Disposition Permit DISPOSITION PERMIT
DECEDENT'S NAME MICHAEL SHANNON WYATT
AKA/ SHANNON WYATT
GENDER MALE
DATE OF BIRTH /AGE 04/25/1960 /60
DATE OF DEATH 12/25/2020
HENNEPIN COUNTY MEDICAL CENTER
PLACE OF DEATH 701 PARK AVENUE S
MINNEAPOLIS, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR CHARLES B WILLARD M3572
HUBER FUNERAL HOME & CREMATION / LIC# 0914
FUNERAL HOME OR 16394 GLORY LANE
OTHER ENTITY EDEN PRAIRIE MINNESOTA
DISPOSITION FACILITY
METRO FIRST CALL CREMATORY
SAVAGE 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
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 12/28/2020 12:42 PM
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013