Burial PermitBDrw-Renewel-TraLI1' Pernilt !/9• *-L'a Permit No 01199009
HAZE OF DEQ
TEOFDEATH
DEATH CONURN CABLE?
Nora Irene Morrison
January 19, 2002
❑VES l NO
EX
AOE
PLACEOFDEATH f0W, i =ToWN0H 1 ICOUNM
Female
1 26
Chanhassen, Minnesota Carver
X❑BIBaAL ❑CREMATION
PLACE OF DISPOSI110N DMIE OF CEIETERY OR CREMATORY) (air, VILLAGE OR TONMBMP. COUNTY. STATE)
Chanhassen Pioneer Cemetery
❑RELIOVAL ❑ a
Chanhassen, Carver ,MN
OF Ott FUW#AL ORECTOR
BUSPESS ADDRESS
16394 Glory Lane Eden Prairie MN 55344-
A Bath having
filed as required by law, permission is hereby given to dispose of this body.
iIW1 _ 1
fon.YILT MIORIsn xcUM MRA
DATE ISSUED
den Prairie Hennepin Sub -Registrar
1/21/200
TUBE I IIAR(E OF
AUTHORED DISPOSITICR
SIGMA SEXTON Dtt oFFlaa.
PATE RECENED
AS STATED ABOVE
OCCURRED ON :NwTaI Jan 23, 2002
HE-NI13-M (7/34) '/ / / /' —
V (J Original—Place of Disposltlon Copy —Sub Registrar