Lettie and Charles are fully involved in missions work inthe Orient with big goals to reach every person in Japanwhen Charles becomes ill and the two return home. During theDecline of her husbands health Lettie begins writing ajournal as the Lord gives her encouragements from the Bibleand the library of books they had collected through thereMissions work. As a final missions work the journal becomesCharles and Lettie Cowman's last work together. LettieCowman went to Heaven in 1960 at the age of 90 on EasterSunday. The outreach to many nations that was started by twoyoung independent missionaries from Ohio continues today inover fifty countries on six continents.