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Disposition Permit Irving RaymondDISPOSITION PERMIT DECEDENT'S NAME IRVING VERN RAYMOND DECEDENT'S ALIAS SEX MALE DATE OF BIRTH / AGE DECEMBER 27, 1917 / BB YEARS DATE OF DEATH MARCH 31, 2006 PLACE OF DEATH SPRING PARR, MINNESOTA HENNEPIN COUNTY FUNERAL DIRECTOR 142663 PAUL HUBER FUNERAL HOME 0144 HUBER FUNERAL HOME & CREMATION SERVICE 520 SECOND STREET EXCELSIOR, MINNESOTA 55331 PLACE OF DISPOSITION FAIRVIEW CREMATORY MINNETRISTA, 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. Linda Loftus Acting State Registrar Authorized Disposition Occurred on: Signature of Crematory or Cemetery Official: (type or print name of crematory or cemetery official)