| Gail Campbell | Case Number: PD1115-0463 |
| Decedent Estate State as Legal Representative under 4a-16 | Date Filed: 10/05/2015 |
| Fiduciary: | |
| Marcus Campbell for Commissioner | |
| Recovery Unit | |
| 450 Columbus Boulevard, Suite 1001 | |
| Hartford, CT 06103 | |
| Phone: (860)713-5409 | |
| Fax: (860)713-7407 | |