PROJECT BLUE BOOK

20. Do you think you can estimate the speed of the object?
(Circie One) Yes No
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 No
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 building b. In the residential section of a city?
b. In a cor c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g.
2IF you were MOVING IN AN AUTOMCBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
,

90* 7
NS
3
--
15 3W
S
Draw a picture that will show the motion that the abject or objects made. Placa an "A at the beginning of th Draw a picture that will show the motion that the object or objects made. Place an "A at the beginning of th
path, a "B at the end of the path, and shun any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many wers there? _
Draw a picturs of hov they were arranged, and put an arrow to show the direction that they were traveling.

Dage 6
30. Have you ever seen this, or a similar object before. If so 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 tha object too? (Circle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME
Firsf Name Middla Name
ADDRESS
Street City Zone State
TELEPHONE NUMBER AGE SEX
33. When and to whom did you report that you had seen the abject?
1/
Day Month Yoar.

thin it

Rocks Oregon 3 Te
N
Dear
We are reviewing our sightings for 1965 and the reports of your rSs+
ll November sighting received by us did not contain sufricient
data for avaluation. Would you please comolete the attached
Sincerely, . T
AO 3TE T pa
11 . A
5
4
HECTOR QUINTANILLA, Jr., Ma. jor, USAF 457
3 I .0
Chief, Project Blue Book -

1
m 5 UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AFIN: 24123 (13 Nov 65) T/ap Pg 1 of 4
ACTION: NIN-7
INFO: SAFOS-3, DIA-1, XOP-1, XOPX-8 (21)
SMB-B 041Z CZ CHQE 397Z CQJD 174
PP RUEAHQ
DE RUWHKP0033 3162255
ZNR UUUUU
P 122245Z
FM POADSADAIR AFS OREG
AFB WASH TO TO TCYs
TO RUHBH/25 ADIV 0S OS
RUIGALE/ADC OSA
|OSP
TUS US
RR
AFB OHIO IL
JLA JLA
RUEAHQ/HQ USAF WASH DC RUEAHQ/HQ USAF WASH DC IILI ILI
|ILP
RUEAHQ/SECRETARY AIR FORCE WASH DC I JLS
TILT
BT FM
RD
UNCLAS P00IN 13414 NOV 65 MP$
MPP
FOR AFNIN, HQ USAF; SAFOI ECRETARY OF THE AIRFORCE) MPR
AA
LIFO REPORT. THE FOLLOWING REPORT IS SUBMITTED: AAA
AAR
PART A. GC
2615 OI
I. ROUND LL
SS
2. SIZE OF SAUCER. DSMC
1815Cocre
3. BRIGHT WHITE
AFHQ JAN 65 FORM 0-309C
UNCLASSIFIED

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 24123 (13 Nov 65) Pg 2 of 4
4. ONE
5. N/A
6. MOVINGBACK AN FORTH
PAGE 2 RUWHKP0033 UNCLAS
7. NONE
8. NONE 8. NONE
9. VERY BRIGHT
PART B.
1. HAPPENED TO GLANCE UP WHILEON HUNT ING TRIP. 1. HAPPENED TO GLANCE UP WHILEON HUNT ING TRIP.
2. 300 FT - 500 FT ELAVATION
3. 200 FT HIGHAND DISAPPEARINGNORTH
4. STRAIGH FLIGHT
5. GRADUALLY DISAPPEARED.
6. 20 MINUTES
PART C.
1. VISUAL
2. B INOCULARS
3.N/A
PART D.
1. 12 NOV/55/0215Z
AFHQ JAN 65 FORM 0-309C
UNCLASSIFIED
Ia
0

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF DN: 24123 (13 Nov 65) Pg 3 of 4
2. DARK-DUSK
PART E.
1. BETWEEN FALEM AND GARIBALDI
ORE. 123-57W-45-38 MA 0237
PAGE 3 RUH INCLAS
PART F.
1. ROUT ROCKAYE, ORE.
AGE 39 - MILL WORKER BI8
PART G.
RAINING
2. SIRFACE 210/10
3M 273/75
50M 290/40
Locn
3. CELING 1500 FT OLC
4. VISIBLITY -3-5 RAIN
5. 10/10
6. NONE
AFHQ JAN 65 FORM 0-309C
UNCLASSIFIED

DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 24123 (13 Nov 65) Pg 4 of 4
7. 3 DEG/1000 FT
PART H
1. NONE
PART J.
1. NONE
PAGE 4 RLWHKP 0033 UNCLAS PAGE 4 RUWAKP OOSS UNCLAS
PART K.
1. PREPARING OFFICER, MAJOR A.F. SHIFLETT FV674806
STAFF INTELLIGENCE OFFICER. THIS WAS THE SECOND
SIGHT ING ON CONSECUT IVE NIGHTS WIHIN THIS SAME
GENERAL AREA. ON THIS OCCASION, HOWEVER, THERE
WAS NO MLITARY OR COMMERCIAL AIR TRAFFIC. NO
ANALYSIS IS OFFERED AS TO CAUSE OF SIGHTING.
RELIABLITY F-6.
PART L.
1. NONE
BT
NOTE: ADVANCE COPY DELIVERED TO DIA
NNNN
AFHQ JAN 65 FORM 0.309C
UNCLASSIFIED

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair s been prepared so that you can give the U.S. Air Force as much
information as possibl le concerning the unidentified cerial phenomenon n that you have observed.
Please try to answer questions as you possibly can. The information that you give will
bo used for research p r name will aot 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 dotails.
1. When did you see the object? 2.Time of day:
Hour Minutes
(Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One): a. Eastern Eastern (Circle One): a. Daylight Saving (Circle One): a. Doylight Saving
b. Central Central b. Standard
c. Mountain
d. Pacific
e. e. Other Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
Nearest Postal Address City or Town Stats or Caunty
5. How long was object in sight? (Total Duration)
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No
What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b. Cloudy
7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at ths object?
(Circie 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
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which in obsolete.

Paga 2
8. IF you saw the object a' NIGHT, what did you notice ce-cerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON(Circle One):
a. None a. Bright moonlight
b. Afew b.Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember d. Don't remember
9. What were the weather corditions at the time you saw the abject?
CLOUDS (Circle Cne). WEATHER(Circle One):
a. Clear sky a. Dry
b. Hazy . Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy c ouds d. Snow
e. Don': remember
10. The object appeared: (Circle One):
a. Solid d. Asa light
b. Transparent e. Don't remember
c. Vaoor
1.If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the sane
d D.
(Circle One): a. Fuzzy or blurred c. Other
b. Likebright stor
c. Sharaly outlined
d. Dan't remember
1. Did the object: (Circle One for eoch 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 uo into parts or explode? Yrs No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightross? Yes No Don't know
f. Change shape? Yes No. Don't know
9. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yas No Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how?
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 tell what
it moved behind:
1. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of: _
17. Teil in a few words the following things about the object:
a. Sound_ -
b. Color_ b. Color +..
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object ond note how 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object ond 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?
ao
1. Draw a picture that 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.
Place an crrow beside the drawing to show the direction the object was moving.