Free Certificate of Service - District Court of California - California

“ Case 3 :07-cv—02843—BZ Document 4 Filed 06/07/2007 Page 1 of 3
RONALD L. RICHMAN (SBN 139189)
I BULLIVANT HOUSER BAILEY PC
601 CALIFORNIA STREET, SUITE 1800
SAN FRANCISCO, CA 94108
Telephone: (415) 352-2700
Facsimile: (415) 352-2701
Attorney(s) for: PLAINTIFFS
Reference: 681800
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
SAN FRANCISCO DIVISION
BOARD OF TRUSTEES OF THE LABORERS CASE NUMBER: C 07 2843 JL
HEALTH AND WELFARE TRUST FUND FOR
NORTHERN CALIFORNIA, etal.
Plaintiff (s)
PROOF OF SERVICE
v. SUMMONS AND COMPLAINT
(Use separate proof of service for each person/party served)
NEIL JACKSON CONSTRUCTION, a California
company, formerly known as KM JACKSON
ENGINEERING, a California company, et al.
Defendant s
I. At the time of service I was atleast 18 years of age and not a party to this action and I served copies of the (specfv documents):
agi summons IXI complaint I;] alias summons Ijfirst amended complaint
in a civil case I] second amended complaint
[I third amended complaint
X] other (spec@).· CIVIL COVER SHEET; ORDER SETTING INITIAL CASE MANAGEMENT CONFERENCE AND ADR A
DEADLINES; STANDING ORDER FOR ALL JUDGES OF THE NORTHERN DISTRICT OF CALIFORNIA, CONTENTS OF JOINT
CASE MANAGEMENT STATEMENT; IN ADDITION TO THE LOCAL RULES, THE FOLLOWING GUIDELINES HAVE BEEN
PROVIDED TO ENSURE THAT THE FILING IS ACCOMPLISHED WITH EASE AND ACCURACY; ECF REGISTRATION
INFORMATION HANDOUT; NOTICE OF ASSIGNMENT OF CASE TO A UNITED STATES MAGISTRATE JUDGE FOR TRIAL;
(BLANK) CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE; (BLANK) DECLINATION TO
PROCEED BEFORE A MAGISTRATE JUDGE AND REQUEST FOR REASSIGNMENT TO A UNITED STATES DISTRICT JUDGE
2. Person served:
a. E Defendant (name): JA CKSON NEIL CONSTRUCTION
b. Ki Other (specmr name and title or relationship to the party/business named): JACKSON NEIL, ACCEPTED SER VICE OF
PROCESS ON BEHALF OF JA CKSON NEIL CONSTRUCTION
c. E Address Where papers were served: 217 FYFFE STREET, STOCKTON, CA 95203
3. Manner of service in compliance with (the appropriate box must be checked):
a. [II Federal Rules of Civil Procedure
b. IXI Califomia Code of Civil Procedure
4. I served the person named in item 2:
a. E By Personal service. By personally delivering copies. If the person is a minor, by leaving copies with a parent,
guardian, conservator or similar fiduciary and to the minor if at least (12) years of age.
1. IXI Papers were served on (dare): JUNE 5, 2007 at (time): ll:00AlVI
b. lj By Substituted service. By leaving copies:
l. lj (home) at the dwelling house, usual place of abode, or usual place of business ofthe person served in the presence of a
competent member of the household, at least 18 years of age, who was informed of the general nature of the papers.
2. lj (business) or a person apparently in charge of the office ofplace ofbusiness, at least 18 years of age, who was informed of the
general nature of the papers.

PROOF OF SERVICE-SUMMONS AND COMPLAINT
CV-1 (04/01)

