PROJECT BLUE BOOK

PROJECT 10073.RECORD
1. DATE · TIME GROUP LOCATION
19 March 66 20/0205Z Bethesda, Maryland (1 witness)
3. SOURCE 10. CONCLUSION
Civilian 1. SATELLITE
4. 2. Astro (STAR/PLANET)
NUMBER OF OBJECTS 3. Astro (METEOR)
Three I
5. LENGTH OF OBSERVATION 5. LENGTH OF OBSERVATION In. 11. BRIEF SUMMARY AND ANALYSIS BRIEF SUMMARY AND ANALYSIS
SEE CASE SEE CASE. THREE SEPARATE REPORTS SEE CASE. T THREE SEPARATE REPORTS
6. 6. TYPE OF OBSERVATION TYPE OF OBSERVATION
Ground-Visual
7. COURSE
SEE CASE .
8. PHOTOS
n7 Yes 07 Yes
XXNo
9. PHYSICAL EVIDENCE
Yes
XXNo
FORM
FTD SEP 63 0-329 (TDE) Previous oditions of thi used.
1
.

vF0 ¤ 2
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 phonomenon that you have observed.
Please try to answer qusstions as you possibly can. The information that you give will
be used for research purposes. name will not 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, e may contact you for further details.
When did you see the object? 2.Time of day:2/20
Hour Minutes
19 Mart 1966 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): D. Eastern a. Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
1v Befhesdk Befpesdk Mrylond Mrylond
est Postal Address City or Town State or County
How long was object in sight? (Total Duration) 5 (fon me -it uas sAl
Hours Minutes Seconds there whew I
a. Certain c. Not very sure left, wifh
b.Fairly certain d. Just a guess foun orn
5.1 How was time in sight determined? Wkst wa/cG
5.2 Was object in sight continuously? YesK No
6.What was the condition of the sky?
DAY NIGHT Ste
Bright a. Bright
Cloudy b. Cloudy 2+0S/P
(Circle Ono): a. In front of you d. To your loft
b. In back of you 6. Overhead NA
c. To your right f. Don't remember
FTD OCT 62 164 FORM
This form supersedes FTD 164 4, Jul 61, which is obsolete.
.

1
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 Bright moonlight
b. A fow b. Dull moonlight
e. Many No moonlightpitelrdork
d. Don't remember d. Don't remember
.What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
e. e. Don't remember Don't remember
10. The object appeared: (Circle One): The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don't remember e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): I t appearedas a lght, was t righter than the rigtest starsCircle One):
a. Brighter a. Brighter c. About the same AS VeNv's c. About tho same AS VeNv's
b. Dimmer d.Don't know d.Don't know
11.1 Compare brightness to some common object:
1.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other hilke Venvs , No turekle
.Like a bright star
c. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly spesd 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 smok? Yes No Don't know
. Change brightness? Yos No Don't know
f. Change shape? Yos No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

.
Page 3
No - I left. to take n1 y to a dANCE
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:
.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: in front of:
17.. Tell in a few words the following things about the object: 17. . Tell in a few words the following things about the object:
a. Sound_ a. Sound None None
b. color white soff light b. color white soft light
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?
Szc or Vewus
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 especiatly exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
light (2P28
just a 0
T

Page 4
Do you think you can estimate the speed of the object?
(Circle One) Yes same reASONs foR VRO1
IF you answered YES, then what spead would you estimate?.
.
(Circle One) Yes 1
N\ot}$
IF you answered YES, then how far away would you say it was?
2.Where were you located when you saw the object? 3.Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building .In the residential section of a city?
b. In a car 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. Other _
24.1 What direction were you moving? (Circle One) NA
. North c. East South g. Wost
b. Northeast Northeast d. Southeast f. Southwest h. h. Northwest
24.2 How fast were you moving? - 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?
(Circie One) Yes No
Did you observe the object through any of the following?
a. Eyeglasses Yes e. Binoculars .Yes No
b. Sun glasses Yes f. Tolescope Yes No
c. Windshield. Yes 27④② g. Theodolite Yes No
Window glass Yes h. Other
.In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
earance as the object which you saw.
Venus

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 last saw it. Place an "A"" on the compass
90° 75
60° B
A
450
30 E
15°B SW S5
Draw a picture that will show the motion that the object or bjects made.Place an Aat the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
Strnight line.
01-1 Howeorn, AETeR bright SlnSH, 5inst pant
L2
the hovened orer piint can honrzan
E hORIZOW where VFO #1 disprreaccd.
29. IF there was MORE THAN ONE object, then how many were One
Draw a pictureof how they were arranged and put an arrow to show the direction that they were traveling.
and , i wis not Vewus.

Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location. (
OF COb RSE !! seen' such A 8/3H
hefore,
3. Was anyone eise with you at the time you saw the object? (Circle One) 4
Yes No
31.1 IF you answered YES, did they see the object too? (Ci Circle One) Yes No
31.2 Please list their names and addresses:
See Reporl on 21}$
Please give the following information about yourself: 3. Please give the following information about yourself: see Report on hro See keport on 4F0 $1 #1
NAME NAME Last Name Last Name Middle Name
First Name
ADDRESS Zone
Street City State
TELEPHONE NUMBER TELEPHONE ENUMBER AGE AGE SEX SEX
experience, which might be pertinent.
.
When and to whom did you report that you had seen the object?
Day Month Year

.
Page 7
ate you completed this questionnaire: 30 MnH 1966
Day Month Year
Information which you feel pertinent and which is not adequately covered in specific points of the
questionnaire or a narrative explanation of your sighting.
As UFD #1 was Almest on box1z.ex, still tanvellu
Ve621 fust, thene was N instontoveous v extaemely b21g4t
F/nstappzor. 450 up ad to the Right. OUR At/cation
WAS atencled to i, vaturally. From yhe locatiod of tte
5/AsH came VF0 #2, Iravellins very It .slowed, trew
slowed furthen, y firnlly horened over the exnet spot
on the Nonthean hONIZON where lFO#1 her jost
disarpeared. In s1ze ,if was about 2 that ot VFO"1;
if if secmed secmed furtten funtten Bway. The Riny. The s sime soft white colok soft i white color wts
nor is initense, s initerse, ectrer, ectrek, As As UFO#1. We unfeled it, tuen unfeked it then
not to take him to A to lake bim to n
AY 2125 I 10ft with my D7ex sow,
danice; UF0 #2 uzs shill hoverine. Its subseguent
bclions , to mee cow be des catbed, if desined by
hesnsay,
the listed wifnesses on the heport ow liro #1.
The flast sometaINe I aad weven secwb before,
was descaibe it. kn
If Led "o caolon, but tant docsn't ncally rcols
Ivologue could be 1 flosn bulb (dukstion),0 OR
flane[of which Ive
Actunlly, intuition Shy5 A came from VFO # 2. No steobe light, trs
Les there was but this ore f/hsh. A wenror?
OVER

:
Page 8
Note foR All desk jockeys, From An almost fed
up r pilot.
i)If you didat, or don't, do your jobs RiglitYou
geb fices ondon set a bnd OER.
2) If AS A tightea pilot J didat do my jo6
connecflybasre diant eatif obicets 1uthe sky,
estimntinG srecls, ct) I did Nof SURVIVC, $m othe
worth, the motionticon worth, the motivntion WAS higheR, I higheR, I survived! euved!
.
.
L

ntlclT
SighlinGt t
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 concarning the unidentified aerial phenomonon that you have observed.
Please try to answer as me y questions as you possibly can. The information that you give will
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.
When did you see the object? 2.Time of day: 2215
Hour Minutes
19 MARCH 1966 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One): (Circle One): (6. Eastern (Circle One): a. Daylight Saving a. Daylight Saving
b. Central Contral b. Standard
c. c. Mountain
d. Pacific
e. Other Other
4.Where were you when you saw the object? 4. Where were you when you saw the object?
BePhesda BePhesdA Maryland Meryland
Nas Postal Address Ns Postal Address City or Town City or Town State or County State or County
.How long was object in sigh Total Duration) 6
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? Wc
5.2 Was object in sight continuously? Yos No
What wus the condition of the sky?
DAY NIGHT
a. Bright a. Brighi Meteor
b. Cloudy
(Circle Ona): a. In front of you d. To your left NA
b. In back of you o. Overhead
To your right f. Don't remember
OCT 62 164 FORM
FTD This form superaedos FTD 164, Jul 61, which is obsoleto.

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 c. No moonlight pitch dark
Don't remember d.
object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky,but somce haze) a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. e. Don f remember Don't remember
The object appeared: (Circle One): 10. The object appeared: (Circle One):
. Solid .Solid d. As a light
b. Tronsparent e. Don'tremember e. Don't remember
c. Vapor
1.If it appeared as a light, was it brighter than the brightest stars? (C If it appeared as a light, was it brighter than the brightest stars? Circle One): (Circle One):
a. Brighter c. About the same
b. Dimmer b. Dimmer d. Don't know d. Don't know
11.1 Compars brightness to some common object:
\$5120 of m000 11 25,12
.The edges of the object were:
(Circle One): o. Fuzzy or blurred
b. Like a bright star
c. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddonly 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? 1 Yes No Don'tknow
o. Change brightness? Yes. No Don't know
f. Change shape? Yos) No Don't know
g. Flash or flicker? Yos No Don't know
h. Disappear andrsappea? Yos No Don't know

