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HEARNAP — Part 29
Page 340
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CYA (5-73) PROOF OF SERVICE OF SUMMONS AND COMPLAINT
CIV NG. @ See ; , Po,
I certify that I have becy appointed to serve the summons and complaint in the within ac
‘pursuant to FRCivP 4(c) and that L served he summons and complaint as follows: (type or
‘2. Name and title of person served:.
2. Person with whom left: title or reiatioaship to person served:
3. Date and time of delivery:
4&4. Mailing date; class of mail: Place of mailing:
S. Address, city and state: a . ( ) Home (€ )} Business
6. Manner of"Sérvice: (Check applicable box and complete separate proof of service for
eacn defendant served.) ,
[} PERSONAL SERVICE, by handing copies to the person served. (FRCivP 4(d))
: ~ er SUBSTITUTE SESY CE PROVISTONS 5
C] UPON AN INDIVIDUAL OTHER THAN AN INFANT OR AN INCOMPETENT PERSON, by delivering j!
copy of the summons and complaint to him personally or by leaving copies thereof
at his dwelling house or usual place of abode with some person of suitable age a;
discretion then residing therein or by delivering a copy of the summons and coinpi
to an agent authorized by appointment or by law to receive service of process; o:
a manner consistent with C.C.P. 8 415.20(b). FRCivP 4(d)(1) (Attach separate af{
stacing acts relied on to establish reasonable diligence in first attempting per:
service.)
[7 UPON AN INFANT OR AN INCOMPETENT PERSON, by leaving copies at the dwelling house.
usual place of abode, or usual place of business of the person served in thd{rr-.
of a competent member of the household or a person apparently in charge of his o1
or place of business, at least 18 years of age, who was informed of the general :
of the papers, and thereafter mailing (by first-class mail, postage prepaid) copi
to the person served at the place where the copies were left. C.C.P- 415.20(b);
FRCivP 4(d} (1) ,
° LJ UPON A DOMESTIC OR FOREIGN CORPORATION OR UPON A PARTNERSHIP OR OTHER UNINCORPOR:
ASSOCIATION WHICH IS SUBJECT TO SUIT UNDER A COMMON NAME, by delivering a copy ot
“summons and complaint to an officer, a managing or general agent, or to any other
agent authorized by appointment or by law to receive service of process and, if ¢
agent is one authorized by statute to receive service and the statute so requires
by also mailing a cor’ to the defendant; or in a manner consistent with C.C.P. &
415.20(a). FRCivP 4 )(3)
CJ UPON THE UNITED STATES OR AN OFFICER OR AGENCY OF THE UNITED STATES, by. serving i
a manner as prescribed by Rule 4({d}(4) and (5) Fed. Rules of Civ. Procedure.
UPON A STATE OR MUNICIPAL CORPORATION OR OTHER GOVERNMENTAL ORGANIZATION THEREOF
SUBJECT TO SUIT, by delivering a copy of the summons and complaint to the chief
executive officer thereof or by serving the summons and complaint in a manner
prescribed by the law of that state for the service of summons or other like proc
upon any such defendant (see C.C.P. & 415.20(a)). FRCivP 4(d) (6)
[3 OTHER FRCivP 4(e) {i}. “Attach separate pages if necessary.
,
Subscribed and sworn to before me
(Date) Signature of person authorized
gee . to make servic® »
Notary Public in and for the County
» . 4
of ef
State of California.
Fee for service $ » Mileage $ » Notary § . » Total §
ACKNOWLEDGMENT OF SERVICR
1, | __» received a true copy cf the vithin & cumcnt
*
~~ (Signature)
- for: ae
{Party Served)
Perris kites!
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