PROJECT BLUE BOOK

1, DATE - TIME GROUP

ee og A fnawe
4 d s

PROJECT 10073 RECORD
2. LOCATION

| eae

3. SOURCE

iyi lien

10. CONCLUSION
Ohler (i Hoy L

4. NUMBER OF OBJECTS

ae

liotion sn

ly
.

—-

5. LENGTH OF OBSERVATION |11. BRIEF SUMMARY AND ANALYSIS

' mae

4 ‘
bY ;

ihr Jieye } 7

6. TYPE OF OBSERVATION

rovnde iawn]

>: a]

7. COURSE

. 9 "
rr |

8. PHOTOS

n Yos
th No

9. PHYSICAL EVIDENCE

‘?t Yas
)_ No

FORM
FTD sep 63 0-329 (TDE)

Previons editions of this form may be used

Puga 3

; ; : ‘ : : P 3 af «tof
14, Did the object disappear while you were -atching it? {f so, how? Dheie obj cele Crh CLed

a id . PA ’ f ’ , 4
é A ‘ ~~ ff ; : 4 ,
: Offi il Sof /C¢ A pA ary c )} r / wads fe c« Le J hie ? ‘,7 “ic ttdsbl Jf ae wt
. rare ® g peste oS Le: SAGs oh. Ge pers ff e 2c cs th c 5 Lés JS he Seen 4 OF 7 ve
ok He re t jhe sf oF 44). Ci tele Slee bee we “ VF OS tee 473 oe a Rll all Pa Tien tof /eo> oe
= fr, “+ io . - — _ Pw
zit Jiliale (l49 CECI IF eS Pek “ om & DEIR 66bty Gt SSL Oe 49

,

-

— — — « ee Oe ee es | ee ee

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

(Circle One): Yes (No Don't Know. IF you answered YES, then tall what
it moved behind: “i

_—_— -

- --- ee ee eee

-— —— —

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

— rm a ce i i et ee + ee Les es ee ee = ss <n ee ae ee ee fae mm ees ee ee - - _— _-———

(Circle One): Yes f No Don’t Know. IF you answered YES, tha te!! wisat
in front of; ial es " —_ td a ee Beck esc gary cde
ae CT: on a ee ie, Were 2 PS ces |
17. Tell in a few words the following things about the object: 1
: a: Sound: 2.5. ES ERA SEEN Ee Es ORE SON ea EO I CT Tee es BNE |
, | b. Color de > er, y

ee

Pret SOR ARE

much of the object is covered by the head of the match. if you had pertormad this experiment at the time: at ee

j

18. Wa wish to know the angular size. Hold a match stick ot arm's length in line with a known object and ner. Sow
sighting, how much of the cbject would have been covered by the match head?

;

~~ ~~

|
:

19, Draw a picture thot will show the shape of the object or objects. Label and include in your sketch any details

of the object that you sow such as wings, protrusions, etc., and sspecially exhaust trails or vapor trails.
Piace on arrow beside the drawing to show the direction the object was moving.
a —. — —=
— % =
ee ve

|
|
, |
|

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

Jf ti“?

(Circle One) Yes (No “hy hi, ny / doses

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

— meee

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

‘ a
(Circle One) Yes No Pe eae A Jos mg f=.

' sf el tIrnélins Sis ig ten
IF you answered YES, then how far away would you say i? was?

22. Where were you locoted when you saw the object? 23. Were you (Circle One)
(Circle One):
‘ a. In the business section of a city?
a. inside a building | b, In the residential suction cf o city?
| b. ino car c. In open countryside?
c. Outdoors d. Near an airfield?
d. |n an airplane (type) e. Flying over a city?
| e. At sea | f, Flying over open country?
{ i, Omer... eke Dera g.. Omer... ss
24. !F you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circ/s One)
a, North c, East 8. South y. Wear
j b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? oes miles per hour,

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

(Circle One) Yos No
25. Did you observe the object through any of the following? : ol ich Pa * 1
o, Eyeglasses — Yes. # No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other me

ee me

in order that you can give as clear a picture as possible of what you saw, describe in your own words o commor

object of objects which, when placed up in the sky, would give the some appearance os the object which you sow

~~ -- + 7 ; -_ -_ oye

!eageyv

27. In the following sketch, imagine that you ore at the point shown. Place on “‘4'’ on the curves: line to show how
high the object was above the horizon (skyline) when you first sow it. Ploce a “'B’’ on the same curved line to
show how high the object was above the horizon (skyline) when you lost suw it. Place an ‘'A”’ on the compass
when you first saw it. Place o ‘'B”’ on the compass where you last saw the object.

|
+
90 ae

ise D |
'
re he
we
28. Oraw a picture that will show the motion thar the object or objects made. Pisce an (A ° ur the begining oF ihe

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

s A i

.