..
VFO $t $
U.S. AIR FORCE CAL 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 phenomenon that you have observed.
Please try to answer as y 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,
conclusions, or publications without y your permission. We request this personal information so
that if it is deemed necessary, may contact you for further details.
.When did you see the object? 2. Time of day: 2105
Hour Minutes
19 MARCH 1966 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): d. Eastern Eastern (Circle One): a. (Circle One):a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Bethesds Maryland Marg/and
Nearest Postal Address City or Town State or County
How long was object in sight? (Total Duration) 20
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? wreist Watca
5.2 Was object in sight continuously? Yes No_—
6. What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy Cloudy
.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? NA
(Circle Ono): In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
Satellte
FTD FORM 1. 5
OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.
322+c0

Page 3
14. Did the object disappear while you were watching it? If so, how?
bunnt uf
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. Tell in a few words the following things about the object:
a. SoundN'oxe
b. Color Red, keddish, whitc , ofc.
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
See Q t 11
Draw a picturs 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 especiatly exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
&- !
hot1zou

11 (Circle One) Yes No
IF you answered YES, then how far away would you say it was? _
22.Where were you located when you saw the object? Were you (Circle One)
(Circle One):
aIn the business section of a city?
a.Inside a building b. In the residential section of a city3
b. In a car c. In open countryside?
& Outdoors dNear an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g. Other
24.1 What direction were you moving? (Circle One) NA
a. North c. East c. East . South g. Wost g. Wost
b. Northeast d. Southeast f. Southwast h. h. Northwest
24.2 How fost were you moving? 242 How f- _miles per hour. miles per hour
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
a. Eyeglasses Yes No e. Binoculars .Yes N
b. Sun glasses No f. Telescope Yes (N\o}$
c. Windshield Yes No g. Theodolite No
d. Window glass Yes No h. Other _
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
-
bnve such object befor
Never secN Bn

Pag• 5
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 last saw it. Place an "A" on the compass
90°
75°
60° 6
NW
30
E
15° SW
SC
path, a "s" at the end of the path, and show any changes in direction during the course. path, a "8" at the end of the path, and show any changes in direction during the course.
Sce Q#19. Q#19.
. IF there was MORE THAN ONE object, then how many ware there? One,at this time,
Draw a picture of ho ow they were arranged, and put an arrow to show the direction that they were traveling.
22

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
Never /
3. Was anyone else with you at the time you saw the object? (Circle One) Yes No :
Yes No
31.2 Please list their names and addresses:
(SON)
la i ollownatin yusel: (See VFO Repor K1)
NAME Middle Name
Lost Name
ADDRESS
Street City Zone State
TELEPHONE NUMBER AGE SEX
S
When and to whom did you report that you had seen the object? .Ssmme)
Day Month Yeor

house, I found my yourgonson,
Wilay,plos A Fricad, sl1ll oulside the sky. E
vent in the house outside,at
2205 we looked for mose ako0" while he t fold me ot
the 3 others (iwcludne 61q one) othens hl
seen while I was gove.I pounted out to kim, BGAIN, the
WA4 1oghts,
betwern the YWINKING oY the sions trhe
stcady slow of the plants.
nf 2015, we were loikins Nonth, dows Mend gomery hve
hoa
the 2 many houns
see N kundeeds of Nevels secv
one SO/ARGE. In addition, I , ve rsoanlly hnve never secw
on/e sheddina bils d pieces as it flomed earrhuanls
those hits s vfleces bunned speentely. I have secn sirernst
shel, but not bolifes. This "mefcon" ; A. ecguhR ball of
coloxed fleme, shed As it fell; it, a All pee res , buaved
OVER

desired Some smat ahek-Know-it-all
doesn't conderrend. For example, tvother figater pilot,
friend of mine, nfter makint a A peport 1 Iapan
AN UFC srghtinc, Seev ly other pilots,too,
Snaxk, (2sdid he dake dope (3 us tere may
INSAnity in his tamily, and (iS evcn, so kelp me, how muh
11
priunte c11zca w]/1 tnow the so-called "iavestigaton."
oct the house, bodily;. I will not Allew my famlyto
be trented in such 1 SASHION.
I do demand evea An oren (And, thenofone,"screntkc
Not demand
in 1n meal sense or ve word) mind ,but I do
the ondirany deccwcres N countesies from aNy A1 investizolor.
These standakds were obsenved by the other orqani2atiranl,
a private, investigaters who hav alealy in terarecupd is
=
-

one of those "flashs" And, i you
receive any sort sensible answer Jright-Pat,
amd can let me know, I'd certainly appreciate it. If the
answer is "swamp gas" ou can
yourself as weli as or
toractive duty
AF personnel who had the conviction report
had seen, will meet with restitance.
.

