PROJECT BLUE BOOK

\

PROJECT 10073 RECORD
2. LOCATION

1. DATE - TIME GROUP

12 August 65
3. SOURCE
Civilim
4. NUMBER OF OBJECTS

Three
5. LENGTH OF OBSERVATION

10 Mirnttes
6 TYPE OF OBSERVATION

Ground-Vis ual
7. COURSE

Circling in small area
8. PHOTOS

Amrillo, Texas

10, CONCLUSION
INSUFFICIENT DATA FOR EVALUATION

accompanied by ringing sound. No other eae from this area,
alth oug Miv1N g — oy
11. BRIEF SUMMARY AND ANALYSIS

Three objects like m 1s circling in small area. One wert
away. Very poor data. “olor white with black streak. Ringif
sours .

Objects observed high in NW at 1:15 PM. Cloudy day. Sun in
back of cbserver. Objects disappeared behind clouds. Also
observed on & August. Object not in sight continously.
Data probably confused by the imagination of the observer. ne
witness, 12 yr old youth. Data obtained by 164 on fllow-up.
Duration reported was 9 minutes, 10 seconds.

9. PHYSICAL EVIDENCE

O Yes
EX Ne

FORM

FTD sep 63 0-329 (TDE) Previous editions of this form may be used.

—

Quality of information extremely poor, Witness claimed that object

34. Date you completed this questionncire:

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

oe

&.....

bara Fy PM: /
ae a Gat ail aie 3”
wl Vevat a Ks ft Fae
ay A © |
hy a ie’, a
aes es 44

at

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
c. Many ¢. No moonlight — pitch dark

d. Don't remember | ie d. Don't remember

9. What were the jethes ekadiwiens at the time you owe the object?

“CLOUDS (Circle One): = =—=<«~*‘;*‘( EATER (Circle One): ere
6, Chentiijriewtonn siti UG Oey
b. Hazy b. Fog, mist, or light rain

(é,) Scattered clouds. c. Moderate or heavy rain
d. Thick or heavy clouds — d. Snow

e. Don’t remember

d. Asa light
e. Don't remember

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

a. Brighter c. About the same
b, Dimmer -.. d. Don’t know

11.1 Compere 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
c. outlined

- Don’t remember”

13. Did the object: (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 re) Don’t know
d. Give off smoke? Yes . No’ Don’t know
e. Change brightness? Yes Don’t know
f, Change shape? Yes o Don’t know
3. Flash or flicker? Yes No” Don’t know
h. Disappear and reappear? Yos No/ Don’t know

-+<— eee ee ee = eee te we

ee ee

— a |

Re ler ere me eg ee Ath Ere ey 50 Ce APE Op rgeEey

Page 3

14. Did the object disappear while you were watching it? If so, how?
THEE DbIETS fe ForCITIN Two b¢SH/PEAKED

BEFORE ERPTERIAG CLOUPS.

Fd CLlowJdS

uel DHE fl SOTUEHKEDY

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

(Cirele One): (Yes/ No Don’t Know. AF you onswered YES, then tell what
| it moved behind: _t& iis) Ti ease
; PEST Se Re 2
16. Did the object move in front of something at any time, particularly a cloud? epi ia |
(Circle One): - °° (Yes) > No Don't Know. IF you answered YES, then tell what |
PG@ TEC fe ALELLEDL below Clgu2’S

in front of:

17. . Tell in a few words the following things about the object:
' @ Sound
~ b, Color a

Se ee ee

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?

LIAR OW nt

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

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

: ~
- -@ ae .
- _ . "
ge ae
A rd
—

o..

“lace le ea

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

(Cirele One) Yes | No
IF you answered YES, then what speed would you estimate?

