VFP/jel 1306 13 December 1960

FIRST EIDORSEMENT on Cpl (E-4) WHITE

Is ltr of 13Dec60

From: Commanding Officer, Headquarte

rs Battery, 2d Battalion,

11th Marines, 1st Marine Division (R

ein) FMF

To: Commandant of the Marine Corp

s (Code DF)

Via: (1) Commanding Officer, 2d Batta

lion, 11th Marines, 1st

Marine Division (Rein) FMF

(2) Commanding Officer, 11th Marin

es, 1st Marine Division,

(Rein) FMF

(3) Commanding General, 1st Marine D

ivision (Rein) FMF

Subj: Humanitarian transfer; reque

st for

1. Forwarded recommending approval.

2. From all analyses of the situati

on, it seems that Corporal

(2-4) V:EITE has alleviated the cond

ition

by moving his family to Paris, Texas

. It is noted that since

his family has been residing in Texa

s, Therefore, the pri

mary object of Cor-

poral (E-14.) WHITE's request is to

be near his family. By re-

maining here at Camp Pendleton, Corp

oral (E-4) WHITE will be

separated from his family for an ind

efinite period, and the

only solution to his problem to be w

ith his family would be

a transfer to a duty station as indi

cated in his request.

3. The following additional informa

tion is furnished:

a. Date of expiration of obligated

active service - 22

December 1965.

b. Location tour date - 23 December 1959.

c. Effective date of payment of las

t dislocation allowance,

if applicable - None.

d. Disciplinary action pending - Non

e.

HEADO:JARTERS BATTERY 2D BATTALION, 11TH MARINES

1ST MARINE DIVISION (REIN) Fes'

CAMP PENDLETON, CALIFORNIA . 13 December 1960

From: Corporal (E-4) Roscoe A. WHITE 1666106/0847/3516 USMC

To: ' Commandant of the Marine Corps (Code DF)

Via: (1) Commanding Officer, Headquarters Battery, 2d Batta-

lion, 11th Marines, 1st Marine Division (Rein) FMF

(2) Commanding Officer, 2d Battalion, Ilth Marines, 1st

Marine Division (Rein) F1F

(3) Commanding Officer, llth Marines, 1st Marine Division

(Rein) FT,T (4) Commanding General, 1st Marine Divisi

on (Rein) FMF

Subj: Humanitarian transfer; recuest for

Ref: (a) Pare 7014 Marine Corps Manual

7ncl: (1) Statement of Reverend (2) Statement of Reverend " (3) Statement of Mrs Roscoe A. WHITE

(4) Statement of (5) Statement of Commander USN

1. In accordance with the provisions contained in reference

(a), it is requested that I be granted a humanitarian trans-

fer. It is further tequested that I be assigned to one of the

below duty stations in order of preference:

a. 5th 105 MM Howitzer Battalion USMCR, Dallas, Texas

b. MCB, 29 Palms, California

2. I am requesting this transfer in order to be near my wife

and child who are residing with my mother-in-law at

Paris, Texas. Enclosure (1) through (5) are

submitted in support of this request.

3. during January of 1960 as a result of the c

limatic conditions

hers in California. condition continued to grow worse until

finally during June 1960, I went TAD to Fort Sill, Oklahoma and

Subj: Humanitarian transfer; request for

due to, I decided to move my family to my

mother-in-law's house in Paris, Texas. Since their arrival at

that location, my son's health improved steadily until finally

his asthmatic attacks stopped completely.

4. My reasons for requesting a duty station in the State of

Texas are that I am a Corporal (E-4) with less than four (4)

years service and am not entitled to dislocation allowance or

a movement of my dependents at government expense. I feel that

at the present, I cannot afford to move my family and household

effects to a duty station in the state of California. However,

if I am assigned to the MCB, 29 Palms, California, I am more

than certain I can get a loan to make the movement of ray family

and household effects.

5. My leave balance indicates that I have six (6) days due as

of 30 June 1960. I have not taken any leave since my family

moved to Paris, Texas.

ROSCOE A. WHITE

2

RECORD OF EMERGENCY DATA S11 INSTRUCTIONS ON *MASS MORI MAKIN* ENTRIES

1. DESIGNATORS LAST NAME—FIRST NAME—MIDDLE NAME

WHITE, Roscoe Anthony

2. PRESENT SERVICE NO.

1666106 3. RANK/RATE

Cpl (E —4)

4. DATE OF lirsaN

18Nov35

S. RELIGION

Baptis 6. HOME ADDRESS AT TIME OF ENTRY INTO SERVICE 7. PRIOR MR.. SERVICE

III YTS 0 N.

23Dec59

8. FORMER SERVICE NO.

None

9. SOCTAL SECURITY NO.

429-60-3576 : (DATE LAST ENTRY(

FIRST NAME—MIDDLE NAME—LAST NAME (N dsscoossAf, .o IWO ADDRESS - 1 10, WIFE OR HUSBAND (II nor., .110N)

Geneva Ruth WHITE Paris, Texas II. NAME Of CHILDREN (If none, to IMM. If shp or odop•rd, re %/oh) ADDRESS MARRIED SEX DATE OF BIRTH

Roscoe Anthony WHITE Jr

Ricky Don WHITE

Paris, Texas

Paris, Texas

YES NO

X

X

M

X .

0. FATH ERRobert Daniel BOCne ROGERS (Stepfather)

ADDRESS

• . Paris, Texas 13. MOTHER

Lyda Merle ROGERS

ADDRESS

Paris, Texas IA. ADULT MEET OF KIN NOT NAMED IN ANY OTHER ITEM

None

ADDRESS

14... ALL PERSONS RECEIVING MORE THAN 50 PERCENT OF THEIR SUPPORT FROM ME (OTHER THAN WIFE OR CHILDREN UNDER 211 ADDRESS RELATIONSHIP DATE OF BIRTH

None

IS. PERSON(51 NAMED ABOVE WHO ARC NOT TO BE NOTIFIED DUE 10 ILL HEALTH None

ADDRESS

DESIGNATIONS

16. BENEFICIARY FOR GRATUITY PAY IN EVENT THERE IS NO SURVIVING SPOUSE OR ELI. GIBLE CHILDIRENL NAME PARENTS OR BROTHERS OR SISTERS ONLY (P. I. 881 8 A (11 Congress/.

FIRST NAME—MIDDLE NAME—LAST NAME ADDRESS FTELATIO(.7.:' Hobert Daniel Boone

ROGERS . Paris, Texas . -.F ..-

p

ther s I

Lyda Merle ROGERS . Paris, Texas .. . .

, rather

• ..

: • •

17. BENEFICIARY OR BENEFICIARIES FOR UNPAID PAY AND ALLOW. ANCES (P. E. 147, 8411. Con. grets). PERCENT OF SNARESMUST TOTAL 100 PERCENT.

100% Geneva Ruth WHITE Paris, Texas . n Wife °:

% V l 4 <=4,+.te :: I8. PERSON TO RECEIVE ALLOT.

MEM OF PAY IF MISSING OR UNABLE TO TRANSMIT FUNDS.

PERCENT OF "ACH ;AS 1007c Geneva Ruth WHITE Paris, Texas r_,,.,,,,,,.Wife

• t. 4. e

..

I9. NSUP.ANCE POLICIES IN FORCE iNa.uoiNs USGLI AND NSII (Agencies Its N. notified in ease of deed, in actin, (arrIca) • e tt FULL NAME AND ADDRESS OF COMPANY ADDRESS OF OFFICE RECEIVING PAYMENT OR HOME OFFICE •• Y'aucr mo. American National

Insurance Company Galveston, Texas

.

..

2225569''

.

20. SERVICE ORGANIZATION AND ADDRESS OF DESIGNATOR

HoBtry,2dBn,11thMar,lstMarDiv(Rein) FMF, Ca en, Calif e DATE SIGNED

14 Dec 1960 .. 21. SIGNATURE OF WITNESS

6 / .

JOHN E. LAND,, GySgt (E76)

22. SIGNATURE DESIGNATORA

c24,10. ,. ROSCOE A. WHITE

... .....

DD FORM 56 93 -1 Dee Previous Edition, or. obsoloe- I For Mu'', Marine Corps, and Coast Goan! use: W11 be used in lieu of Dr) Form 93.

( thee 1:7, 14161,4 rut mxtracimon are he4e.r are seljr.e..Np(,a.hmry)

IF NECEsSARY, CONTINUE ANY ITEM IN "REMARKS'. BUT SPECIFY THE PARTICULAR ITEM BEING CONTINUED.

