Disposition Permit Mar. 17. 2020 3 : 55PM Washburn McReavy No, 5668 P. 1
DISPOSITION PERMIT
DECEDENT'S NAME ALENE RUTH HAUG
GENDER FEMALE
DATE OF BIRTH /AGE 03/12/1945 / 74
DATE OF DEATH 03/11/2020
PARK NICOLLET METHODIST HOSPITAL
PLACE OF DEATH 6500 EXCELSIOR BLVD PO BOX 650
SAINT LOUIS PARK, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR SCOTT W WALZ M3935
WASHBURN-MC REAVY EDEN PRAIRIE CHAPEL / LIC# 0956
FUNERAL HOME OR. 7625 MITCHELL ROAD
OTHER ENTITY EDEN PRAIRIE MINNESOTA
PLACE OF DISPOSITION CEMETERY
CHANHASSEN PIONEER CEMETERY
CHANHASSEN CARVER MINNESOTA
I->�'. FWEI According to Minnesota Statutes, section 149A.93, subdivision 3,
\4EI-J section 144.221, and Minnesota Rules, part 4601.1500, the fact of
razixarmu
m death has been filed with the Office of Vital Records.
)1talbt))1'41'4d'6411'/Ill
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 03/17/2020 03:41 PM
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(SIG ATURE OF FINAL D POSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013