PROJECT BLUE BOOK

1}. DATE - TIME GROUP

14 Mer 64 24/0543-
3. SOURCE

ivilian

4. NUMBER OF OBJECTS
one

5. LENGTH OF OBSERVATION
30 seconds

46. TYPE OF OBSERVATION
ground visue!

7. COURSE

bast

8. PHOTOS

0D Yes
B Ne
9. PHYSICAL EVIDENCE

0 Yes
0D Ne

FORM
FTD sep 63 0-329 (TDE)

2. LOCATION

\ 2 Tas Daw 4 "
tt VE SpPyrings

10. CONCLUSION

i ITROR ; Prurs
* 4 aWrw ee oe
—_—e—_—_—- Coo"

conversection With witnes

11, BRIEF SUMMARY AND ANALYSIS

+ - *&

c “at or
~et ~—«

Revorts obpservaticn in ictter :

Pe RAI ae - . an
SigNvalg Che <j

Previeus editions ef thie form may be used,

Evi. lueted es probably # /|

20. Do you think you can estimote the speed of the object?

(Circle One) Yes No.

IF you answered YES, ther what speed would you estimate? ___

-———

—

——_— _—

21. Do you think you can estimate how far away from you the object wos?
ae
(Circle One) Yes ‘No
‘ PEERS

IF you answered YES, then how far away would you say it was?

22. Where were you locatsd when you sow the object? 23. Were you (Circle One)

(Circle One): ;

a, In the business section of acity? l

a. Inside a building (bs In the jasideriisi section of « erty? '

b. Ina car. c. In open countryside?

_ &. Outdoors | 4d, Near on airfield?

d. In an airplane (type) 8. Flying over a city?

*. At sec f. Flying over cpen country?

f. Other is — < g. Other __ ee seek ianaceeeas ea al |
speek daa ih re - 7 ee eae meas
24. IF you were MOVING IN AN AUTOMOBILE o: orher vahicle ot the time, faen complata the following questions:

24.1 What direction were you moving? ‘Circle One} fds

e. South

"
-o~—est «8? So «8 F ooome

a. North c. East 3. West

b. Northeast d. Southeosr f, Southwest h. Nosthwes?

24.2 How fast were you moving? — miles per hour. |
24.3 Did you stop at cny time while you were looking at the object?
,
(Circle One) Yes No
!
FI a claritin cleat a
25. Did you observe the object through any of the following? |
co, Eyeglasses Yes No e. Binoculars Yes Neo i
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other __ = ea, '

—_——- + ---—-—- -

26.

In order thet you can give as clear a picture as possible of what you saw, describe in your own words a common

object of objects which, when placed up in the sky, would give the same aopeagrance as the cdject wrish ) ou vem

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27. In the following sketch, imagine that you are at the point shown. Place an “°° on the curv! line to show how
high the object was above the horizon (skyline) when ycu firs? saw it. Picce sc ‘t)’’ on the sume curved line t-
show how high the object wos above the horizon (skyline) when you last saw it. Place an “'.4”* on the compass
when you first saw it. Place a “'B"’ on the compass where you /ast saw rhe object.

90°

TS°

28. Draw o picture that will show the motion that the object or sbjects mac's, Place en ‘A’ ut the hegiantag of tre
path, o ‘‘B"’ at the end of the path, and show any changes in direction during tha course.

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29. IF there was MORE THAN ONE object, then how many were there? eee Serer on
Draw a picture of how they were orranged, and put an arrow to show the direction thar tney ware Hevoling,

CO ee ere ee aa

Have you ever seen this, or a similar object before. |f so give date or dates and Iccation.

: fas Pa ee . -
. An L on j Tan wou by ee
31. Was anyone else with you at the time you saw the object? (Circle One) Yes a No
31.1 IF you answered YES, did they see the object too? (Circle One} Yes No

31.2 Please list their names and addresses:

————_ +- -—— ae ee ee

32. Please give the following information cbout yourself;

ADDRESS

Street City Zone St cae

TELEPHONE — AGE £7 SEK —

v o « ae . A ’ : (w¢

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33, When and to whom did you report that you had seen the object?

-

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—

Day Month Year

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he Mw he eR Ng! OUT Wee © ee OOo eee eee

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Uiril

Additional information is essential for evaluation of your sighting.
| would you please complete the inclosed form and return it to Hq Air Force,

SAFOI-PB, in the envelope provided.
Thank you for reporting this unimown object to the Air Force.

