Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
DANIEL JASON ROBINSON
AKA / DAN J ROBINSON
GENDER
MALE
DATE OF BIRTH /AGE
05/23/1969 / 44
DATE OF DEATH
02/14/2014
METHODIST HOSPITAL
6500 EXCELSIOR BLVD PO BOX 650
PLACE OF DEATH
SAINT LOUIS PARK, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR
CHARLES B WILLARD M3572
HUBER FUNERAL HOME & CREMATION / LIC # 0914
FUNERAL HOME OR
16394 GLORY LANE
OTHER ENTITY
EDEN PRAIRIE MINNESOTA
DISPOSITION FACILITY
FAIRVIEW CEMETERY ASSOCIATION
MOUND MINNESOTA
PLACE OF DISPOSITION
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.
Heidi Granlund
ACTING STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 02/16/2014 12:39 PM
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013