PROJECT BLUE BOOK

DATE - TIME GROUP LOCATION
August 1964 0100 Nansfield Center, Connecticut
3. SOURCE 10. CONCLUSION
Givilian SATELLITE
4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION I1. BRIEF SUMMARY AND ANALYSIS
15 Minutes Object was a very bright white and sharply outlined. It
disappeared over the hopizon it went behind a tree and
6. TYPE TYP E OF OBSERYATION reappeared. Had no sound. The second time observer sighted the
Ground-Visual object it appeared to jump or wiggle across the sky. object it appeared to jump or wiggle across the sky.
7. COURSE
Scutheast Southeast
B. PHOTOS
Yes
KNA
9. .PHYSICAL EVIDENCE
Yos
KXNo
FORH
FTD SEP63 0 0-329 (TDE) Provioua oditlons of this form may ba uawd.
2

02346
30. Have you aver seen this, or a similar objeet bafore. If so give date or dates and locatlon.
Rocalion clociat dak presible Inguat
31. Was anyone sise with you at the tima you saw the object? (Circle Ona) No
31.1 IF you answered YES, did thay see the objact too? (Circls Ona) No
31.2 Pleese list their namos and addresse
PFD# Hayaheld Center Conten
Conmintiant 00250 Conmintiont 00250
32. Pleasa givs he fellowing informarion about yourseif: 32. Plaase givs phe following informarlon about yourself:
NA
at Name Mddi Nama
MansfieldConterConneetiaut .
ADDRESS
Sireat City Zone 51=40
TELEPHONE NUMBER 12sEx Male
Indiears any addirional Information about youraeli, Including any spectal axparlence, which might be pertinenr.
.
33. When and to whom did you report that you had sean the objeet? 33. When and to whom did you report that you had sean the objecr? 1 Mothen
Aagustill4 Mothen
Day Month Your
11

Page 7
34. Date you complatsd this quastlonnaire: Dey Jacnary Mi5 Month Yoor
35. Information which you faal partinent and which is not adoquately covered in the spacifis points of the quaatiennairs or a narrative explanarion of your sighting.
Ibe accond tine t eighted he abjied
appcared to garnge or viggle 6
the aby () Nhis mig alr
aban eban
MCMIU
LRLOBORLLLLULOL

7
8eGnd
WUV2
Ain Mail tin Mail
0 R R rsem.
RFD/1 Manafield centerA RFDd1 Nanafield Center, PM PM a C 100
Conneeticut O625n Comneeticut O6250 JAND - URMAIL- U.SARMAIL 7 J
JAND .. -.
1965
ON 14
DEPARTENT OF THE AIR FORCE DEPARTIENT OF THE AIR FORCE
Officn of the Sccretary Officn of the Sceretary
United States Air Force
Heshington n c Washington D.G. 20330 902Z0
UFO
SAFOI
—

Mansfield Center
Connecticut O6250
December 14 , 1964
Dear Sir,
a sudden one of E the stars I was watching began to rove actoss the stars I was watching began to tove actoss
not air-
more novement in novement in
the it would stoo
again , The second time
report this until now because I did not SUDD sod to. :
Thankyou.
Since
Zhe

R S
Mansfield Center DECIS CON
AIR MAIL PM
RFDAL
Connecticut 06250 1964
Commander in chief of Commander in chief of SHFO1
Operation BLUE BOOK Operation BLUE BOOK
The Pentagon Washington D.C.
USAP
C

29 Decamber 1964
.
Dear
Referenoe is made to your letter of December 14.
Attached is FTD Porm 164 wiloh is used for re-
porting unidenttfled flying objeets to the Air Force.
This form should be flllad out as completely as Thls form should be fllled out as completely a3
possible and returned to thls ofrice for po3sible and returned to thls ol evaluation. evaluation.
Sincerely,
MASTON MASTON M. JACKS
Major, Major, USAP
Chier, Chiep Plotorial Branch
Public Informatlon Division
orfice of Information
1 Atch
FTD Form 164
RFD

