County of San Bernardino R. C. RANDOLPH, MARSHAL ORIGINAL INSTRUCTIONS AND SERVICE TICKET Court TO: Case No. Address R. C. RANDOLPH, Marshal San Bernardino County Rect. No. Amt. $ DIV: Pltf. vs. Deft. You are hereby instructed to execute the accompanying process as follows: Descriptive Info: Type of Process: Forwarded to: Court Date: Date: DO NOT WRITE BELOW THIS LINE - Marshal Use Only SERVICE DATA Served Posted At Business Address At Home Address Other Address Not Served Not Found Cancelled (before) (after) attempt made Mil. Ser. Yes No Served By Signature Phone No. Date Deputy Attorney or Creditor Date of Service Address Zip City All communications will be sent to the party at the above address unless otherwise noted. AM PM PHYSICAL DESCRIPTION Sex Ht. Race Wt. Age Eyes Hair Marks Marshal's Time Stamp NOTICE OF CAPACITY OF PERSON SERVED Served as an individual defendant. Served as (or on behalf of) the person sued under the fictitious name of: Served on behalf of: C.C.P. § 416.10 (Corporation) C.C.P. § 416.60 (Minor) C.C.P. § 416.70 (Incompetent) C.C.P. § 416.20 (Defunct Corporation) C.C.P. § 416.90 (Individual) C.C.P. § 416.40 (Association or partnership) Other C.C.P. § 416.50 (Public Entity) By Personal Delivery on (date): I served the summons and Petition (Marriage), Proposed Judgment (Marriage), Blank Confidential Counseling Questionnaire (Marriage), Order to Show Cause and Declarations Re Order to Show Cause (Marriage) SB-9 2 Blank Order to Show Cause and Declarations Re Order to Show Cause (Marriage) Under: 2002 © American LegalNet, Inc. INVESTIGATIONS OR ATTEMPTS (Note date, time, pertinent data & initial) DATE TIME INITIAL NOT FOUND Date Time AM PM Defendant(s) Moved ago. ( ) Forwarding Address ( ) Unable to ascertain whereabouts, no known forwarding address. Information was received from: ( ) Occupant at given address: ( ) Neighbor at: DATE TIME INITIAL ( ) Other: By: Deputy LEVY INFORMATION DATE TIME INITIAL Date Time located or Keeper installed AM PM Time Stored: AM PM Driven Towed Served Posted Stored at: Process Keeper: Released: Date per Pltf's. Instrs. DATE TIME " " " INITIAL to " TIME from " DATE " AM PM Time INITIAL J&C satisfied ( ) in the amount of $ ( C&C satisfied ) Payover signed ( ) in the amount of $ NOTE! SPECIAL INFORMATION LISTED BELOW: DATE TIME INITIAL By Levy Officer Deputy 2002 © American LegalNet, Inc.