Burial PermitDISPOSITION PERMIT
DECEDENT'S NAME
JAMES LEO HOBAN
DECEDENT'S ALIAS
JIM HOBAN
SEX
MALE
DATE OF BIRTH / AGE
JUNg 17, 1'47 63
DATE OF DEATH
MAY 2, 201:_
PLACE OF DEATH
SHOREWOOD, MINNESOTA 55331
5525 MANITOU LANE
FUNERAL DIRECTOR
PAUL F_ HUBER
FUNERAL HOME
HUBER FUNERAL HOME
EXCELSIOR, MINNESOTA
PLACE OF DISPOSITION
PIONEER CEMETERY (URN INTERMENT)
CHANHASSEN, MINNESOTA
According to Minnesota Statutes, section 149A.93, subdivision 3,
section 144.221, and Minnesota Rules, part 4601.1500, the fact of
death has been filed with the Office 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