21. De you think you can estimate how far away from you the object was?
OL How yy
(Cirele One) ‘Yes No

ew 2eT

7 IF you answered YES, hen sen for away would you say it was?

a a ee we ee ee eee tee

22. Where were you located when you saw the object?
(Cirele One): |

23. Were you (Circle One)

a. In the business section of a city?
b. In the residential section of a city?

c. In open countryside?

d. Near an airfield?

e. Flying over a city?

f. Flying over open country? Sitiow a
Other

_ @ Inside a building

d. In on airplane (type)
e. At sea

f. Other

24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 Whet direction were you moving? (Circle One)

‘@. North c. Eost e. South g. West
b. Northeast d. Southeast | f. Southwest h. Northwest

~

24.2 How fast were you moving? —______miles per hour.
24.3 Did you stop at any time-while you were looking at the object?
(Circle One) Yes No

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

. Eyeglesses Yes Kio” ss @-s« Binoculars . Yes (7 Pr.
b Sun glasses Yes <a f, Telescope Yes qe /
c. Windshield Yes > g- Theodolite Yes ise )
d. Window glass Yes Qoy h. Other

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, when placed up in the sky, would give the same appearance as the object which you sow

eee ee

a ee rn eee ee - —
:

Page 5

_ 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 /ast 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°

27. In the following sketch, imagine that you ore at the point shown. Place an “‘A’* on the curved line to show how
:
;

-— <o—

28. Draw a picture that will show the motion thot 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. . |
) Z Vi a

i .
oe 3 ie

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

— eee ee ee oe
:

o_o oe

30, Have you ever seen this, of a similar object before. If so give date or dates and location.

“ID

31. Was anyone else with you at the time you saw the object? (Circle One) )
31.1 IF you answered YES, did they see the object too? (Circle Gne) Yes No
31.2 Please list their names and addresses:

CMG J

i
pis Ok sg
: gre

Bier 3

32. Please give the following information abou? yourself:

NAME —« §§§§§ _
iret Name

Lest Nome Middle Nome
ADDRESS -_  _—— ee 5 ins cok i,
* Street City Zone State

ro a
TELEPHONE jee [\c\ a - —_il |} Gn oy Ao

indicate ony additional information about yourself, including any special experience, which might be pertinent,
Frevmmere o% BEY Seen VFC4* —<e

wet ee Arata AF E-

/
33, When and to whom did you report that you had sean the object?
Cg ng 2) De ee ee -
Day . tanth Your, . 7,
/ xt TD —nole_T Me ag LO Ama atratlr Jb fi, _<aztan,|
ba SF

L2: ote 4 idee te a bapa CAP C, oF
Sar MA”™. bac bbe —BASE PPS, Apndtiee r4lE_, T7AA >

—— es

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

Neen ee ae Ce =

~

t DAT

3 SOURCE

Civilian

—— ©

1. NUMBER OF OBJEC

TS

Twelve

es |

meee

PROJECT 10073 RECORD

E - TIME GROUP 2. LOCATION
°h juenst 65 25/0302 |

Amarillo, “exas

10, CONCLUSION

1. A/C Refueling Operation
2. Astro (STAR)

Refueling oreration from Cannon AFR operatine in area at®time of

v.

LENGTH OF OBSERVATION
lst Not Stated,
_lLast, about 1 Hour

report. These A/C are believed to be the cause of the moving lidh«s,
_|The j ’ ye} 14 viol ty 7.) ©
11.

BRIEF SUMMARY AND ANALYSIS

About. 1 doz@m lirchts in "VY" formntion.

oe All objects moved excqrt

é&. TYPE OF OBSERVATION one which was stetionor fer shout one hour. This obiect the
mwved to the North.

