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
� 2001 Vanessa Slea