John Company

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

DOW-UAP-D104 · page 242 of 585

Page 242 of 585 of DOW-UAP-D104

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S, llJl(I A.. Tonn ll3
1941
, cnu1!d i.iai
) APPLIC-FOR TRANSPORTATION F~~PENDENTS
,..
•
(See Art. 2505-3 Navy Travel lnstructior.r
u. s. -~x!;r:~~~E;-~~J~.:pot, 20 Se:p_t_.____, 19.-~
FaoM. LT_ D_c __ NEWHOUSE..1. . LINE --------------------,u.s. N.
To:
B:ure.au__of__.NaJT.aL.:e.e.rs.onn.el._______Jlia..:___Comma.nda.nt, Fourteenth Na.val Dist.
ll:nclosures: G11ti~El~e- certified copies of orders of _____liu:Ee.rs_____ ________________________________________________________ _
dated __7___b~~i_)._9-~---------• detachi~g me from duty at (on) _Jf,dSP-__ f>_b1_l~~-­
(If change of home ynrd' (port) execute certificate on reverse of this fonn) ---­
and ordering me to permanent duty at (on) _.A3D _.£e.arl.--Harbor..______________________
1. It is requested that transportation be furnished the following, who wer.e~e}'lendents on the effective date of
above 0rders:
N
R l t'
1.
Date of birth of
;Location of dependents when
anie
e a ions iip
children
ordei·s were 1·eceived
Norma I. Newhouse
Wife
6148 OXf'ord. Ave
-------------------···-.....--------------.--.-----
...--------··--···----·· -----·---..·--······-··--·· ·-····-.------------·····----···--·--.~ -----------­
Philadelphia Pa..
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_J~elbert C • __ Newhouse_____
_Son___ ________
____ 6/28138 __ .--
----------------------------------------------- s - _
___.f'j!Jne__L. Newhouse____________
____Daughter ____3__/14/4o _____ ----------------------------------------- _________ _
Address of dependents ____Jlgr.i~l,gJ..,,___Q~~gQg__::-_,_gj.9.__~~-•---Y..___Ri.c_ht_er____________ - --------- ------­
From ~~-Jtr~Q,1~_QQ_,___C_~ to __F_earL.Harhor_~__T.aH...___________ via -----...1-
----------------------------------------
--14------- ---------- -------­
<N.filile place ; as. Chicago, 4 da) a)
Pullman or stateroom accommodations_____s._ta,te.rO_QIIl.____________________________________ _ _____
•
-f 1
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~''.!. lower berth," "state
m,"
c:)
Approximate time travel is to begin _______f_j,r_~t___§.~k -~,JJ.,J.!;;1________________________ r----------------------------------------------­
2. I certify that th~l
'Id
named above XK my ____ _Le_git~t_e__ _
_______Jllllithi
_
___________________________
ldren
cu ren
are
(Legitimate--•teJ>-lldoptedJ t
c
will be ___9___§lld___7 _____________ years of age, respectively, at next birthday, and ~of my household; that said
=. are not possessed of property or income adequate fo1~eirsupport and education; that~are not the beneficiary,
or beneficiaries, either directly or through others, of any trust or estate entitlin~m to income adequate for~. support
and education; that sai~ are in fact now and at all times solely dependent on me; that in all respects I maintain the
c»hi~ld
at my own expense and from my own resources and am not reimbursed therefor directly or indirectly in any
c
ren
•
•manner or form whatsoever; *and that evidence of the ~n's dependency upon me and my maintenance of~m has
been filed with my pay accounts and is hereby made a part hereof.
3. I further certify in the case of my dependent mother that she is in fact dependent on me for her chief support, that
she resided with me as a member of my household while at my last permanent duty station, and that an affidavit of evidence
of dependency, filed ---------------------------------------------, has been accepted by the General Accounting Office for pay purposes.
I further certify that there has been no change in the conditions of dependency since last filing of affidavit of dependent
mother.
4. I certify that ------------------··------------------------------------------------------------------------------- is (are) the child (children)
(Stepchild-stepchildren)
of ------------------------------------------------------------------------------------------------, who is on this date living, and my lawful wife.
(Nnme of mother)
5. If transportation is furnished as requested above, to a place other than my new duty station, I hereby waive addi­
tional transportation for the dependents named herein.
6. I certify that I have not made application for transportation for the dependents named in paragraph 1 on this change
of station eYcept as follows· -------------------------------------------- . --------------------------------------------------------------------------------­
7. I hereby authorize the checking of my personal pay account for any excess cost involved due to transportation fur­
nished in excess of that authorized at Government expense; and hereby agree to accept such checkage in lieu of cash pay­
ment prior to issuance of transportation requests.
APPROVED :
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Approval of-~~;:,;~~-;;-cii~g-olfi~c~-;;-;;;;j~-i;.~·;ri,;--~ii-c~;;;-~i,~-,.;-;i-i;-;;;;,;~a~i!b1!'1~~ f::t~~~~.~gthe applicant to attach original orders.
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;t{~l_gnliture of applicant)
=
13 DEC rn~s
•In the case of ofllcers drawing rental and subsistence allowance with dependents including a wife this clause may be omitted.
t lf adopted children of enlisted me!' attach authenticated copy of adoption papers signed under seal by the clerk of the comt having jul'isdicti
lo be forwarded to t)ie Bureau of Supplies and Accounts. If such copy has been forwarded on a previous change of station reference to such i;t
deuce should be furnished.
t\Vben orders. are received whil~ the d_ependents are. temporarily absent from the old station a statement will be furnished showing necessity fo
..-:s:.'\, <o\'.'l.
dependents returning to the old station prior to proceeding to the new station.
•0~ r ,_.0
SEE INSTRUCTIONS FOR I SSUING OFFICERS ON REVERSE OF THIS FORM
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