Desposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
SUSAN VICTORIA RELLER
AKA / SUE RELLER
GENDER
FEMALE
DATE OF BIRTH /AGE
11/03/1965 / 58
DATE OF DEATH
08/17/2024
M HEALTH FAIRVIEW UNIVERSITY
PLACE OF DEATH
2450 RIVERSIDE AVENUE
MINNEAPOLIS, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR
CHARLES B WILLARD M3572
HUBER FUNERAL HOME & CREMATION / LIC # 0914
FUNERAL HOME OR
16394 GLORY LANE
OTHER ENTITY
EDEN PRAIRIE MINNESOTA
PLACE OF DISPOSITION
CEMETERY
CHANHASSEN PIONEER CEMETERY
CHANHASSEN CARVER MINNESOTA
-'AWF According to Minnesota Statutes, section 149A.93, subdivision 3,
section 144.221, and Minnesota Rules, part 4601.1500, the fact of
P- ,.gas death has been filed with the Office of Vital Records.
�6
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 08/21/2024 01:36 PM
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013