PROJECT BLUE BOOK

1, OATE« TIME GROUP ' 2. LOCATION
3 August 65 04/01302 Schenectady, New York
3. SOURCE 10. CONCLUSION
Givi Lians AIRCRAF?

4. MUMBER OF CBJECTS

9, PHYSICAL EVIDENCE

O Yes
XXNo

FORM
FTD see 62 06329 {TDE) Previous editions of this form may be used.

| aes, GEAR UNI ORY  t ta M a ae

Flizht duration and pore Poe of the cbJect in accord with a/;

Ona analysis.
5. LENGTH OF OBSERVATION |11. @R1Z# SUMMARY AND ANALYSIS |
2 Minutes Brights — ax white object about like 3d magmitude atar, PF:
6. TYPE OF OBSERVATION behind the white Licht was blinking. ‘Erratic motion in |
straight ‘flight from West to East at t 45 deg elevation, Speed
Cround=Vis ual estimated at 1,500 mph ami altitude above 20,000, yet duration

7. COURSE was 2 minutes. Second cbserver watched @ ject for 5 minutes

We oh i a i tics a

Page 5

——e se ee ewe ee ee ae ee rE a oe

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 first saw it, Place a ‘'B’’ on the same curved lina to
show how high the object was above the horizon (skyline) when you last saw it. Place an 'A’’ on the compass

when you first saw it. Place a ''B’’ on the compass where you Jas? saw the object.

o. | 5
a ies fo AS

~ >
. : 7 ‘ft 7 - : —
fe fe - : _ A
4 ; . ’

- eo: —_—_——_ ~_ —— --~-—--- —-- — —_ —_

28. Draw a picture that will show the motion that the object or objects made, Place an “A"’ at the beginning of the

eo <=. ue . a ee i et ee Pete me ew Ee eee ee EES Se ae or
.
-

path, a “'B”’ at the end of the path, and show any changes in direction during the course.

=. we. “+, = ~i9 t
/ Ff i meen in ash cs see LL et ALOE LEA LY “sy ;
| ¥ alt ta |
ee r d ; j = . ” - ae —
- * ~ < > lt —
ry
|
?
29, !F there was MORE THAN ONE object, then how many were thers? pic eae ee
Draw a picture of how they were arranged, cand put an arrow to show the dirsction that they were traveling. i
i
e : = :
’
; Oe or 7
i
|
}
eee eee eee SaaS

a a Flee lw st is oleh om - - oan = othe bl ay os aie

, aa 4 reeks abil Mite Lael ’ dpe , “la A | me eee epee: Tree -_

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

_ —

= _—

31. Was anyone e!se with you at the time you saw the object? (Circle One) ; = :

31.1 IF you enswered YES, did they see the ty too? (Circle One)

ee ee _-——

32. Please give the following information about yourself;

o
>

First Name Middle Nome

NAME

ADDRESS :

: il
TELEPHONE x0 RS me: SEX __. =

\ndicate any additional information about yourself, including any special experience, which might be pertinent.

Stote

—

33. When and to whom did you report that you had sean the object?

-
arm ee ee

wee ee ee

ee ee —— = — —— ——

Day Meath Year

Gear rlR oti at a Uomo ah

- ——— —
~—_ -—-=—--- as —

ses -_ ae) egg eee ee te es

|
|
oe

U.S. AIR FORCE TECHNICAL INFORMATION

This questionnaire has been prepared so that you can give the U.S. Air Force as much
informetion as possible concerning the unidentified aerial phenomenon that you have observed.
Plecse try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will mot be used in connection with any statements,
conc!usions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further datails.

i

° . ;
es ——— ee ee ee See ee eee ee ~

- - — . — _ ~ — —_ —_ Ee
= aE ws = nt ee PS SS So aoc a

1. When did you see the object? . ae Vie OF day? a, «|=
Hour Minutes

aa

(Circle One): A.M, or ift.M JZ

TS rn

Y ae"