— _ —_—_— ee eee

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

ss << | = e ae —

Fage 6

30. Have you ever seen this, or a similar object before. If s0 give date or dates and location.

31. Was anyone else with you at the time you saw the object? (Circle One) Yes 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:

(ic | (, lly: var ermavalil lipid, Coan
fj?) :

Jf. } - .

ET yen + =
{

32. Please give the Fanewing information about yourself:

Los? Nome ~ Firat Name

Street City Zone State

I
TELE PHONE im ¢ Sao AGE = SEX

indicate any additional information about yourself, including any special aaperienca, which might be pertinenr.

Middle Name

NAME

!
!

s

PIE lh pe Coates talit ANON ap tae Pe Pin teal Mele welt athe tn ok as Pe le ore

ro Ad 4 '

-“°¢ — 7 ; ~ 7. ‘ R j “iis Swe j - ¢
a {Seo vt ad le f A og 4 } Ses wee 4 . é
4 ae “oe 4 t)/.0 LY « Ms : ae
/ , aa / & Ts Sf 4 ” aa
wy Sf , a 4
7 4 FH: ¢ 7 { se AD JStg’vt
33. When and to whom did you report that you had seen the object? ‘ /
Jf el C
- e J fia f . , / Wr of
ven e _— = . J / . *- . 4 \

Day Month Year

— ——_—_ - -——_——_ - -- --

Poge 7
34. Dote you completed this qestionnaire: 2 Z As
Day Month Yeor
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.

l—
\ i
por
Mrs. Hunt/man/SAFOICC/72842/13 Sep 65
MEMORANDUM FOR DIRECTOR OF LEGISLATIVE LIAISON, saFosSEP ! 4 1965
ATTENTION: Mr. Wilson
SUBJECT; UFO |
Attached is a proposed reply to Senator Dodd who re osted
information on the above subject on behalf oe ce
of New Milford, Connecticut.
SAFOI action officer is Mrs. Himt, extension 72842.
SERAL TEN
Leoord cy - SaFor-2
Comebk cy - SATOQI-2
Reader cy - SAPOT-]
Activity ey - SAFOI-2
Stayback

a a ae ee a ef

'
=.
~
.
=.
‘

Dear Senator Dodd:
Recently you requested information on unidentified flying edjects on

behalf of SMM: New Milford, Connecticut.

I am enclosing two copies of FID Form 164 which is used for submitting

UFO reports to the Air Force. Mr.@@@iiieshould complete this form as

completely as possible and return it to Bq USAF (arorce), Washington, D. C.,

20330. whe Air Force will evaluate the report and inform Mr. Uy of

the results.

I am enclosing the report on Project Blue Book, the Air Foyce UFO
project. This report depicts the status of this project to date.

I am happy to be of assistance in providing this information to

you.
Sincerely,

ah
é Disb Ory Contp/

FTD (TDEW)
Wright-Patterson AFB, Ohio 45433
14 September 1965

[ae 06776

Dear

Reference your unidentified observation of 21 August 1965.
The information contained in your recent letter was not
sufficient for evaluation. Request you fill out the attached
PTD Form 164 end return it in the envelope provided.

We wish to thank you for reporting your observation to the |

Pe Air FPorce.
<= |
co
Be’ Sincerely,
i Y
eh HECTOR QUINTANILLA, Jr
Major, USAF

at
*
=

OFF

Chief, Project Blue Book

|
|
|

Poge 2

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

| 8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight |
b. A few X b. Dull moonlight
¢. Many c, No moonlight — pieerterk
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):
x a. Clear sky xa. Dry
b. Hazy b. Fog, mist, of light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow |
i @. Don’t remember
| 10. The object appeured: {Circle One):
: ;
{ a. Solid < d. Asa tight 1
‘3 b, Trensparent 2. Don't romember
. c. Vapor
1]. if it appeared os 9 Jignt, was ) beightar then the brigntast srars? (Circle One):
Qa. Brighter c. About the same
+ b Dimmer d. Don’t know

11.1 Compere brightness to acme commen ablect:

| —— -— - ————

_- —_

12. The edges of ine object wears:

a. Fuzzy or dlurred e. Other
>. Like o bright stor

c. Sharply outlined
d. Don’t remember

(Circle One):

13. Did the object: (Circle One for acch question)
a. Appear to stond still at any time? Yes No Don’t know
b, Suddeniy speed up ond rush away at any time? Yes No Den’? know
c. Break up into parts or axpiode? Yas No Don’t know
i, d, Give off smoke? Yes No Don't know
—@, Change brightness? Yeas No Don’? know
f. Change shape? Yas No Don’t know
g. Flash or flicker? Yos No Don’? know
h, Disappear and raappecr? Yas No Don’? know

js es ee heel re ae ee ene