S. and A. Form 33
*(Revised May 1941)*
APPLICATION FOR TRANSPORTATION FOR DEPENDENTS
*(See Art. 2505-3 Navy Travel Instructions)*
Aviation Supply Depot, 20 Sept. 1946
U.S. Pearl Harbor, T.H.
FROM: LT D C NEWHOUSE, LINE, U.S.N.
To: Bureau of Naval Personnel Via: Commandant, Fourteenth Naval Dist.
Enclosures: Three certified copies of orders of BuPers
dated 7 August 1946, detaching me from duty at (on) NASD Philadelphia
*(If change of home yard (port) execute certificate on reverse of this form)*
and ordering me to permanent duty at (on) ASD Pearl Harbor.
1. It is requested that transportation be furnished the following, who were my dependents on the effective date of above orders:
Name
Relationship
Date of birth of children
Location of dependents when orders were received
Norma I. Newhouse
Wife
6148 Oxford Ave., Philadelphia, Pa.
Delbert C. Newhouse
Son
6/28/38
Anne L. Newhouse
Daughter
3/14/40
Address of dependents Garibaldi, Oregon - c/o Mrs. V. Richter
From San Francisco, Cal to Pearl Harbor, T.H. via 1772-813
With stopover at (Name place; as, Chicago, 4 days)
Pullman or stateroom accommodations Stateroom (As “lower berth,” “stateroom,” etc.)
Approximate time travel is to begin First available
2. I certify that the children named above are my Legitimate children
*(Legitimate—step—adopted)*
will be 9 and 7 years of age, respectively, at next birthday, and are members of my household; that said children are not possessed of property or income adequate for their support and education; that they are not the beneficiary, or beneficiaries, either directly or through others, of any trust or estate entitling them to income adequate for their support and education; that said children are in fact now and at all times solely dependent on me; that in all respects I maintain the children at my own expense and from my own resources and am not reimbursed therefor directly or indirectly in any manner or form whatsoever; *and that evidence of the children’s dependency upon me and my maintenance of them has been filed with my pay accounts and is hereby made a part hereof.
3. I further certify in the case of my dependent mother that she is in fact dependent on me for her chief support, that she resided with me as a member of my household while at my last permanent duty station, and that an affidavit of evidence of dependency, filed , has been accepted by the General Accounting Office for pay purposes. I further certify that there has been no change in the conditions of dependency since last filing of affidavit of dependent mother.
4. I certify that is (are) the child (children)
*(Stepchild—stepchildren)*
of , who is on this date living, and my lawful wife.
*(Name of mother)*
5. If transportation is furnished as requested above, to a place other than my new duty station, I hereby waive additional transportation for the dependents named herein.
6. I certify that I have not made application for transportation for the dependents named in paragraph 1 on this change of station except as follows:
7. I hereby authorize the checking of my personal pay account for any excess cost involved due to transportation furnished in excess of that authorized at Government expense; and hereby agree to accept such checkage in lieu of cash payment prior to issuance of transportation requests.
APPROVED:
_________________________
*(Signature of applicant)*
D C Newhouse
U.S.N., Commanding.
Approval of commanding officer is required in all cases where it is impracticable or impossible for the applicant to attach original orders.
13 DEC 1946
U.S. TWELFTH NAVAL DISTRICT
The transportation requested above has been furnished as described on the reverse hereof.
No Government transportation available. Furnish on USS GEN. RANDALL on 11/27/46. No rail tran. furn.
FOR: A. E. JACOBSON, CMDR (SC) USNR, U.S.N.
*(Signature of issuing officer)*
*In the case of officers drawing rental and subsistence allowance with dependents including a wife this clause may be omitted.
†If adopted children of enlisted men attach authenticated copy of adoption papers signed under seal by the clerk of the court having jurisdiction, to be forwarded to the Bureau of Supplies and Accounts. If such copy has been forwarded on a previous change of station reference to such evidence should be furnished.
‡When orders are received while the dependents are temporarily absent from the old station a statement will be furnished showing necessity for dependents returning to the old station prior to proceeding to the new station.
SEE INSTRUCTIONS FOR ISSUING OFFICERS ON REVERSE OF THIS FORM
Finished File 812
0087