Rootwalker--Death Certificate for Guss Beck  9-19-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for Guss BECK

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Dickson, Civil Dist. 4, Village or City: (blank)
     Reg. Dist. No. 222, Primary Reg. Dist. No. (blank), Reg. No. (blank), File No. 6
Full Name: Guss BECK
Sex: male     Race: negro     Marital Status: married
Date of Birth: 1862
Age: 55 yrs.
Occupation: farming
Birthplace: Dickson Co.
Name of Father: informant
Birthplace of Father: did not enter
Maiden Name of Mother: parents
Birthplace of Mother: not known
Informant: A Neighbor   Address: (blank)
Filed: Oct. 1917           Mrs. J. E. Mathis, Registrar
Date of Death:  9/19/1917
The physician attended him from Mch. 1917 to Sept. 1917
     and last saw him alive on the 15th day Sept. 1917
Death occurred at: 9 PM
Cause of Death: Lingering dropsy       Malarial fever         Duration: 5 mos.
     Malaria Hem?               Duraton: 7 mos.
Signed by: J. E. Mathis, M. D.       Date: (blank)      Address: Burns
Place of Burial: family cemetery      Date of Burial: 1917
Undertaker: Geo. Beck?      Address: Burns




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