Disposition Permit DISPOSITION PERMIT
DECEDENT'S NAME ROBERT WALTER SCHWARTZ
GENDER MALE
DATE OF BIRTH /AGE 01/21/1939 / 80
DATE OF DEATH 01/08/2020
RESIDENCE
PLACE OF DEATH 50 RILEY CURVE
CHANHASSEN, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR TODD E SULLWOLD M3106
HUBER FUNERAL HOME & CREMATION / LIC # 0144
FUNERAL HOME OR 520 SECOND STREET
OTHER ENTITY EXCELSIOR MINNESOTA
PLACE OF DISPOSITION CEMETERY
PIONEER CEMETERY
CHANHASSEN CARVER MINNESOTA
■ r N 1. s o r a According to Minnesota Statutes, section 149A.93, subdivision 3,
MIHsection 144.221, and Minnesota Rules, part 4601.1500, the fact of
Era r r cry death has been filed with the Office of Vital Records.
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT/ISSUE DATE 01/10/2020 11:54 AM
49A
v
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013