PROJECT BLUE BOOK

Pago 6
30. Have you ever seen this, or a similar object befare. If so give date or dates and location.
no 7
31. Was anyone eise with you at the time you saw the object? (Circle One) Yesz No
3).1 IF you answered YES, did they sae the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
berdeen, South Pako ta
32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name Middle Nam
ADDRESS Aberdeen 57401 S.D.
Streer Street Ciry City Zone Stats
TELEPHONE TELEPHONE NUMBER AGE GE 23 SEX m
Indicate any additional information about yourself, including any special experience, which might be pertinent.
I have my B.A. . and my wif presently y working on her
masters .for an insurance
company-area i includes N.D.. S. D.. & Minn. The comyany
is the Girard Life Ins. Co. of -merica, Dallas, Texas..
There were no swemps in the areal
33. When and to whom did you report that you had seen the object? weather st tien, Rapid City
Air Base, they referred me to the Air Base at Minot, N.D. whom I spoke
-65-
Day Month YYear

about it.
Sincerely,
-

Aberdeen, South Dakota
Dear
Efrorts to contact you- by telephone regarding the unidentified -
PL
flying ob ject report have been unsuccessful. Ths inforuation
which we have received was incomplete for analysis of your rs-
port. Would you please complete the attached forms and raturn.
them to our office at your convenience.
2
in 3 4
T te
Sincerely,
- 2
-. -
- it
2 76
- PET 4
- 7
7
HECTOR ANTLLA, Jr., Ma jor, USAF A
:
.
.

FTD TEW)
Wright-Patterson Ar3, Ohio 45433
17 Jamary 66
Mr.
Aberdeen, South Dakota
Dear Mr.
Efforts to contact you by teleybone regarding the unidentified
flying object report have been unsuccesarul. The information
which we have received vas inconplete for analysis of your re-
port. Would you please complate the attached forms and return
them to cur office at your corvenience.
Sincerely,
HECTOR HECTOR CUINT LA, Jr., Ma jor, USAR
Chier, Projec Blue Book
Keavied a TDET, 4 lugee

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
informction as possible concerning the unidentified aerial phanomenon that you have observed.
Please try to an: uny questions as you possibly can. The information that you givs will
be used for research rposes. name will not be used in connection with any statements,
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: 23 03
Hour Minutes
11 17 65 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: . Time Zone:
(Circle One): (Circle One): a. Eastern (Circle One): a. Daylight Saving
b. Centralx b. Standard x
c. Mountain Mountain
d. Pacific
e. e. Other Other
4. Where were you when you saw the object?
Katheryn (ck. spelling) North Dakota
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 2 est.
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How wes time in sight determined? recall
5.2 Was object in sight continuously? Yes No
What was the condition of the sky? clear
DAY NIGHT
a. a. Bright x
b. Cloudy b. Cloudy
7.IF you sow the object during DAYL IGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you To your left
b. in back of you e. Overhaod
c. To your right: f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

.
H
? 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):
o. None a. Bright moonlight
b. A few B. Dull moonlight
c. Mony 3 c. No moonlight - pitch dark
d. Don't remember
9. What were the weather conditions at the time you suw the object?
CLOUDS (Circle One): WEATHER(Circle One):
a. Clear sky x a. Dry x
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
. Solid c. Solid d.As a light
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 c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
size of metéor
12. The edges of the object were:
2
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
1. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Nox Don't know
b. Suddenly speed up and rush away at any time? Yes Nox Don't know
C. Break up into parts or explode? Yes Nox Don't know
d. Give off smoke? Yes NoXx Don't know
e. Change brightness? Yes Nox Don't know
f. Change shape? Yes Nox Don't know
g. Flash or flicker? Yes Nox Don't know
h. Disappear and reappear? Yes NoX Don't know

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-- Page 3
14. Did the objact disappear while you were watching it? If so, how?
Nstc
7
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: x
16. 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:. x
17. Tell in a few words the following things about the object:
a. Sound none
b. Color yellow-blue-green
. 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 experimant at the time of the
sighting, how much of the object would have been covered by the match haad?

2l. Do you think you can estiriate how far away from you the object was?
(Circle One) Yes Nox
IF you answered YES, then how far away would you say it was?
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. Ina car x, no other cars in area c. In open countryside?x
c. Outdcors 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. Other.
2.IF you were MOVING IN AN AUTOMOBILE 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
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? _. 50-55 miles per hour.
L6
IF

900 75
60
$ N
a
150 3W
Ss
path, a "B" at the end of the path, and sliun ony changes in direction during the course.
Note #. 19