From hkhenson@home.com Fri Aug 17 22:06:56 2001 Path: sn-us!sn-xit-04!supernews.com!novia!novia!newsfeed.wirehub.nl!newspeer.monmouth.com!news.lightlink.com!news2.lightlink.com From: hkhenson@home.com (Keith Henson) Newsgroups: alt.religion.scientology Subject: Latest suit against Henson by CoS Date: Sat, 18 Aug 2001 02:06:56 GMT Organization: Temple of At'L'An Lines: 797 Message-ID: <3b7dc692.29125063@news2.lightlink.com> NNTP-Posting-Host: 205.232.34.12 Mime-Version: 1.0 Content-Type: text/plain; charset=ISO-8859-1 Content-Transfer-Encoding: 8bit X-Newsreader: Forte Agent 1.5/32.451 X-Original-NNTP-Posting-Host: 24.141.40.229 X-Original-Trace: 17 Aug 2001 22:04:44 -0400, 24.141.40.229 Xref: sn-us alt.religion.scientology:963878 This came registered in the mail today, Aug. 17. Oddly it was mailed out of LA spite of this lawyer being located in Hemet. Hmm. Notice also that it is to be held before a commissioner instead of a real judge. My bet is that none of the rest of the judges would deal with this case. (Spanish boiler plate cut or moved to bottom) If someone with a bit more time than I have would like to research the lawyer and court commissioner, I would appreciate it. Lets see. Henson 1, RTC copyright, 2 the case filed in Riverside I was never served with, 3 Barton, 4 Barton criminal, 5 Hoden (Riverside) 6 Jones (CW), 7 bankruptcy objection, 8 Hemet criminal (picketing), 9 the CW 13 case, 10 the Canadian charges, 11 this one. I might have the order out of place or missed one or two. I still have quite a ways to catch up to Paulette Cooper's record. Keith Henson ********************** SUMMONS (CITACION JUDICIAL) [Spanish not corrected from OCR] ORIGINAL NOTICE TO DEFENDANT: (Aviso a Acusado) H. KEITH HENSON, YOU ARE BEING SUED BY PLAINTIFF: (A Ud. la asti damandancio) HILARY DEZOTELL, KEN HODEN, and BRUCE WAGONER FOR COURT USE ONLY (SOLO mm I/so oe LA COHTE) [blank box] You hava 30 CALENDAR DAYS after this summons Is served on you to file a typewritten response at this court. A letter or phone call will not protect you; your typewritten response must be In proper legal form If you want the court to hear your case. If you do not file your response on time, you may lose the case, and your wages, money and property may be taken without further warning from the court. There are other legal requirements. You may want to call an attorney right away. If you do not know an attorney, you may call an attorney referral service or alegal aid office (listed In the phone book). The name and address of the court Is: (El nombra y cHraccl6n da la corta as) SUPERIOR COURT OF CALIFORNIA 880 NORTH STATE STREET HEMET, CA 92543 HEMET - CIVIL CASE NUMBER (AMmero M Ca«>) 009673 The name, address, and telephone number of plaintiffs attorney, or plaintiff without an attorney, Is: GILBERT Y. NISHINO, ESQ. SB#l00036 (909) 929-4563 (909) 658-6565 LAW OFFICE OF GILBERT Y. NISHINO 910 E. FLORIDA AVENUE SUITE C-2 HEMET, CA 92543 DATE: (Fecha) Jul 30 2001 Clerk (Actuario), by [signature, El- M-], Deputy (Delegado) (Seal) [ of the Superior Court of California, County of Riverside Gilbert Y. Nishino, SBN 100036 ATTORNEY AT LAW 910 East Florida Ave.. Suite C-2 Hemet, California 92543 Telephone: (909) 925-3341 Telecopier: (909) 929-4563 Attorneys for Plaintiffs] ] HILLARY DEZOTELL, KEN HODEN and BRUCE WAGONER FILED SUPERIOR COURT OF CALIFORNIA COUNTY OF RIVERSIDE JUL 30 2001 Date Time Dept. NES 10-87 8:00 HS Status Conf. 1/28/02 1:30 HS SUPERIOR COURT OFCALIFORNIA COUNTY OF RIVERSIDE (Hemet) CASE NO. 009673 HILLARY DEZOTELL, KEN HODEN, and BRUCE WAGONER, Plaintiffs. H. KEITH HENSON, Defendant. COMPLAINT FOR: (1) VIOLATION OF CIVIL RIGHTS [C.C. §52.1] (2) INTENTIONAL INFLICTION OF EMOTIONAL DISTRESS (3) NEGLIGENT INFLICTION OF EMOTIONAL DISTRESS Plaintiffs Hillary Dezotell, Ken Hoden, and Bruce Wagoner (“PIaintiffs”) by and through their attorney, Gilbert Y. Nishino, allege as follows: PARTIES 1. The evente, transactions and occurences referred to in this Complaint occured within the State of Califomia, County of Riverside. 2. Plaintiff Hillaiy Dezotell ("Dezotell") is an individual who, at all relevant times, was and is a resident of Riverside County, California. 3. Plaintiff Ken Hoden ("Hoden") is an individual who, at all relevant times, was and is a resident of Riverside County, California. 