Disposition Permits
DISPOSITION PERMIT
DECEDENT'S NAME
JAM LEONA HARRISON
DECEDENT'S ALIAS
SEX
DECEMBER 1,. 1922 101
DATE OF BIRTH / AGE
DATE OF DEATH
MARCH 311 2024
MESQUITE, NEVADA
PLACE OF DEATH
CLARK COUNTY
FUNERAL DIRECTOR
PAUL HUBER
FUNERAL HOME
'HOME
HUBER FUNERAL
EXCELSIOR, MINNESOTA
PIN COUNTY
PLACE OF DISPOSITION
PIONEER CEMETERY
CHANHASSEN, MINNESOTA.
CARVER COUNTY
According to Minnesota Statutes, section 1�49A.93, subdivision 3,
section 144.221, and' -Mini oesota--.I�utes, part 4601.1500, the fact of
death has been filed with -the Offic6 of the State Registrar.
. .�;
Linda Loftus
Acting State Registrar
Authorized Disposition Occurred on:
Signature of Crematory or Cemetery Official:..
(type or print name of crematory or cemetery official)
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