Groind—Visual

7. COURSE

ovine objects varied,
J Object Stationary

8. Protos

~*

'l Yes

KiXNo

+

9. PHYSICAL EVIDENCE

il Yos

FIKNo

FORM
1D step 43 0-329 (TDE)

Pre

vious editions of thia form may be used,

°
_

‘.
_—

{UNCLASSIFIED |

DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE

' ¢

~*~

«

AF IN: 22206 (27 Aug 65)S/rhg Page 1 of 4
ACTION: NIN-7 INFO: XOP=1, XOPX-8, SAF-OS-3, DIA- , ?
S$4B C111 PITU JAW RUWWJEUA1851 2382033-UUUU--RUEBHOA ; 588 |
ZNR UUUUU ‘US
‘ RR !
R 2381932 i
| tua
FM AMARILLO AFB TEX TET
{TL 4
TO RUEBHQA/ SECT OF AIR FORCE a a
i |
RUEBHQA/HQ@ USAF a c a,
RD i,
RUCDAQ/AFSC meh 3 ;
‘ a
RUWGALE/ ADC f ER
| AA i
- me
UNCLAS PRIORITY DS-H39 1 Tan!
l Alar ne ei
SECTAF FOR SAFOI USAF FOR AFNIN, AFSC FOR FTD SUBJECT: UFO SIGHTING | 7=;> oA oa
, = ae ee
Ao €1) ROUND | tpsya
(2) HEAD OF PIN | 7 |
(3) WHITE
(4) ABOUT A DOZEN LIGHTS
(5) ROUNDED V FORMATION
(6) NONE
(7) NONE
(8) NONE

PAGE E RUWJEUA1851 UNCLAS

AFHQ

FORM
4AN 65

0-309C

| UNCLASSIFIED |

| UNCLASSIFIED

DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE

|
|

AF IN: 22206 (27 Aug 65) Page 2 of 4

(3) NONE
Be (1) JUST HAPPENDED TO LOOK UP
(2) OVER HEAD 98 DEGREES

(S) ABOUT 45 DEGREES
(4) THREE MOVED FROM NORTH TO SOUTH, ONE CAME FROM NORTH TO

SOUTH. FORMATION SEPARATED OVERHEAD AND HALF WENT SW AND HALF

WENT SE. ONE WAS STATIONARY FOR ABOUT AN HOUR. THEN MOVED TO

THE NORTH.

©) PASSED BEHND TREES

m €6) SECOND THE LAST ONE ABOUT AN HOLR.
C. €1) EYE GLASSES

(3S) WA

D. (1) BETWEEN 2350 AND 2602 25 AUG 65 GNT
See nena

(2) NIGHT

Eo. 55 DEGREES N, 1281 DEGREES 74° W, SE SECTION OF AMARILLO, TEXAS

Fo MRS SOV), CPRE TABLE,

CONFIRMED BY HER TWO SONS, 16 AND ll.
He NONE

I. NONE

PAGE 5S RUWJEUA1851 UNCLAS

AFHQ 2", 0-309C | UNCL ASSIFIED |

| UNCLASSIFIED

DEPARTMENT OF THE AIR FORCE :
STAFF MESSAGE BRANCH
INCOMING MESSAGE

AF IN: 22206 (27 Aug 65) Page 3 of 4

Jo REFUELING OPERATIONS CONDUCTED BY CANNON AFB IN THIS VICINITY
TERMINATION 94552

Ke BASE FLYING SAFETY OFFICER. POSSIBLE A FLIGHT OF F-120S IN
FORMAT ION WITH A KC=159 PRACTICING NIGHT IN FLIGHT REF UEL ING»

THE TANKER REFUELING LIGHTS AND THE FIGHTER NAVIGATION LIGHTS WOULD

-

FORM A PATTERN SIMILAR TO THAT DESCRIBED. THE BREAK UP OF LIGHT
PATTERN INDICATES THAT THE FIGHTERS BROKE OFF UPON COMPLETION OF

