Disposition PermitDISPOSITION PERMIT
DECEDENT'S NAME
MARILYN ELEANOR LARSON
GENDER
FEMALE
DATE OF BIRTH /AGE
07/17/1932 / 90
DATE OF DEATH
09/12/2022
RESIDENCE
PLACE OF DEATH
7380 MINNEWASHTA PARKWAY
EXCELSIOR, HENNEPIN, MINNESOTA
FUNERAL DIRECTOR
ROBERTA L MIKOLICH M2816
WASHBURN-MCREAVY EDEN PRAIRIE CHAPEL / LIC # 1383
FUNERAL HOME OR
7625 MITCHELL ROAD
OTHER ENTITY
EDEN PRAIRIE MINNESOTA
PLACE OF DISPOSITION
CEMETERY
CHANHASSEN 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
kot�)X° 60��
Molly Mulcahy Crawford
STATE REGISTRAR
DISPOSITION PERMIT ISSUE DATE 09/15/2022 10:31 AM
(SIGNATURE OF FINAL DISPOSITION FACILITY OFFICIAL)
(PRINT NAME OF FINAL DISPOSITION FACILITY OFFICIAL)
Rev 12/2013