PROJECT BLUE BOOK

1. DATE - TIME GROUP

1S Boy 1964 1231 PH
3. SOURCE
ivilian
NUMBER OF OBJECTS

One
LENGTH OF OBSERVATION

2. LOCATION

10. CONCLUSION

3%) seconds
TYPE OF OBSERVATION

Ground-Visual
COURSE

Stationary
PHOTOS

O Yes

PHYSICAL EVIDENCE

0 Yes
Ki Ne

FORM

Silver object with glass cone.
Disappeared suddenly.
outlined, solid,

tation

ary

INSUFFICIZNT DATA FOR EVALUATION

Quality of information low degree.
and letter such as 1221 FP.(niz
11. BRIEF SUMMARY AND ANALYSIS

an NW at 60 deg e]

FTO sep 63 0-329 (TDE) previous editions of thie form may be used,

1*

Flame coming out of bottom,
Dimmer than brig test star. sharply
srratic motion. Buzzing sound.

. .
wlT 7 oO,

cea a~
B48 3 |
gaa 2

oe v
48 = ae
Pa Et “ft
ate Ge
Eo ® 3 is
16 eae

a= =

Inconsistanckes in revort

. -4aga 6

30. Have you ever seen this, or a similar object before. If so give date or dates and location. |
Aye |
5
‘
31. Was anyone else with you at the time you saw the object? (Circle One) Yes (
31.1. IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
5
5
|
32. Please give the fol | ba an tibae aaes |
NAME al ys:
Lost Name Middle Nome |
CO S77 Oneges
ADDRE up ae Suet mule Cag

Street City Zore State

TELEPHONE NUMBER Sr 4  // gry a> ae

indicate any additional information about yourself, including any special experience, which might be pariinenr.

CPR, eI O18. 8. EIS OR Ce

oP iO ae Smee

7 > re Pen ee Oe Crea on

a

ote «

EE ET ee Se ee eee = as

33. When and to whom did you report that you had seen the object? Dro neo bee :

28 Mars AGU

Day Month/ Yeor

ne Hee eee eee 8 ee

35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.

SE ee 2 ee ee net. A. Co a Cee

——

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Se

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:

See

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FID (TDEW)

Wright-Patterson AFB, Ohio 45433

20 October 1964 -

Salem, HUE SA fh aes ;

ide? Charles, 7 cs i 3 : be :

this is in response to your letter sok seriiie & sighting of an se

unidentified object on 15 May 1964. Weare sorry for the delay, — .

repent dd it was Ah okagdtad ds for “ne! letter: to be rerouted several...)

Your heserigttnn fry a tncorcatine ast d4Avnoe locutain surtictent

detail to enable our analysts’ to make an evaluation. ‘Therefore;

we are attaching an FTD Form 164. which we request you complete

in as. mich detail as possible and return it.to the Air Force.

We are enclosing a self-addressed envelope for your convenience.

Upon receipt of the completed form, an attempt will be made to a a

aneice this sighting , em n hag Will be Ltadengy of our conclusions.

Also attached is a prochure ppplaining * ‘the ‘unidentified ‘Plying

object, programe! jee FN Ring ot, oo a

sincerely, of fa yar h ?

wed, x of Se! rs ' ee bo. nae ers

A NERAEDY cht th RC sa lt ey *3 Atchs

Major, USAF | | ; ees

Chief, hevial: Phenomena Branch | :
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U.S. AIR FORCE TECHNICAL 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 onswer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemed necessary, we may contact you for further details.

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1. When did you see the object? 2. Time of day: :
Hour Minovtes |
ow)
OF / /
et ®. CON a. hak ad (Circle One): A.M. or , i
spare Year |
3. Time Zone: ; .
" (Circle One): a. Eastern (Circle One): © Daylight Saving
b. Central | at. Standard
Cc. pa ol
Pacifie
® Other —

4. Where were you when you saw the object?

Sele nre Wicca.

City or Town State or County

.
ye ee we vrememeceny careen® wy De

5. How long was object in sight? (Total Duration) Se PE ae Bal} (ae

Hours - Minutes — ~ Seconds |
@ Certain c. Not very sure )
(b.) Fairly certain d. Just a guess i
s Ae
5.1 How was time in sight determined? OAs Oa Wied, A Le het: !
5.2 Was object in sight continuously? Yes — No iY
6. What was the condition of the sky? :
DAY NIGHT
G Bright @) Bright
b. Cloudy » Cloudy

q

‘
— OS ae aa”

7. IF you saw ing object during DAYLIGHT, where was the SUN located as you looked at the object?

(Circle One): a. In front of you d. To your left
b. In bock of you e. Overheod
(&) To your right f. Don’t remember

‘
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FTO OCT 62 164 = This form supersedes FTD 164, Jul 61, which Ie obsolete.

