XXVIII. Death Certificates

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UCH MACMILLAN CANCER CENTRE

Huntley Street, London, United Kingdom

REPORT OF DECEASE

CERTIFIED COPY OF DEATH RECORD

I, Joy Munich, clerk of UCH Macmillan Cancer Centre, do hereby certify that the following is a copy of the Record of Death of Simon Nathaniel Harries now remaining in my office, viz:

FULL NAME OF THE DEACEASED: Simon Nathaniel Harries

Address: 33 Barnyard Way, London

Record no. : 12-557

Date of Death: June 8, 2015

Date of Birth: September 17, 1991

Age of Deceased: 23 years old.

Cause of Death: Thyroid Cancer, metastasised tumours, and/or multiple organ failure

Gender: Male

Race: White

Marital Status: Married – Tristan Anthony Drake-Harries

Name of Informant: Tristan Anthony Drake-Harries

Address: 47 Kensington Road, London

Place of Death: ICU 3, UCH Macmillan Cancer Centre

Birthplace of the Deceased: Arlington, Texas

Occupation of the Deceased: (Former) Captain – United States Armed Forces

Father's Name: Rick Harries (deceased)

Mother's Name: Connie Harries nee Cordova (deceased)

Body to be released to: Evanna Lindsey Roussel nee Harries

Doctor in Attendance: Dr. Emerson Drake M.D.

Pathologist: FM


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