Disposition Permit 4ECEIVED
DISPOSITION PERMIT DEL 0 9
DECEDENT'S NAME JOHN LEE TRASK ! OF CHANHASSEN
GENDER MALE
DATE OF BIRTH /AGE 04/11/1937 / 84
DATE OF DEATH 11/28/2021
SAVAGE SENIOR LIVING
PLACE OF DEATH 5950 W 130TH LANE
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
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 u
alio/fil
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 12/02/2021 12:29 PM
(SIG INATURE OF FINA DISPOS ON/FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013