All items of this form MUST he completed and MAINTAINED CURRENT by all officers and enlisted personnel in accordance with the following: NAVY—BuPers Manual, Arc. 52312; MARINE CORPS—Par. 4019, PRAM; U. S. COAST GUARD—Personnel Manual, Par, 13-5-14.

In the event you, the designator, should die, the persons or agencies named in items 10. It, 12, 13, l4, and 19 will be notified unless item 15 shall indicate a person or persons NOT to be notified.

Should you become critically or seriously ill, or incapacitated to the extent that you cannot notify them, the persons named in items 10, 11, 12, 13, and 14 will he notified unless item 15 shall indicate a person or persons Nor to be notified.

Payment of any benefits and disposition of remains in case of death shall be in accordance with applicable law.

Item 10.—tinter full name and address of wife or husband. For wife, use given names, for example, "Marion Elizabeth Dawson.- If the designator is single, divorced or widowed, so state.

Items 12 and 13.—The term "Father" and/or "Mother" shall be interpreted to include "natural." -step," "adoptive" and per-son who stood in "loco parentis" to the designator for a period of not less than 1 year at any time prior to designator's entry upon active service.

Item 14—In the event that there is no other adult next of kin other than those named in items 10, 12 and 14, you may name a friend here. However, if a friend is named, he or she must be no identified.

item 14a.—Enter under this item, the names of those persons who are in fact actually receiving more than 50 percent of their support from the designator. The information thus furnished shall be used in connection with other determinations of depend-ency under existing or future laws.

.. Item 16.—Enter the name, address, and relationship of bene-ficiary (or beneficiaries) whom you desire to receive the 6 months' death gratuity in the event you are not survived by a

"spouse or eligible child (ten) 'The succession of eligible sur-vivor's as set forth in the "Servicemen's and Veterans" Survivor

Benefits ALT,- P. L. 8511—ft.itli Congress, is as follows: (I) Spouse; (2) Children (without regard to their age or marital status) in equal shares; (3) Parents or brothers or sisters (in-cluding those of halfblood and these by adoption), u4.,en to derigorated; (4) Parents in equal shares; or (5) Brothers and sis-ters (including those of halfblood or those by adoption) in equal shares.

NOTE: The payment to either category (4) or (5) is in the event

that a designation is not made under categor7 . (3,./ . The term "parents" includes "natural parentsr... "stepparatts;': "adoptive parents" and persons who stood irt:-ilen parenri5" to the designator for a period of not less than/lear at any

prior to the designator's entry upon active seivizee. •°•"" Item 17.—Enter name and address of the beneficiaryor b044-e; ficiaries whom you desire to receive any unriritbpay and allov.^.'

ances (Arrears of Pay) due you at the time g,f,,Seath. There are no restrictions on who may he designated lt's beneficiar:40- beneficiaries to receive. unpaid pay and allowapces and ,once a designation has been made it is binding unrit.seire'rseded by the completion of a later DD Form 93-1.

Item IA—The "Missing Persons Act" provides that pay and allowances continue to accrue to the pay account of any servir.e.. member for the period he is missing or captured and may he paid to the dependents for support. This item reflects your de-sires and is used as a guide in the disposition of your pay. lotments to dependents and insurance companies initiated prior to entering a missing status are continued in effect unless unusual circumstances indicate changes.

Item 21.—The person assigned, by the commanding officer, the responsibility for interviewing the designator will, upon comple-tion of the form, witness the designator's signature and sign in block 21.

DISPOSITION INSTRUCTIONS U. S. NAVY: Original to fluPers, Washington 25, D. C.

Duplicate—File in Service Record at duty' station. Sec BuPers Instruction 1065.25 of 27 May 1953.

U. S.'MAIUNE CORPS: See Par, 4019, PRAM. U. S. COAST GUARD: See Personnel Manual, Par. 13-13-1.4.

Entry of other useful information in connection with emergency data such as location Of will, safety deposit boxes, etc., if api)licable, should he made under "Remarks."

Recipient of personal effects;.-Geneva'Ruth WHITE; wife; alternate ' --' • " - Roseoe- Anthony-WITE Jr, son

REMARKS.

tain'rns -rIcINg

GOVE111.01I P1411111154 OIFICE: I,S/ St II LZO

: ' • ' •

ct C...WEBRE • . . directionl:

, . .

•

•

riEaQULTITERS BAT= 2D SATTt,DION, 11TH T4A

1ST ILIii TJIVI3IOi (Rai) FnF CAMP PENDLETuN, CALIFORNIA

VFP/jel 725O - • 12 October.1960

From: CoMmanding Officer To: Commandant of the Marine Corps.. (Code DGIC)

Subj: Photostatic copies of NAVPERS- 668 (Rev 2-51) - Applies-- tion:for Dependents Allowance, case of Corporal (E-4) Roscoe A. WHITE u ,1666106 USMCp. reaest for . .

Ref: Cu) Para 044038 Volume 4 (Chapter 4) Navi. Comptroller . Manual

1. It is requested that a photostatic copy of the subject named form be forwarded to this organization for insertion in the Service Record Book of Corporal (E-4) WHITE in accord-ance with reference (a).•

V. F.jACHE00 ..•....• •

DGK-3-1ft • 14 Nov 1960

FIRST ENDORSEMENT

'-'..,;;:7..Y.3.•:- .

'c..:. Camp,Pendleton - • • - • .. --- - . . .. - •-.....- : .'• '-- - - - *....-

From: Commandant of the Marine Corps .. -.'." -y• -•-_, -- -1*. •-• - :' To: - Commanding Officer, Headquarters Battery, 2d Battalion, • •11th Marines 7 : 1st Marine DiviSion(Rein),•:-FMF • • -. • rs -.' , • . - -

1 California

.:•

.... ,, ..,.

. , 1. Returned Enclosure Enclosure (1) is furnished._. inCOmpliance••with

End l: (1) NAVPERS-668 . • • .

RECORD OF EMERGENCY DATA SEE INSTRUCTIONS ON REVERSE REPORT MAKING ENTRIES

I. DESIGNATORS LAST NAME—FIRST NAME —MIDDLE NAME

WHITE, Roscoe Anthony 2. PRESENT SERVICE NO,

1666106 3. RANK/RATE

Cpl (E-4) 4. DATE OF BIRTH

16Nov35 3 RELIGION

Baptist 6. HOME ADDRESS AT TIME OF ENTRY INTO SERVICE 7, PRIOR MIL. SERVICE

n YES El No

B. FORMER SERVICE NO.

None 23Dec59 9. SOCIAL SECURITY NO.

429-60..3576 (DATE LAST ENTRY)

FIRST NAME —MIDIXE NAME—LAST NAME [If doeseted, so stafej ADDRESS 10. WE OR HUSBAND (ff nen.. ae acne)

Geneva Ruth WHITE Paris, Texas 11. NAME OF CHILDREN (II none, on daft. If seep or adopted, so sto ) ADDRESS MARRIED SEX DATE OF BIRTH

Roscoe Anthony WHITE Jr Paris, Texas YES NO

X M

12. FATHER Robert Daniel Boone ROGERS (Stepfather)

ADDRESS

Paris, Texas 13. MOTHER

Lyda Merle ROGERS ADDRESS --

Parisi Texas 14. ADULT NEXT OF KIN NOT NAMED IN ANY OTHER ITEM

None ADDRESS

14a. ALL PERSONS RECEIVING MORE THAN 50 PERCENT OF THEIR SUPPORT FROM ME (OTHER THAN WIFE OR CHILDREN UNDER 21) ADDRESS RELATIONSHIP DATE OF BIRTH

None

15. PERSON(51 NAMED ABOVE WHO ARC NOT TO BE NOTIFIED DUE TO ILL HEALTH None

-'---• ADDRESS .s•••• ° ace.

DESIGNATIONS • '

16. EENEEICIARY FOR GRATUITY PAY IN EVENT THERE IS NO SURVIVING SPOUSE OR ELI. GIBLE CHILDIRENI, NAME PARENTS OR BROTHERS OR SISTERS ONLY (P. 1. 831 81th Conglessl.

FIRST NAME—MIDDLE NAME—LAST NAME ADDRESS 4I LATIONS4 .

Robert Daniel Boone ROGERS

tep .

.. • Paris, Texas ather-:. ••••• Paris, Texas 'lather- ....

• . .

Lyda- Merle ROGERS

:--: 17. BENEFICIARY OR BENEFICIARIES

f OR UNPAID PAY AND ALLOW. ANCES (P. Z. 147, 84th Con- Brest). PERCENT OF SHARES MUST TOTAL 100 PERCENT.

100 % Geneva Ruth WHITE Per Texas a, . —.2 Wife %

18, PERSON TO RECEIVE ALLOT. MENT OF PAY IF MISSING OR UNABLE TO TRANSMIT FUNDS.

