‘REPORT OF INMATE DEATH GS. 1534-225 AND RULE..1102, 10A NCAC 145 ‘TO BE FILED WITHIN 5 DAYS OF THE DEATH OF AN INMATE IN A LOCAL CONFINEMENT FACILITY. MAIL THE ORIGINAL COPY TO THE LOCAL OR DISTRICT HEALTH DIRECTOR, ‘SEND THE SECOND COPY TO: ‘NCDHHS/DHSR/JAIL AND DETENTION SECTION 2710 MAIL SERVICE CENTER RALEIGH, NC 27699-2710 NAME OF INMATE Surles William Earl (CAST) ‘IRST) (MIDDLE) NAME OF LOCAL CONFINEMENT FACILITY. Hamett County Detention Center ADDRESS OF LOCAL CONFINEMENT FACILITY_175 Bain Street, Lillington, NC. (COUNTY) ~~ (CITY, STATE) INMATE DATE OF BIRTH2/17/1958_ RACE_B SEX_B DATE OF DEATH 12/1/2022 PLACE OF DEATH-JAIL, X HOSPITAL__ OTHER ‘TIME OF DEATH 8:28 AM__PM (PIIEASE SPECIFY TIME IN REGULAR HOURS/MINUTES-NOT MILITARY TIME) CAUSEOFDBATH- — SUICIDE____NATURAL, OTHER (PLEASE SPECIFY) mn at this time (GF|SUICIDE, WHAT MEANS WAS USED TO COMMIT SUICIDE? ) (SHEET, SHIRT, BELT, ETC.) (BE SPECIFIC AS POSSIBLE.) INMATE COMMITTED TO THE JAIL—DATE1126/"tinae 11:08 arr WERE THE CHARGES-ALCOHOL RELATED: YES__NOX "DRUG RELATED___ ‘TRIALSTATUS- —-UNTRIED SENTENCED TO JAIL, 30 Davs AWAITING TRANSFER TO PRISON. OTHER, ‘TIME OF LAST SUPERVISION ROUND (INMATE ALIVE) (INDICATE REGULAR NOT MILITARY THO f ARs trie PM DATE____JAILERS NAME Cannot answer! ‘BIE OF LAFF SUPERVISION ROUND GROZATE FOUND IN DISTRESS OR DEAD) 28 AM. PM DATE 12/19/2022 JAILERS NAMEDeshawn Smit NAME OF MEDICAL EXAMINER OR CORONER, Savannah Martin WAS A MEDICAL PROFESSIONAL IN ATTENDANCE AT THE TIEM OF DEATH YES___NOX D. Mirth -Major Gary McNeill 1219/2022 DATE, taper SUBMITTED BY. {S DHSR 8001 (Rev. 10/08)