8. IF 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 ee a. Bright moonlight
b. A few | b. Dull moonlight

c. Many ¢. No moonlight — pitch dark
d. 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 Cr) |
| b. Hazy | 6g, mist, or light rain

c. Scattered clouds c. Moderate or heavy rain
d. Thick of heavy clouds d. Snow
| @. Don’t remember

10. The object appeored; (Circle One):

a.) Solid © dy Asalight .
» Tronsporent e. Don’t remember
Ge Vapor

11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):

a. Brighter: c. About the same
(8 Dimmer d. Don't know

11.) Compare brightness to some common object:

12. The edges of the object were:

(Circle One): a, Fuzzy or blurred e. Other
b. Like a bright star
¢.) Shorply outlined
» Don’t remember

13. Did the object: (Circle One for each question)
a. Appear to stond still at ony time? No Don’t know
b. Suddenly speed up ond rush away at any time? No Don’t know
c. Breck up into parts or explode? ae) Don’t know
d, Give off smoke? Don't know
e, Change brightness? No Don’t know
f, Change shape? Nc Don’t know
g- Flash or flicker? t Don’t know
h. Disappear and reappear? 9) Don’t know

fa Ce Lee ee

15.

16.

7.

18.

19,

Tell ina few-words the following things about the object:

Poge 3

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

i7 Sayed 5 ti ILin mid dx FT heb it was

fami
\i2 ;
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; _.._ EE KPA

— — —_- = te one oo

_—_--ooOoOoOo,O CC -- “eo -~+ooeo

Did the objeet move in front of gamething at any time, particularly a cloud?

(Circle One): Yes fo) . Don't Know. IF you answered YES, then tel! what
in front off 2 i

a. Sound

te ees) Ue ne Ngan ae rs ay a

We wish to know the angular size. Hold a match stick at arm’s length in line with a known object and nota 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? )

Miger thin Sane Stick ma tehes pe tbe gates,

Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object thet you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails.

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

A eee

rs oe

,
:
es

— — ee -

of ‘sb ae 4 ad

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

(Circle One) Yes (Ne) rT

IF you answered YES, then what speed would you estimate?

21. Do you think you can estimate how far away from you the gulest ® was?

(Circle One) fe» No d
>

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

-_—- oo - —-+-———- _—_--- + _-- nse ———

22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One): |
a. in the business section of c city? -

a. Inside a building : (%) In the residentiol section of a city?
b. Ina cor c. In open countryside?

=) Outdoors | d. Near an airfield?
d. In an airplane ligne): ~ . e. Flying over a city?

_e@. At sea Pilbceoe YI f, Flying over open country?

—f. Other ia a Aen Lee as g. Other as 4 neil Pool:

24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the followirg questions:

. 24.1 What direction were you moving? (Circle One)

a. North ftp a "se, Bost e. South ye West
b. Northeast ~d. Southeast f. Southwest h. Northwest |
. 24.2 How fast were you moving? — cee eS miles per hour. | ,

243 Did you stop at ony time while you were looking at the object?

d, Window glass Yes No h. Other Plane tig atify

26. 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, whe placed up in the sky, would give the same appearance os the object which you sow,
i415 Sne thibe c, that 1 Gxbinet Amagin

py, Wes Weerd, Rita Le AK, mek. Cte
6 IN Th Tc ey q bw Cor,

(Circle One) } ‘Yes No
25. Did you observe the object through any of the following? : | oo
o, Eyeglosses Yes No : e. Binoculars ~ Yes -- No af
b, Sun glasses Yes No ‘. f. Telescope Yes ' No
c. Windshield Yes No g- Theodolite Yes No
;

we Be Oe wos oe “ere

“8

.

7 Bis ite 5 ' Page 3

27. In the following sketch, imagine that you are at the point shown. Place an “A” on the curved line to show how |

high the object was above the horizon (skyline) when you firs? saw it. Place a ‘’B’’ on the same curved line to
show how high the object wos above the horizon (skyline) when you last saw it. Place an ‘‘A’’ on the composs
when you first saw it. Place a ‘'B’’ on the compass where you last saw the object.

90° 75°

28, Draw a picture that will show the motion that the object or objects made. Place an ‘‘A’’ at the beginning of the
path, o ‘’B’" at the end of the path, and show any changes in direction during the course.

= Ts =

29. IF there was MORE THAN ONE object, then how many were there? Lae a na
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

7 D =

——" = -
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