4. Plaintiff Bruce Wagoner ("Wagoner") is an individual who, at all relevant -1- COMPLAINT [end of p. 1] times, was and is a resident of Riverside County, California. 5. Defendant H. Keith Henson ("Defendant) is a California resident whose principal residence is in Palo Alto, California. FACTS COMMON TO ALL COUNTS 6. Dezotell, Hoden, and Wagoner are each parishioners of the Scientology religion and are members of a Scientology religious order who have dedicated their lives to helping others through application and dissemination of Scientology religious tenets and scriptures. Each lives in Riverside County, and works at a Scientology religious facility located in Riverside County several miles from their residences. The religious facility is called Golden Era Produotions and each of the Plaintiffs is employed by Golden Era Productioris, which is an unincorporated division of a California not-for-profit religious corporation, qualified under 26 U.S.C. § 501(c)(3) as a tax-exempt Scientology church. 7. From approximately May 26, 2000 through and includmg approximately September 3, 2000, Defendant engaged in anti-religious conduct in violation of the civil rights of Plaintiffs in repeated, planned, willful, and malicious acts of harassment, stalking, threatening behavior, and other acts inspired by his hatred for Scientology and scientologists. 8. Throughout that period, on repeated occasions, Henson followed Plaintiffs from their homes to work and from work to their homes, taking photographs and writing down license plate numbers, lurking around theit residences and their Church employer’s facility, and taunting and harassing them because of their religion. He stalked the entrance to their Church with anti-Scientology signs that were derogatory, menacing, and hate-filled. 9. Over time, Defendant's harassment and intimidation escalated to the point of threats of violence such that Plaintiffs began taking different routes from their homes their Church employer's facility and reflised to go outside their residences and place of employment out of fear of Defendant, while the Church had to hire security professioni -2- COMPLAINT [end of p. 2] for the protection of its staff. 10. Defendant's menacing and threatening conduct culminated when he, along with a cohort, used a Global Petitioning System ("GPS") device to plot the satellite coordinates of several buildings located at the religious facility at which Plaintiffs work, calculating sufficient coordinate information to launch an accurate missile strike on those targets, and posting those coordinates to the Interoet, thereby inciting others with the suggestion that just such a missile strike might he made by using the coordinates he calculated. 11. The Riverside County Sheriffs Department conducted an investigation into Defendant's conduct during which it learned, among other things, what Plaintiffs already knew, l.e., that Defendant is a self-proclaimed munitions and explosives expert with a three-decade history of creating explosions allegedly for "recreation" thereby making his threats all the more credible; that Henson was admittedly doing what he was doing to cause fear and paranoia; that he was waging "psychological warfare" against Scientologists, including Plaintliffs; that his goal was to disrupt Plaintiffs "as much as possible"; and that his entire purpose in harassing, intimidating, and threatening Plaintiffs was to engage in the treachery of inflicting emotional damage on his targets. 12. As a result of that investigation, Defendant was charged by the Riverside County District Attorney's Office with various violations of the California Penal Code relating to anti-religious, hte crime motivated threats and conduct. 13. On April 26,2001, a Riverside County jury convicted Defendant under Penal Code §422.6 for intimidating, threatening, and oppressing Plaintiffs because of their religious beliefs. 14. On May 16,2001, defendant failed to appear at his sentencing hearing as he had left the country. At that hearing, his counsel confirmed to the Court that the defendant was in Canada. 