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

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I CERTIFY that there has been no change In condition of dependency
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I CERTIFY that I vylll Inform the Bureau of Naval Personnel via my
commanding office, lm<medlately of any changes In marital status, or con.
dltlons of dependen:;y, or of voluntary occupancy of publlc quarters by my
dependents.
between
l May 1947
(Date of last report ofbeneficiari
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Subscribed and sworn to before me,thls,____,l...s"'-"t_____
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19-1l8., I havln1? author!!>'.
CAPT
(Rank )
INSTRUCTIONS
This lorm must be sworn fo before an officer ol the
Unite-d States Navy authorized fo administer oaths, or.
before a notary public.
The lull names and addresses of the beneficiaries must
be slated carefully. II a married woman, her own given
name should be slated; thus: "Mrs. Anna May Smith,''. not
"Mrs. John Smith."
This slip shall be made out and handled as follows:
Officer, Navy: Forward fo Bureau of Naval Personnel.
Nurse: Forward fo Bureau of Medicine and Surgery.
Enlisted men, Navy: In duplicate; one copy fo Bureau
ol Naval Personnel, one copy secured inside service rec­
ord. In cases ol men entitled fo money allowances for
quarters lor enlisted men wit~ dependents, two additional
..
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copies, bearing the required certificate, fo the Disbursing
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Officer.
New beneficiary slips shall be executed and
~
forwarded
as above in all cases ol change in status ol the granfor or
in that of.his or her beneficiaries.
In any event, payment will be made fo the widow or
children, if any, whether designated or not.
Normally casualty notification will be sent fo all the
beneficiaries designated on this form. II, by reason of
unusual circumstances, other special arrangements -are
desired, a statement should be attached selfing forth
lull instructions including lull names, addresses, and
relationships,
c0-16-43177-1