Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
WAYNE HERBERT THOMPSON
DECEDENT'S ALIAS
WAYNE H. THOMPSON
SEX
MALE
DATE OF BIRTH / AGE
DECEMBER 11, 1931 / 76 YEARS
DATE OF DEATH
DECEMBER 16, 2007
PLACE OF DEATH
GOLDEN LIVING CENTER - ST. LOUIS PARK
3201 VIRGINIA AVE SO
SAINT LOUIS PARK, MINNESOTA HENNEPIN
FUNERAL DIRECTOR
M3058
WALLY GELECINSKYJ
FUNERAL HOME
0144
HUBER FUNERAL HOME & CREMATION SERVICE
520 SECOND STREET
EXCELSIOR, MINNESOTA 55331
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.
5;11:1 - £Qtl..,...:
Steve Elkins
State Registrar
Authorized Disposition Occurred on:
Signature of Crematory or Cemetery Official:
(type or print name of crematory or cemetery official)