Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
NELLIE ADA ANDERSON
AKA / ADA ANDERSON
GENDER
FEMALE
DATE OF BIRTH /AGE
07/30/1933 / 81
DATE OF DEATH
12/01/2014
RESIDENCE
PLACE OF DEATH
14900 CROWN DRIVE
MINNETONKA, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR
DEAN C HEINS M3847
HUBER FUNERAL HOME & CREMATION / LIC # 0759
FUNERAL HOME OR
1801 COMMERCE BOULEVARD
OTHER ENTITY
MOUND MINNESOTA
DISPOSITION FACILITY
FAIRVIEW CEMETERY ASSOCIATION
MINNETRISTA 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.
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 12/02/2014 02:19 PM
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013