Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
KENNETH BALTINS
DECEDENT'S ALIAS
SEX
MALE
DATE OF BIRTH
MARCH 05, 1961
DATE OF DEATH
NOVEMBER 05, 2005
PLACE OF DEATH
8217 29TH AVENUE NORTH
NEW HOPE, MINNESOTA
FUNERAL DIRECTOR
M3151
MATTHEW A HENDRICKSON
FUNERAL HOME
0125
BERTAS FUNERAL HOME & CREMATION SERVICES
200 WEST THIRD STREET
CHASKA, MINNESOTA 55318
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.
Barbara A. Carter
State Registrar
Authorized Disposition Occurred on:
Signature of Crematory or Cemetery Official:
(type or print name of crematory or cemetery official)