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

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BENEFICIARY SLIP
Name ___ .Nemouae.,__.Del.b.e.rt __C_lement ______
(Print name, surname to tho lelt)
.
s.an.ta_.E.1.ea_.Ba.y::,__.Ecuado.r________2~1~ 4,3____ _
(Pince)
(Date)
Any change since last report:
YES or 1i{x First Report
(Strike out one; ii no change, do not 011 out remainder ol this report)
U nder the provisions of the Ac: of June 4, 1920 (41 Stat. 824),
ded by the Act of May 22. 1928 (45 Stnt. 710; U . S. C.
, Sec. 943), as further amended by Public Law 16, 77th
s, appro·,ed March 17, 1941, directing the payment of six
•
pa)' to the widow, children , or dependent relative of any
officer, enlisted man , or nurse, on the active list of the l'egular
Nnvy or regular Marine Corps, or on the retired list when on
duty. or officer, avintion cadet, mid.shipman, nurse. warrant
.or enlisted man of the U. S. Naval Reserve called or
o
into active naval or military service by the Federal
•
....
mc.nt for extended naval or military service in excess of
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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 WY.
wife and that of each of my children :
______ Nor.ma_.Isa.b.el.-.Newhouae.______________________ _
(Full anme of wife; it not married, so state)
.12l...O__SE._.3_'l.tll_Av..e..__l:artl.and,___Qre.gon__ _
(Address of wife)
.Q.elbert _Carroll_ Newhouse __________________ __ _
(Full namo of child; it nono, so state)
Same as above
------ ---
(Address or cblld)
---------------­
.Ann.a.- L1 shet._Ne:wh.ouae.______________________ _
(Full name ofchild; if none, so state)
- -----·­
- --------------__.same.cfiii.:~~ii]~--------------------------­
-
-------- -- (Full namo of child; if nono, so stnto) ----------------­
(Address ofchild)
------------------­
A.the event of my leaving no widow·or child or of
tWJdccease before payment is made, I then designate
as my beneficiary under the said act the following
dependent relative, my
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-------
(Relationship)
(N nme In full)
-----------------
(Ad<lress)
.r ::::::: :::::::::::::::::::::::::: ::::::::::::::::::=:::: ::••••
; Sl'atc briefly wherein dependency e1Lsts, such as "allotments regh­
tcrod," " monthly ~ ntributions by Government check," etc.
(OVEB)
16-227~U- l
REPORT OF NEXT OF KIN
__Ne_whClus.e,,__.De.l.o_u t.__Ql~..m~nt_____________ _
(Nnme or offioor, surname first)
--------------------.2."!'.l..~4~------------------------------------­
(Date)
Any change since last report:
~
ora:> First Report
(Strike out one; IC no change, do not lllJ out remainder of this report}
Na.me of neict of kin:
- lio:-Jlla-Isohel N.e.wh.auae.___________________________
- ·- -- ------ ---------~olationship)-------------------- ------­
Permanent residence:
City or town __l:9-:r..t,_lan_{l__ __________ ____________ _
State ------____o.r~.&9.n-- __-----__--__--__------- _--___--_
Emergency address:
Street and No. ______S..aJJ!~--a~__e,bove__________ _
City or town--------------···-----··-----------------------­