Disposition PermitRECEIVED
DISPOSITION PERMIT FEB 1 8 2011
CITY OF CHANHASSEN
DECEDENT'S NAME
WILLIAM ROBERT BURKE
DECEDENT'S ALIAS
WILLIAM ROBERT ALLISON
SEX
MALE
DATE OF BIRTH / AGE
FEBRUARY 02, 1948 / 63 YEARS
DATE OF DEATH
FEBRUARY 11, 2011
PLACE OF DEATH
2108 PEARSON PARKWAY
BROOKLYN 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.
Steve Elkins
State Registrar
Authorized Disposition Occurred on:
Signature of Crematory or Cemetery Official:
(type or print name of crematory or cemetery official)