REFUELING OPERATIONS. THE OBSERVER STATES THAT THE LAS? OBJECT
REMAINED STATIONARY
FoR ABOUT AN HOUR. THEN MOVED OFF TO THE NURTHe THIS 1S BELIEVED |
TO BE A STAR AND THE APPARENT MOVENENT A RESULT OF AUTOKINESIS
FF CAUSED SY PROLONGED OSSERVATIONS OF THE STAR»
G. (1) CLEAR, VISIBILITY GOuD
(2) SURFACE 200/13
. 6209 210/13
| . 12020 262/20

nw Toe

16222 26Y 10
22200 512/10
32220 3200/12

50202 280/55

: AFHQ ies 0-309C [ UNCLASSIFIED |

| UNCLASSIFIED |

DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE

—, ee

AF IN: 22206 (27 Aug 65)

(S) PAGE 4 RUWJEUA1851 UNCLAS
(3) NONE

(4) IPLUS

©) LESS THAN 2/8

(6) NONE

(7) STANDARD WITH SMALL SLBSTANCE INVERSION BETWEEN 142@9"
AND 15202.

NNN

N

NOTE: Advance copy delivered to DIA,

/ AFHQ axes 0-309C | UNCLASSIFIED |

Page 4 of 4

1. DATE - TIME GROUP

26 fuewst 65 27/0505Z

PROJECT 10073 RECORD
2. LOCATION
Amrillo, Texas

3. “OURCE
Civilian

{. NUMBER OF OBJECTS
8-10, 6-7

No. CONCLUSION
Other (AIRDS)

5. LENGTH OF OBSERVATION

5 = 7% Seconds

— —

B hoes of dull aluminum indicotes dimess),.
1]. BRIEF SUMMARY AND ANALYSIS

Saucer shaped obiect with rim around bottom.

(. TYPE OF OBSERVATION

Grouml-Visual

8-10 lirhts second has 6-7,
Observer out lookins for UFO's,
“bgects travelled in ‘iffermt directions.

7. COURSE

Not Reported

1 trees. Henorted duration 5<7 seconds,
in area at time of s'rhtinr.

at time of report. VUbjects color of dull aluminun,

8. FHOTOS

Tl Yes

KXNo

9. PHYSICAL EVIDENCE
1} Yes
XX No

FORM
TD sep 63 0-329 (TDE)

Previour editions of this form mar be used,

Flight, duration and description in accord with BIRD evaluation

lst sightin; ha
Shaped in semi circle or horsesh
Had ide previous sightines.
Yisappeared behin
No air traffic reportdd
No refueling operation in proerdss

TO

HEADQUARTES

AMARILLO TECHNICAL TRAINING CENTER (ATC

AMARILLO AIR FORCE BASE TExasS 7

SAF

UFO Sighting, 26 August 1965, Amarillo, Texas
Reference our message DS-H41, 30 August 1965

FTD( TDEW
Wright-Patterson AFB, Ohio 45433

1. Follow-up investigation failed to produce any relevant information.
The description of the formation sighted by Mrs. @MMMipresembled that
of a flight of fighter aircraft engaging in night refueling operations
with KC-135 tanker. Neither Cannon AFB, New Mexico nor Holloman AFB,
New Mexico, flew refueling missions that night.

2. Mrs. has been very zealous in reporting her sightings of
various lights in the sky. Previously her statements had been somewhat
confused, however, on this occasion she had prepared a set of notes to
aid her in making her report. I believe that her enthusiasm may render
her somewhat less reliable than a casual observer would be.

3. ‘rs. q@mmctated that she had devoted her evenings for most of
the week to watching for these lights. I am unable to establish any
well founded conclusions based on the evidence available.

