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Disposition Permit DISPOSITION PERMIT DECEDENTS NAME VIRGINIA GAIL WYATT AKA/ GAIL WYATT GENDER FEMALE DATE OF BIRTH /AGE 12/15/1933 /87 DATE OF DEATH 12/24/2020 (DATE FOUND) RESIDENCE PLACE OF DEATH 7893 AUTUMN RIDGE AVE CHANHASSEN, CARVER, MINNESOTA FUNERAL DIRECTOR CHARLES B WILLARD M3572 HUBER FUNERAL HOME & CREMATION /LIC# 0914 FUNERAL HOME OR 16394 GLORY LANE OTHER ENTITY EDEN PRAIRIE MINNESOTA PLACE OF DISPOSITION CEMETERY CHANHASSEN PIONEER CEMETERY CHANHASSEN CARVER MINNESOTA M1 According to Minnesota Statutes, section 149A.93, subdivision 3, section 144.221, and Minnesota Rules, part 4601.1500, the fact of DEPARTMENT death has been filed with the Office of Vital Records. OF HEALTH WI Molly Mulcahy Crawford STATE REGISTRAR DISPOSITION PERMIT ISSUE DATE 12/28/2020 12:28 PM (SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL) (PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL) Rev 12/2013