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Disposition PermitDISPOSITION PERMIT DECEDENT'S NAME DELLA JEAN ROBINSON DECEDENT'S ALIAS JEAN ROBINSON SEX FEMALE DATE OF BIRTH / AGE AUGUST 05, 1928 / 79 YEARS DATE OF DEATH MARCH 19, 2008 PLACE OF DEATH DAUGHTER'S RESIDENCE 19154 CONCORD STREET ELK RIVER, MINNESOTA SHERBURNE FUNERAL DIRECTOR M3058 WALLY GELECINSKYJ 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:-a�G,e Sionature of Crematory or Cemetery Official: 1ka(�-C (type or print name of crematory or cemetery