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

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REC08.D OF EMERGENCY DAT A
SH INSTRUCTIONS ON UVIRSI IIIPOU MAKING ENTRIES
1, DESIGNATOR'S LAST NAME-FIRST NAME-MIPDLE NAME
2. PRESENT SERVICE NO.
3. RAN K/ RATE
NEWHOUSE
Delbert
Clement
Prot
6 . HOME ADDRESS AT TIME OF ENTRY INTO SERVICE
7 . PRIOR MIL. SERVICE
8. FORMER SERVICE NO.
P.O. Box 127 %Mrs . Vencl Richt er Iii Yu D No
21
Garibaldi, Oregon
(DATE LAST ENTRY)
9. SOCIAL SECURITY NO.
FIRST NAME-MIDDLE NAME-LAST NAME (If doceasod, so stole)
ADDRESS
10. WIFE OR HUSBAND (If none, so sloto)
Nomi.a Isobel NEWHOUSE
208 B ant Road NP. Pensacola Florida
11 . NAME OF CHILDREN (If nono, so slate.
II slop or adopted, so stole)
Delbert Carr oll NEWHOUSE
Anne Lisbet NE"'1HOUSE
12. FATHER
rfq,ah Frank NF:IHOUSE
13. MOTHER
ADDRESS
Same as Block #10
ADDRESS
? Tacoma Wash'
ADDRESS
on
MARRIED
SEX
DATE OF BIRTH
YES
NO
X
M
x F
6/28/38
3/14/40
Edith Ma
Newhouse RICHTER
P.O. BOX 12
Garibaldi Ore on
14. ADULT NEXT OF KIN NOT NAMED IN ANY OTHER ITEM
Darr el F.ciwin NElvHOUSE
140, ALL PERSONS RECEIVING MORE THAN 50 PERCENT OF THEIR
SUPPORT FROM ME (OTHER THAN WIFE OR CHILDREN UNDER 21 )
Flo en e Es elle STROM
15. PERSON(S) NAMED ABOVE WHO ARC NOT TO BE NOTIFIED DUE
TO ILL HEALTH
None
ADDRESS
0 labor Tern le Tacoma
ADDRESS
Portland, Or egon
61 N. Michi an Avenue
ADDRESS
DESIGNATIONS
on
RELATIONSHIP
Mot her in
law
DATE OF BIRTH
FIRST NAME-MIDDLE NAME-
LAST NAME
ADDRESS
RELATIONSHIP
16. BENEFICIARY FOR GRATUITY PAY IN EVENT
THERE IS NO SURVIVING SPOUSE OR ELI•
GIBLE CHILD(RENl.
NAME PARENTS OR
BROTHERS OR SISTERS ONLY (P. L. 881
84th Congreu).
17 . BENEFICIARY OR BENEFICIARIES
FOR UNPAID PAY AND ALLOW­
ANCES, (P. l. 147, 84th Con­
gress). PERCENT OF SHARES
MUSTTOTAL I 00 PERCENT.
18. PERSON TO RECEIVE ALLOT­
MENT OF PAY IF MISSING OR
UNABLE TO TRANSMIT FUNDS.
PERCENT OF
PAY EACH MO
100
Norma I sobel NElvHOUSE
P.O. Box 127
Same as Block #10
19. INSURANCE POLICIES IN FORCE INCLUDING USGLI AND NSLI (Agencies lo be notified in co,o of dooth in active S<!rvico)
FULL NAME AND ADDRESS OF COMPANY
ADDRESS OF OFFICE RECEIVING PAYMENT OR HOME OFFICE
National Service Life
·Veterans' Administration,
Insurance
Government Life Insuranc Munitions Building, Washington 25., D.C.
20. SERVICE ORGANIZATION AND ADDRESS OF DESIGNATOR
' 7YJ ~
Wife
POLICY NO.
V774432
K948857
DATE SIGNED
Previous Editions ore obsolete.
For Navy, M arine Corp,, a11d CoaJ/ Guard m e: Will be used in lieu of DD Form 93.
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