PERCENT OF PAYEACT-1,1A0

100% Geneva Ruth WHITE Paris, Texas s F Wife 19. INSURANCE POLICIES RI FORCE INCLUDING USGLI AND Nal (Agencies la he notified in case of deo& in active lervicel

FULL NAME AND ADDRESS OF COMPANY ADDRESS Of OFFICE RECEIVING PAYMENT OR HOME OFFICE POLICY NO, American National Insurance Company Galveston, Texas 2225569

20. SERVICE ORGANIZATION AND ADDRESS OP DESIGNATOR • • • HqBtry,2dBn,11thMar,lstMarDiv(Rein) FMF, CamPen Calif DATE SIGNED

12 Oct 1960 21. SIGNATURE OP W NESS

4 -11011T E. LANDRY GySgt (E -6)

22. SIGNATURE F 0 NATOR

00 bSCOE A. WHITE

nn FORM Presto. Edillans ore . - 1.'11'

I CNN 56 For Natry. Marine Corps, and Coale Guard use: VG% be used in lieu of DD Form 93.

INSTRUCTIONS

frrems far which no in synetiont ore printed below are II planatory)

IF NECESSARY, CONTINUE ANY ITEM IN "REMARKS" BUT

SPECIFY T1iE PARTICULAR [Tim BeING CowriNuao.

All items of this form MUST be completed and MAINTAINED CURRENT by all officers and enlisted personnel in accordance with the following: NAVY-BuPers Manual. Art. B2312; MARINE CORPS-Par. 4019, PRAM; U. S. COAST GUARD-Personnel Manual, Par. 13-B-14.

In the event you, the designator, should die, the persons or

agencies named in items la, 11, 12, 13, 14, and 19 will be notified unless item 15 shall indicate a person or persons Not. to be notified.

,Should you become critically or seriously ill, or incapacitated to the extent that you cannot notify them, the persons named in items 10, 11, 12, 13, and 14 will he notified unless item 15

shall indicate a person or persons Not to he notified.

Payment of any benefits and disposition of remains in case of death shall be in accordance with applicable law.

Item 10.-Enter full name and address of wife or husband. For wife, use given names, for example, "Marion Elizabeth Dawson." If the designator is single, divorced or widowed, so state.

Items 12 and 13.—The term "Father" and/Or "Mother" shall be interpreted to include "natural," "step," "adoptive. ' and per-son who stood in "loco parentis" to the designator for a period of not less than 1 year at any time prior to designator'entry upon active service.

Item 14.-in the event that there is no other adult next of kin ocher than those named in items 10, 12 and 14, you may name a friend here. However, if a friend is named, he or she must be

so identified.

Item 14.o.-Enter under this item, the names of those persons who are in fact actually receiving more than 50 percent of their support from the designator. The information thus furnished shall be used in connection with other determinations of depend-ency under existing or future laws.

Item 16.-Enter the name, address, and relationship of bene-ficiary (or beneficiaries) whom you desire ro receive the months death gratuity in the event you are not survived by a

spouse or eligible Child(ren). The succession of eligible sur vivor's as set forth in the "Servicemen's and Veterans" Survivor

Benefits Act,- P. L. 881-84th Congress, is as follows: (1) Spouse; (2) Children (without regard to their age or marital status) in equal shares; (3) Parents or brothers or sisters (in-cluding those of halfblood and those by adoption), when to designated; (4) Parents in equal shares; or (5) Brothers and sis-ters (including those of hallblood or those by adoption) in equal shares.

NOTE:

The payment to either category (4) or (5) is,in the event that a designation ii not made under category (3).

The term "parents" includes "natural parents," "stepparents," "adoptive parents" and persons who stood in "loco parentis" to the designator for a period of not less than 1 year at any time prior to the designator's entry upon active service..""...i

Item O.-Enter name and address of the benefisiacy„,or bene-ficiaries whom you desire to receive any unpaid fay.and allow-ances (Arrears of Pay) due you ar the time of deatkijhere are ;„:

no restrictions on who may be designated as a 'beneficiary or : beneficiaries to receive' unpaid pay and allowances.and once a •••• designation has been made it is binding until supeis'eded by the completion of a later DD Form-93-I, „

deem 58.-The "Missing Persons Act" provides ihat pay and allowances continue no accrue to the pay account t.sl'srly service . member for the period he is missing oc..captureci ac'd may be :••: paid to the dependents for support. This item refli.cts•your de-sires and is used as a guide in the disposition of folif pay. lntments to dependents and insurance companies ;nitlard prior to entering a missing status are continued in effect unless unusual circumstances indicate changes.

Item 21.-The person assigned, by the commanding officer, the responsibility for interviewing the designator will, upon cornple• tion.of the form, witness the designator's signature and sign in block 21.

DISPOSITION INSTRUCTIONS

U. S. NAVY: Original to BuPers, Washington 25, D. C. Duplicate-File in Service Record at duty station.

See BuPers Instruction 1085.25 of 2] May 1953.

U. S. MARINE CORPS: See Par. 4019, PRAM.

U. S. COAST GUARD: See Personnel Manual, Par. I3-B-14.

Entry of other useful information in connection with emergency data such as location

of will, safety deposit boxes, etc., if applicable, should be made under "Remarks."

R274,41,445:

Recipient of personal effects; Geneva Ruth WHITE, wife; alternate, Roscoe Anthony.- WHITE Jr; son

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APPL/CAVON FOR DEPENDENTS ALLOWANCE KATPERS - IRS (NM F•M

(CheA en.)

START CHANGE . •

DEPENDENTS SERVICE NURSER

166A 1cA LAST NAILS OF ENLISTER MENNEN (Mira) (Middle)

WHITE lloscon anthorcr ITATE• .:

Moe are eTer applied far Panay Alter are and. .1. Ser.. '.. Depend.. AfIn.ame Act 1542? ri ,,,,, 0 NO DATE OF 1111$ APPLICATION ...• •

-.—.-3•5143.i527

SNIP OR Seen* PAC PA RING 7 It APPLICATION

latRITn, MCRDep, SDiogo 40, California OATS OF CURRENT ENLISTNENT ON DATE - REPORTINO FOR ACTIVE DUTY OPirklee•er Ti Ls,

19Feb57 OATS OF LAST DISCHARGE DE DATE OF LIST • RELEASE to INACTIVVOLITT , i-,... • , .. ' None

NAME OF DEPENDENT (Include /A gm. nem.) COMPLETE ADDRESS

RELATIONSPIri (Indicate il atO or ndoprort child/

DATE OF PINTS (DAY, Ma, Year)

DATE ALLOWANCE CLAIMED PEON

IP Geneva Ruth WHITE glarini,_Tezox __Wife 1911::b.57 2.

3.

4.

5. ere ollain in ormalion ranee-Fran ennodian is It nriftd named abn, me.

FULL namO OP CUSTODIAN

DATE ANN reAct OP PRESENT MAMAS

11Novi.: Sounty_of_Chontaw ntgo,_Oklakintr$1- DATE ANO PLACE OF 015$0.11011 OP EACH NONNE• NARMIACE ANO STATE STNEVIIEN IT ELATE, ANIIDLELN 7 ON DIVONIE

flat you been FIrpiewdy Tr?

F1TES IJNo

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Tex a. or th.oced, I, wine • ea. ad" • II ye., At CERTIFIED COPY OF COURT PELF ON CITE PLACE AND DATE DE SANE OR NA A • SO ES a Of oral. aoreemene ell. . rrrrrr er COSTEDIAN OF ION AC ccccc NT

NO 7NNIL Triff Sem previwri, snorried, I WE EATS. AND PLACE OP DISSOLUTION ADO STATE WINITNEN Sr ewer, AllITESPENT ere ElVoNCE n TES. ific NO

DEPENDENCY STMEMENr—(Thir Tetrion no.x be eo.pleted jar .11 dIrpendr•fl oVN,P II.. Liojroi .ilf end/or leatimare charm under 21 ye.. of age of mole tie d be b r b dependent apart me For mew tAan T, hitklber Ruppert since

milieu e any conadetutn. an taw.; '''''

F Par o IA zrh oLzr isalene; and Ma lite serval fit4og copal. in...roof by bin a bee arroroged $ per STATE HERE ANT FURTHER FACTS 10 SUPPORT 011EAPLAIM 11115 APPL.teAlleti

„,..,,„_.,, ,,,, ...r ......,,,,,..,,,,,,--,..mcNr tic-F....nu on Amore

(EJT 1,••• Nem. ior1:17 and middle heitial.)

venal e10011tIfIll IT macre, nung aepenoem manger; moan grOOY,

COMPLETE ADDRESS AMOUNT TO

COMMENCE Oli,...TIOI NORM Month Yee.

