Burial PermitDISPOSITION PERMIT
DECEDENT'S NAME
LUCY WILLIAMS
DECEDENT'S ALIAS
SEX
FEMALE
DATE OF BIRTH /AGE
OCTOBER 16, 1920 / 87 YEARS
DATE OF DEATH
JULY 04, 2008
PLACE OF DEATH
GOLDEN LIVING CENTER - ST. LOUIS PARK
3201 VIRGINIA AVE SO
SAINT LOUIS PARK, MINNESOTA HENNEPIN
FUNERAL DIRECTOR
M2152
FREDERICK C SOMAN
FUNERAL HOME
0954
ALBIN FUNERAL CHAPEL, INC.
6855 ROWLAND ROAD
EDEN PRAIRIE, MINNESOTA 55344
PLACE OF DISPOSITION
CHANHASSEN PIONEER CEMETERY
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.
15;cl� fb�:�
Steve Elkins
State Registrar
Authorized Disposition Occurred on: �j�,c.%y //I ;L-0 d R'
of Crematory or Cemetery
or print name of crematory or cemetery