Disposition Permit DISPOSITION PERMIT
DECEDENT'S NAME IRENE DIANE TRASK
GENDER FEMALE
DATE OF BIRTH /AGE 07/15/1938 / 81
DATE OF DEATH 11/18/2019
RESIDENCE
PLACE OF DEATH
SAVAGE, SCOTT, MINNESOTA
FUNERAL DIRECTOR MARK R BALLARD M2920
BALLARD-SUNDER FUNERAL HOME / LIC # 0331
FUNERAL HOME OR 4565 PLEASANT STREET SE
OTHER ENTITY PRIOR LAKE MINNESOTA
PLACE OF DISPOSITION CEMETERY
PIONEER CEMETERY
CHANHASSEN CARVER MINNESOTA
mairmxii According to Minnesota Statutes, section 149A.93, subdivision 3,
J /JjJJ-J 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
DISPOSITION PERMIT ISSUE DATE 11/29/2019 05:42 PM
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
$ YA r . Vie LA W i.5 S t r�
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013