1. Genova iltth WHITE 3:1 Ho as above ...11az 2.

3.

Sob ''..16cd "d .T..r01'6-

--....114

9

before M. this 15th d.17 I baeby aprdy /OF •ilOO.s.0 t lor dependent., •Nectnify thet •If Ti. Aare Itaroarnt .. lex TO the - • b... .1 ol7 Ao^ohdre moi 5,14/. and i camerae re ebee.k aoe again,. ay pey lee any Adana. paid ow ateemit

el any pow. Tow derertnimed oar It be dependent at Mined in ...int law and utta.niunt• ,. ' ,. '

4'7' I .1.• FfIlifF thew none of the Aare named dependent. is a nee.da al the onilamo d Tender, an afire I olli immediately notify ay dliAbnaine 0114.• ogd d''t I';'.OF Anne.. unit. A •I Na.1 Pe. mnne,. a land. CM.. Pi •NF cl.., in dm ..64, and drptry.„ ..i. e . ' .._ • ,

' . ...:.''... " ' ':-,:'' ....- '•:'•'....-.'

- 33.10.;.fOILE144.41FritirtlIkr

)9 57 ' aQ•CoLer.-"' zi-jaciLo9r..par,sa. ...1 . We al Afffirix, L ifIFF Tai, ....

.C...C. C4.'t .

OUTMAN OF NAVAL PERSONNEL INTORNATIoN TO ES INTENSE SERE , 1. I Km. credictd deptadencT allele.w an requmeed abort oteepc for dewnden,(4 N•NTITee

depenettne numbetto) am Toe4;e-TITI• depeneltota Tee .1,501 Ellor•owt not c.erdwd). 2. Q altalentnts Ti.,. ben ttiiTered T. ..ownd none Ttornen.(.) pond,. Ti'."o aleonmat

MS applicable fee Q allotments .egps.lM nee e•fbI.1.4). I. REMARKS

7-6111ARAM7-FUEONNIEL—t•t•••,1 IN 14•11, Alemalibr• WWI, 11.11,E II,,.....5 IA, °NI., •IN I . FON COAST 00450 PERSONNEL—Forrotal to romoonntena, 11t0.11. vl• 11, II, .1,5101 7011 MARINE PEITSONNEL—rwaNIL VOlt.stleIREC. IMAM TM /I. IL

"APPROITED AS CLALEDII liaroh 1957

A • T. PRIEM. WILE MPS o Clint ORIGINAL

INS II TO SE teltellEa HERE

RELATIONSHIP

• -- RECORD OF EMERGENCY DATA • Eli INSTRUCTIONS ON RIMS! BEFORE MAKING DORIES

I. DESIGNATORS LAST NAME-FIRST NAME—MIDDLE NAME

WHITE, Roscoe Anthony 2. PRESENT SERVICE NO.

1666106 2. RANK/RATE

Cpl (E4) 4. DATE OF BIRTH

18Nov15JIMLttit___

5. RELIGION

6. HOME ADDRESS AT TIME OF ENTRY INTO SERVICE 7. PRIOR MIL SERVICE

ki YES I. No

B. FORMER SERVICE NO.

1666106 23Dec59 9. SOCIAL SECURITY NO/

429-60-3574 (DATE LAST ENTRY)

FIRST NAME—MIDDLE NAME—LAST NAME Ill dsceorecf. so Item/ ADDRESS t

i Rt. 2, Box 189B, FallbrOOk, California

10 WIFE OR HUSBAND In none, se Mole)

Geneva Ruth WHITE II, NAME OF CHILDREN (0 none, so deft. If imp or adopted, so 0010 ADDRESS st"

I MARRIED SEX DATE OF BIRTH

Roscoe Anthony WHITE, Jr. Rt. 2, Box.189B, Falllirook1 California A" .

A• al

g

YES NO

x

12. FATHER

Joseph Melvin WHITE ADDRESS

UNK Fs 12. MOTHER

Lyda Merle ROGERS ADDRESS

Paris, texas IC. ADULT NEXT OF KIN NOT NAMED IN ANY OTHER DENT

None srs ADDRESS g

9. .1.. 14o, ALL PERSONS RECEIVING MORE THAN 50 PERCENT OF THEIR SUPPORT FROM ME (OTHER THAN WIFE OR CHILDREN UNDER 211 ADDRESS RELATIONSHIP GATE Of BIRTH

None

15. PERSONS) NAMED ABOVE WHO ARE NOT TO HE NOTIFIED OUR TO ILL HEALTH None ADORESS

• DESIGNATIONS •

16, BENEFICIARY FOR GRATUITY PAY IN EVENT THERE IS NO SURVIVING SPOUSE OR ELI- VELE CHILDIRENI. NAME PARENTS OR BROIHERS OR SISTERS ONLY (P_ L. 881 1411, Congreml.

FIRST NAME—MIDDLE NAME—LAST NAME ADDRESS ' •• • •---...-9-•...— RELATIONSHIP

Lyda Merle ROGERS _ 1. •

Paris Texas ..

..,...,

• • • Mohter

• •

• :

1: •

• •44

..,.....■-..-.-.....r...3.4.11-....

• 4

17. BENEFICIARY OR BENEFICIARIES FOR UNPAID PAY AND ALL ANCES (P. L, 147, Bath Con• gross). PERCENT OF SHARES MUST TOTAL 100 PERCENT.

100 % Geneva Ruth WHITE ,_ Route 2, Box 189B . . :- • : Faillr_okga.1..tfArnitte_____

•• • • • • • ss •

%

18 PERSON TO RECEIVE ALLOT. MINT OF PAY IF MISSING OR UNAIKE TO TRANSMIT FUNDS.

PERCENT OF PAY EACH MO. 100 Geneva Ruth WHITE

Route 2,- Box 189B - Fallbrook, California Wife '. 19. INSURANCE POLICIES 14 FORCE INCLUDING USGU AND NSLI (Agencies to be nofiRed in core of dealh in oclive service) •

FULL NAME AND ADDRESS OF COMPANY ADDRESS OF OFFICE RECEIVING PAYMENT OR HOME OFFICE FOLIO? NO,

• American Natl Ins Co .•

Galveston, Texas '

- . ...,... ,, , • .. •

• ■ 2225569.. '...-i .-•...:A.,..,... :-.,:i.

: • ., :;... .: , i,rt 20. SERVICE ORGANIZATION ANO ADDRESS OF DESIGNATOR .- -. r _ '. DATE SIGNED I - • E-2 —11 lstMarDiv(Rein) FMF C P Ca 61a.' —26_Apr'190 21. SIGNATUREAF Witless

24•9429"/ . . .

CARL R. CLENDEKIN Pfc USMC

22. SIGMA OF MI Abeiazta ...._. .., • 1 .

' . ROSCOE A.- WHITE . D n FORM al 1 Plaviotts Editions ore obrolete. - ••• Dec 56 7d I . Far Hari. Marine Corp, and Cox Guard me: Will-be used in lieu of DD Form 93. ,.- ,• •

INSTRUCTIONS

Num far which PO imarmaions are prinled below are self-tApfanaitty) • -

?;(.(. -%'•jt

. IF . NECESSARY, CONTINUE ANY ITEM IN ':REMARKS- BUT SWAP"( THE PARTICULAR ITEM BEING CONTINUED. -

All items of this form MUST be completed and MAiNTAINEn CURRENT, by all officers and enlisted personnel in accordance with the following:;44AV,X—BuPers Manual,. Art. B2312;_.

y• MARINE CORPSLPar. 4019, PRAM; U- S. COAST GUARD-. Personnel Manual, Pan 13—B-14.. • I

-• In the event you, the designator, should die, the persons or agencies named in items 10. 11, 12, 13, 14, and 19 will be notified unless item 15 shall indicate a per4oit'Or persons Nov to be notified..

Should you become critically or seriously ill, or incapacitated to the extent that you cannot notify them, the persons named in items 10, 11, 12. 13, and 14 will be notified unless item 15 shall indicate a person or persons Nor to be notified.

Payment of any benefits and disposition of remains in case of death shall be in accordance with applicable law.

Item 10.—Enter full name and address of wife or husband. For wife, use given names, for example, "Marion Elizabeth Dawson." If the designator is-single, divorced or widowed, so state.

Items 12 and 13.—The term "Father" and/or "Mother" shall be interpreted to include "natural," "step." **adoptive" and per. son who stood in "loco parent's" to the designator for a period of not less than 1 year at any time prior to designator's entry upon active service.

Item 19.—ln the event that there is no other adult next of kin ocher than those named in items 10, 12 and 14, you may name a friend here. However, if a friend is named, he or she must he so identified.