=
(Circle Ona): Co-_pewlight Saving)
» standard

c¢. Mountain
d, Pacific
Se c

'
'

—— ——_--- —_—— — _—- _ - — _-—

4, Where were you when you saw the object?

a tn f= '
: ; _; ’ i t ’
- rc . 3 te ; :
we 3 eS / =. m”
= _—_———— —_ - —>---— - — >
Neorest Postal Address City or Town ; State or Caunty
4.
5. How long was object in sight? (Tota! Duration) So Mg Sees RE da
Hours Minutes Seconds
a, Certain c., Not very sure
pene t corain a
”%. Fairly certain ) | . Justa ene i. '
5.1 How was time in sight determined? COP, Fs Ps FLAS SN
5.2 Was obiect in sight continuously? Yes x a

_- mee — —— - —-- - - ee

6. What was the condition of the sky?

DAY NIGHT
a. Bright <a> _Brighr
b. Cloudy b, Cloudy

— es — + ed - — - wo +

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

A A la A ll ty ly lp la Al. le

(Circle One); a, in front of you d. To your left ~ ~ 3 oe
b, In back of you a. Ovarhecd od A) , ~ ~~ >
c. To your right f, Don't remember : Nm \GO 4 1

. :
Fe e ? ‘a

1) CT 62 i64 This fourm supereseiesn F TD los, Jul 61, which is oneviete,

_

a v » 2 -
. 4 , ‘ mies ie fs - ;
~ , a ’ 7 ey WF . in ee “ ~~ 4

Page 2

eh ee eee

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 a. Bri
b. Af 6. {Dull moonlight —
(6 Mary ; c. No moonlignt — pitch dark
"Don't remember d. Don't remember

eee ——_—_—_—_ - ll _- -——_——— ——_ —_—_ —- + --— - CF Or -—- > 2 - - - ee eo —s ——— _ —_— —— —™

9, Whot were the weather conditions at the time you saw the object?

~~
i
; ;
ee ee a ee ee ee ee ee ;

CLOUDS (Cirele One): WEATHER (Circle One):
ero a
fa, Clear sky ) (a. Dry >
oF. ate be~Fog, mist, or light rain
c. Scuttered clouds ¢, Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e. Don't remember

—— sr + -—_ + >_> --rtc( eC COCO —_——— —-- --— ~ ——

10. The object cppeared: (Circle One):

a

a, Solid cd. As a light >
b. Transparent e, Don?t ramember
c. Vapor

-——_— -—_-_--_— —— —_—_—_—<—<—- - -—_ ~—_— —

1]. If it appeared as a light, was it brighter than the brightest sters? (Circ! One):

a, Brighter c. About the same

“by Dimmer } d. Don’t know

11.1 Compers brightness to some common object:

’
pal i P
~ — fog |, _ x at : aes J ™,
owe Sa aera ee + 7
—- — a — — — ——
1 12. The edges of the object were:
: (Ciecle One): a, Fuzzy or blurred e. Other
b. Like a bright star a 1x
=,” Sharply outlined ) £ z
d.“"Dan’t remember Pa
i _ ——_— —— —
| 13, Did the object: (Circle One for ecch question)
a, Appear to stand still at any time? Yes No Don't know
bh. 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? Yos . No Don't know
a. Change brightness? Yes No Don’t know
: f. Change shape? ~ 123 No Don’t know
ee bo — > — : bs ’
< Flash or Hicker? } Yeas No Don't ~ieted
h.  DiFspaear and reappear? Yous No Den’t know
eS sts a aseeieimiieaicadinaaiidl EE 0 AEE SS ee ce
4 EEA RTM Teer ee a | ee Casitas, teste - a ie tnahin neni seg

Page 3

. ‘ ey \
. Di object di il@ you were w ing it? ) oe eek. mA 4 on |
14. Did the object disappear while you w atching it? If so, how? iy. 4 ~ 0