15. On July 20, 2001, Riverside Superior Court Judge Robert Wallerstein sentenced Defendant in absentia for his conviction under California Penal Code § 422.6. -3- COMPLAINT [end of page 3] Defendant was sentenced to 365 days in County Jail with the sentence suspended to 180 days on condition of three years probation during which Defendant would be prohibited from approaching plaintiffs or coming within 300 yards of Golden Era Productiona, the religious facility where Plaintiffs work. FIRST CAUSE OF ACTION (Violation of Civil Rights under Civil Code §52.1) 16. Plaintiffs repeat, reallege, and incorporate herein by this reference paragraphs I through 15, inclusive, of this Complaint as though fully set forth herein. 17. As persons within the jurisdiction of this state, Plaintiffs are lawfully entitled to be free from any violence or attempts at violence, and any intimidation by threat of violence or attempts of intimidation by threat of violence committed against them because of their religion. 18. Defendant, by his threats, intimidation and coercion, and threats of violence, have interfered with Plaintiffs' peaceable exercise and enjoyment of their constitutional right to their religion in violation of California Civil Code § 52.1. 19. As a direct and proximate result of Defendant's wrongful acts and conduct af hereinabove alleged, Plaintiffs have suffered, and will continue to suffer, great anxiety, worry, mental and emotional distress and other incidents of damage, the exact nature an< extent of which are unknown to Plaintiffs at this time. 20. In doing the things herein alleged for which he was criminally convicted, Defendant has acted willfully, wantonly, maliciously and oppressively and with conscious disregard for the rights and interests of Plaintiffa. Plaintiffs are therefore entitled fo an award of punitive damages from Defendant. 21. Moreover, to avoid continued acts of harassment and intimidation of Henson against Plaintiffs in violation of Civil Code § 52.1, Plaintiffs are entitled to an order of permanent injunction against any such further acts in the future. -4- COMPLAINT [end of p. 4] SECOND CAUSE OF ACTION (Inteottonal Infliction of Emotional Distress) 22. Plaintiffs repeat, reallege and incorporate herein by this reference paragraphs 1 through 15, inclusive, 17 through 21, inclusive, of this Complaint as though fully set forth herein. 23. The acts and conduct of Defendant as hereinabove alleged and for which he has been criminally convicted was outrageous and calculated to bebeyond the bounds of common decency, and was willfully and deliberately calculated by Defendant to cause, and did cause, Plaintiffs' extreme mental and emotional distress. 24. Defendant's conduct was outrageous, intentional and malicious and done for the puipose of, or with conscious disregard of the probability of, causing Plaintiffs to suffer fear, humiliation, mental anguish and emotional and physical distress. Defendant has confirmed, ratified, and continued to extend that course of conduct to the present time knowing that Plaintiffs' distress would increase, and increase it has. Defendant did these things with a reckless and wanton disregard of the consequences to Plaintiffs. 25. As a direct and proximate result of the aforementioned course of conduct, Plaintiffs have suffered humiliation, mental anguish and emotional distress. 26. In doing the things herein alleged for which he was criminally convicted, Defendant has acted willfully, wantonly, maliciously and oppressively and with conscious disregard for the rights and interests of Plaintiffs. Plaintiffs are therefore entitled to an award of punitive damages. THIRD CAUSE OF ACTION ( Negligent Infliction of Emotional Distress) 27. Plaintiffs repeat, reallege and incorporate herein by this reference paragraphs 1 through 15, inclusive, 17 through 21, inclusive, of this Complaint as though fully set forth herein. 28. Defendant carried out the above-alleged course of conduct negligently and -5- COMPLAINT [end of p. 5] carelessly and in reckless disregard of the rights of Plaintiffs such that, as a direct, proximate, and foreaccable result of such negligence, Plainlifife suffered severe emotional and mental distress. 29. As a further direct, proximate, and foreseeable result of Defendant's negligence. Plaintiffs have sustained great emotional disturbance and shock, all of which is caused, and continues to cause, great physical and mental pain and suffering, all to their damage. 