| JEFFREY CAMPBELL | Case Number: PD4822-00146 |
| Decedent Estate State as Legal Representative under 4a-16 | Date Filed: 02/07/2022 |
| Fiduciary: | |
| Commissioner | |
| Recovery Unit | |
| 450 Columbus Boulevard, Suite 1001 | |
| Hartford, CT 06103 | |
| Phone: (860)713-5409 | |
| Fax: (860)713-7407 | |