PROJECT BLUE BOOK

6. TYPE OF OBSERVATION bue. Rounded.
Ground-Visual Ground-Visucl These objects were .hese diimer than stars. Objects were high Objects hih in in
7. COURSE the NI. the N.
7. COURSE
Setting OolllNrs: The bis dippor is in the recorted ColLlNTs: Me bid dippor is in the recorted locetion, about
8. PHOTOS 8. PHOTOS R0 deg elovacion 3io deg aziiuth. 50 deg elovacion 3lo deg aziiuth. Si hting at dusk and Gi hting at dusk and shortly
efter would neke stars ap eur after would neke stars ap eur diter if visible at all. diter if visibie at all. Sihting
N. hs aspects of Astro observation. Aro bodied (Venus and Regulup)
re re on on the Nast at alout 20 deg elevation setting about l 1/2 the Whst et dlout 20 deg elavation setting about l l/2
9. PHYSICAL EVIDENCE lours after the regorted ti:e, tt nox third najor asteo body is after the regorted ti:e, tt nei third najor asteo body is
Yes Yes in this location. Report subitted three vears after sight ing. in this location. Eeport_ subitted_three vears after sight ing.
XNo XNo Witness Ln year old L. year oId youth. youth. Cboorvrsioy psepiad s Cbooryroio-pssepiad
FORM
FTD SEP 63 0-329 (TDE) be used.
*

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Page 6
.Have you ever seen this, or a similar object before. If so give date or dates and location.
31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
31.1 IF you answered YES, did they see the object too (Circle One) Yes No
31.2 Please list their numes and addresses:
2.Please give the following information about yourself:
NAME Lost Name First Name
Lost Name First Name me
ADDRESS ADDRESS
Street City City Zone State
TELEPHONE TELEPHONE AGE SEX
Indicate a any additional information about yoursel dditional information about yourse ling any special ng any special experience, which might be pertinent.
0HE 2 st
Is
When and to whom did you report that you had seen the object?
Day Month Year

Page 7
Date you completed this questionnaire: 15 7 Es"
Day Month Year 1
the specific points of the
questionnaire or a narrative explanation of your sighting.
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Page 8
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DR/JULY8
NORT4 BRNSUCKNT.
FTD (TDEW)
Wright-Patterson AFB, Ohio 45433
14 July 1965
North Brunswich, New Jersey
Dear Mr
Reference your observations of unidentified flying g objects. In
your letter of 8 July 1965 you did not give sufficient information
for evaluation. Therefore, it is requested that you fill out the
attached FTD FOr 164 and return it in the envelope provided, in
order that we may make an evaluation eciates
est in subject.
NT MOWO Sincerely, Sincerely,
S
T MOO
HECTOR QUINTANILLA, Jr QUINTANILLA, Jr 2 Atchs 2 Atchs
Major, USAF 1. FTD Form 164
Chief, Project Blue Book Chief, Project Blue Book 2. Retur 2. Return Envelope
NO.SRUn 5 PRAY
JUL _8
NEN PM FOR
1965
N.J. PEACE
H6. of U.S.A.F.
he 1003609
EW

U.S. AIR FORCE INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer questions as you possibly can. The information that you give will
be used for research
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary may contact you for further details.
When did you see the object? . Time of day:
Hour Minutes
li2 (Circle One): A.M. or C P.M.
Day Month Year
3. Time Zone:
(Circle One): Eastern (Circle One): a. Daylight Saving
b. Central Standard
c. Mountain
d. d. Pacific Pacitic
e. Other Other
4. Where were you when you saw the object? Where were you when you saw the object?
Nearest Postal Address Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) How long was object in sight? (Total Duration) !
Hours Minutes Minutes Seconds
a. a. Certain c. Not very sure c. Not very sure
b. Fairly certain d. Just a guess d. Just a guess
5.1 How was time in sight determined? . armined?
Yes No
What was the condition of the sky?
DAY NIGHT
a. Bright a.
b. Cloudy *
(Circle One): a. In front of you d. To your left
b. In back of you a, Ovarhead
c. To your right f. Don't remember
FORM
FTD OCT  164 This form superaedes FTD 164. Jui 61, which is obsolete.

Page 2
8IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
A few b. Dull moonlight
Many c. No moonlight - pitch dark
Don't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds d. Snow
e, Don't remember
10. The object appeared: (Circle One):
a. Solid d.As a light
Transparent e. Don't remember
c. c. Vapor Vapor
if it appeared as a light, was it brighter than the brightest stars? (Circle One): .if it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same c. About the same
b. Dimmer d. Don't know d. Don't know
11.1 11.1 Compare brightness to some common object:
1 /
12.The edges of the object were: 12. The edges of the object were:
(Circle One): a. (Circle One): a. Fuzzy or blurred Fuzzy or blurred . Other e. Other
Like a bright star
c. Sharply outlined
i d. Don't remember
Did the object: (Circle One for eoch question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Page 3
.Did the object disappear while you were watching it? If so, how?
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know: IF you answered YES, then tell what
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things gbout the object:
.Sound
b. Color b. Color
We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
much of the object is covered by the head of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head? sighting, how much of the object would have been covered by the match head?
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details 19. Draw a picture that will show the shape of the obiect or obiects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especiatly exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
Olive
Ord

(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
hink you can estimate how far away from you the object was?
(Circle One) Yes No
IF you answered YES, then how far away would you say it was?
Where were you located when you saw the object? . Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (trype) e. Flying over a city?
At sea f. Flying over open country?
f. Other g. Other
2. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you movi Circle One) rcle One)
a. North c. East .South South g. West
b. Northeast d. Southeast d. Southeast f. f. Southwest h. Northwest h. Northwest
24.2 How fast were you moving? 24.2 How fast were you moving? _ _miles per hour. miles per hour.
24.3 Did you stop at any time wh l you were looking at the object?
(Circle One) Yes Yes No
25. Did you abserve the object through any of the following?
a. Eyeglasses a. Eyeglasses Yes e. Binoculars Yes No No
Sun glasses Yes f. Telescope Yes No
c. Windshield No g. Theodolite Yes
d. Window glass Yes No h. Other
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
(3 7

when you first saw it. Place a "B' the compass where you last saw the object.
90° 75•
60
NE
E
15 SW
S5
28.
path, a "B" at the end of the path, and show any changes in direction during the course.
t 7
0- O-②
-
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture oi how row to show the direction that they were traveling.
7 7 0
E2 NA
T
0N.