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

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C-1

RECORD OF EMERGENCY DATA
SEE INSTRUCTIONS ON REVERSE BEFORE MAKING ENTRIES
1. DESIGNATOR'S LAST NAME—FIRST NAME—MIDDLE NAME | 2. PRESENT SERVICE NO. | 3. RANK/RATE | 4. SERVICE | 5. DATE OF BIRTH
NEWHOUSE, DELBERT CLEMENT | 177 283 | CWO-4 | USN | 6 May 13
6. HOME ADDRESS AT TIME OF LAST ENTRY INTO SERVICE (City, county, and State) | 7. FORMER SERVICE NO.
3581 SOUTH EAST GRANT COURT
PORTLAND, MULTNOHAM, OREGON | 393 07 21
DESIGNATIONS
8. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY | FIRST NAME—MIDDLE NAME—LAST NAME | ADDRESS | RELATIONSHIP
 | Norma Isobel Newhouse | 3581 SE Grant St.
Portland 15, Ore. | Wife
9. BENEFICIARY FOR GRATUITY PAY
IN EVENT THERE IS NO SURVIVING
SPOUSE OR ELIGIBLE CHILD | PRINCIPAL | Edith May Richter | P.O. Box 127
Garibaldi, Ore. | Mother
CONTINGENT | Darrel Edwin Newhouse | Rt. #6, Box 756
Tacoma, Wash. | Brother
10. BENEFICIARY FOR
SERVICEMEN'S INDEM-
NITY (PL 23, 82d Con-
gress) (All prior des-
ignations are canceled.
Designation for in-
demnity does not affect
insurance (NSLI or
USGLI) beneficiary
designation.) | PRIN-
CIPAL(S) | SHARE
$
SHARE
$ | Not Applicable |
CONTIN-
GENT(S) | SHARE
$
SHARE
$ | NSLI - USGLI |
SHARE
100 % | Norma Isobel Newhouse | 3581 SE Grant Ct.
Portland 15, Ore. | Wife
SHARE
% | Delbert Carroll Newhouse | SAME | Son
11. BENEFICIARY OR BENEFICIARIES
FOR UNPAID PAY AND ALLOWANCES
(PL 147, 84th Congress) | PERCENT OF
PAY EACH MO. | Norma Isobel Newhouse | 3587 SE Grant Ct.
Portland 15, Ore. | Wife
12. PERSON TO RECEIVE ALLOTMENT
OF PAY IF MISSING OR UNABLE TO
TRANSMIT FUNDS |  | Executive Officer, NATTU |  |
13. PERSON TO RECEIVE PERSONAL EFFECTS FOR
SAFEKEEPING |  |  |  |
14. | COMMERCIAL INSURANCE COMPANIES TO BE NOTIFIED IN CASE OF DEATH IN ACTIVE SERVICE
FULL NAME AND ADDRESS OF COMPANY. | ADDRESS OF OFFICE RECEIVING PAYMENT OR HOME OFFICE | POLICY NO.
California Western States L.I.C.
G. I.
N. S. L. I. | Sacramento, California
Veteran's Administration
Veteran's Administration |
FIRST NAME—MIDDLE NAME—LAST NAME (If deceased, so state) | ADDRESS
15. FATHER | Noah Frank Newhouse | Tacoma, Washington
16. MOTHER | Edith May Richter | P.O. Box 127
Garibaldi, Oregon
17. WIFE OR HUSBAND (If none, so state) | Norma Isobel Newhouse | 3581 South East Court, Portland 15, Oregon
18. NAME OF CHILDREN (If none, so state: If step or adopted, so state) | Delbert Carroll Newhouse
Anne Lisbet Newhouse | 3581 South East Grant Ct.
Portland, 15, Oregon | MARRIED
YES | NO
19. ORGANIZATION AND ADDRESS OF DESIGNATOR | NATTU, Naval Air Station, Pensacola, Florida | SAME | SEX DATE OF BIRTH
20. DATE SIGNED |  |  | 27 JUN 38
21. SIGNATURE OF WITNESS | L. M. Kweel CSR USA | 22. SIGNATURE OF DESIGNATOR | 14 MAR 40
17 May 56

DD

FORM
1 OCT 55

93-1

For Navy, Marine Corps, and Coast Guard use: Will be used in lieu of DD Form 93.