Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
GERALD EMMETT BOUCHER
DECEDENT'S ALIAS
SEX
MALE
DATE OF BIRTH / AGE
JANUARY 27, 1940 1 67 YEARS
DATE OF DEATH
OCTOBER 25, 2007
PLACE OF DEATH
CABIN
6156 BOTTOM BOUNCER LANE NE
REMER, MINNESOTA CASS
FUNERAL DIRECTOR
M2122
MICHAEL J ST. AUBIN
FUNERAL HOME
0956
WASHBURN-MC REAVY EDEN PRAIRIE CHAPEL
7625 MITCHELL ROAD
EDEN PRAIRIE, MINNESOTA 55344
PLACE OF DISPOSITION
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.
Steve Elkins
State Registrar
Authorized Disposition Occurred on: �� ti-� v Z %, foo 7
Signature of Crematory or Cemete
k16lre('N T_ Eki1�11(--Ihi+rdt�J
or print name of crematory or cemetery