Item 14.,.—Enter under this item, the names of those persons who are in fact actually receiving more than 50 percent of their support from the designator. The information thus furnished shall he used in connection with ocher determinations of depend-ency under existing or future laws.

Item M.—Enter the name, address, and relationship of bene-ficiary (or beneficiaries) whom you desire to receive the 6

o months' death gratuity in the event you are not survived by a spouse or eligible- child(ren). The succession of eligible sur-vivor's as set forth in the "Servicemen's and Veterans" Survivor

• . • Benefits Ace," P, L. 881-84th Congress, is as follows: ( I ) Spouse; (2) Children (without regard to their age" or.marital • status) in equal shares; (3) Parents or brothers or sisters (in-cluding those of halfblood and chose by adoption), when to designated: (4) Parents in equal shares; or (5) Brothers and sis-

lees (including those of halfblood or those by adoption) in equal shares..

• NOTE:, •

The payment to either category (4) or (5) is in the event that a designatiori is not made undercategory (3). •

The term "parents" inClu'des "natural parents,"-"stepparents," • "adoptive parents" and persons who stood in loco parentis" to-the designator for a period of not less than flyriarlac any ti,me prior to the designator's entry upon active service.„ ,;

item P.—Enter name and address of the beneficiary or bepe• ficiaries whom you desire to receive any unpajd,pay and antes (Arrears of Pay) due you at the time ordMth. There ire no restrictions on who may he designated as:ktimeficiary or beneficiaries to receive unpaid pay and allowances and once a , designation has been made it is binding pntil.ettper:teded by the:•: completion of a later OD Form 93-1.

Item IF.—The "Missing Persons Act" pro,:ace*sI•that pay and allowances continue to accrue to the pay account of any ser'icV'' member for the period he is missing or captli.mi:and may he paid to the dependents for support. This item reflects your de-sires and is used as a guide in the disposition of your pay. Al-lotments to dependents and insurance companies initiated prior to entering a missing status are continued in 'effect unless unusual circumstances indicate changes.

Item 21.—The person assigned, by the commanding officer, the responsibility for interviewing the designator will, upon comple-tion of the form. witness the designator's signature and sign in block 21.

DISPOSITION INSTRUCTIONS

U. S. NAVY: Original to BuPers, Washington 25, D. C. Duplicate—File in Service Record at duty station.

See BuPers Instruction 1085,25 of 27 May 1953.

II. S. MARINE CORPS: See Par. .1019. PRAM. U. S. COAST GUARD: See Personnel Manual, Par, 13—B-14.

. •

Entry of other useful information in connection with emergency data such as location of will, safety deposit boxes, etc., if rrpplieahle, should he made under "Remarks."

*:•.•;;11•''

REMARKS,

tf ••• et -•

"E" BATTERY 2d Battalion, 11th Mrires

1st ilarine Division (Rein), RAF Camp Pendleton, California

j1l•swesimml.

WHITE, Roscoe A Acting Coropral (E-4) 1666106

Date of Photograph 18 December 1959

ROSCOE A WHITE

(Irrmi fee which no inurratianr are p-ineed I.dmr ;ire wif-tvrianaizry)

IF NErEsSARY, CONTINUE ANY ITEM IN -REMARItS- BUT SPECIFY THE PARTICULAR ITEM BEING CONTINUED.

All items of this form MUST he completed and MAINTAINErS CURRENT by all officers and enlisted personnel in accordance with the following: NAVY-BuPers Manual, Arr. B2312.. MARINE CORPS-Par, 4019, PRAM; U. S. COAST GUARD-Personnel Manual, Par. 13-B-14.

In the event you, the designator. should die. the persons or agencies named in items lel, 11, 12, 13. 14, and 19 will be notified unless item 15 shall indicate a person or persons NOT to be notified.

Should you become critically or seriously ill, or incapacitated to the extent that you Cannot notify them, the persons named in items 10. 11. 12, 13, and 14 will be notified unless item 15 shall indicate a person or persons Nor to he notified.

Payment of any benefits and disposition• of remains in case of death shall be in accordance with applicable law,

Item 10.-Enter full name and address of wife or husband. For wife, use given names, for example. "Marion Elizabeth Dawson:. If the designator is single, divorced or widowed, so state.

Dews 12 and 13.-The term "Father" and/or "Mother" shall be interpreted to include "natural." "step," "adoptive" and per-son who stood in "loco parentis" to the designator for a paha] of not less than 1 year at any time prior to designator's entry upon active service.

Item 14 -In the event that there is no other adult next of kin other than those named in items In. 12 and 14. you may name a friend here. However, if a friend is named. he nr she must he so identified.

Item 41.. -Enter under this item. the names of those persons who :ire in fact actually receiving more than 50 percent of their support from the designator. The information thus furnished shall be used in connection with other determinations of depend-ency under existing or future laws.

hem /6.-Enter the name, address, and relationship of bene-ficiary (or beneficiaries) whom ynu desire to receive the 6 months' death gratuity in the event you are not survived by a spouse or eligible child{ ten). The succession of eligible sur-vivor's as set forth in the "Servicemen's and Veterans" Survivor

Benefits Act," P. 1. S81-84th Congress, is as follows: (I) Spouse; (2) Children (without regard to their Iga or marital status) in equal shares; (3) Parents or hrothlts. oE sisters (in-cluding those of haltblood and those by ad.-vie/1i), rehear JO designatrd; (4) Parents in equal shares; or (5) Briiniers and su tech (including those of halflslood or those lay.,Airoption) in

••- equal shares. - •

^'•• • •,,•_,' NOTE:

The payment to either category (4) or (5),,le ire.the event ., that a designation is not made under category (35,'''

The term "parents" includes "natural parents," "stepparents.'; ,‘ "adoptive parents" and persons who stood in "loco-parenris" td the designator for a period of not less than I yrat.a,r-any time prior to the designator's entry upon active service:

Item 17.-Enter name and address of the beneficiary or Fsene-fici.iries whom you desire to receive any unpaid pay and allow-ances (Arrears of Pay) due you at the time of death. There are no restrictions on who may he designated as a beneficiary or beneficiaries to receive unpaid pay and allowances and once a designation has been made it is binding until superseded by the completion of a later DD Form 93-1.

Hem 1S.-The "Missing Persons Act" provides that pay and allowances continue to accrue to the pay account of any service member lot the period he is missing or captured and may be paid to the dependents for support. This item reflects your de-sires and is used as a guide in the disposition of your pay. Al-lotments to dependents and insurance companies initiated prior to entering a missing status are continued in effect unless unusual circumstances indicate changes_

item 21.-The person assigned, by the commanding officer, the responsibility for interviewing the designator will, upon comple-tion of the form, witness the designator's signature and sign in block 21.

DISPOSITION INSTRUCTIONS

U. S. NAVY; Original to BuPers, Washington 25. D. C. Duplicate-File in Service Record at duty station.

See Bu Pers Instruction 1045.25 of 27 May 1953.

U. S. MARINE CORPS; See Par. 4019. PRAM. U. S. COAST GUARD: See Personnel Manual, Par. 13-B-1.1.

Entry of other useful information in connection with emergency data such as location of will, safety deposit boxes, etc., if applicable, should he made under "Remarks." .

INSTRUCTIONS

REMARKS,

corm ..rt / 1,7 ■/•,..•117.,

PERSONNEL ACTION NAVMC 10234-P9

I. DATE 1. PENsuurrE1. ACTION NO.

2a December 199 63-59

1. FROM Brad/, service ee., MOS. or CO, Perm. 0, .1.1

Corporal (E-4) Roscoe A. WHITE 1666106/3516 USMC

FILE NO.

1666106

S. ORCAMIZATIOR MITI STATION

"E" Btry 2dBn latMarDiv(Rein), FMF Camp Pendleton, California 6. TO

(Code DF) 7. VIA (ri pRiicuIg0

(1) CO, "E" Btry 2dBn llthMar (2) CO, 2dBn llthMar (3). CC-, is tMarDiv (Rein) , FIT

3. NATURE OF ACTION

E REQUEST C RECOMMENDATION EDUCTIVE

Assignment to formal school RENEW

Commandant of the Marine Corps

I. mi./Howl. (Or re/tresses, if opplieobb)

Ref: (a) MCO 1001.3D (b) MCO 1133.15A

mttmosumaieet0' .4

g T•

11, suglimETREL, jr•FoRmATIoN (Reduce to minimum werding.-Limit Uzi la this spare)

1. Having integrated into the regular Marine Corps in accordance with the provisions of reference (a) for a period of six (6) years on•23Dec5 I have elected Option VI as outlined in reference (b).

