John Company

Final Personnel Record for Newhouse, Delbert C., U.S. Navy, 1957

DOW-UAP-D104 · page 12 of 585

Page 12 of 585 of DOW-UAP-D104

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o. o. vou. No. --1&.l'f:,j!J--
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109.20 . .
-----------------
-- ACCOUNTING CLASSIFICATIO~compldion byAdmini•lrali••Officcr)
-- ' -
APPROPRIATION. LIMITATION
OR PROJECT SYMBOL
APPROPRIATION TITLE
-------
AMO~NT
001.1..ARS
CENTS
PAID BY CHECK No.
J
Payment is requested for transportation fo.r travel performed by the following;whl\~fe my dependents on the effective date of orders
<ilr!!£!ingJbis-ch~ge Qf s4!!_on,
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I certify that rny epende~ts were located -~~.£:.:..u."""'~-"-~...A~----~~ ..:.:.~-=~=-=-=-- when orders ~irectinfl detachment
from my old permanent station were received, and departed from that place on (date) -16~,1-~..,:,-;~..,._-'11BF----'"--"--:'--"'-c:----::----=:-­
0.,l
3581 &.t. ~
~curt,
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and arrived at :icrt"t • ~, C'rrt!.
on (date) _ __,_6"'/1""""4/¥-;;~_.t._.;-------
further certify that my
ccJirand SlfJle)
1
depeJde1n't~ f~v~lecf~t ~to~n ex'.leGn\J?1ld ~h'li'Nifl?Nhilj:l'tSi~1~"re~) J'a'.'rJJ'Yltii~ll~'(fr45 tht;J1tgitifui te'-'cttiicJ1(cl1il18hih'jH thl¾"officer or man
concerned.
(IF CHILD (CHILDREN) IS (ARE) STEP OR ADOPTED, FILL IN CERTIFICATE ON REVERSE SIDE.)
,, 2rcr H;:r· c:.1 \•brE 1tri D~ t;,f.b2 .1 <:'GE I HEtr
I certify that the travel covered by this claim represents the entire travel of all my dependents which has been or will be made on this
flit' <lU (
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C, ~ :fP. ·mwrdu ~) {0 'o 0 1/ 1il II\. 2 ,!IJq V i:..C'' ' i'>J ~tr::
change 6n;ta'tiorYe'xcept!e.'sfdlld~iH II I') t a n<,vn~io1: r ciq 1-
111< •'1.1'0'1
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DATE
AAN~QfO,R!>,,"lilNG
•Jf applicable see Instruction 1.
~(Instructions on reverse side of form,)