Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
EVELYN E NICKLE
GENDER
FEMALE
DATE OF BIRTH /AGE
07/07/1920 / 96
DATE OF DEATH
05/01/2017
CASTLE RIDGE CARE CENTER
PLACE OF DEATH
625 PRAIRIE CENTER DRIVE
EDEN PRAIRIE, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR
TODD A JOHNSON M3095
JOHNSON FUNERAL HOME / LIC # 0141
FUNERAL HOME OR
141 EAST FIRST STREET
OTHER ENTITY
WACONIA MINNESOTA
DISPOSITION FACILITY
FAIRVIEW CEMETERY ASSOCIATION
MINNETRISTA MINNESOTA
PLACE OF DISPOSITION
CEMETERY
PIONEER CEMETERY
CHANHASSEN CARVER 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 Vital Records.
Molly Mulcahy Crawford
STATE REGISTRAR
PERMIT ISSUE DATE 05/02/2017 11:41 AM
TURE OF FINAL DI QS
ff ION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013