Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
JOHN THOMAS FRASER SR.
GENDER
MALE
DATE OF BIRTH /AGE
07/25/1938 / 77
DATE OF DEATH
09/04/2015
AUBURN MANOR
PLACE OF DEATH
501 OAK STREET
CHASKA, CARVER, MINNESOTA
FUNERAL DIRECTOR
TODD E SULLWOLD M3106
BERTAS FUNERAL HOME & CREMATION / LIC # 0125
FUNERAL HOME OR
200 WEST THIRD STREET
OTHER ENTITY
CHASKA MINNESOTA
PLACE OF DISPOSITION
CEMETERY
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.
dbt ° U
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 09/04/2015 04:18 PM
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013