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

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NAV. S. AND A. FORM 913-REV.
Form Prescribed by
Comptroller General, U. S.
May 17, 1945

VOUCHER FOR REIMBURSEMENT
FOR
EXPENSES INCIDENT TO DEPENDENTS TRAVEL

D. O. VOU. No. 71907

MADE BY BUREAU OF NAVAL PERSONNEL, WASHINGTON 25, D. C.

BU. VOU. No.

THE UNITED STATES, DR.

TO (PRINT)

(Last Name)

(First)

(Middle)

(Rank or Rating)

(File or Service No.)

OFFICIAL ADDRESS

Bureau of Aeronautics, Navy Dept., Room 3944
Washington 25, D. C.

CERTIFIED DEPENDENT OF CHILDREN

PAID BY

NO. 179
NRAO, WASH.

OCT 27 1949

J. E. LEWIS

SYM 50-049
(For use of Paying Officer)

AMOUNT

DOLLARS

CENTS

$

40

60

PAID BY CHECK NO.

MEMORANDUM

339545

ACCOUNTING CLASSIFICATION (For completion by Administrative Officer) | FARE AUTHORIZED
APPROPRIATION, LIMITATION OR PROJECT SYMBOL | APPROPRIATION TITLE | FROM | TO
 | 1700454 TRNP 1950 029 74130 | RAIL | 20 M. 0 4 1-60.0
 |  | PULL-MAN | 20 M. 0 4 1-60.0
 |  | TOTAL | $

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.

C-1

NAME | RELATIONSHIP | DATE OF BIRTH OF CHILDREN
Norma I. Newhouse | Father | 6-28-38
Delbert Carroll Newhouse | Son | 3-14-40
Anne Lisbet Newhouse | Daughter |

I certify that my dependents were located Springfield, Ohio (City and State) when orders directing detachment

from my old permanent station were received, and departed from that place on (date) 20 September 1949

and arrived at Washington, D. C. (City and State) on (date) 30 September 1949 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:

V213' 0' 2" INCL. ELEV. Meters

*Reimbursement requested herein is (is not) in accordance with part 3 of Sec Nav letter of 23 Dec 1943.

*I hereby designate __ 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 PAYEE Delbert C. Newhouse
ONLY

DATE

RANK OR RATING

U. S. N.

*If applicable see Instruction 1.

16-44896-1

(Instructions on reverse side of form.)