as are on the documents that you served.
First box, top of form. riqht side: Leave this box blank for the court’s use.
Second box, right side: Print the case number in this box. The case number should be the same as the case number on
thedocuments that you served.
Complete items 1—5 as follows:
1. You are stating that you are over the age of 18 and that you are not a party to this action. You are also stating that
you either live in or areemployed in the county where the mailing took place.
2. Print your home or business address.
3. Provide the date and place of the mailing and list the name of each document that you mailed. If you need more
space to list the documents, check the box in item 3, complete the Attachment to Proof of Service by First-C/ass
Mail—Civil (Documents Served) (form POS—O30(D)), and attach it to form POS—OSO.
4. For item 4:
Check box a if you personally put the documents in the regular U.S. mail.
Check box b if you put the documents in the mail at your place of business.
5. Provide the name and address of each person to whom you mailed the documents. If you mailed the documents to
more than one person, check the box in item 5, complete the Attachment to Proof of Service by First-C/ass
Mail—Civi/ (Persons Served) (form POS-030(P)), and attach to form POS-030. it
At the bottom, fill in the date on which you signed the form, print
your name, and sign the form. By signing,
you are stating under penalty of perjury that all the information you have provided on form POS-030 is true
and correct.
Pos'mmewmm ”0°51
PROOF OF SERVICE BY FIRST CLASS MAlL—CIVIL
(Proof of Service)
Document Filed Date
January 12, 2022
Case Filing Date
June 17, 2021
Category
Other Complaint (Not Spec) Unlimited
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* ‘v ORIGINAL POS-030 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY Lena D. Wade, Esq. (SBN# 258356) Slovak Baron Empey Murphy & Pinkney LLP 74785 Highway 111, Suite 105 Indian Wells, CA 92210 TELEPHONE NO.:7600-322-9240 FAX No‘ (Optional):760—565-1 189 E-MAIL ADDRESS (Optional)wade@sbemp_com F I SUPERIOR COURT 0F CALiFORNIA L E D ATTORNEY FOR (Name): City 0f Needles COUNTY 0F SAN BERNARDINO SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F San Bemardino SAN BERNARDINO DISTRICT STREET ADDRESS:247 West Third Street JAN 1 2 2022 MAILING ADDRE582247 West Third Street CITY AND zuP cooE:San Bemardino, 924 1 5 j” BRANCH NAME:San Bemardino - Civil Division By PETITIONER/PLAINTIFFzmty OI Needles Deputy RESPONDENT/DEFENDANTzLOITame L- CUSSOH, et 31. CASE NUMBER: PROOF OF SERVICE BY FIRST-CLASS MAIL—CIVIL CIVSB21 16938 (Do not use this Proof of Service show service of a Summons and Complaint.) to 1. |am over 18 years of age and not a party to this action. am a resident of or employed in the county where l the mailing took place. 2. My residence or business address is: 74785 Highway 11, Suite 105, Indian Wells, CA 92210 GH'IH 3. On (date):January 11, 2022 mailed from (city | and state):Indian Wells, CA the following documentséspecif}? Request for Entry of rder A8 E The documents are (form POS-030(D)). listed in the Attachment to Proof of Service by First—Class Mail—Civil (Documents Served) served the documents by enclosing them an envelope and (check one): XV:| 4. | E m a. b. in depositing the sealed envelope with the United States Postal Service with the postage placing the envelope for collection and mailing following our ordinary business practices. fully | am prepaid. readily familiar with this business’s practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid. 5. The envelope was addressed and mailed as follows: a. Name of person servedzLorraine L, Cusson b. Address of person served: 5 11 Bazoobuth Street, Needles, CA 92363 E The name and address of each person to whom mailed the documents by First-Class Mail—Civil (Persons Served) (POS—030(P)). | is listed in the Attachment to Proof of Service I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DatezJanuary 11, 2022 Zavra Botello (TYPE OR PRINT NAME OF PERSON COMPLETING THIS FORM) (SIGflU ?%m 53% F PERSON COMPLETING THIS FORM) Code 3. 1013a of Civil Procedure, §§ 101 Form Approved for Optional Judicial Council of California Use PROOF 0F SERVICE BY FIRST-CLASS MAIL—CIVIL _ www.courfinfocagov POS-030 [New January 1, 2005] (Proof of SerVIce) American LegalNet, Inc. www. USCourtForms‘com INFORMATION SHEET FOR PROOF OF SERVICE BY FlRST-CLASS MAlL—CIVIL (This information sheet is not part of the Proof of Service and does not need to be copied, served, or filed.) NOTE: This form should not be used for proof of service of a summons and complaint. For that purpose, use Proofof Service of Summons (form POS-01 0). Use these instructions to complete the Proof of Service by First-C/ass Mail—Civil (form POS-030). A person over 18 years of age must serve the documents. There are two main ways to serve documents: (1) by personal delivery and (2) by mail. Certain documents must be personally served. You must determine whether personal service is required for a document. Use the Proof of Personal Service—Civil (form POS—OZO) if the documents were personally served. The person who served the documents by mail must complete a proof of service form for the documents served. You cannot serve documents if you are a party to the action. INSTRUCTIONS FOR THE PERSON WHO SERVED THE DOCUMENTS The proof of service should be printed or typed. lf you have Internet access. a fillable version of the Proof of Service form is available at www.courtinfo.ca.gov/forms. Complete the top section of the proof of service form as follows: First box, left side: In this box print the name, address, and telephone number of the person forwhom you served the documents. Second box, left side: Print the name of the county in which the legal action is filed and the court’s address in this box. The address for the court should be the same as on the documents that you served. Third box, left side: Print the names of the Petitioner/Plaintifi' and Respondent/Defendant in this box. Use the same names as are on the documents that you served. First box, top of form. riqht side: Leave this box blank for the court’s use. Second box, right side: Print the case number in this box. The case number should be the same as the case number on thedocuments that you served. Complete items 1—5 as follows: 1. You are stating that you are over the age of 18 and that you are not a party to this action. You are also stating that you either live in or areemployed in the county where the mailing took place. 2. Print your home or business address. 3. Provide the date and place of the mailing and list the name of each document that you mailed. If you need more space to list the documents, check the box in item 3, complete the Attachment to Proof of Service by First-C/ass Mail—Civil (Documents Served) (form POS—O30(D)), and attach it to form POS—OSO. 4. For item 4: Check box a if you personally put the documents in the regular U.S. mail. Check box b if you put the documents in the mail at your place of business. 5. Provide the name and address of each person to whom you mailed the documents. If you mailed the documents to more than one person, check the box in item 5, complete the Attachment to Proof of Service by First-C/ass Mail—Civi/ (Persons Served) (form POS-030(P)), and attach to form POS-030. it At the bottom, fill in the date on which you signed the form, print your name, and sign the form. By signing, you are stating under penalty of perjury that all the information you have provided on form POS-030 is true and correct. Pos'mmewmm ”0°51 PROOF OF SERVICE BY FIRST CLASS MAlL—CIVIL (Proof of Service)