| Anna Jarvis | Case Number: 04900-0120 |
| Decedent Estate State as Legal Representative under 4a-16 | Date Filed: 09/07/2000 |
| Fiduciary: | |
| Department of Administrative Services | |
| Financial Services Center, Recovery Unit | |
| 165 Capitol Avenue, 5th Floor | |
| Hartford, CT 06106- | |