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

Text

This text came with the file. It may have mistakes. When the text and the image disagree, the image is right.

---------------------------------------
------------------------------------------
----------------
------------------------------------------
----------------------------------
---------------------------------------- -------
------------------- ----
177283
FILE N o . --------------------­
iJE..1HOUSE, '.Jel bert__Cl em~nt.__ ______~-----­
--------
(Name of officer; surn:ime first)
Ensign, USH
------
(Rank nnd corps)
6-3 0-41+____----------------------------------­
- -------------------------------(Date)
~ORT OF DEPENDENTS UNDER ACT
~
OF JUNE 10, 1922
(NOTE.-The Act of June 10, 1922, defines the term "dependent••
wful wife unmarried children under 21 years of age, _or the
'I
of nn officer provided she is in fact dependent on h im for
ef support.)
-Number --Three_________________________________________________
Mother ---~~------------- (Yes ;-N~i----------------------------­
0
Wife -----_!~~-------------[y-;,;--~~-N~i"------------------------­
Age and sex of each child under 21 years of age:
_____6 _ yrs._::- _male--------------------------------------­
4 yrs. -
female
-
------------------------------------------------------··----------­
-.
~~---------. ---------------------------------------------------­
177283
FILE No. _____________________
BENEFICIARY SLIP
Name __iJ:~_,liQUS.E,,___;::lelbert__Cl em.ent________~--­
<Print nnmc, surname to the left)
i~~.J.__QQ.QQ__ggJ,.g_,..C_.z..____________h _-::-3D_-::-1+4-_________
(Pince)
(Dnte)
Any change since last report:
~
NO
(Shike out one ; if no change, do not fin out remainder of this
report.)
Under the provisions of t!he Act of J une 4, 1920 (41 Stat. 824),
na amended by the Act of Mny 22, 1928 ( 46 Stat. 710; U. S. C.
Title 34, Sec. 943) , as further amended by P ublic Law 16, 77th
Congress, approved March 17, rn4 l , direct ing the pnyment of six
months' pay to the widow, children, or dependent rclative of any
officer, enlisted man, or nurse, on the active list of the regular
Navy or regular Marine Corps, or on the retired list when on
active duty, or officer, aviation cadet, rnidehioman, nurse, warrant
officer, or enlisted man of the U. S. Naval Reserve called or
ordered into active naval or mnitary service by the Federal Gov­
ernment for e.'<tencled nnval or military service in el<cess of 30
days, who dies of wounds or disease not the result of his or her
own misconduct, I give below the name and address of my wife
and that of each of my children:
(Full nnme of wife ; ifnot married, so stnte)
­
(Address of wife)
-­
(Full name of child ; if none, so state)
--­
------
(Address of child)
(Full name of child; if none, so st.ate)
-
(Address of child)
(Full name of child ; if none, so state)
- ------­
(Address of child )
--- --­
In the event of my leaving no widow or child or of
their decease before payment is made, I then desig­
nate as my beneficiary under the said act the follow­
ing dependent relative, my­
-------------------­
(Relationship)
-­ - -­ -
(Name in full)
- -
-
(Address)
REPORT OF NEXT OF KIN
FILE NO . : 177283
_____H.:~'.JHOUSE2__Del bert_ Cl ement ____ • __________
(Nnme of officer, surname first)
------------------------6-30--41±. ·------------------------------­
(Date)
Any change since last report:
~
NO
(Strilto out one; if no change, do not fill out remainder of this
report.)
Name of next of kin - -----------------------------------------­
------
(Relntionship)
­
Permanent residence:
Street and No. ____________________,, _______________________
City or town ----------------------------------------------­
State _____________________________________ __________________
Emergency address:
Street and No. --------------- ---------------------------­
City or town -----------------------------------------------­
State
--
----·-·----·----------------------------------·
{
-:::=::::::::::=:~ ::----------- ---- ------ -------~ -- ----­
(Signature)
----------­
• State briefly wherein dependency exists, such as "allotments
register ed," "monthly contributions by Government check," et<:.
(OVER)
(Rank and corps)
-
--
---­
!..--------------------------------·. -------------------------------------..
16--33831-1
GPO
10-33881-1
GPO
16-33831- 1