| Doris Campbell | Case Number: PD1112-005 |
| Decedent Estate State as Legal Representative under 4a-16 | Date Filed: 01/03/2012 |
| Fiduciary: | |
| Kathleen Sobieski for Commissioner | |
| Recovery Unit | |
| 165 Capitol Avenue, 5th Floor | |
| Hartford, CT 06106 | |
| Phone: (860)713-5409 | |
| Fax: (860)713-7407 | |