State of Tennessee)
& County of Carroll)
We the undersigned certify tha to the best of our recollection Mr William Rummage made use of the following languige in relation to his effects just before he Died to wit that he wanted his debts paid and the remainder of his property for his wife to have to help raise his children - He Died the fifth day of May 1861
The above committed to writing May 11th 1861
Thomas R Wingo
Delanson Jones (his mark)
W A Crossett
Thomas Singleton