“a \ 7 - : ed J . MY “f * A |
ee oe Lt te EN ev RY) aoe) aw )
| ~~ we A - 3% ng ‘ :
a"

4 . , : 4

‘ te | \

ny —

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

(Circle One): Yes No ) Don’t Know. IF you answered YES, then te!l what

it moved behind: eh a Stadt a

—_ — - —_ a —_—

. od oe ae ate te eee

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

- 4

(Circle One): Yes. No }

in front of: tae 3 maaan me Wad

Don't Know. iF you answered YES, then tel! wnat

—— ——- - - C -- -- eee ee eee oer - --- on_— ss es eee ee ese se ee; eee

|
>
|
|
Dare 30) te ae -

17, . Tell in o few words the following things about the object:

.
rn | - 5 ™~, 4 er "
So; Sens - — ee
b, Col Tee Bag A aT |
e or . : . —_—<- -_ - oe oe

——_— — —= = _ —_——-

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 haad of the match. |f you had performed this experiment at the time of she

sighting, how much of the object would have been covered by the match head? an 5 eS
; = J 4 : >, | ‘ a 3 i 2 Fs
F. igntt ces “ur ~~ ba

<7

=

19. Draw a picture that will show the shape of the cbject or objects. Label and include in your sketch any detaiis |

of the object that you saw such as wings, protrusions, ete., and especially exhaust trails or vapor trails.

;
a pee 4S ie Sele ee Ee eS

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

“St

Se ee ee oe?

.

Page 4

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

(Circle One) Yes No

. IF you answered YES, then what speed would you estimate? wiat: oe Bee

21. Do you think you can estimate how far away from you the object was?
, arn,

; ‘
Circle One) ‘Yes & No
( ae ad i og ‘
IF you answered YES, then how far away would you say it was? i

wet ne ts,

—_—

22. Where were you located when you saw the object? 23. Were you (Circle One)

(Circle One):

a, {n the business section of a city?

a, Inside a building bh, In the residential section of a city?

sot Ina car c. jn open countryside?

€ ; Outdoors - d. Near an airfield?

d. ah olrplone (type) e. Flying over a city?

2. At sea f, Flying over open sapnivy? |

f, Other — @. Other 2 42. > | dense yee #' Deal

—_—=—_ + Or --- - - > > = —-

24. !F you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:

a, North c, East ~ '@, South g. West
b, Northeast d. Southeast f, Southwest h. Northwest

24.2 How fast were you moving? —_.__ smiles per hour.

| 24.) What direction were you moving? (Circle One)

24.3 Did you stop cot any time while you wera looking at the object?

(Circle One) Yes No

25. Did you observe the object through any of the following?

poe

c, Eyeglasses Yes No 2, Binoculars 5 Yes’ No
; b. Sun glosses Yes No — £, Telescope — Yes” No
c, Windshield Yos No g. Theodolite Yes No
d. Window glass Yes No h. Other

24. 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, whan placed up in the sky, would give the same appearance as the objact which you saw,

|
|

2 ee Oe eh ne Be ar re hoe
~
~
s

LO LE A OS A ES Le SNS I: A Ak ey

See PRE Y Garee er me

Page §$

eo ee ee ee ORE QO ee et OOF ee em =

27. In the following sketch, imagine that you are at the point shown. Pisce an ‘A’ on the curved ling to show wea
high the objact was above the horizon (skyline) when you first saw it. Place a ‘'B"’ on the same curved line to
show how high the object was above the horizon (skyline) when you last saw it, Place an ‘‘A’’ on the compass
when you first saw it. Place a 'B"' on the compass where you ast saw the object.

90° 75° 4 ;

od

*

60° ‘ “a

. rg
es wei 0?

28. Draw a picture thet will show the motion that the object or objects mode, Place an “‘A”’ at the baginning of the

poth, a "8" ot the end of the path, and show any changes in direction during the course.

