Final Personnel Record for Newhouse, Delbert C., U.S. Navy, 1957
DOW-UAP-D104 · page 18 of 585
Text
A machine read this text from the scan. When the text and the image disagree, the image is right.
VOUCHER FOR REIMBURSEMENT 17387 ND A. FORM 913-REV. m Prescribed by Roller General, U. S. May 17, 1945 EXPENSES INCIDENT TO DEPENDENTS TRAVEL D. O. VOU. NO. BU. VOU. NO. 107 MAJ. TO BUREAU OF PERSONNEL, WASHINGTON 25, D. C. THE UNITED STATES, DR. TO (PRINT) NEWHOUSE, DELBERT CLEMENT CHPHOT USH (Last Name) (First) (Middle) (Rank or Rating) (File or Service No.) OFFICIAL ADDRESS (225) U. S. NAVAL SUPPLY CENTER OAKLAND, CALIFORNIA C-1 PAID JUL 1 8 1952 (For use of Paying Officer) SYMBOL 27 34 AMOUNT DOLLARS CENTS 452.85 PAID BY CHECK NO. 4,229 FINISHED FILE PERSPECTIVE MEMORANDUM 452.85 E. FORD, LCDR SC USH ACCOUNTING CLASSIFICATION (For completion by Administrative Officer) FARE AUTHORIZED APPROPRIATION, LIMITATION OR PROJECT SYMBOL APPROPRIATION TITLE FROM Silver Spr., Mi TO El Cerrito, Calif. RAIL PULLMAN TOTAL $ 1721,53.18 MPN 1952 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. Newhouse | wife | 6/28/38 Delbert C. Newhouse | son | 3/14/40 Anne Lisbet Newhouse | daughter | 8623 Piney Branch Road Silver Spring, Maryland from my old permanent station were received, and departed from that place on (date) 6/28/52 and arrived at 605 San Pablo Ave. El Cerrito, (Calif.) on (date) 7/7/52 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 none 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 therefor has not been received; and that my statements of travel correctly reflect travel performed by my dependents. SIGN ORIGINAL ONLY 1 PAYEE D. C. Newhouse DATE 7/18/52 RANK OR RATING CHPHOT U. S. N. (Instructions on reverse side of form.) 16-44896-1 *If applicable see Instruction 1.