Disposition PermitDISPOSITION PERMIT
sF!1ce/Ato
C
c/r.OFrrL. 4 7p48
DECEDENT'S NAME
DONALD EDWARD WALINSKE ryNyA$$£1�
DECEDENT'S ALIAS
SEX
MALE
DATE OF BIRTH / AGE
JANUARY 20, 1934 / 74 YEARS
DATE OF DEATH
AUGUST 29, 2008
PLACE OF DEATH
WACONIA GOOD SAMARITAN CENTER
333 WEST 5TH STREET
WACONIA, MINNESOTA CARVER
FUNERAL DIRECTOR
M2258
DWIGHT K GAHM
FUNERAL HOME
0914
HUBER FUNERAL HOME & CREMATION SERVICE
16394 GLORY LANE
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: C< ✓ X� �� �j I Loo
Signature of Crematory or Cemetery Official:r
(type or print name of crematory or cemeteiy official)