.
ee ee ele ee eer Ek Oe ee Lee eR 6 ee) ee ee OO He ee Re ee a See ee Ee ER ae | ee cee
. - ° o +--+. - 2-602 eee - . —

= te re =e e:

-_—_- -_---__ ——_ — ee —_—_—__— -——_— er eee . ~— —e -
> :

29. IF there was MORE THAN ONE object, then how many were there? — RE, rete ee : :
Draw a picture of how they were arranged, and put an arrow to show the diraction that thay ware traveling.

'

>
FS Re mr ee tt Feet ote eet er nee § eee we nee oe a

eee Ss ee ee ee ee ee ee See rh) = eae eee Te yen laid ’ —————

-©¢

30. Have you ever sean this, or a similar object befors. If so give date or detes and location.

1. ym

} ; ail '

|

ai - - Oe kee 3 |

31. Was anyone e!se with you at the time you saw the object? (Circle One) (Yes | No |
31.1] IF you enswered YES, did they see the object too? (Circle Ona) Yes ) |

:

31.2 Please list their names and addresses: ied

r

_- ——— a ~_— —_-_o—

.
—— — ———— —_—

32, Please give the following information about yourself: '

I = Fh.

_ Last Name First Name Middle Name

; soos ;
ADDRESS — AREER SSS UO 5S AD Ge a

Street City * Zone State

TELEPHONE ———¥ pe

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

u
mM
><
i
i

a

: '
t
ee ee ee — et Ae a Ae ae ee eR ee ee ee

t
i
i
|

_— -- —_ _- — - —— oe =: ——

|
'

——

Co
bed

When and to whom did you report that you had seen tha objact?

‘
$a < —- — ~_—_ —

Day Month —.- Year

Bey. te ee . ~~ ee a nr ee ee te
-
4
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' ¥
8
7
ue
ot
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2
4
:
5
4

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Ripert Cees

REPLY TO
ATTN OF:

SUBJECT:

To:

HEADQUARTERS

23856th AIR BASE GROUP
UNITED STATES AIR FORCE

GRIFFISS AIR FORCE BASE, NEW YORK 13442

ROBO 11 August 1965

Unidentified Flying Object

AFSC
FPorsign Technology Div (TDEW)
Wright-Patterson AFB, Ohio 45433

1. The attached information is forwarded to your organization as
requested. The complete name and address of the correspondents is:

aectay, N.Y. 12303 |

Schenectady, N.Y. 12303
2. Also attached is copy of letter sent tc —z——”—Z~=e>: ( Ques

ie a,

FOR THE COMMAND

; ; ;
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Z AS » {4 /
aie 7 Lh io bp A
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/ we ale BRODER

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¢- 4 “wt or ie} a =. A. 1 Atch

Lt Colonel
Ch, Base Opé

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UNITED STATES AIR FORCE
OFFICIAL BUSINESS
AFSC )

.

Foreign Technolory Div (ToOEW)

th oes _ yeh
7

lees crit — tT he 5 oe oy : A wrt ‘21 owe 7 Be
wrignt-Patterson AFB, Ohio 45433

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LEE ORE A SOLE LE EN ET CC Ce Ee el
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This questionnaire has been prepared so that you can give the U.S. Air Force as much | | / i
information as possible concerning the unidentified aerial phenomenon that you have observed, |

Please try to answer as many quastions as you possibly can. The information that you give wil! |