2. Aecordingly,•it is requested that .1 be assigned to the Artillery Ballistics Meteorology School, U. S. Army Artillery and Missile School, Fort:Sil1 -Oklahoma.

3. It is,turtherrequested that:the provisions of para 7 of ref (b), which require formal school requests to be 'initiated 30 days prior to reenlistment date be .waived because.I rhave accepted an early discharge from :the 14arine 'Corps Reserve (My-normal EAS date was .18Feb611)-to enlist in the Regular Marine Corps.

IL COPT TO 13. TT D rrAuE AND SIG:MTURE or4irron

CAI AA 11th PIE1.221_LRDIDal _.

14. PROCESSING ACTION (Endorse by ru b bar stamp where Frac ficobto., Continue on iererse necessary)

J'AT/jrb ;1306: 7.

• r Dee 1959 j

IRST: ENDORSEMENT 01 C. -r,•

From: Commanding .Officer, "E1' I Btpy,213n. To: 06miandant Ofthe'Marine

Corps

• 2dBn. 11-thMar

(2). IstiviarDiv(Reib.) ; Fig]

Ref: ( c) MCO 1221-'.33 ' - • e•' ‘ d.) MOO 1500.5A r Ale) rid* ■t) rf; rit 4:2

*V il-S—C-J34 AT\ TFRuatho OFFICE: 3336-.0.310711

-/,-.

'S ' tr

Dec 7--;-, eR

9, 9)

ri I'Plii

\l■ SIJs N.

• ! PS.V!• ; ,•!r iy? 7-.3•,, •

(e) DO'5000:1A; Para 1-3M

1. •—Forarded, redaMiliending- a:Pprdval •, w: " :

e!,1!: •-• 7,-1 Sr; 0 ,y7 1%.3

'2.,-StateM6n4,Of bject,rilan'havebbeen verified.. riETTI:11

3, ,,c0,011HITEdoes not possess a critical MOS as listed in r4tifei4ence'(C); --"

4. Subject man meets the prerequisites_for Artillery Ballistics Meteorology School as outlined in .reference (d).

. . . _ __As re4uired5.by'reference'(e)' -thei-folloVingtInformationis

- • cc-

EAS date - 23Dec65

b. Present duties - Automotive Mechanic; duty MOS - 3516. •.••.-!-• •

Immediate replacement is• not required;: howsver4 'eventual, 'replacement through normal•proCurement channels; is desired.,: - .. • 3

• - • GOT 7^.113; PA-Score . . ;)

`7.r.'e.;7'.- pti.te::1stot joined FMF - 19Sep57

' f;^• Date joined this comMand -.•.•20ct5§.

•••

e ................. ............ ENDORSEMENT From: Commanding Off leer, -.:2-ri Battalion, 111h Mariltrs(Rein I), . 1st Marine ;ivision(E-eiLrif)Firt , Camp t'enulelon, California .., To!- • 'Commandant of the t!..ar:ric Corps (Code ) Via:., , Commanding General, 1st Marine Division(Reinf)rMF,. Camp •--

Pendleton, California

I, FOrwakied: - . ,-.

.1

•

3), az L

•

; otion

Fromr FMF..

To: Ccrrtnnn'..r..:! r • Dfr-T-

ss C. 17A-RT.=

D. VJ. BLAUL Ac ting

DEC 2 81959 61

'13 Jan .1960

From Commandant of the Marine Corps To: Commanding General, 1st Marine Division (Reinf), Fleet Marine Force,

Camp.Pendleton, California

Subj: Assi ent to Formal School Training; request for, case of.Cp1 (E-4) Roscoe A. WHITE 1666106/3516 USMC

Ref: (a) Cpl WHITEls PersActNo 63759 of 24 December 1959 (b) mc0 1133.15A

1. By reference (a).this Headquarteri was informed that Corporal WHITE had integrated into the regular Marine. Corps for a'period of six.(6) years m 23 December 1959 and desired assignment to the Artillery Ballistic Meteorology, Course, Army Artillery and Missile School, Fort Sill, Oklahoma in accordance with Option VI of reference (b).

2. There are no further.quotas to thi,desired course of instruction for the 'remainder of Fiscal:Year 1960 and the establishment. of, Fiscal Year 1961 quotas has not been completed.,:.Therefore,his request:oannot be:approved.

3; Should- CorPoraljiBITE dasirecither:forMal,:schoOltraining haVelliMae-leCt threatchools.or,lischoice listed in orderrof,,preferencelordonsider7 allow by this Headquarters.,iIf.he:I he:-still.. asitignmentto,;theArtillery Ballistic MeteorologTCourse,A.nform-this Headquarters and': orders. will ,.be issued thereto upon establishment of:,theFiscal Year 1961:-:qUotas:10therwise please have.him elect,anotheroptioninaccordancewith-:tha.provi'sions of reference.(b).... '

RECORD OF EMERGENCY DATA SRI INSTRUCTIONS ON RIVERS! MORI MAKING ENTRIES I DESIGNATOR'S LAST NAME-FIRST NAME —MIDDLE NAME

WHITE, Roscoe Anthony 2, PRESENT SERVICE NO. 1666106

3. RANK/RATE CD1 (E_4)

a, DATE OF BIRTH 18Nov35

5. RELIGION Baptist 6. HOME ADDRESS AT TIME OF ENTRY INTO SERVICE

•

-

7, PRIOR NIL. SERVICE

2 TEE 0 NO

23Dec59

8. FORMER SERVICE NO.

1666106 9. SOCIAL SECURITY NO, L29-60-3576 (DATE LAST ENTRY) FIRST NAME-MIDDLE NAME —LAST NAME (IINsaled .0 ltot.)

ADDRESS 10. WIFE OR HUSBAND (If ACM, {0 OWN Geneva Ruth WHITE:

137 6th Street, South esa, Oceanside, California I I NAME OF CHILDREN (IT (WO 90 trine. If lmn or nelopHef, 10 •Peml ADDRESS MARRIED SEX I DATE OF BIRTH

Roscoe Anthony WHITE Jr 137 6th Street, .., Oceanside, Californii

t

YES NO

x 1111

M

2. FATHER

Joseph Melvin WHITE ADDRESS 6 Unknown

I ' ADDRESS

7 Paris, 1marl Texas

13. MOTHER Lyda Merle ROGERS

IA. ADULT NEXT OF KIN NOT NAMED IN ANY OTHER ITEM None

ADDRESS it if-" Ian. ALL PERSONS RECEIVING MORE THAN 50 PERCENT OF THEIR SUPPORT FROM ME (OTHER THAN WIFE OR CHILDREN UNDER 211 ADDRESS RELATIONSHIP DATE OF BIRTH

None

15, PEPSON{SI NAMED ABOVE WHO ARE Nor TO RE NOTIFIED DUE TO KL HEALTH

None ADDRESS

IONS DESIGNATIONS

I& BENEFICIARY FOR GRATUITY PAY IN EVENT THERE GIME IS NO SCHILDREN !. URIVIV

NAME PANG SPOU

RENTSE OR ELI.

OR S BROTHERS OR SISTERS ONLY (P. 1. 881 84th Congrell).

FIRST NAME -MIDDLE NAME—LAST NAME ADDRESS RELATIONSHIP •

Lyda Merle ROGERS Lamaz, Texas Mother •

I T. BENEFICIARY OR BENEFICARIES FOR UNPAID PAT AND ALLOW. ANCES R. L. 747, 84 th Con. grew), PERCENT OF SHARES MUST TOTALTOOPERCENT.

10 Y. -.T--- If.

- Ctene_va_aut tivirT.P.

.

137 6th Street, on eansisie„cali_to_m_ta wi r A ...

• 44. .1 IL PERSON TO RECEIVE ALLOT- MENT OF PAY IF MISSING OR UNABLE TO TRANSMIT FONDS.

PERCENT Of PAY EACH MO 100% Geneva Ruth WHITE

137 6th Street, : ** : * Oceanside, California Wife I9. INSURANCE POLICIES N FORCE INCLUDING USGLI ANO NSU FAgenciet In be notified in a•••• of death in native sarsice) ••••• e ...... FULL NAME AND ADDRESS OF COMPANY ADDRESS OF OFFICE RECEIVING PAYMENT OR HOME OFFICE POLICY No

American National Insurance Company

Galveston, Texas .

