John Company

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

DOW-UAP-D104 · page 3 of 585

Page 3 of 585 of DOW-UAP-D104

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RECORD OF EMERGENCY DATA
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SEE INSTRUCTIONS ON REVERSE BEFORE MAKING ENTRIES
5. DATE OF BIRTH
4. SERVICE
Z. PRESENT SERVICE NO.
1. DESIGNATOR'S LAST NAME-FIRST NAME-MIDDLE NAME
1··;;_:
USN
5/6/13
177283
1
NEWHOUSE. Delbert Clement
7. FORMER SERVICE NO.
6. HOME ADDRESS AT TIME OF LAST ENTRY INTO SERVICE (CUr,, countr,, and State)
c/o Mrs. Vencl Richter
393 07 21
Garibaldi, Oregon
8, PERSON TO BE NOTIFIED IN CASE OF EMERGENCY
PRINCIPAL
9, BENEFICIARY FOR GRATUITY PAY
IN EVENT THERE IS NO SURVIVING
SPOUSE OR ELIGIBLE CHILD
11. BENEFICIARY OR BENEFICIARIES
FOR UNPAID PAY AND ALLOWANCES
( PL 147, 8.ftA Congreaa)
%
100
SHARE
%
12. PERSON-TO RECEIVE ALLOTMENT
OF PAY IF MISSING OR UNABLE TO
TRANSMIT FUNDS
PERCENT OF
PAY EACH MO.
DESIGNATIONS
. FIRST NAME-MIDDLE NAME-LAST NAME
Norma Isobel. NEWHOUSE
Fn.ith May Richter
Darrel Edwin lfewhouse
Not Applicable
NSLI - USGLI
Norma Isobel Newhouse
Delbert Carroll Newhou~e
Norma Isobel Newhouse
Executive Officer. NATTU
ADDRESS
~u~ jjryant rtoaa
N.P.,Pensacola,Fla.
P • u. tlox u.·1
Garibaldi, Oregon
Rt ffo, Box ff'/56,
Tacoma, Washington
Same as #8
ditto
ditto
Wife
Mother
Brother
Wife
Son
Wife
10. BENEFICIARY FOR
SERVICEMEN'S INDEM­
NITY( PLt3,Bld Con­
ureaa) (All prior dea·
ignationa are canceled.
Deaignation for in­
demnUr, dou not afect
in,urttnce ( NSL or
USGLIJ
bcnejidart1
designation)
13. PERSON TO RECEIVE PERSONAL·EFFECTS FOR
SAFEKEEPING
CONTINGENT
SHARE
s
PRIN,
CIPAL(S)
SHARE
s
SHARE
s
CONTIN•
GENT(S)
SHARE
s
SHARE
D IN CASE OF DEATH IN ACTIVE SERVICE
FICE RECEIVING PAYMENT OR HOME OFFICE
POLICY N .
Veteran's Administration
G. I.
N. s. L. I.
FIRST NAME MIDDLE NAME­
15. FATHER
Noah Frank Newhouse
16. MOTHER
Edith May Richter
17. WIFE OR HUSBAND ( 1/ none, ao ,tate)
Norma Isobel Newhouse
18.
NAME OF CHILDREN ( 1/ none, ,o ,tate. Ifatep or adopted, ,o atate)
Delbert C~rroll Newhouse
Anne Lisbet Newhouse
19. ORGANIZATION AND ADDRESS OF DESIGNATOR
NATIDHrRAU. NAS. Pensacola. Florida
21. SIGNATURE OF WITNESS
7/l r.AA~uc_,• a ~.J~
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ditto
Tacoma, Washington
P. o. Box .12·1
Garibaldi, Oregon
Same as #8
ADDRESS
SEX
DATE OF BIRTH
Same as #8
X
M 6/27/38
ditto
X F 3/14/40
20, DATE SIGNED
2 May 1957
22.~SIGNATUREOF
DESIGNATOR
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For Navy. Marino Corps, and Coast Guard use: Wlll be used In Ueu of D.D Form 93.