U.S. AIR FORCE TECHNICAL INFORMATION

be used for research purposes. Your name will aot be used in connection with any statements, |
conclusions, or publications without your permission. We request this personal information so 7
pay i
that if it is daemed necessary, we may contact you for further details. i
: ‘
eS — = —~—— — — =——— = — —_ =——- — + ——— a
]. When did you see the object? Bk DT: OP OCS fn ak
Hour Minutes
<
AF C ae sine aie
7 ‘) O° fe i
sf iY i com enapiiner) aa (Circle One): A.M, or P.M. - i
Day Month Year ( e
| ~ |
3. Time Zone: Salar Fake Hae ee | Ot oT OL oe ee ciisaeaeiaaie
(Circle One): (Bosrecn) (Circle One): a. “Daylight Saving ?
b. Cantal b. Standard
c. Mountain
d. Pacific ;
e. Other
= _ — = a =e : ;
4. Where were you when you saw the cbject? :
‘
oa ; fe & i) at J : ¥ = .
S EF Pan ep / cet 7 ‘ fore , ¢ :
— de SE WEE Se cnthonmitie Linen TE ae. PI}
Nearest Postal Address City of Town - Stata or County
Ye ;
5. How long was object in sight? (Total Duration) Lite oo eee ~. aS ERS i
Hours Minutes Seconds :
° F _ am Span?
Certain ' (¢. Not very sure’) |
b, Fairly certain d, Justa guess
5.1 How was time in sight determined? ___ PBS me) PS Ee es a at
5.2 Was object in sight continuously? Yes 4, EE itl
we ar = ae,
5. What was the condition of the sky? ;
‘ ties.
DAY NIGHT
a. Bright a, Bright) |
b. Cloudy b. Cloudy
. “F aed Slane = AE aa ES a
7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? |
(Circle Ona): a. In front of you d, To your left
b, In back of you e. Ovarheod
¢. To your right #, Don't remember i

| PENAL Pip SSR ogi) SUAVE et

Page 2

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 a. Bright moonlight ) :
b, A few b. Dull moonlight | J
¢. Man c. No moonlight ~ pitch dark {
d. Don’t remember d.\ Don’ t remember >

oo. - —

What were the weather conditions at the time you saw the object?

CLOUDS Lo One): wigia sid pres One):
a Cleat sky. rae a, (By ~
b. Hazy . . bs Fog, mist, or light rain .
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow i
e, Don’t remember |
10. The object appeared: (Circle One): |
ae |
a, Solid d fs a light 3 |
b.. Transparent e. ‘Don't remember | | ‘
c. Y¥apor
bea — -——_— SE IEEEEEEEeEieeieeaeeee — |
1}. Uf it appeared as a light, was it brighter than the brightest stars? (Circle One): ‘ .
: .
a, Brighter cs ‘About ihe same
b. Dimmer d, Don’ t know
: 11.1] Compares brightness to some common object: 5
) Te L278 FPF wi A 7 Oe fe Ss soy
WL SS ee Cine cence beens Meta hi Biseke baslecnaice ws :
12. The edges of the object were: | . | |
| ‘aoe oy !
: (Circle Ona): . Fuzzy or blurred e. Other | el ho: Wie AE Bae 4 at
dzike a bright stor > SD a As AR 5 UR A”
0 Sock outlined t
d, Don’t remember :
i
——— — — — — — ; - wand ,
| | a Ps | |
| 13. Did the object: (Circia One for each question) |
; —s:
a, Appear to stond stifl ar any time? Yes \No/ Don’t know |
: b, Suddenly speed up and rush away at any time? Yes Ha ; Don’t know
i c, Break up into parts or explode? Yes : No. J Don’t know
d. Give off smoke? Yes He? Don’t know
: o, Change brightness? Yes ‘No’ Don’t know
| f, “Change shone? vos (Ne? Don't know |
; q. Flash or flicker? Yes No Don't know i i
i h, Olisappear and reappear? Yes No.” Pith Lccaass :

Lt ee eG al lel elem

Page 3

14, Did the object disappear while you wera watching it? |f so, how?

-—_—_-_--e_~-_--------- - -_—_——- -— — — —S=  o— eee _-——_— —--

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

(Circ!e One): Yes ( No Don’t Know, IF you answered YES, then tel! what
it moved behind: el er bel re r

—_-oeo-o —a —_-_- ——— a —_—_ —_ ror -

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

~
.