VY, ALG

SEP 16 1965

UFO Sighting, 26 Aug 65, Amarillo, Texas

NCOIC Flight Safety Office
Amarillo AFB, Texas

Reference your message DS-H41 » Subject UFO. Your message stated
that additional information would follow. As of this date the

eT ae Laas Te =|: :
Sse CAL
. F .
ee

i followup investigative data has not been received. Request you
\ ze expedite information in order that an evaluation may be made.
od FOR THE COMMANDER
ca.
= c Z oe
| a ERIC T Py ee
. — Colonel, USAP
ore Deputy for Technology and Subsystems '
vad
=

ORIGINATOR: PP es wv __—ODATED = ae
TDEW/UFO MAS NTAN » JR

- eS Oe ae ae eens ae

UNCLASSIFIED Sree

DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE

AF IN: 27737(3lAug65S/ade Pg l of 4 |
ACTION: NIN-7 INFO : XOP-1, XOPX-8, Saf-OS-3, DIA-1(21(

MB HO77PTTU JAW RUWJEUA2 089 242 17 13-UUUU=-RUEBHOA ‘

ZNR UUUUU

P 242 1658

FM AMARILLO AFB TEX

TO RUEBHQA/SECT OF AIR FORCE

RUEBHQA/HQ USAF

RUEAGL /AFSC

RUWGALE /ADC
QT
UNCLAS PR!QR ITY OS -#41 ee
“ is
SCTAF FOR SAFO! USAS FOR AFNIN, AFSC FOR FTO SUBLECT 3 UFO | AA _|
FASA |}
SIGHT ING. : ad OT
mk a a
A, €4) SAUCER SHAPE W!7TH RIM AROUND THE BOTTOM weak
{Lb =
(2) APPROX IMATELY THE S{ZE OF A DIME HELD AT ARMS LENGTH $s
DSuG |
(3) OULL AL UM INL a
|

(4) FIRST SIGHT ING 813, SUCCESSIVE SIGHTINGS 6-7
(5) SEMI=CIRCLE OR HORSE SHOE

6) NONE

(7) NONE

PAGE 2 RW tUA2 089 UNCLAS

yoaw

AFHQ ms: 0-309C UNCLASSIFIED

AF IN: 27737(31Aug65 )

(8) NONE

€9) NONE

Bo €1) PURPOSEL Y LOOKING FOR OBJECTS DUE TO PREVIOUS SIGHTINGS

BY MEMBERS OF FAMILY

(2) DIRECTLY OVERHEAD

UNCLASSIFIED

DEPARTMENT OF THE AIR FORCE

STAFF MESSAGE BRANCH
INCOMING MESSAGE

(3) APPROX IMATELY 48 DEGREES = 45 DEGREES

C4) AT 0595 27 AUGUST
IN FRONT REMA!NED ON COURSE WHILE OBJECTS AT R
FORMATION DARYED

FORMATIONS TRAVELEO DIRECTLY N-S WITH SAME MANEUERS,.

{ (5) DISAPPEARED FROM

) 567 Se

3)

Co €1) V ESUAL

(2) EYE GL

(3) N/A

DO. €D 0505, 9533, 9549, 3639, 0619 GMT 27 AUGUST

(2) NIGHT

nm

RERO. 2 aa

CONDS
62 OUND

ASSES

0-309C

IN AND OUT OF FORMAT JON

VIEW BEHIND TRE

1965, OBJECTS TRAVELED NW=SE

I

mi

Se

(1) 1532E. 7TH, AMARILLO TEXAS

35D0EGREES 12°Ns 101 DEGREES 47°Ws SE SECT iON OF AMAR ILLO TEXAS

Oe

2 of 4

OBE CTS
AR ANDO SIDES OF

JN OTHER SIGHTINGS

19

UNCLASSIFIED

UNCLASSIFIED

DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE

AF IN: 27737(31Aug65 )

PAGE 3 RUWJEUA2 989 UNCLAS
(2) N/A
Ge ¢1) OBSERVERS ACCOUNT : CLEAR AND BRIGHT
(2) REPORT FROM AMARILLO AFB WEATHER OFFICE

