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

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RECORD OF EMERGENCY DATA FOR THE ARMED FORCES ·o . ·HE UNITED STATES
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INFORMATION INCLUDED ON THIS FORM DOES NOT DESIGNATE OR CHANGE BENEFICIARIES OF LIFE INSURANCE POLICIES
(See Instructions on nwene lldo of form prior to making ontrln)
2. SERVICE NO.
3. GRADE, RANK, OR RATE
t. DESIGNATOR'S LAST NAME-FIRST NAME-MIDDLE NAME
177283
1
OHPHOT
NEWHOUSE~ Delbert Clement
5. FIRST NAME-MIDDLE NAME-LAST NAME OF PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
( Per,on with fatrmanent
addre11 ia ado aable)
Edith May Richter
r~\
ADDRESS (Number, atreet, citr,, and State)
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General Delivery, Garibaldi, Oregon
4. SERVICE D USA
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USN
□
USAF □
USMC
□
USCG
RELATIONSHIP ( Iffriend, 10 ltatt)
Mother
THE PERSONS NAMED IN ITEMS 6 8 AND 9 BELOW WILL ALSO BE NOTIFIED OF THE EMERGENCY.
IF SUCH (NOTIFICATION IS NOT
DESIRABLE, DUE TO HEALTH OR FOR OTHER PERTINENT REASONS, PLEASE so STATE UNDER "REMARKS" ON THE REVERSE SIDE.
6. SPOUSE (Fir,t name,,middle name, laat name) ( If none, or if deceaaed or dloorced,
ADDRESS (Number, atrect, citr,, and State)
ao ,tate)
Norma· Isobel Newhouse
CHILDREN
FIRST NAME-:-MIDDLE NAME-LAST NAME
Delbert Carroll Newhouse
Anne Lisbet Newhouse
S.E.
3581/Grant Court, Portland, Oregon
ADDRESS
( Number, itreet, cltr,, and State)
3581 S.E. Grant Court,
Portland, Oregon
Same
MARRIED
OR SINGLE
SEX
AGE
Single
M
16
Single
F
14
8. NAME OF FATHER (or malt guardian) ( Fir,t name, middle name, laat name)
ADDRESS (Number, atreet, citr,, and State)
Noah Frank Newhouse
General Delivery, Waldport, Or~n
9. NAME OF MOTHER (or female guardian) ( Fir,t name, middle name, la,t name)
ADDRESS ( Number, ,treet, cilr,, and State)
Edith May Richter
General Delivery, Garibaldi, Oregon
(Continue on reoer,e aide)
IN THE EVENT THAT I AM NOT SURVIVED BY A SPOUSE OR ELIGIBLE CHILD, OR IF THEIR DECEASE OR DISQUALIFICATION BEFORE PAY­
MENT OF 6 MONTHS' GRATUITY IS MADE, I THEN DESIRE THAT PAYMENT BE MADE TO THE DEPENDENT RELATIVE SHOWN BELOW.
( &e inatruction 4 on recer,e ,Ide ofform)
10. FIRST NAME-MIDDLE NAME-LAST NAME
RELATIONSHIP
Edith May Richter
Mother
·ADDRESS (Number, atreet, citr,, and State)
General Delivery, Garibaldi, Oregon
IN THE EVENT OF DEATH OR
DISQUALIFICATION OF THE ABOVE-NAMED DEPENDENT­
RELATIVE, I
THEN DESIGNATE THE ALTERNATE
DEPENDENT RELATIVE SHOWN BELOW.
(Other than apou,e or child)
t I. FIRST NAME-MIDDLE NAME-LAST NAME
RELATIONSHIP
Darrel Edwin Newhouse
Brother
ADDRESS (Number' ,trttt, Clll/, and State)
'R+. _ 6. Box 756, Tacoma, Washin~ton
VOLUNTARY ENTRiES
I REQUEST THAT THE FOLLOWING COMMERCIAL LIFE INSURANCE COMPANIES BE OFFICIALLY NOTIFIED IN CASE OF MY DEATH IN ACTIVE
SERVICE.
(The "Potier, Numbtr" 1hould bt entered if po11ible, 1ince thia informatiOfl will a11i1t in tzptditino action br, the i111urance companr, ,hould a claim become pa11abte.)
12.
FULL NAME OF COMPANY
ADDRESS OF HOME OFFICE
POLICY NO.
( Continue on reverae 1ide)
IN THE EVENT THAT I AM LISTED AS MISSING, OR BY OTHER MILITARY CIRCUMSTANCE AM UNABLE TO TRANSMIT FUNDS TO MY
DEPENDENTS, IT IS MY DESIRE THAT­
13. FIRST ,NAME-MIDDLE NAME-LAST NAME
RELATIONSHIP
Norma Isobel Newhouse
Wife
ADDRESS (Number, ,trtet, citr,, and State)
RECEIVE EACH MONTH
3581 South East Grant Court, Portland, Oregon
100
"OF MY PAY
DATE SIGNED
MILITARY ADDRESS
ASIGNATUR~i
OF DESl~GNA10R.
NSC, Oakland, Calif'.
5,/14/54
~./AO -­
I
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DD
F ORM 93
REPLACES DD FORM 93, I JAN 50; NME FORM 93 I OCT 48: NAVMC 118 (15
1 JUL 50
PD); NAVPERS 601 PAGES 7 AND 8; AND NCG 2529, WHICH ARE OBSOLETE.