DEPARTMENT OF INSURANCE

Affiliations

Name	Barnes, Carole Lynn	DOIID	720308	NAIC NPN	8853743

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/13/2017	8/31/2021
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Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Matrix Absence Management Inc	616131	Independent Adjuster - Property & Casualty	12/13/2017	8/31/2021