.
U.S. AIR FORCE TECHNICAL INFORMATION
This quastionnaire has been prapared so that you can give the U.S. Air Force as much
informotion as possible concerning the unidantified darial phenomnenon that you havo obaerved.
Ploese try to answar as muny quastions as you possibly can. The information thot yeu give will
be used for resaurch purposes. Your name will not be used in connection with any statemenis,
conglusions, or publieations without your permission. We request this parsonal information se
thor if ir is deamed necassary, wa may contact you for further details.
1. When did you see the objecr? 1. Whan did yoo Bee the oojoctt 2. fime of doy; _
Hovr Minures Minuiss
(Circle One): (Circle One): A.M. or P.M
Day Month Yeur
A
3. Tima Zone:
(Circle One): (Circle One): a. Q. Eastern Castern (Cirele One): a, (Cirda One): a, Ooyligh! Soring Ooylight Soring
b. Contral Contral b. Stondard
c. Mountain
cl. Poclfic
a, Other
A. Where were y act?
GDi fild Gate Haail Cente Senmatient
Necreat Pciral Addrase ity or Town Srate or Couney
5. How long wes object in sight? (Total Duratlion) 15
Hours Minutes Seconds
. Cartain c. Not very sure
Fairly certain d. just a guass
5.1 How wos tine in sight dorermined? c
5.2 Was ebieer in sight condlnuously? Ya3 NoV
6.What was the condtrlon of the sky? 6. What was the condirion of the sky?
DAY NIGHT
o. Bright 5. 3. Bright
b, Cloudy Cloudy b. b.
N
7. IF you saw the cbject during DAYLiGHT, where wus the SUN locuted os you looked at ha object? 7. IF you saw the cbject during DAYLiGHT, where wus the SUN locuted os you looked at ha object?
(Cincle Onek a. ln froni of you d. Fo your left :
b. In bock of you . Overheod
e. To your right 6. Don't remember
FORM
FTO OCT 62 164 hs sm eaparaede PT0 (o4. Juk 6.2lsh 1a 0solta.

Pagu 2
8. IF you sow the object ar NIGHT, whet did you notice concerming the STARS and MoCN?
8.1 STARS (Cirele One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b AFw b. Oull moenlighy
CMan c. No moonlighi - pitch dark
d. Con'Tremember d. Don't romember
9. What were the weathar conditlons ot the tline you saw the objeet?
CLOUDS (Cirels One): WEATHER (Cirele Ona):
a. Clour aky .. (①
b. Wozy Wazy b. Fog, mist, or light rain b. Fos, mist, or light rain
c. Scotrared elouds Scutrared elouds c. Moderate or haavy rain
d. Thick or heowy clouds d. Snow d. Snow
Don't remember
1Q. The oblect eppaored: (Cirele One): 1Q. The oblect eppeored: (Cirele One):
a. Solid o. Solid As 0 lght .As0 Hght.
b. Transperent a. Uon'i romember
c. Yapor
1. If it appeured ea a light, was it brighter than the brightest stars? (Cirele One):
a.Brighter c. Abour the same
b. Dimmer d. Don't know
13.1 Compore brighiness to some common object:
12. The odges of the objact were;
(Circls One): a. Fuzzy or blurred Other
b._Likg a brigh ator
. Sharply cutined
d. Don fremember
13. Did the object: (Circle One for aoch question) (Circle One for aoch question)
a. Appeor to stond still at cny time? a. Appeor to stand still ot cny time? Yes No Don't know
b. b. Suddenly speed up ond runh owoy ot any time? Suddanly speed up end runh awoy ot any tlme? 95 No Don't know
c. Break up ints ports or explode? Yas Don't know Don't know
d. Give ofi smoke? Yes Don'tknow Don't know
8. 8, Changa brighiness? Yos Yos 00992 Don'tknow
Change thape? Yes 1009099 Don't lonow Don't lonow
g. S. Flash or ilickor? Flash or ilickor? Yas Yas Don't know
in. Discppeor ond reappear? Yes Don't know

