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Burial PermitDISPOSITION PERMIT DECEDENT'S NAME NATTERMANN, ELIZABETH JEAN SEX FEMALE DATE OF BIRTH/AGE 07/20/1926 / 86 DATE OF DEATH 05/25/2013 PLACE OF DEATH 11501 MASONIC HOME DRIVE BLOOMINGTON, HENNEPIN, MINNESOTA FUNERAL DIRECTOR FREDERICK C SOMAN FUNERAL HOME ALBIN FUNERAL CHAPEL, INC. PLACE OF DISPOSITION CEMETERY CHANHASSEN PIONEER CEMETERY, MINNESOTA, CHANHASSEN 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. 5/ltl,.� Steve Elkins State Registrar DISPOSITION PERMIT ISSUED ON 05/29/2013 07:47 AM SIGNATURE OF CREMATORY OR CEMETERY PRINT NAME OF CREMATORY OR CEMETERY OFFICIAL �1'AR�1) �/- Form ID & Revision ID D104/ 12/ 2009