Vanished Without a Trace: The Mysterious Disappearance of Betty Alexander in Sullivan, Missouri

On April 10th, 2019, 69-year-old Betty Alexander was last seen at her apartment in Sullivan, Missouri. A Sinks Pharmacy delivery driver had checked in with her that Wednesday. But by the next morning, Betty had vanished without a trace.

She missed both her physical therapy appointment and a scheduled visit from Meals on Wheels. For Betty—a grandmother with early-stage dementia—this behavior was entirely out of character. She didn’t drive, rarely walked alone, and was known to be cautious about her routine.

The First Signs of Trouble

On Friday, April 12th, the Meals on Wheels driver found Betty’s door unlocked, but she wasn’t home. The food was left on the table, and the driver left, assuming she would return soon. Sadly, she didn’t.

That Sunday, Betty’s daughter Tonya arrived to take her mom on a planned shopping trip. She knocked, but there was no answer. The door was now locked—a strange change from Friday. Tonya used her key to enter and discovered that Betty was gone.

Her glasses, which she never left home without—not even to the mailbox—were still inside. So were her purse and apartment keys, both found tucked away in the closet. Betty also didn’t own a cell phone. Something was very wrong.

Suspicious Details Emerge

Further inspection revealed more strange clues:

  • Betty had taken her evening medication at 7 p.m. on Wednesday.
  • Her Thursday morning meds were untouched.
  • Some prescription drugs were missing, while others were not.
  • Despite no signs of forced entry or a struggle, there was concern she may have been targeted for her medications.
  • Two separate K9 units searched the area with no results.

And then there’s the timeline:

  • The door was unlocked on Friday when Meals on Wheels came.
  • But it was locked again by Sunday when Tonya arrived.

Who went into Betty’s apartment during that time?

Where Is Betty Alexander?

It’s been years, and no trace of Betty Alexander has ever been found. Despite the tireless work of law enforcement and her devastated family, the trail has gone cold.

Can You Help?

If you know anything about the disappearance of Betty Alexander—even something that seems insignificant—please contact the Sullivan Police Department: (573) 468-8001


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Synova has written about close to 500 cases over the years. This book includes 40 of those case files. Remember behind every story is a family that’s broken and desperately looking for answers. Every book you buy helps me raise awareness about the long-forgotten cases. Thank you in advance



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