Disposition PermitDISPOSITION PERMIT
RECEIVED
SEP 2 6 2011
CI
DECEDENT'S NAME
EDWIN B. HA2RISON r orCHANHASSEN
DECEDENT'S ALIAS
SEX
MALE
DATE OF BIRTH /AGE
APRIL 29, 192L // 90
DATE OF DEATH
AUGUST 31, 2011
PLACE OF DEATH
MESQUITE, NEVADA
CLARK COUNTY
FUNERAL DIRECTOR
PAUL HUBER
FUNERAL HOME
HUSER FUNERAL HOME
EXCELSIOR, MINNESOTA
HENNEPIN COUNTY
PLACE OF DISPOSITION
PIONEER CEIN TERY
CHANHASSEN, 14INNESOTA
CARVER r_Oi1NTV
Authorized
Signature of
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.
X"r� A. '05 i
Linda Loftus
Acting State Regisirar
Occurred on:
or Cemetery Official:
(type or print name of crematory or cemetery