30. In doing the things herein alleged for which he was criminally convicted, Defendant has acted willfully, wantonly, maliciously and oppressively and with conscious disregard for the rights and interests of Plaintiffs. Plaintiffs are therefore entitled to an award of punitive damages. ' WHEREFORE, Plaintiffs pray for judgment as follows: 1. For general damages in the amount of $1.00; 2. For the maxinnum civil penalties available undor Civil Code § 52(b)(2) arising out of Defendant's acts in denying Plaintiffs their constitutional rights under Civil Code§52.1; 3. For punitive damages according to proof at time of trial; 4. For an order of permanent injunction ordering Defendant to cease and desist from conduct or activities which interfere with Plaintiffs’ exercise or enjoyment of rights secured by the Constitution or laws of the United States; 5. For an order of permanent injunction ordering Defendant to cease and desist from making any Airther threats against Plaintiffs and prohibiting Defendant from coming within 500 yards of Plaintiffs' residence, their work place and their persons; 6. For attorney's fees in an amount according to proof; /// /// /// /// -6- COMPLAINT [end of p. 6] 7. For costs of suit incurred herein; and 8. For such other and further relief tliat the Court deems just and proper. Dated: July 30 [handwritten at one time], 2001 Respectfully submitted, GILBERT Y.NISHINO ATTORNEY AT LAW by: [signature] Gilbert Y. Nishino Attorney for Plaintiffs HILLARY DEZOTELL, KEN HODEN and BRUCE WAGONER -7- COMPLAINT [end of complaint] [form #] 982.2(b)(1) ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) GILBERT Y. NISHINO, ESQ. LAW OFFICE OF GILBERT Y. NISHINO 910 E. FLORIDA AVENUE SUITE C-2 HEMET, CA 92543 TELEPHONE NO. (909)658-6565 FAX NO. (909) 929-4563 ATTORNEY FOR (Name): DEZOTELL, HODEN, & WAGONER INSERT NAME OF COURT, JUDICIAL DISTRICT, AND BRANCH COURT, IF ANY: SUPERIOR COURT OF CLAIFORNIA HEMET - CIVIL FOR COURT USE ONLY CASE NUMBER ASSIGNED JUDGE: [empty box] CASE NAME: D. KEITH HENSON CIVIL CASE COVER SHEET [X] Limited [] Unlimited Complex Case Designation [not filled in] Please complete all five (5] items below. 1. Check one box below for the case type that best describes this case: [nothing filled in till near bottom, OCR not corrected] Auto Tort en Auto (22) Other PI/PD/WD (Pereomi lnJuiy/Proparty DamagaAMrongful Daath) Tort CI]A8be8to8(04) I—1 Product liability (24) I—1 Medical malpractice (45) l~""1 Other PI/PD/WD (23) Non-PI/PD/WD (Other) Tort I—1 Business tort/unfair business practice (07) I—1 Civil rights (a.g.. discrimination, falae eunst) (08) I—1 Defamation (a.g., slander, Hb»t) (13) I—1 Freud (16) I—1 Intellectual property (19) I—1 Professional negligence (a.g., lagal malpfactica) (25) I—1 Other non-PI/PD/WD tort (35) Employment I—1 Wrongful termination (36) F—1 Other employment (15) Contract I—"I Breach of conliact/warranty (06) I—1 Collections (a.g., monay owed, opan book accounts) (09) \—1 Insurance coverage (18) r—1 Other contract (37) Real Proparty I—1 Eminent domain/inverse condemnation (14) I—1 Wrongful eviction (33) I I Other real property (a.g., quiat tttia) (26) Unlawful Datalner I—1 Commercial (31) Cl] Residential (32) Cl] Drugs (36) Judicial Review CllAs8etforfelture(05) Cl] Petition re: arbitration award (11) I—1 Writ of mandate (02) I—1 Other Judicial ravlaw (39) Provisionally Complex Civil Litigation (Cat. RulM of Court, rulm 1800-1812) [IJ AnUtrustmade regulation (03) I—1 Consiructon defect (10) I—"I Claims Involving mass tort (40) I—1 Securities litigation (28) I—~\ Toxic tort/EnvIronmental (30) I—1 Insurance coverage claims arising from the above listed proviilonally complex case types (41) Enforcement of Judgment I I Enforcement of judgment (e.g., sistarstata. foreign, out-of-county abstracts) (20) Mlicellaneou* Civil Complaint l~~"1 RICO (27) [X] Other complaint (not specified above) (42) Misoellanaow Civil Petition I—1 Partnerehip and corporate governance (21) I—1 Other petition (not spacHted above) (43) 2. This case [] Is [X] is not complex under rule 1800 of the California Rules of Court. If case Is complex, mark the factors requiring exceptional Judicial management: [none marked, not corrected] a. I—1 Large number of separately represented parties d. I—1 Large number of witnesses b. I—1 Extensive motion practice raising difficult or novel e. [ID Coordination and related actions pending In one or more courts ___ issues that will be time-consuming to resolve ___ In other counties, states or countries, or In a federal court c. I—1 Substantial amount of documentary evidence f. I—1 Substantial post-disposition Judicial disposition 3. Type of remedies sought (check all that apply): a. [X] monetary b. [X] nonmonetary; declaratory or Injunctive relief c. [X] punitive 4. Number of causes of action (specify): 3 5. This case [] Is [X] Is not a class action suit. Date: 7/30/01 GILBERT Y.NISHINO, ESQ. (TYPE OR PRINT NAME) [signature] (signature of party or attorney for party) NOTICE • Plaintiff must file this cover sheet with the first paper filed In the action or proceeding (except small claims cases or cases filed under the Probate, Family, or Welfare and Institutions Code). (Cal. Rules of Court, rule 982.2.) • File this cover sheet In addition to any cover sheet required by local court rule. • If this case is complex under rule 1800 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. • Unless this is a complex case, this cover sheet shall be used for statistical purposes only. Form Adopted for Mandatory Use Judicial Council of California 982.2(b)(1) (Rev. Janualy 1, 2001 CIVIL CASE COVER SHEET Cal. Rules of Court. 982.2. 1800-1812; Standards of Judicial Administration, [paragraph] 19 [end of cover sheet] SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA [form, not wholly corrected from OCR except where relevant] I—1 BANNING IBS E. Hiy«, Banning. CA 92222 I—1 BLYTHE 268 North BrMdu«y,Blythe,CA 02228 I—1 CORONA 606 BuenaVIste, Corona, CA 91720-1987 [X] HEMET 880 N. State St.. Hemet, CA 92543 I—1 INDIO 46-200 Oasis SL. Indto, CA 82201 I—1 LAKEELSINORE 117 S.Langstaff, Lake BsInora.CA 82630 I—1 MORENO VALLEY 13800 Heacock Av». D201, Momw Valay, CA 926633338 I—1 PALM SPRINGS 3285 E. Tahqijllz Canyon wy„ Palm Spring*. CA 92i62 I—1 PERRIS 227 N."D' 81, PeiTl»,CA92S70 l~~l RIVERSIDE 4060 Main St. RIvonIde.CA 02501 F~l TEMECULA, 41002 County Center Dr., tflOO.TinMula.CA 82591 Name and Address GILBERT Y. NISHINO, ESQ. 910 E. FLORIDA AVENU SUITE C-2 HEMET, CA 92543 Bar NO. 100036 Attorney for Plaintiff or Party without Attorney (909) 658-6565 FILED SUPERIOR COURT OF CALIFORNIA COUNTY OF RIVERSIDE JUL 30 2001 HILARY DEZOTELL, KEN HODEN, & BRUCE WAGONER Plaintiff(s) vs. D. KEITH HENSON Defendant(s) CASE NO. 009673 CERTIFICATE OF COUNSEL The undersigned certifies that this matter should be tried or heard In the HEMET Court for the following reason: [x] The action arose In thte Judicial district. [] The action concerns real property located In this Judicial district. [] The defendant resides in this Judicial district. GILBERT Y. NISHINO, ESQ. Dated: 7/30/01 Signed by: [signature] Attorney for Plaintiff(s) or Party without Attorney [end of page] SUPERIOR COURT OF CALIFORNIA COUNTY OF RIVERSIDE 880 North State Street Hemet, CA 92543 NOTICE OF TRIAL DEPARTMENT ASSIGNMENT AND STATUS CONFERENCE DEZOTELL VS HENSON CASE NO. 009673 The above entitled case is ASSIGNED to the HONORABLE Comm. Sherrill A. Ellsworth in Department H5 for ALL PURPOSES. The Status Conference described in Local Rule 11.0060 is scheduled for 01/28/02 at 1:30 am/pm in Department H5. The plaintiff/cross complainant shall serve a copy of the Notice of Trial Department Assignment and Status Conference on all defendants/ cross defendants named or added to the complaint and file proof of service thereof. This case has been assigned to Comm. Sherrill A. Ellsworth, sitting as Judge Pro Tempore, whose appointment as Commissioner is in accordance with Article Six, Section Twenty-two of the Constitution of this State and who has been appointed as a Temporary Judge pursuant to an order of the Court under the authority of Article Six, Section Twenty-one of the Constitution and Section 259 of the Code of Civil Procedure of this state. Within ten (10) days of the date of this notice, the parties must file a Notice of Non-Stipulation if they do not stipulate to the hearing of pre-trial, trial, and all subsequent post-trial law and motion matters before the Commissioner. Failure to file such notice within ten (10) days shall be deemed an acceptance of the assignment. DATE OF NOTICE: 07/30/01 CLERK'S CERTIFICATE I, Clerk of the above entitled Court, do hereby certify that on this date, I provided the plaintiff(s) or plaintiffs' attorney