POS-030

FOR COURr US€ Ol'r[Y

ATTORNEY OR PARTY W1THOUT ATTORNEY (Name, State Ba, numbe| and address):

Dr Orly Taitz ESQ

29839 Santa Margarita
cA 92688

TELEPHoNE No.: 9 49 -683-541 | FAX NO. {OpttoDatl

E-MAIL ADDRESS (Optional):

ArroRNFy FoR rrvame;;Modical Dental Development LLC

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREETADDRESS.TOO CiViC CENTCT DT
MAILING ADDRESS:

crrYANDZrPcoDr:Santa Ana CA 92704

BRANCH NAME:CENtTAI
pErrroNERlPLAlNrlFF:Medical Dental Development

RESPONDENT/DEFENDANT: PierSOn, JOhnSOn, ISkander

CASE NUMBER:

PROOF OF SERVICE BY FIRST-GLASS MAIL-CIVIL 2010-00367447

{Do not use tfiis Proof of Seruice fo showseruice of a Summons and Complainl)
i. Iam over 18 years of age and not a party to this action. I am a resident of or employed in the county where the mailing
took place.

Yff'Yfi' ft:Y:2::u')i,:u"tu* fz?dz,tvtz< ? t L .t,&,/o"2

p{/r,2:0-*a<€ , - a.}--* z;L
on 3 - 16 */ r- i mailed trom (city and state): &-SX7 /C*Zt
(date):
tne iottowin"g oobfments gpecify) :
?ba"ze
-SlQalsar e*t / *t' C2'*z7rPa"J4?c<-
/
a\i4-a",{.-(wt
/
(form POS-030(D)).
4. I serve/the documents by enclosing them in an envelope and (check one):
a.ffl depositing the sealed envelope with the United States Postal Service with the postage fully prepaid.
b T_-l placing the envelope for collection and mailing following our ordinary business practices. I am readily familiar with this
business's practice for collecting and processing correspondence for mailing. On the same day that correspondence is
ptaced for cottectlon and mailing, it is deposited in the ordinary course of business with the United States Postal Service in
a sealed envelope with postage fully prepaid.
The envelope was addressed and mailed as follows:
a. Name of person served: 7fiGfc-a2^W?/r { - 'fr 3pJ
b. Address of person r"l"o' 18 rt"r16Z'^z . 'J/'"
_nr.{.o *? {J_ €t6/f 33 *sJ

f__l tne name and address of each person to whom I mailed the documents i to Proof of Service
by First-Cl ass Mail*Civil (Persons Served) (POS-030(P)).

t declare under penalty of perjury under the laws of the State of California that the and correct.

Date 3*/6-// r
|A;D€a
OYPE OR PRINT NAME OF PERSON COMPLETIfIG THIS FORM) THIS FORM)

Fom Approved for Optional Use

Judicial Council of Califomia
PROOF OF SERVICE BY FIRST-CLASS MAIL-CIVII] Code of Civil
www.cauftinfo.ca.gov
POS-030 [New January 1, 2005] (Proof of Service)