(Circie One); Yes (No fo Don't Know. IF you answered YES, then tell what
in Front of:

— —_

~—— _ + Cr [> 2 - *- mmm _—_ —_—_ -_-_ ae —_—_— ———_ — es

17. . Toll in a few words the following things about the object:

, 24
: Fé 4 > 7 fe 'S
a. Sound Pes si alee Fa al 4 4 /
- a :
pif a , , a2 to y gin ; ’ <9
S< ‘ ~ @ . i? ’ ; 4 7 ; . " £ r eo 7 J Ve yy “Opp 4
b, Color —— ao i 4 AF a a {A at BF ES ED eld OEP aa : ee. Seb eret | 4 — ee

F Fe ea ae Low ’ . " ‘
” -, a t a or Ss / iJ ¥ 7 te ts
‘ bel ig - 2
r Re NIT — ae DS 7 —_— —----_ ?

18. We wish to know the angular size. Hold o 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. |f you had performed this experiment af the time of the
_ sighting, how much of the object would have been covered by the match head?

of

> 2 fs 4-9 / ;

\

ae —-= —~

— —-

19. Draw a picture that will show the shape of the object or objects. Labe! and includa in your sketch any datails
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.

Place an crrow beside the drawing to show the diraction the object was moving.

ee ee ee ee Pree Ee ene ee EL ee ee

Re Bee

Rae em -

nigbiti

we ee

—— a ee eee

Page 4

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

(Circle One) ( Yes, No ich |
IF you answered YES, then what speed would you estimates? r q OD ty p Y

21. Do you think you can estimate how far away from you the object Was?
"iia

(Circle One) Yes, No ‘a
IF you answered YES, then how far away would you say it was? cs Oo kit / / ‘
nocanatney secant egni putin nnrenepman ee oe

22. Where were you located when you saw the object? 23, Were you (Circle One)

(Circle Ona):

a, In the business section of a city?
a, Inside a building Cb. ‘In the residential section of a city? >
b. Ino car c. In open countryside?
(¢.) Qutdoors- d, Near an airfield?

d. Inn airplane (type) e. Flying over a city?

e, At sea f. Flying over open country?

f, Other _— oe | g. Other
leita health onatiahderSietpinscscstodsminiontacninin eateries sti eee pokaiinahcausiane ilcipieeaicanes

24, IF you were MOVING IN AN AUTOMOBILE or other vehicie at the time, then complete the following questions:

-

24.1 Whar direction ware you moving? (Circle One)

a. North c. East e. South gq. West
b. Northeast d, Southeast f, Southwest h. Northwest
24.2 How fest were you moving? ay miles per hour.

24.3 Did you stop at any time while you were looking at the object?

| (Circle One) Yos No

25. Did you observe the object — any of the following?

te ee ee ee Ee ee ee

ee em oe ee ee me

é

a, Eyeglasses (Yes No e. Binoculars . Yes No
b. Sun glasses Yos No  f, Telescope Yes No
| c, Windshield Yes No g. Theodolite Yes No
| d. Window glass Yes No h. Other ie : 4.
26. order that you can give as clear a picture as possible of what you saw, describe in your own words a cammon
objsct or objects ° which, when pieced up in the aky, would give the same appecrance as the object ' which you saw

—
.
;
'

-
+

_
:

:

ee ee

Page 5

27. In the following sketch, imagine that you are ct the point shown. Place an "A" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place a ‘'B’’ on the same curved line to
show how high the object was above the horizon (skyline) when you Jast saw it. Place an ‘'A”’ on the compass
when you first saw it. Place a ‘'B”’ on the compass where you fast saw the object.

