Disposition PermitDISPOSITION PERMIT
DECEDENTS NAME
MARCIA KAY LONG
DECEDENTS ALIAS
MARCIA K. LONG
SEX
FEMALE
DATE OF BIRTH /AGE
NOVEMBER 02, 1950 / 55 YEARS
DATE OF DEATH
AUGUST 24, 2008
PLACE OF DEATH
FAIRVIEW - SOUTHDALE HOSPITAL
6401 FRANCE AVE SOUTH
EDINA, MINNESOTA HENNEPIN
FUNERAL DIRECTOR
M3058
WALLY GELECINSKYJ
FUNERAL HOME
0914
HUBER FUNERAL HOME & CREMATION SERVICE
16394 GLORY LANE
EDEN PRAIRIE, MINNESOTA 55344
PLACE OF DISPOSITION
FAIRVIEW CREMATORY
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.
X..4� ,k ' a
Linda Loftus
Acting State Registrar
Authorized Disposition Occun*d on:
Signature of Crematory or Cer*etery Official:
(type or print name of crematory or cemetery official)