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

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RECORD OF EMERGENCY DATA
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SH INSTRUCTIONS O N RIVERSI lllFO RI MAKING INTRIIS
1. DESIGNATOR'S LAST NAME-FIRST N AME-MIDDLE NAME
2. PRESENT SERVICE NO.
NEWHOUSE~ Del bert Cl ement
177283
6 . HOME ADDRESS AT TIME OF ENTRY INTO SERVICE
7 . PRIOR Mil. SERVICE
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No
P.O . Box 127 c/o Mrs.Vencl RichteI
Garibal di., Oregon
(DATE LAST ENTRY)
FIRST NAME-MIDDLE NAME -
LAST NAME {II deceased, so state)
10. WIFE OR HUSBAND (If none, so stato)
3. RANK/ RATE
615
Ai~~ BIRTH 15. ;G~o;•
CHPHOT W-4
8 . FORMER SERVICE N O.
393 07 21
9 . SOCIAL SECURITY NO.
540-46-3224
ADDRESS
6p2 Burnham St.• El Cajon. California
Norma Isobel NEWHOUSE
DATE OF BIRTH
SEX
11 . NAME OF CHILDREN {II none, so state.
If stop or adopted, so .stateJ
ADDRESS
MARRIED
NO
YES
1M
a.X
6/28/38
Delbert CarToll NEWHOUSE
330 Roosevelt Ave., Chula Vis1
Anne Lisbet FORSGREN
P.O.Box 63, Imperial Beach
X
F 3/14/40
Calif.
ADDRESS
12. FATHER
lJn ,:,h Franlr NPtJhn,.c,o
T'a,.n ma__ lafooh; ,.,.,.+,-.n
,
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ADDRESS
13. MOTHER
Edith May (newhouse) Richter
P.O . Box 127. Garibaldi. Oregon
0---­
ADDRESS
14. ADULT NEXT OF KIN NOT NAMED IN ANY OTHER ITEM
Darrel Edwin Newhouse
1304 Labor Temple, Tacoma 3, Washington
14a. All PERSONS RECEIVING MORE THAN 50 PERCENT OF THEIR
DATE OF BIRTH
ADDRESS
RELATIONSHIP
SUPPORT FROM ME (OTHER THAN WIFE OR CHILDREN UNDER 21)
M:otmr - ir­
li619 N. Michigan Avenue
Law
Florence Estelle Strom
Portland, Oregon
15. PERSON(S) N AMED ABOVE WHO ARE NOT TO BE NOTIFIED DUE
ADDRESS
TO Ill HEALTH None
16. BENEFICIARY FOR GRATUITY PAY IN EVENT
THERE IS NO SURVIVING SPOUSE OR Elf,
GIBLE CHILD(RENI.
N AME PARENTS OR
BROTHERS OR SISTERS O NLY (P. l. 881
84th Congres,).
17. BENEFICIARY OR BENEFICIARIES
FOR UNPAID PAY AND ALLOW­
%
ll00'.t
ANCES- / P. l. 147, 8 4th Con•
gress). PERCENT O F SHARES
MUST TOTAL 100 PERCENT.
%
PERCENT OF
18. PERSON TO RECEIVE ALLOT·
PAY EACH MO
MENT OF PAY IF MISSING OR
UNABLE TO TRANSMIT FUNDS.
100%
DESIGNATIONS
ADDRESS
FIRST NAME-
MIDDLE NAME-LAST NAME
P.O. Box 127
Edith May Richter
Garibaldi. Oree:on
304 Labor Temple
Darrel Edwin Newhouse
Tacoma J. Washine:ton
Noah Frank Newhouse
Tacoma. Washin~ton
1652 Burnham St. ., .
Norma Isobel Newhouse
El Cajon. California
652 Burnham St.,
Norma Isobel Newhouse
El Caj<m, California
5/4/ 81
RELATIONSHIP
Mother
Brother
Father
Wife
Wife
19. INSURANCE POLICIES IN FORCE INCLUDING USGLI AND NSLI {Agencies lo be notified in caso of death in active service)
ADDRESS OF OFFICE RECEIVING PAYMENT OR HOME OFFICE
FULL NAME AND ADDRESS OF COMPANY
Veterans• Administration.,
National Service Life
Insurance
Government Life Insurance
Munitions Buildi.ng.,Washington 25, n.c.
20. SERVICE ORGANIZATION AND ADDRESS OF DESIGNATOR
Pacific Fleet Photo- Triane:ulation Groun. at San Diel70 California
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POLICY NO.
V774432
K948857
DATE SIGNED
24 Auuust 1959
21 . SIGNATURE OF WITNESS
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:;t;_;"fj;,}-G([~O-p_ N
C. F. REINH
, LTJG, USNR
FORM
Previous Editions, aro obso lole.
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DD 1 Doc 56 93 -
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Por Nr11y , /lfari11, Corps, a 11d Coast Guard us,: \'v'ill be used in lieu of D D Form 93.