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

Read from the scan by GLM-OCR; expect the odd misread word.

RECORD OF EMERGENCY DATA FOR THE ARMED FORCES OF THE UNITED STATES
INFORMATION INCLUDED ON THIS FORM DOES NOT DESIGNATE OR CHANGE BENEFICIARIES OF LIFE INSURANCE POLICIES
(See instructions on reverse side of form prior to making entries)
1. DESIGNATOR'S LAST NAME—FIRST NAME—MIDDLE NAME	2. SERVICE NO.	3. GRADE, RANK, OR RATE	4. SERVICE	USA	USN
NEWHOUSE Delbert Clement	177283	CHPHOT	USAF	USMC	USCG
5. FIRST NAME—MIDDLE NAME—LAST NAME OF PERSON TO BE NOTIFIED IN CASE OF EMERGENCY (Person with permanent address is advisable)
Edith May RICHTER
Mother
ADDRESS (Number, street, city, zone, and State)
P. O. Box 127, Garibaldi, Oregon
THE PERSONS NAMED IN ITEMS 6, 8, AND 9. BELOW ALSO WILL BE NOTIFIED OF THE EMERGENCY. IF SUCH NOTIFICATION IS NOT DESIRABLE, DUE TO HEALTH OR FOR OTHER PERTINENT REASONS, PLEASE SO STATE UNDER "REMARKS" ON THE REVERSE SIDE.
6. SPOUSE (First name, middle name, last name) (If none, or if deceased or divorced, so state)
Norma Isobel NEWHOUSE Age 36	ADDRESS (Number, street, city, zone, and State)
8623 Piney Branch Rd. Silver Spring, Md.
7. CHILDREN
FIRST NAME—MIDDLE NAME—LAST NAME
Delbert Carroll NEWHOUSE
Anne Lisbet NEWHOUSE
Same as wife
MARRIED SINGLE
M F
(Continue on reverse side)
8. NAME OF FATHER (or male guardian) (First name, middle name, last name)	ADDRESS (Number, street, city, zone, and State)
9. NAME OF MOTHER (or female guardian) (First name, middle name, last name)
Edith May RICHTER Age 55	ADDRESS (Number, street, city, zone, and State)
P. O. Box 127, Garibaldi, Oregon
IN THE EVENT THAT I AM NOT SURVIVED BY A SPOUSE OR ELIGIBLE CHILD, OR OF THEIR DECEASE OR DISQUALIFICATION BEFORE PAYMENT OF 6 MONTHS' GRATUITY IS MADE, I THEN DESIRE THAT PAYMENT BE MADE TO THE DEPENDENT RELATIVE SHOWN BELOW. (See instruction 4 on reverse side of form)
10. FIRST NAME—MIDDLE NAME—LAST NAME
Edith May RICHTER
Mother
ADDRESS (Number, street, city, zone, and State)
P. O. Box 127, Garibaldi, Oregon
IN THE EVENT OF DEATH OR DISQUALIFICATION OF THE ABOVE-NAMED DEPENDENT RELATIVE, I THEN DESIGNATE THE ALTERNATE DEPENDENT RELATIVE SHOWN BELOW. (Other than spouse or child)
11. FIRST NAME—MIDDLE NAME—LAST NAME
Darrel Edwin NEWHOUSE
Brother
ADDRESS (Number, street, city, zone, and State)
Orting, Washington
VOLUNTARY ENTRIES
I REQUEST THAT THE FOLLOWING COMMERCIAL LIFE INSURANCE COMPANIES BE OFFICIALLY NOTIFIED IN CASE OF MY DEATH IN ACTIVE SERVICE. (The "Policy Number" should be entered if possible, since this information will assist in expediting action by the insurance company should a claim become payable.)
12. FULL NAME OF COMPANY
California, Western States Life Insurance Co.
ADDRESS OF HOME OFFICE
Sacremento, Calif.
(Continue on reverse side)
IN THE EVENT THAT I AM LISTED AS MISSING, OR BY OTHER MILITARY CIRCUMSTANCE AM UNABLE TO TRANSMIT FUNDS TO MY DEPENDENTS, IT IS MY DESIRE THAT
13. FIRST NAME—MIDDLE NAME—LAST NAME
Norma Isobel NEWHOUSE
Wife
ADDRESS (Number, street, city, zone, and State)
8623 Piney Branch Rd., Silver Spring, Md.
RECEIVE EACH MONTH
80 % OF MY PAY.
MILITARY ADDRESS
U.S. Naval Air Station
Navy Number 14 (one four)
c/o F.P.O. San Francisco, Calif.
DATE SIGNED
14 DEC 1950
SIGNATURE OF DESIGNATOR