Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
LOLA BERENS MAYNARD
AKA/ LOLA MAYNARD
GENDER
FEMALE
DATE OF BIRTH /AGE
08/02/1932 / 82
DATE OF DEATH
11/14/2014
PRESBYTERIAN HOMES ON LK MTKA
PLACE OF DEATH
4527 SHORELINE DRIVE
SPRING PARK, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR
CHARLES B WILLARD M3572
HUBER FUNERAL HOME & CREMATION / LIC # 0144
FUNERAL HOME OR
520 SECOND STREET
OTHER ENTITY
EXCELSIOR MINNESOTA
PLACE OF DISPOSITION
CEMETERY
CHANHASSEN PIONEER CEMETERY
CHANHASSEN CARVER 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 Vital Records.
ru
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 11/17/2014 12:43 PM
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013