Sincerely,

HECTOR QUINTANILLA, Jr

Captain, USAF

Chief, Aerial Phenomena
Brann

en -

or: “-

— $e Ste sees 6 ert . ou eee et -. 0 CE ee ee :

U.S. AIR FORCE TECHNICAL iM FORMATION

This questionncire has been prepared so that you can give the U.S. Ai Force as much
information as possible concerning the unidentified cerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information thor you give wil!
be used for research purposes. Your nome will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal infornittion so
that if it is deemed necessary, we may contact you for further details,

’
SED Seas: we. ae

<== EE SSS 6 SS SA SES ISTE Rt Se ea ee
/ : MB
1. When did you see the object? 2. Time of day: : DSc As
. Hour Minvtes
og) ty My + ef ye sa
, sty 2e* A J [7 - oe ‘Circle Ora}: “ / A.M ; or PM,

Day Menth Yeor Rie ase?

— oe

3. Time Zone:

(Circle One): a. Eastern ° (Circle One); a. Daylight Saving
'b. Central © _b&, Stondard >.
c. Mountain aa
d. Pacific
e. Other %

+ —_——_oo — —_—_ e. - —_—_— —_— ete

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ee See

|
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4. “here were you when you saw the object?

oo tah «ee

; f : ay ;
_e eee —_—— — : - : - - na — = - od ft; me . —_ ‘ A . = KW be .
| Necres? Postal Address City of Town Stare or ini y :
5. How long was object in sight? (Total Durotion) =
Hours Minutes Seconds ‘
Ae '
a, Certain c. Not very sure :
—b. Fairly certain d. Just a guess

Oe et ES HH

5.1 How was time in sight determined? _ “i Lod

L-

5.2 Was object in sight continuously? Yes Né eo .

— ae -- A a a li ——-

6. What was the condition of the sky?

DAY NIGHT _
a. Bright a. Bright
b. Cloudy b. Cloudy

Se ee *-

7. IF you saw the object during DAYLIGHT, where wos the SUN iocoted os you looked at the obiact:

(Circle One); a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don’: remember
cco De ONCE ER ORE: 5

FTD oct 62 164 Thie form supersedes FTD 164, Tul $1, which is chaole »

Cheat. ele del sli id

Poge 2

8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One):

a. None

b. A few . po
2 Pi a a RR aaa aac
d. Don't remember

8.2 MOON (Circle One):

a. Bright moonlight

b. Dull moonlight

¢. No moonlight — pitch dork
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 @. Dry’ +. ey 7
b. Hazy — b, Fog,-mist, or light rain

c. Scattered clouds Cc.
d. Thick or heavy clouds d,
| e.

10. The object appeared: (Circle One):

a. Solid. . d. Asa light
b. Transparent e. Don't remember
c. Vapor

Moderate or heavy rain

Snow

Don’t remember

1]. If it appeared as a light, was it brighter than the brightest stars? (Circle Ons):

a. Brighter
b. Dimmer

11.1 Compare brightness to some common object:

—_——_—_--—_-—

c. About the same
d. Don’t know

12. The edges of the object were:

(Circle One): a, Fuzzy or blurred
b. Like a bright stor
c. Sharply outlined
d. Don’t remember

13. Did the object:

— a ee —_— ——

e. Other =

(Circle One for each 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
e. Change brightness? Yes No | Don't know
f. Change shape? Yes No Don't know
g- Flash or flicker? Yes No Den't know
h. Disappeor and reappear? Yes No Don't know

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14, Did the object disappear while you were watching it? If so, how?

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rr tt ee

,
4

Phy ef * 7 ~ / ,

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———- _ —--—~ + — —- - nm ee ee ee ee ee

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>
ew earn

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15. Did the object move behind something at any time, particularly a cloud?

(Circle One): Yes (Neo" Don’t Know, IF you answered YES, then vell whet
it moved behind; _.-._E

—-

nad

|
|
|
,

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l

16. Did the objeet move in front of something at any time, particularly a cloud?

Ss”

(Circle One): Yes ( No Don’t Know, IF you answered YES, then tel! wha:
in front of:

— — - —— _ ———- - -

-_-~—-- -- - - — ee ee fe ee me me

17. Teil in a few words the following things about the abjec?:

|
‘
|
}
'
}
;
'
‘
. ‘
Vine ~~ ome — > e- : >> i. oe

Q, Sound a ‘ he a wainente
b, Color = sib a See SLC NEO RI SUNOS AONE ROE Pat ON OE LOY oo oe oe
13. Ye wish to know the cngulear size, Hold a match stick ot arm’s 'ength in dine wiih 3 hnove obiect and ora how ,
much of the object is covered by the heed of the match. if you had performad this experiman? at ine toe of th :
sighting, how much of the object would have been covered by the match heod? / }
;
4
:
i

7
i
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——s

’
19. Draw a picture that will show the shape of the object or objects. Label! and include in your skatch any cetolis

of the object that you saw ‘such as wings, protrusions, etc., and especially exhaust trai!s or vapor rraifs.

Place an arrow beside the drawing to show the direction the object was moving.

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LE EE A ETS EE ee we em “——e,