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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