On December 29, 2017 a
Proof of Service
was filed
involving a dispute between
Nunez Jose,
and
Angeles Ipa Inc,
Dignity Health,
Health Net Community Solutions Inc,
Syndermed,
for civil
in the District Court of Los Angeles County.
Preview
Electronically FILED by Superior Court of California, County of Los Angeles on 06/04/2019 09:14 AM Sherti R. Carter, Executive OficerClerk of Cour, by E. Gregg,Deputy Clerk
POS-04
‘ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY
L Scott C. Glovsky,.Esq.
LAW OFFICES OF SCOTT C. GLOVSKY
343 Harvard Ave. Claremont, CA 91711
TELEPHONE NO.: (626) 243-5598 | FAX NO. (886) 243-2243 | E-MAIL ADDRESS (Optionalp: aheath@scottglovskylaw.com
ATTORNEY FOR (Nama): Plaintitt: Plaintiff
LOS ANGELES COUNTY SUPERIOR COURT
‘STREET ADDRESS: 111 NORTH HILL ST.
MAILING ADDRESS:
CITY AND zIP CODE: LOS ANGELES, CA 90012
BRANCH NAME: CENTRAL DISTRICT
PLAINTIFF: Jose Nunez CASE NUMBER: BC688713 Dept: 61
‘DEFENDANT: Health Net, Inc., et al.
Ref, No. or File No.
PROOF OF SERVICE OF SUMMONS Nunez
. (Separate proof: of service is required for each party served.)
1. Atthe timetof service | was at least 18 years of age and not a party to this action.
2. | served copies of:
alt Summons
b. Complaint
G Alternative Dispute Resolution (ADR) package
da. Civil Case Cover Sheet (served in complex cases only)
e. Cross-complaint
f. other (specify documents): First Amended Complaint;Addendum,Notice of Case Assignment;Stipulation Package,Notice of
Case Management Conference
3. a. Party served (specify name of party as shown on documents served):
Dignity Health
b. wy 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):
Carlos Paz - Authorized to Accept Service
4. Address where the party was served: 818 W 7th St Ste 930
Los Angeles, CA 9001 7-3476
5. I served the party (check proper box)
a. 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 (dafe): 5/31/2019 (2) at (time): 12:45 PM.
vO by substituted service. On (date): at (time): | left the documents listed in item 2 with or
in the presence of (name and title or relationship to person indicated in item 3b):
MO (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 of her of the general nature of the papers.
@O (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.
@O (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 of
her of the general nature of the papers.
@O | 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.
@O l attach a declaration of diligence stating actions taken first to attempt personal service.
Page tof?
Form. roved for Mandatory Use ‘Code
of Civil Procedure, § 417.10
Judicial cil of Califernia PROOF OF SERVICE OF SUMMONS
POS-010 [Rev. January 1, 2007] POS010-1/CW301150
Document Filed Date
June 04, 2019
Case Filing Date
December 29, 2017
For full print and download access, please subscribe at https://www.trellis.law/.