Paga 3
yus
14. Did the objoct disappedr while you were vatching it? ff so, how?
the horizoa
The 7/
15. Did the object movs behind somothing of any time, particularly a cloud?
(Circle One): Yes) Don't Knoy, IF you answered YEs, then tell what
it moyed behind; c& Cheli
16. Did the objeet move in front of spmething at any time, porticularly a cloud?
(Cirele One): (Cirele One): Yes (N0 (N0) Don't Know, Don't Know, IF you onswered YES, thoa talt what IF you onswered YES, thou talt what
in front of:
17. Tall in a few words the fallowing things about the object: 17. Tall in a few words the following things about the object:
dif
18. We wish to know the angular size. Hold a mutch stick at arn's length in line with o known objoct and nags, how
much of the object is covered by the haad of the match. If you had performed this experiment of the tine, of the
sighting, how much of the object would have been covered by the match head?
th entis obit
19. Draw a plcturs that will show the shape of the object or objects. Label and includs ba your sketch any details
of the object thor you saw such as wings, protrusions, ete., and espacially exhaust trail ar vapor trails.
Ploce on arrew beside the drawing to show the direction the object was moving. Ploce on arrew cesido the drawing to show the direction the object was moving.
cobject Kobject
thovizon

4
20. Do you think you can ostimate the spood of the ebject?
(Circle One) Yes (NO)
IF you answered YEs, then what sperd would you estimate? 4NC
21. Do you think you can estimate how far away from you the object was?
(Cirele Ona) Yes
IF you answerad YEs, thon.how far away would you say ir was?
22. Whore were you locuted when you sow the abject? 23. Were you (Circle One)
(Cirele Ona): (Cirele Ona):
a. in the business section of a diry? a. in the business section of a ciry?
2, Inside a building b. In the residential section of a cily? b. In the residential section of o cily?
5. In a cor c. In opin countryside? c. (n opin countryside?)
e, Outdoors Ourdoors d. Neor on oirfield? d. Naor on oirfield?
d. d. In on airplane (typa) e. Flying over a cily?
e. At sed At sea 6. Flying over opan country?
L. Other. 1. g. Othar Other
24. IF you ware dOviNG IN AN AUTOMOBiLE or other vehicle at the time, then complate the following questions:
24.1 What direclion wore you moving? (Circle One)
a. North c. East . South West
. Northeast Southeast 6. Southwest h. Northwest
24.2 How fast ware you moving? _miles per hour.
24.3 Did you stop at any time while you ware looking at the object?
(Circls One) Yus No
25. Did you abserve the object through any of the following?
o, Eyaglasses Yes (No . Binoculars Yos No
b. Sun glosses No 1. Telescope Yes No
c. Windshield Yes g. Theodolite Yos No
d. Window glass d, Window glass Yas No h. Other
2. In order that you can give as claar a plcture as posslble of what you saw, describe in your own words o common 26. In order that you can givs as claar a plcture os posslble of what you saw, describe in your own words o cormmon
object or objects which, when placed up in the sky, would give the same appaarance as the object which you sow. object or objects which, when placed up in the sky, would give the same appaorance as the object which you sow.
eateblie
ysurface
y light aimty bright

high the objact was abows the horizen (akyline) when you first sow l. Ploce a "8" on the sane curvad line ts
show how high the objvet was abovs the horizon (skylins) when you last suw it. Place an "A'" on the compess
when you first saw it. Plase a "B" on tho compass whars you last saw the ohject.
60*
Nw
1S0
23. . Draw a plerure that will show the morlon that the object or objects made. Place on "A" ar the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the couras.
Surface of eawth
29. IF thars was MORE THAN ONE objeet, then how many were there? _
Draw a picture of how they were orranged, and put an arrow to show ths direction that thay wore traveling.
1