of record with a copy of the foregoing NOTICE. Dated; 07/30/01 by: [STAMPED] E. MORAN ELEANOR MORAN [end of document] NOTICE TO THE PERSON SERVED: You are served 1. [handwritten X] as an individual defendant 2. [empty box] as the person sued under the fictitious name of (specify): 3. [empty box] on behalf of (specify): under: [empty boxes for) CCP 416.10 (corporation) CCP 416.20 (defunct corporation), etc. 4. [handwritten X] by personal delivery on (date): [handwritten] 8- (See reverse for Proof of Service) SUMMONS [end of page] [reverse side has nothing filled in, is a blank form, did not correct OCR] PROOF OF SERVICE •SUMMONS (Use separata proof of aarvica for aach parson sarvad) 1.1 served the a. [Ill summons I—1 complaint El] amended summons I—1 amended complaint El] completed and blank Case Questionnaires I—1 Other (specify): b. on defendant (name): c. by serving I—1 defendant I—lother (name and title or relationship to person served): d. I—1 by delivery I—1 at home ["—1 at business (1) date: (2) time: (3) address: e. I—1 by mailing (1) date: (2) place: 2. Manner of service (check proper box): a. [ID Personal service. By personally delivering copies. (COP 415.10) b. I—1 Substituted service on corporation, unincorporated association (Including partnership), or public entity. By leaving, during usual office hours copies In the office of the person served with the person who apparently was in charge and thereafter malling (by first-class mall, postage prepaid) copies to the person served at the place where the copies were left. (COP 415.20(a)) c. I—1 Substituted service on natural person, minor, conservatee, or candidate. By leaving copies at the dwelling house, usual place of abode, or usual place of business of the person served in the presence of a competent member of the household or a person apparently in charge of the office or place of business, at least 18 years of age, who was informed of the general nature of the papers, and thereafter malling (by first-class mail, postage prepaid) copies to the person served at the place where the copies were left. (CCP 415.20(b)) (Attach separate declaration or affidavit atating acts railed on to aatabtlsh raaaonabia diligence In first attempting personal service.) d. I—1 Mall and acknowledgment urvice. By malling (by first-class mall or airmail, postage prepaid) copies to the person served, together with two copies of the form of notice and acknowledgment and a return envelope, postage prepaid, addressed to the sender. (COP 415.30) (Attach completed acknowledgment of receipt) e. I—1 Certified or registered mall service. By mailing to an address outside California (by first-class mall, postage prepaid, requiring a return receipt) copies to the person served. (CCP 415.40) (Attach signed return receipt or other evidence of actual dellveny to the person served.) f. I—1 Other (specify code section): I—1 additional page Is attached. 3. The 'Notice to the Person Served" (on the summons) was completed as follows (CCP 412.30,415.10, and 474): ' a. I—1 as an Individual defendant. b. I—1 as the person sued under the fictitious name of (specify): c. F—1 on behalf of (specify): under: I—1 CCP 416.10 (corporation) EH CCP 416.60 (minor) I—1 other: EH CCP 416.20 (defunct corporation) EH CCP 416.70 (conservatee) I—1 CCP 416.40 (association or partnership) l~"l CCP 416.90 (individual) d. I—1 by personal delivery on (date): 4. At the time of service I was at least 16 years of age and not a party to this action. 5. Fee for service: $ 6. Person serving: a. El] California sheriff, marshal, or constable, f. Name, address and telephone number and, If applicable, b. en Registered California process server, country of registration and number: c. F—1 Employee or independent contractor of a registered California process server. d. I—1 Not a registered California process server. e. l~~~1 Exempt from registration under Bus. & Prof. Code 22350(b). I declare under penalty of perjury under the laws of the State (For California sheriff, marshal, or constable use only) of California that the foregoing is true and correct. I certHy that the foregoing is true and correct. Date: Date: ~___________________________________________ >____________________________________________ (SIQNATUfiEl '—'—(SIQNATUHE)—',— 882(1x8) [Ftov. Jinuary 1, 1884] [end of reverse side]