' Case 3 :07-cv—02843—BZ Document 4 Filed 06/07/2007 Page 2 of 3
3. I;] Papers were served on (date): at (time):
4. E] by mailing (by first-class mail, postage prepaid) copies to the person served in item 2(b) at the place were the
copies were left in Item 2(c).
5. [I papers were mailed on (date);
6. [II due diligence. I made at least three (3) attempts to personally serve the defendant.
C. EI Mail and acknowledgment of service. By mailing (byjirst—class mail or airmail, postage pre-paia) copies to the person served,
with two (2) copies of the form of Waiver of Service of Summons and Complaint and a retum envelope, postage prepaid to the
sender. (Attach completed Waiver of Service of Summons and Complaint).
d. I:] Service on domestic corporation, unincorporated association (including partnership), or public entity. (F.R.Civ.P.4(h))
(C.C.P. 416.10) By delivering, during usual business hours, a copy ofthe summons and complaint to an officer, a managing or
general agent, or to any other agent authorized by appointment of by law to receive service of process and, if the agent is one
authorized by statute and the statute so requires, a mailing, by first-class mail, postage prepaid, a copy to the defendant.
~ e. lj Substituted service on domestic corporation, unincorporated association (including partnership), or public entity. (C.C.P.
415.20 only) By leaving during usual office hours, a copy ofthe summons and complaint in the office ofthe person served with
the person who apparently was in charge and thereafter by mailing (by first—class mail, postage prepaid)copies to the persons at
the place where the copies were left in firll compliance with C.C.P. 415.20. Substitute service upon the Califomia Secretary of
state requires a court order. (Attach a copy of the order to this proof of service).
f I] Service on a foreign corporation. In any manner prescribed for individuals by FRCP 4(f).
g. [I Certified or registered mail service. By mailing to an address outside Califomia (by first-class mail, postage prepaid requiring a
return recezpa copies to the person served. (Attach signed return receipt o other evidence of actual receipt by the person served).
h. I:] Other (specify code section and type of service): .
5. Service upon the United States, and Its Agencies, Corporations or Officers.
a. I] by delivering a copy ofthe summons and complaint to the clerical employee designated by the U.S. Attomey
authorized to accept service, pursuant to the procedures for the Office ofthe U.S. Attorney for acceptance of
service, or by sending a copy ofthe surmnons and complaint by registered or certified mail addressed to the civil
process clerk at the U.S. Attorneys Office.
Name of person served:
Title of person served:
Date and time of service: (date): at (time):
b. lj By sending a copy ofthe summons and complaint by registered or certified mail to the Attomey General of the United States at
Washington, D.C. (Attached signed return receipt of other evidence of actual receipt by the person served).
c. E] By sending a copy ofthe summons and complaint by registered or certified mail to the officer, agency or corporation s
(Attach signed return receipt or other evidence of actual receipt by the person served).
6. At the time of service I was at least 18 years of age and not a party to this action.
7. Person serving (name, address and telephone number):
TERENCE IAN C. IGNACIO/#2005-947/SAN FRANCISCO a. Fee for service: $
WORLDWIDE NETWORK, INC.
520 TOWNSEND STREET, SUITE D b. I;] Not a Registered Califomia Process Server
SAN FRANCISCO, CA 94103
(415) 503-0900 c. I;] Exempt from registration under B&P 2235(b)
d. E Registered Califomia Process Server
8. [I I am a Califomia sheriff marshal, or constable and I certify that the foregoing is tme and correct.
I declare under penalty of perjury that the foregoing is true and correct. —-.`.. I ’
pn--, --.—.. _ ____ _
Date: JUNE 5, 2007
(Signature) * f

PROOF OF SERVICE-SUMMONS AND COMPLAINT
CV-] (04/01)

* '_ , . Case · cv—O284C2fZSf>oc ment AD File? 06/07/205 Page 3 of 3
TID} .J EIJECS IS I`1L L OLIIT
NORTHERN DISTRICT OF CALIFORNIA E·f[[ing
BOARD OF TRUSTEES OF THE LABORERS HEALTH
AND WELFARE TRUST FUND FOR NORTHERN SUMMONS IN A CIVIL CASE
CALIFORNIA; BOARD OF TRUSTEES OF THE CASE NUMBER;
LABORERS VACATION—HOLIDAY TRUST FUND FOR
NORTHERN CALIFORNIA; BOARD OF TRUSTEES OF .
THE LABORERS PENSION TRUST FUND FOR
NORTHERN CALIFORNIA and BOARD OF TRUSTEES {H `
OF THE LABORERS TRAINING AND RETRAINING - E I
TRUST FUND FOR NORTHERN CALIFORNIA Q ‘ E
»A., 3 -==·
V.
NEIL JACKSON CONSTRUCTION, a California company,
formerly known as KM JACKSON ENGINEERING, a
Califomia company; and NEIL JEFFERY JACKSON, an .
Individual
-l-OZ (Name and address of defendant)
Neil Jackson Jackson Neil Construction
Jackson Neil Construction 217 Fyffe Street, # 154 I
1001 Bristol Avenue Stockton, CA 95203
Stockton, CA 95204
YOU ARE HEREBY SUIVINIONED and required to serve upon PLAlNTlFF'S ATTORNEY (name and address)
Ronald L. Richman
Bullivant l—louser Bailey PC
601 California Street, Suite 1800
San Francisco, CA 94108
an answer to the complaint which is herewith. served upon you, within 20 days after service of this summons upon you, exclusive
of the day of service. If you fail to do so, judgement by default will be taken against you for the relief demanded in
the complaint. You must also file your answer with the Clerk of this Court within a reasonable period of time after service.
MAY 3 1 ZUUT
Richard W. Wieking
CLERK DATE
I ¤
I•rl‘lEEl»LM`l it `N

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Case 3:07-cv-02843-BZ

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Case 3:07-cv-02843-BZ

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