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

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INSTRUCTIONS
1. In the event this claim involves travel under secret or confidential orders, or orders from ~hich the location of the old or ne~ duty
station is omitted for reasons of security, or under orders effecting assignment to or from sea duty or to or from a place to which dependents
are not permitted to go, careful attention sb,ould be given to Sy~Nav letter o~ 23 December 1944, particularly paragraphs 2, 3, 6 and 10,
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2. If your claim is not submitted under SecNav letter of 23 December 1944 (Instruction 1, above), the original and two certified copies
of all o_rpers involv~d, with all endorsements, must ~ccompany claim.
• 3. Claim should be prepared and forwarded to BU REAU OF NAYA'L' PERSONNEL, Washington 25, D. C., in accordance with Article
2513, U.S. Navy Travel Instructions.
4. CLAIM MUST BE SUBMITTED IN QUADRUPLICATE. The original is to be on NAY. S. and A. Form 912-Rev.and signed in
ink Ofl the face, Th_ree copi~s (unsigned} to be oi;i NAY. S. and A. Form 913-Rev,
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5. S~CURE~'( ~TAPLE ALL PAPERS TOGETHE_rj1
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6. The space below is to'be' used for any additional inforfTjatioh by claimant which is necessary in settlement of this claim.
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CERTIFICATE OF DEPENDENCY OF CHILDREN
(N9u: To be iued onl11 for adopud or mp chi!dren)
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certify that---------------------------- is (are)
my (adopted) (step) child (children) and is (are) r;nember(s) of my household; that said child is (children are) not•po.ssessed of property or
income adequate for its (their),support and education; that it is (they are) not the beneficiary or beneficia'r.i~s, eithe'l'1Hrectly\orthc.ough c;,thers,
or any trust or estate entitling it (them) to income adequate for its (their) support and education ;~atsaid child is (children are) in fact now
a d t
II fmes solely dependent on me; hat in all respects I maintain the child (children} at my
n expense and from my own resources
nd a a
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'mbursed therefor -Cli_recilY
,n irectly in.an)'. manner or form whatsoever; and t
evidence•of the child's' (children's) de­
an am no re1
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and my maintenance
(them) has been -flied with my pay accounts and is h reby made a part thefeor. (Se~ §pec,a
\Jen ency on me
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re11,uirements,Art.2513,U,S.NavyTra\<:l' 1nstruct1ons. ,
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SIGNAT URE
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