2
90 me

60°

30°

»/ A
iy | ante:

REFN SS ied 3eept 0°

~~ a.

ke

a ,

! fA

—_ —a =

en

—_ -_ SO ee er ere Cr  '- - - > ol

re ee ee re mm A ee ee a ee ee ee

28. Drow a picture that will show the motion that the object or objects made. Place an ‘‘A’’ at the beginning of the

path, a ‘'B”’ at the end of the path, and show any changes in direction during the course,

t4 ij
/ d -_—. -
es ia = hin 4
iss Ps FG r / Pe a f v
29, !F there was MORE THAN ONE object, then how many were there? _ es ht ee ;

—

Draw a picture of how they were arranged, and put an arrow to show the diraction that they were traveling.

7 Pe

a4 #4 » iAASe
3030, 1. Ausust 1905
“” - .

Inidentified Flying Object

Sehenectady, J.¥. 12503
Dear Mr. Cp

*

Thankyou for your letter concerning ‘he sigating on tae sicnt of 5 Aug 1703-

a

‘se information has been fommorted to che Air Force jsystema © Senmarae ? Veiga
Patterson Air Force Sase, Ohio, wao investigate wmnidentiric od flving objects.

Whey will make a complete study of your report and will commmicate with you
when the investigation i3 coumlicte.

Jnited States Air Force srmreciates the sise aad effort which you sxmend-
ny in providing information on Shis sisgsting.

» 4. RODGERS
> Colonel, USA?
Chie?, Base Operations % Training Tir.

~
3
Li

eee a ee eT OC ee

.

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 phanomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will sot be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is daemed necessary, wa may contact you for further details.

Be Re Re ee Ee ee ee ee oe ee et OEE Se EO 6 cee
a:
o . ——— = oe ee eo eee. -— o--

i
_ == SS = SSE ee — SSS se ES mgssens {
| “> re

1. When did you sae the object? 2. Time of day: ARES ae —_le., a
rour Minutes i
1 ans oa: ¥ 4
ce. YD oo ny 4's 2 ly lia. : Me fs Ne ‘ 7 ‘ ;
bx FE MO Sock * SOO oe | (Circle One): Ata or i P.M ,
Day 3 2 Month : Yoar tng :
j a | i
on AC Sennen a
3, . Time Zone: | i ee oe sete TORR Nam tia it ‘]
(Circle One): a, Eastern (Circle One a. Daylight Saving

“pb. Contra “b. Standard = i

c. Mountain :
d. Pacific |

a ne oe a :

—— _——— —~- - -— - - ~ = i

‘ ; = '

4, Where were you when you saw the object? i

a aa By he ae > i

rs = ma 2» Wwe bs * . a! -- / we | = — le eee se fe

earest Postal Address City of Town | Steta or County

. : /

— — -_ ——- > —— - = -- fiancee

ve,” . -* :

5. How long was object in sight? (Total Duration) eS eT = OS SS Be ee 4

Hours Minules Seconds :

a. Cartain c. Not very sure :

a b. Fairly certain ) d, Justa guess j :

: ° P. Sy a oe an Fae J
5.1 How was time in sight determined? NS reef” : >; aes :
. :

Bin Wg

5.2 Was object in sight continuously? Yes wv RRBs sie

nie sstiadieae wt Ms be i ee

6. What was the condition of the sky? ;

DAY NIGHT |

a. Bright 6... Brignty

= See = RA eee OEE ee

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

(Circle One): a, In front of you d, To your loft oS ny | |

b. In back of you K a. Overhead enn

. i ; = ;

c. To your right f. Don't ramembar

FORM « taal
rit) ocT 42 164 This form supersedes F TD 164, Jul 61, which is obsolete

bes EN IE Peem i nee.) Mtl Gee Ole ee a? Ten See eee a

————

8. IF you saw the object at NIGHT, what
8.1 STARS (Circle One):

a. None

b. A fow

Page 2

’
ON? | |

did you notice concerning ihe STARS and MO
8.2 MOON (Circle One):

a, Bright moonlight

<b, Dull moonli
c. No moonlight — pitch dark
d. Don't remember

—

——— ee eee a ere

9, What were the weather conditions

CLOUDS {Cirele One):

i Hazy
c. Seattered clouds
d, Thick or heavy clouds

—-e-

—_> -_——

at the time you saw the object?