..... • .- : . ‘• • ..i 22255

::0 9171.%

• •• .9 20. SERVICE ORGANIZATION AND ADDRESS Of DESIGNATOR

E-2-11, lstMarDiv(Rein)_, FHF Camp Pendleton, California DATE SIGNE&

23Dec59 21, INA TUR OF

/ • • 4•141-‘4' J. R. BROWER

22. SIGNATURE, DESIGNATOR Lf47 i /4aae,A POSCO'P A. LITITTR DD FORM 93 n Previe., Edinon are obelem, I Dec 56

For Nagy, Marine. Corps, end Cant Guard use: W11 be tlTed in lieu or OD Form 93:

, .

INSTRUCTIONS

(Leant for which .,o instructions are printed below art self-eAphrnarory)

IF NECESSARY, CONTINUE ANY ITEM IN "REMARKS" BUT Spectre The PARTICULAR ITEM BEING CONTINUED.

All items of this form MUST be completed and MAINTAINED .CURRENT by all officers and enlisted personnel in accordance with the following: NAVY-BuPers Manual, Art. 132312; MARINE CORPS-Par, 4019, PRAM; U. S. COAST: GUARD-Personnel Manual, Par. 13-8-14.

In the event you, the designator, should die. the persons or agencies named in items 10, II, 12, 13. 14, and 19 wilt be notified unless item 15 shall indicate a person or persons NOT to be notified.

Should you become critically or seriously ill, or incapacitated to the• extent that you cannot notify them. the persons named in items 10, 11, 12. 13, and 14 will be notified unless item 15 shall indicate a person or persons Nor to be notified.

Payment of any benefits and disposition of remains in case of death shall be in accordance with applicable law.

Item 10.-Enter full name and address of wife or husband. For wife, use given names, for example, "Marion Elizabeth Dawson." if the designator is single, divorced or widowed, so state.

Items 12 and 13.-The term "Father" and/or "Mother" shall be interpreted to include "natural," "step," "adoptive" and per-son who stood in "loco parentis" to the designator for a period of not less than 1. year at any time prior to designator's entry upon active service. .

Item 14.-In the event that there is no other adult next of kin other than those named in items 10. 12 and 14. you may name a friend here. However, if a friend is named, he or she must be so identified.

Item 14a.-Enter under this item, the names of those persons who are in fact actually receiving more than 50 percent of their support from the designator. The information thus furnished shall be used in connection with ocher determinations of depend. ency under existing or future laws.

Item 16-Enter the name, address, and relationship of bene-ficiary (or beneficiaries) whom you desire to receive the months' death gratuity in the event you are not survived by a spouse or eligible child(ren). The succession of eligible sur-vivor's as set forth in the "Servicemen's and Veterans" Survivor -7

Benefits Act," P. 1.. 881-84th Congress, is as follows: (1) Spouse; (2) Children (without regard to their age or marital status) in equal shares; (3) Parents or brothers or sisters (in-eluding those of halfblood and chose by adoption), wheat so designated• (4) Parents in equal shares; or (5) Brothers and sis-ters (including those of halfblood or those by 'adoption) in equal shares.

NOTE: The payment to either category (4) or (5) is in the event

that a designation is not made. under category (3). The term "parents" includes "natural parents." "stepparents,"

"adoptive parents" and persons who stood in "loco parentis" to the designator for a period of not less than 1 year at any time prior to the designator's entry upon active service.

Item 17.-Enter name and address of-the beneficiary or bene-ficiaries whom you desire to receive any unpaid pay and allow-ances (Arrears of Pay) due you at the time of death. There are no restrictions on who may be designated as a beneficiary or beneficiaries to receive unpaid pay and allowances and once a designation has been made it is binding until superseded by the completion of a later DD Form 93-1.

Item 18.-The "Missing Persons Act" provides that pay and allowances continue to accrue to the pay account of any service member for the period he is missing or captured and may be paid to the dependents for support. This item reflects your de-sires and is used as a guide in the disposition of your pay. Al-lotments to dependents and insurance companies initiated prior to entering a missing status are continued in effect unless unusual circumstances indicate changes_

Item 21.-The person assigned, by the commanding offW.:be responsibility for interviewing the designator will, upon .cOrntle-tion of the form, witness the designator's signature and•sign'in

•••• block 21. •

DISPOSITION INSTRUCTIONS • • •

U. S. NAVY: Original to BuPers, Washington 25, D. g.'•••• Duplicate-File in Service Record at duty Itattdn.

-. See BuPers Instruction 108541.4f 27 May 1953.

U. S. MARINE CORPS: See Par. 4019, PRAM. " .••• U. S. COAST GUARD: See Personnel Manual, Par. l3-1:14.

.•:".

Entry of other useful information in connection with emergency data such as location of will safety deposit boxes, etc.; if applicible, 'should be made under "Remarks."

: •

RECORD OF EMERGENCY DATA ':'.---- • TIE INSTRUCTIOME OH REVERSE BEFORE MAKIN* ENTRIES -

I. DESIGNATOR'S LAST NAME-FIRST NAME-MIDDLE NAME WHIIR,Boscoe Anthony

3. PRESENT SERVICE NO. 1666106

3. RANK/RATE Cpl E4

4. DATE OF SIM 18Nov35

5. RELIGION Baptist 6, HOME ADDRESS AT TIME OF ENTRY INTO SERVICE .

'

7. PRIOR MIL. SERVICE 111 YRS No

B. FORMER SERVICE NO- None

.13Ee_b_51__... (DATE LAST ENTRY)

9. SOCIAL SECURITY NO. 42960'"1576

FIRST NAME-MIDDLE NAME-LAST NAME (I( deceased, so slare9 ADDRESS 10. WIFE OR HUSBAND (lf none, io story)

Geneva Ruth WHITE 503 12th St., Oceanside, Calif

I I, NAME OF CHILDREN (I( nano, ZQ Iwo. If Ore or orlapied. ZO Owe; ADDRESS MARRIED SEX DATE OF BIRTH

Roscoe A. White , Jr 503 12th Street,

Oceanside, Calif

YES

_

NO

X M

. .•• : .••• 12, FATHER

Joseph Melvin WHITE

ADDRESS • Unknown ••• .. • 13. MOTHER

Lyda Merle ROGERS

ADDRESS •

Paris, Lamar, Texas

•••• ••

14. ADULT NEXT OF KIN NOT NAMED IN ANY OTHER ITEM None

ADDRESS .

. .• . • • .. • ..

•

leo, ALL PERSONS RECEIVING MORE THAN 50 PERCENT OF THEIR SUPPORT FROM ME (OTHER THAN WIFE OR CHILDREN UNDER 21) ADDRESS -

RELATIONSHIP i • . •

DATE OF BIRTH

None

e ..•• • ..

• • 0 • • • •

IS. PERSONS) NAMED ABOVE WHO ARE NOT TO BE NOTIFIED DUE TO ILL HEALTH

None

ADDRESS

DESIGNATIONS

16. BENEFICIARY FOR GRATUITY PAY IN EVENT THERE IS NO SURVIVING SPOUSE OR Ell. CHILE CHILD/RENI. NAME PARENTS OR BROTHERS OR SISTERS ONLY (P, L. 881 84th Conroe.).

FIRST NAME—MIDDLE NAME-LAST NAME ADDRESS RE TIONSHiP

_yda Marla ROGERS

Paris,.

Lamar, Texas then

17. (BENEFICIARY OR BENEFICIARIES FOR UNPA L ID PA/Y AND 4114

ALLCOW. ANCES (P. 47, 8on- gre4 PERCENT OF SHARES MUST TOTAL 1 DO PERCENT.

100% Geneva Ruth WHITE

503 12th S treet

Oceanside, Calif Wife

1. .

IL PERSON TO RECEIVE ALLOT- MENT OF PAY If MISSING OR UNABLE TO TRANSMIT FUNDS. PERCENT OF PAY EACH MO

10G% Geneva Ruth WHITE

503 12th Street,

Oceanside, Calif Wife

19, RISURANCE POLCES N FORCE SNCLUDING USGLI AND NSLI (Agencies la be n•olillied 1r4 case of death in active. sereice) FULL NAME AND ADDRESS OF COMPANY ADDRESS Of OFFICE RECEIVING PAYMENT OR HOME OFFICE POLICY NO.

American Nat'l Mac

Co , - Galveston, Texas

. ...

A.S.

f 20. SERVICE ORGANIZATION AND ADDRESS OF DESI ATOR .

E -2 -11, lstMarDiv '.inf) FMF Camp Pendleton, Dalif.

DATE SIGNED .. .

15Sep59 .

21. SIGNATURE OF WITNESS •lf 1 Al ,

W . mi7014 AGySgt USMC

22. SIGNATURE OF DESIGN4,0,.. A . .

esi,y4t , Q. • SCOE A. WHITE

FORM Pgraoustaitusra are obsoiele. DD Dec 56 93 - For Nagy, Marine Carp. and Coast Guard um: Will be used in lieu of DD Form 93.

