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Disposition PermitDISPOSITION PERMIT DECEDENT'S NAME JENNA GRACE PASCHKE GENDER FEMALE DATE OF BIRTH /AGE 10/22/2004 / 13 DATE OF DEATH 09/25/2018 CHILDRENS HEALTH CARE - MPLS PLACE OF DEATH 2525 CHICAGO AVENUE SO MINNEAPOLIS, HENNEPIN, MINNESOTA FUNERAL DIRECTOR ELGIN T VAN ANKEN M2224 WASHBURN-MC REAVY EDINA CHAPEL / LIC # 0891 FUNERAL HOME OR 5000 WEST 50TH STREET OTHER ENTITY EDINA 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 ON PERMIT ISSUE DATE 09/27/2018 09:56 AM (SIONATURE OF FINAL DiS12=10N FACILITY OFFICIAL) (PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL) Rev 12/2013