_—

——

WEATHER (Circle Ona):

b. Fog, mist, or light rain

. - ow + e+ oe ee ore _

c. Moderate or heavy rain
d. Snow
e, Don’t remember

——

10, The object apoeared: (Circle One):
a. Solid
b, Transparent e. Don
c. Yapor

id. Asa light>

_ —=-- —

? remember

-_-_---

|

-_-

a. Brighter
C b, Dimmer

~

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

11.1 Compares brightness to some common object:

et — pen ceemet 5
ae. : 4

_——- - -—

- a eee ee

c. About the same
d. Don’t know

oe : : vee ( 2
| wd

_ —«

12. The edges of the object wers:

(Circle One): a, Fuzzy or blurred
b, Like a bright stor

—_-—---—-- --—— —_—- —_—_— ee _

e, Other

——--

13. Did the object:

Appear to stond still at any time?
Suddenly speed up and rush away
Break up into parts or explodes?
. Give off smoke?
Change brightness?
f, Change shape?
g...Fiashjor Niches?
h. Disappear and reappear?

x oOo Oo

re)
—_

ee 6 A ES (EDEN OIE: | EAMG He, FO ee emer ee ee a ee ew some Ee Ol Be RO 4 lta

Ww
-

;
;
}
:
|

—__—_~—

(Circle Gae for each question)

;
a Pe oe «asneabeee nemets us ee eee eee ae en eae ee ee te en ae eee eee Mee Tew eee CARA is 8 el ENR ED Os Si et a Ae i el Ee ER A ED ll SOI SBS

’ ,
Don't «now

Yes No
at any time? Yes No Don’t know
Yes No Don’t know
Yos No Don’t know ;
(os No Don’t know i
kt, Neo Don’t know
+, (2583 No Von't know
Yas No Don’t know

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

|

(Circle One)

=

No

Page 4

,

21.

I= you answered YES, then what speed would you estimate? _) |

wee ee ew eee

- -_ooe se -—-

Do you think you can estimate how far away from you the object

(Cire!e One) \ Yes i No

was?

!
IF you answered YES, then how far away would you say it was? 2. AK x s |
22. Where were you located when you saw the object? 23. Were you (Circle One) ,
(Circle One):
a. In the business section of a city?
| a, Inside a buiiding b, In the residential section of a city?
b, Inc car c. In open countryside?
| en Quidoers.,. ” d. Near an airfield?
p “4. In on airplone (type) e. Flying over a city?
e, At sea | f. Flying over open country? -
| f, Other wre g. Other S24 3 “N"* oP ce be te ss ' at

—— =

-» &
oe —_-----—-

24.

iF you ware MOVING IN AN AUTOMOBILE or other vahicle at the time, then complete the following quastions:

24,1 What direction were you moving? (Circle Ons)

g. West
h. Northwest

8, South
f. Southwest

a. North c. East
b. Northeast d. Southeast

kes — 90888 owes ~

miles per hour,

24.2 How fast were you moving?

24.3 Did you stop at any time while you were looking at the object?

(Circle One)

Yes No

25. Did you observe the ihiect through any of the following?

. Eyeglasses Yes No e. Binoculars iYes ; No

Sun glosses Yes No f. Telescope Yes No

- Windshield Yes No g- Theodolite Yes No
4. Window glass Yes No h. Other ‘

|
| 26.

———-

_- oo | —

—

In ordar that you can give as clear a picture a5 possible of what you saw, describe in your own words a common

a >, Y vote,

. t

object or objects which, when placed up in the sky, would give the same appearance as the objact which you 2

pal Se ig al a te:

“ft iN -