Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
LOWELL EUGENE CARLSON
DECEDENT'S ALIAS
SEX
MALE
DATE OF BIRTH /AGE
MARCH 11, 1934 / 75 YEARS
DATE OF DEATH
FEBRUARY 07, 2010
PLACE OF DEATH
ST FRANCIS REGIONAL MED CENTER
1455 ST FRANCIS AVENUE
SHAKOPEE, MINNESOTA SCOTT
FUNERAL DIRECTOR
M2663
PAUL FHUBER
FUNERAL HOME
0144
HUBER FUNERAL HOME & CREMATION SERVICE
520 SECOND STREET
EXCELSIOR, MINNESOTA 55331 RECEIVI
PLACE OF DISPOSITION
CHANHASSEN PIONEER CEMETERY
2 3
FEB 2
CHANHASSEN, MINNESOTA
P.ITY OF CHANH
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
!)
010
ASSEN