`
`Proof of Service of Response by
`
`'
`
`~
`
`’
`
`'
`
`Clerk stamps date here v'lhen ram; is filed.
`
`F I L E D .
`SAN MATEO GOUNTV
`OCT' 1 7 2019
`
`Name: Apollo Yera
`
`.
`
`' Your Name: JermaineWiIliams
`
`The server must:
`o Be 18‘ years of age or older.
`Live or be employed in the county
`o
`where the mailing took place.
`
`CH—lOO.
`Mail a copy of all documents
`
`°
`
`-
`
`CH 250
`® Person Seeking Protection
`® Person 'From Whom Protection ls Sought
`® Notice to Server
`0 Not be listed in items CD or© of Form
`checked in@ to the person in@.
`Complete and sign this form and give
`it to the person in@.
`® I am 18 years of age or older and not a party to thisrproceeding. I live or am employed in the county where the
`PROOF. OF SERVICE BY MAIL
`mailing took place. I mailed the person in® a copy of all documents checked below:
`a. Form CH-120, Response to Requestfor Civil Harassment Restraining Orders
`b. D Other (specz'fiz):
`® Iplaced copies of the documents checked above in a sealed envelope and mailed them as described below:
`
`Fill in courtfilye’and sheet address:
`SuperiorLC/ourt of California, County of
`
`’
`
`Fill (n case fiumben
`Case Number:
`1 QCIVO5761
`
`,
`
`City: RedWOOd City
`
`State; CA zip; 94010
`State: CA
`
`a. Mailedto (name): Apollo R. Yera
`b. To this address: 681 Romns Rdu #4
`City: Burlingame
`0- On (date): 10'17'19
`Mailed from:
`
`® Server’élnformation
`
`Name: Krista Lyssand
`Address: San Mateo Counfy Counsel's Office, 400 County Center, 6th Floor
`State: CA 94063
`City: RedWOOd City
`Zip:
`Te1ephone; 650-363-4250
`([fyou are a registeredprocess server):
`County of registration:
`Registration number:
`I declare under penalty of perjury under the laws of the State of California that the '
`correct.
`Date: 10-17-19
`Krista Lyssand
`Type 0r print server. ‘s name
`
`ormation above is true and
`
`MAM4
`
`’
`
`Server toSW e I I v
`
`‘
`
`Judicial Council of California. www.couns.qa.gav
`Rev.January 1,2012, Optional Form
`C°de°f°“’" F’Wdure- “275
`
`PrOOf Of serVice Of Response by Mail
`. '(Civil Harassment Prevention)
`
`CH-250, Page 1 of 1
`
`
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