North Carolina, Death Certificate:
Name: Addie Lewis
Gender: Female
Race: White
Age: 77
Birth Date: 12 May 1896
Birth Place: North Carolina
Death Date: 15 Jul 1973
Death Location: Rutherfordton, Rutherford
Spouse's Name: Grover Cleveland Lewis
Father's Name: Henry Grooms
Mother's name: Bessie Grooms
Residence: Old Fort, McDowell, NC
Informant: Mr Grover C Lewis, Rt 1, Old Fort, NC
Burial: Salem FWB Church Cemetery, Rt 1, Old Fort, NC Jul 18, 1973
North Carolina, Death Certificate:
Name: Addie Lewis
Gender: Female
Race: White
Age: 77
Birth Date: 12 May 1896
Birth Place: North Carolina
Death Date: 15 Jul 1973
Death Location: Rutherfordton, Rutherford
Spouse's Name: Grover Cleveland Lewis
Father's Name: Henry Grooms
Mother's name: Bessie Grooms
Residence: Old Fort, McDowell, NC
Informant: Mr Grover C Lewis, Rt 1, Old Fort, NC
Burial: Salem FWB Church Cemetery, Rt 1, Old Fort, NC Jul 18, 1973
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