`'' RECORD OF EMERGENCY DATA' ..- SSE INSTRUCTIONS ON REVERSE !IMRE MAKING ENTRIES

1. DESIGNATORS LAST NAME-FIRST NAME-MIDDLE NAME

WHITE, Roscoe Anthony

2. PRESENT SERVICE NO.

1666106

3. RANK/RATE

Corporal

4. DATE OF BIRTH •

18Nov35

5. RELIGION

Baptist 6. HOME ADDRESS AT TIME OF ENTRY INTO SERVICE

•

7. PRIOR MO.. SERVICE

0 Yet a No

8. FORMER SERVICE NO.

None

9. SOCIAL SECURITY NO.

k29 -60 -1576 (DATE LAST ENTRY)

FIRST NAME-MIDDLE NAME-LAST NAME (If dec.:nod, so sale) - ADDRESS 10. WIFE OR HUSBAND (If non*, so shag)

Geneva Ruth WHITE 503 12th St.. Ocean11(1e, California

11. NAME OF CHILDREN (If non., to 110011, If step or odopsed, to 1/00 ADDRESS

MARRIED SEX DATE OF BIRTH

YES NO

• 12. FATHER

Joseph Melvin WHITE

ADDRESS

Unknown 13. MOTHER

Lyda Merle ROGERS

ADDRESS

. Paris, Lamar, Texas 14. ADULT NEXT OF KIN NOT NAMED IN ANY OTHER ITEM ADDRESS

140, ALL PERSONS RECEIVING MORE THAN 50 PERCENT OF THEIR SUPPORT FROM ME (OTHER THAN WIFE OR CHILDREN UNDER 21) ADDRESS RELATIONSHIP DATE OF BIRTH

15, PERSON'S) NAMED ABOVE WHO ARE NOT TO BE NOTIFIED DUE TO RA HEALTH ADDRESS

DESIGNATIONS

14. BENEFICIARY FOR GRATUITY PAY IN EVENT THERE IS NO SURVIVING SPOUSE OR ELI. GIBLE CHILDIEENI. NAME PARENTS OR BROTHERS OR SISTERS ONLY (P. L. 881 84th Congreml.

FIRST NAME -.MIDDLE NAME-LAST NAME ADDRESS RELATIONSHIP

Lyda Merle ROGERS

Paris,

Lamar, Texas Mother

.

, •

',,..:.

e

FOR UNPAID PAY AND ALLOW. ANCES IP. L. 147, 8415 Coo. 90•111. PERCENT OF SHARES MUST TOTAL 120 PERCENT.

100 Y-

17, BENEFICIARY OR BENEFICIARIES

Geneva Ruth WRITE

503 12th St. Ocean-

side, California

•

..Wife

%

.

,, ,,. ••• 18. PERSON TO RECEIVE ALLOT. MENT OF PAY IF MISSING OR UNABLE TO TRANSMIT FUNDS.

PERCENT OF

PAY EACH MO

100% Geneva Ruth WHITE

4 . ••• 503 12th St. Ocaan- -. :

side, California 1.-Aafe :- 19, ASSURANCE POLICIES AL FORCE INCLUDING USGLI AND NSLI (Agencies to be notified in caso of Oath in oaf. serrica)

FULL NAME AND ADDRESS OF COMPANY ADDRESS OF OFFICE RECEIVING PAYMENT OR HOME OFFICE POLICY NO.

None

.1 000 4, 6 •voi. f‘ f 20. SERVICE ORGANILATION AND ADDRESS OF DESIGNATOR

-2-11 lstMarDiv(Rein) FM' c. • Pendlet.n California.

DATE SIGNED

Oct 8 21. SIGNATURE OF WITNESS

..... .57-•'-r---EZ■g-4./•-77-0-0e 411-L„.,

W. DISWOOD JR LCPL IBM

22. SIGMA /RE OF DES

424m d.

ROSCOE

GNATRyff

. •

A. WHITE .._ _.

FORM 01

1 Dec 56 •

PPIIVIMM Editions ors obsol.m.

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

KL.1%.11,JP121

gum, for ...bid, ma irritrurtioni art printed brIele are srliexplanarory)

. • • IF NECESSARY. CONTINUE ANY ITEM IN "REMARKS. BUT

SPECIFY THE PARTICUL1R ITEM BEING CONTINUED.

All items of this form MUST be completed and MAINTAINED CURRENT by all officers and enlisted personnel in accordance with the following: NAVY—BuPers Manual, Arc. 82312: MARINE CORPS—Par. 4019, PRAM; U. S. COAST GUARD—Personnel Manual. Par. 13—B-14.

In the event you, the designator, should die, the persons or agencies named in items 10, 11. 12. 13. 14, and 19 will be notified unless item 15 shall indicate a person or persons Nor to be notified.

Should you become critically or seriously ill, or incapacitated to the extent that you cannot notify them, the persons named in items 10. 11, 12, 13. and 14 will be notified unless item 15 shall indicate a person or persons NOT to be notified,

Payment of any benefits and disposition of remains in case of death shall be in accordance with applicable law.

Item 10,— Enter full name and address of wife or husband,. For wife, use given names, for example, 'Marion Elizabeth Dawson." If the designator is single, divorced or widowed, so state.

Items 12 and I3.—The term "Father" and/or "Mother" shall be interpreted to include "natural," "step." "adoptive" and per-son who stood in "loco parentis" to the designator for a period of not less than 1 year at any time prior to designator's entry upon active service. -

Item 14.-1n the event that there is no other adult next of kin other than those named in items 10. 12 and 14, you may name a friend here. However, if a friend is named, he or she must he so identified.

Item bla.— Enter under this item, the names of those persons who are in fact actually receiving more than 50 percent of their support from the designator. The information thus furnished shall be used in connection with other determinations of depend-ency under existing or future laws.

Item 16.—Enter the name, address, and relationship of bene-ficiary (or beneficiaries) whom you desire to receive the 6 months' death gratuity in the event you are not survived by a spouse or eligible child(ren). The succession of eligible sur-vivors as set forth in the "Servicemen's and Veterans" Survivor

Benefits Act," P. L. 881-84th Congress, is as follows: (1) Spouse; (2) Children (without regard to their age or marital status) in equal shares; (3) Parents or brothers or sisters (in-eluding those of halfblood and those by adoption), when so designated; (4) Parents in equal shares; or (5) Brothers and sis-ters (including those of halfblood or those by adoption) in equal shares.

• • • NOTE:

. The payment to either category (4) or (5) is• in ,the event that a designation q not made under category (3)..••••..

The term "parents" includes "natural parents," "Seeplaarents," "adoptive Parents" and persons who stood in "locoYivintis" to the designator for a period of not less than 1 year ac any time prior to the designator's entry upon active service. •-:•

•Item 17.— Enter name and address of the beneficiary or bene-

ficiaries whom you desire to receive any'unpaid pay and allow-ances (Arrears of Pay) due you at the time of death.•There ate •••• no restrictions on who may be designated as a 1,e.oeficiary or beneficiaries to receive unpaid pay and allowances and once a designation has been made it is binding until supe.r;e3C4 by the completion of a later DD Form 93-1..

. - Item 18.-=The "Missing Persons Act" provides that pay and allowances continue to accrue to the pay account of any service member for the period he is missing or captured and may be paid to the dependents for support. This item reflects your de-sires and is used as a guide in the disposition of your pay. Al-lorments to dependents and insurance companies initiated prior to entering a missing status are continued in effect • unless unusual circumstances indicate changes.

item 21,—The person assigned, by the commanding officer, the responsibility for interviewing the designator will, upon comple-tion of the form, witness the designator's signature and sign in block 21.

• DISPOSITION INSTRUCTIONS U. S. NAVY: Original to BuPers. Washington 25, D. C.

Duplicate—File in Service Record at duty station. See BuP•ers Instruction 1085.25 of 27 May 1953.

U. S. MARINE CORPS: See Par. 4019, PRAM. U. S. COAST GUARD: See Personnel Manual, Par. 13—B-14.

Entry of other useful information in connection with emergency data such as location of will, safety deposit boxes, etc., if applicable, should be made under "Remarks."

REMARKS.

U 5 55505RodUCI4T 5'51,5111.5 0151-CE t55/ 0.5-511267

_ _ r SIONAT

PIA 27 April 57 ROSCOE ANTHONY WHITE1666106 I-

' . . NAME • IISMC • •

SE13.170 • . RATE': DATE Lf.-

59"

56

- 53;

4

piper RECRUIT TRAINING BATTALION MARINE CORPS RECRUIT DEPOIR

SAN DIEGO 40, CALIFORNIA

•

. • -

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