WINDS SURFACE 292/10

6088 2108/25
19849 523/25
16909 52 3/5
29300 2833/5
39832 319/25
29993 318/ 35

C3) NONE

(4) MAUS

(5) NONE

(6) NONE

C7) STRONG RADIATIONAL INVERSION UP TO 5999 MS.
STANDARD FROM 5999 UP
H= J NON

Ke NCOIC FLYING SAFETY OFFICE

AFHQ 2, 0-309C UNCLASSIFIED

Pg 3 of 4

| UNCLASSIFIED

DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
WNCOMING MESSAGE

AF IN: 27737(31Aug65 ) Pg 4 of 4

THE INVEST IGAT 1ON- OFFICER WALL MAKE A PERSONAL VISIT TO THE

“ RESIDENCE, OF VS ila | AN EFFORT TO IDENTIFY AND 0& TERM INE
PAGE % RUWJEUA2 989 UNCLAS

—— oe

THE ORGIN OF THE REPORTED UFO. INFORMATION AVAILABLE FROM
461ST BOMB WG, AMAR ILLO CONTROL TOWER, AND AL BUGQER QUE
CONTROL CENTER iNDICATES THERE was NO TRAFFIC IN THE AREA TO
ACCOUNT FOR THE REPORTED SIGHTINGS.

ie NONE

ATAVTN TT . AT 7mtwromaA TA
4" . ADV RW. IL:

AFHO wt, 0-309C UNCLASSIFIED

——_——»

~ -_--—_—-_

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 cerial phenomenon that you have observed.
Please try to answer os 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,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details. . ;

= /

Minutes

Tim atte: 2
Hour

1. When did you see the object?

Day Month Year

(Circle One): A.M or (MD

3. Time Zone:

(Circle One): a. Eas (Circle One): a. Daylight Saving
Centra . Sactea
Cc. ntain

d. Pacifie

5.1 How was time in sight determined?
5.2 Was object in sight continuously?

6. Whar was the condition of the sky?
DAY NIGHT

fs. prin a, Bright
b, Cloudy

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

(Circle One): a. In front of you. d. To your left
, e. Overhead
c. your rignt f, Don't remember

FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which Is obsolete.

eee ee

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

¢. Many c. 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?

SEMA Ay tS RLS: FE Para ores

“cLouns (Circle One} =" WEATHER (Circle One):
a. Clear sky mee ale Shs 4. |
ae b. Fog, mist, or light rain .

- @. Moderate or heavy rain

d. Snow
e. Don’t remember

Ma,
d. Thick or heavy leeds

10. The object appeared: (Circle One):

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

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

a. Brighter: c. About the same

b. Dimmer

11.1 Compare brightness to some common object:

—

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. Appear to stand still at any time?
Suddenly speed up and rush away at any time?
Break up into parts or explode?
Give off smoke?
Change brightness?
Change shape?
Flash or flicker?

Disappear and reappear?

(Circle One for each question)

“Tes No oe : know

Yes No) Don't know
’ Yes .- Don't know
Yes Don't know
Ye Don't know
Don’t know

Yes No

Yes Can't new

a — ee we ae +

Page 3

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

me. Mame A OL“ APA ett Pod plu Ad ee lll, ML a (a &#. 4 s

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

(Circle One): Las) No Don't Know. | IF, you answered YES, then tell what
it moved behind: . + fa BS i ee ©; A” 4s alt a oe" ed

—_— se ~~ oo ———'—6 ee Oe a ee ee em ee —— =
nr

“tee Te OTT te Seen —— =. ——

a

—

,

a

A

16. Did the object move. in front of something at ony time, particularly a cloud?
(Circle One): "Yes > Don’t Know. IF you answered YES, then tell what

- }~

«*

in front of:

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

a. Sound
b.. Colar ...

We wish to know the angular size. Hold a match stick at orm’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 mech of the object would have been covered by the match head?

19. Drew a picture thet will show the shape of the- object or objects. Label and include in your sketch any details
of the object thet you saw such as wings, protrusions, etc., and especially exhaust trails or yapor trails.

