John Company

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

DOW-UAP-D104 · page 15 of 585

Page 15 of 585 of DOW-UAP-D104

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NAV. S. AND A. FORM 913-REV.
Form Prescribed by
Comptroller General, U. S.
May 17, 1945

VOUCHER FOR REIMBURSEMENT
FOR
EXPENSES INCIDENT TO DEPENDENTS TR

MAIL TO BUREAU OF NAVAL PERSONNEL, WASHINGTON 25, D. C.

D. O. VOU. No. 143

BU. VOU. No. -

THE UNITED STATES, DR.
TO (PRINT)
OFFICIAL ADDRESS

PAID BY
GUAM, M. A.
JUL 9 1954 ie (st)

J. G. HARPER

(For use of Paying Officer)

Navy 913, c/o MO. San Francisco, Cal.
(Certified to be in accordance with order 11000)

MEMORANDUM

109.20

J. G. HARPER, LT, CG, USN

AMOUNT
DOLLARS CENTS
$ 109.20
PAID BY CHECK NO.

ACCOUNTING CLASSIFICATION (For completion by Administrative Officer)

FARE AUTHORIZED
FROM Oakland, Cal. | TO Portland, Oregon
RAIL | 700 miles 0.54
PULLMAN |
TOTAL | $ 109.20 CASH

APPROPRIATION, LIMITATION OR PROJECT SYMBOL
1741453.18

APPROPRIATION TITLE
029 74150

CERTIFICATION OF CLAIMANT (FILL IN ALL BLANKS BELOW WHERE APPLICABLE)

Payment is requested for transportation for travel performed by the following, who were my dependents on the effective date of orders directing this change of station.

NAME | RELATIONSHIP | DATE OF BIRTH OF CHILDREN
Norma I. KENNOUS | mother |
Delbert C. KENNOUS | father |
Anne S. KENNOUS | daughter |

I certify that my dependents were located 1948 Party Street, Portland, Cal. when orders directing detachment (City and State)
from my old permanent station were received, and departed from that place on (date) 6/22/54 and arrived at 3501 S. S. Grant Court, Portland, Oregon on (date) 6/24/54 (City and State)
I further certify that my dependents traveled at my own expense, and that the child (children) named above is (are) the legitimate child (children) of the officer or man concerned. (IF CHILD (CHILDREN) IS (ARE) STEP OR ADOPTED, FILL IN CERTIFICATE ON REVERSE SIDE.)

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 change of station except as follows:

*Reimbursement requested herein is (is not) in accordance with par. 3 of SecNav letter of 23 Dec. 1943.
*I hereby designate Portland, Oregon as point to which transportation of dependents is desired.

I certify that this account and schedule annexed are true and just in all respects, that payment the forto has not been received, and that my statements of travel correctly reflect travel performed by my dependents.

SIGN
ORIGINAL 1 PAYEE
ONLY
Delbert C. KENNOUS

DATE RANK OR RATING U. S. N.
*If applicable see Instruction 1.
10-44896-1

(Instructions on reverse side of form.)