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

“3
Xe

Sana AAR Lol Nitec Bn 44.

Ee) lect,

0-00 - + ee ee

i ali ie RL al he Le i ee ee ee lee MF

Page 4

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

(Circle One) Yes iD)
IF you answered YES, then what speed would you estimate?

21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes &> |

be Steere me
‘-

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

————o to ~~ *

23. Were you (Circle One)

22.” Where were you located when you saw the object?
 (Cirele One):

a. In the business section of a city?
b. In the residential section of a city? _

a. Inside a building —

b. Ina car ¢. In open countryside?
& Outdoors d. Near an airfield?

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

e. At sea f. Flying over open cou

f, Other

24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following Speeytons

24.1 What direction were you moving? (Cirele One)

a, North | c. East - e. South — g. West

b. Northeast d. Southeast f. Southwest *
24.2 How fast were you moving? ee. Ame per hour. |

24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yer

25.- Did you observe the object through any of the following? oe | et = Re eR

“Ya. Eyeglasses ere fi» “=~ @. Bineculers  —S_—. Yess No} if #
b. Sunglasses Yess (No) f. Telescope Yes fo) ©
— >

ce Windshield Yes No” g- Theodolite Ye f) PL $ Sscn
d. Window glass Yes CNo h, Other —<aaathael eye

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, when placed up in the sky, would give the same appearance as the object which you saw

a ecgAra FL ikea
mgr 8 LP? CLI e200 oa

_— omer eee

= _— —< —  -  ,.. o  e  e e
, ‘

= @y in | ie tl - nadia eal -

Page 6

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

31. Was anyone else with you at the time you saw the object? (Circle One) {es No
31.1 IF you answered. YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and oddresses:

-

<-¥ ' a aa |
- : t 4
= = Sy 4 ee # 4 ee be:
*. “~€ ar 4
Pa = : a **

32. Please give the follawing information about yourself;

a

NAME ©
ea.

ADDRESS «ane

a

- ~~ eee or eee ee ee 0 oe

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

figalte

ne es ee | + ee - -

33. When and to whom did you report that you had seen the object?
£2 Latipgitid oD

Voy honwh Year

a eo Ta I ORE BRT ee

Page 5

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 line to
show how high the object was above the horizon (skyline) when you /ast 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°

28. Drow a ieee rea will show the motion that the object or objects made, Place an ‘‘A”’ at the beginning of the
path, a '’8”* at the end of the path, and show any changes in direction during the course.

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

ee eee ees ee RP ere  e CETIME  eme pe a gg

Dfigo0 ge - Pr ARO TEES Fen

U.S. AIR FORCE TECHNICAL INFORMATION

. This questionnaire has been prepared so that you can give the U.S. Air Force as much 7 |

Fr information as possible concerning the unidentified aerial phenomenon 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 not be used in connection with any statements,

~ eonclusions, or publications without your permission. We request this personal information so —
that if it is deemed necessary, we may contact you for further details. . eaten ith kes xeus

1. When did you see the object?

{Zz Ave CH 5 c
Day _

Month is

3. Time Zone:

(Circle One): a. Eastern (Circle One): a. Daylight Saving |
b. Central b. Standard
¢c. Mountain
d. Pacific
e. Other —

4. Where were you when you sow the object?
ae _AAAAIZLE quae?

State or County

5. How long wes object.in sight? (Tetel Durction)

a. Certain c. Not very sure
diene ch Fairly certain d. Just a quess
5.1. How was time in-sight determined? Ue Krew :
Yes A No

6.. Whot was the condition of the sky? :

DAY | NIGHT
.a. Bright |. a. Bright

(BY Cloudy b, Cloudy

__§.2 Was object in sight continuously?

—-

7. IF 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 left
b. in back of you | e. Overhead
c. To your right f, Don't remember

OM oH A/

FORM
FTD oct 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

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Ta > ---es= : a ee me .

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et ACS tae