Pago 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 C No moonligh - pitch dark
d. Don't remember d. Don't remember :
. 8
9. What were the weather conditions at t the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
aClear sky a.Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds Snow
e. Don't remember
10. The object appeared: . The object appeared: (Circle One): Circle One): .
Solid dAs a light
b. Transparent e. Don't remember e. Don't remember
c. Vapor c. Vapor
If it appeared as a light, was it brighter than the brightest stars? 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One): (Circle One):
a. Brighter a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Twice th s12c of Vaus (io sigh) , with  brighter bif sofer whle yt
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred . Other
b. Like a bright star
c. Sharply outlined (iw bwccclkns)
d. Don't remember
Did the object: (Circle One for each question)
vRy shout RInG mes
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 No Don't know
d. Give off smoke? Yos No Don't know
o. Change brightness? Yes No Don't know
f. Change shape? Yos No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Page 3
14. Did the objoct disappear while you were watching it? If so, how? Over the Nenthena
hoR120√ - if came from the South.
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. . Tell in a few words the following things about the object:
a. Sound None - b.it cven aw arcknft wovldi't heve bsein hened
b. Color Sof, hut itnise whte h at huht 8dsnnc.
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
A/rRox tuce the 512c
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 especiatly exhaust trails or vapor trails.
Light .only, vntil my soa brought out his bnocvlnes.
Thene SAW 1 disk shape- UF0 nrdh15
nene end Df S.to N. tanvel.
objecf GONG discelly nwny 1s at
W E

(Circle One) Yes No If was nbove se pegulae hik
IF you answered YES, then how far away would itwas?lnetaasvic, , whies wvns
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In a car 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. Other
IF you were MOVING IN AN AUTOMOB!LE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving! Circle One) NA
a. North c. East c. East South g. West
b. Northeast b. Northeast d. Southeast f. Southwest Southwest h. Northwest
24.2 How fast were you moving? - miles per hour.
24.3 Did you stop at any time while you wore looking at the object?
(Circle One) Yes No
Did you observe the object through any of the following? ouly af the ead
a. Eyeglasses (No) e. Binoculars Yes No
b. Sun glasses Yes f. Telescope Yes No
c. Windshield ② g. Theodolite Yes No
d. Window glass Yes h. Other
A d1sK (scc Q 19)

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 last saw it. Place an "A" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 75°
B
45° NW NS
30°
E
150A(Sovta)
B(North gw
S
A
Draw a picture that will show the motion that the object or objects made. Place an "Aat the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
21C
6 = momentary hoverinc.
A B
52w this,plos 4otnee uFo.
Draw a picture of how they were crranged, and put an arrow to show the direction that they were traveling.
2egeral2
Fo U=0 ec Report (atlacher)
V

Was anyone else with you at th the time you saw the object? (Circle One) Yes No
31.1 IF you answered YES, did they see the object toc (Circle One) Yes No
31.2 Please list their names and addresses:
MEs (2ife)
Mn (502)
nn (50n)
Mr Bethisda,Md
Mis
.Please give following informa about yourself: Lt.Colonel, VSAF(Rt)
NAME Lost Name First Name Middle Name
ADDRESS Bethesda Margland
Street City Zone State
TELEPHONE NUMBER AGE 51 SEX M
Senior Pilot
3 Derinl Numbek " N'ot Nalce on sibject.
When and to whom did you report that you had seen the object? ?AF+NIcAP,plus VARIOOS
21 MARCH 1966
Day Month Year whew
UPI.

Page 7
34. Date you completed this questionnaire: 30 MaRsit 1966
Day Month Year
35. I Information which yu fel pertinent and which is not adequatly covered in the specic points of the
I in back yaad of bouse, wnitine son,
When I noliced VFO ComiNG up SoutterN hinI2ON. Clenn vight,mey
AIRCRAEF Arcund, SINCE tatte FAHAN to tntioaal impent nos
to the South that night. The aFO adennced veny 5415119; it
wAs highce, 6y fna, thex local ThiRC wene v0
bliwkinG Wnuighfon lights v no SIASHIER leshis ov it. Sinice
i would paose nomentarily of times, 21g 2n8 at times, I
douht, seasovsly, if if wicre A SAellile, thcR OvRING thlly
13 small. Since the colon 4512C dd not chaNGE is it inponc
on neccdel, doubt 6 the "jel exhoust explewation will wonk;
Since lacke no ReAl shAmP rennlay, r100s/y if it
were skuamp SAS.
the sAhcAim, but Jlve becw Kickee eavird
Ow this subject before, even whea borce
members and magnelic BIRCRAET
Iam Retined, I do wot bave to sebndioate intillet to
Now
the panty live).
As VFO A Apronched molin, J RAm Into ouR hovse, to tell my

lFo weaes seco, Af 2 2215 my youngen son
the crtanonliwnny "metcor"(3l repoitl, it
$s_ UF0$ #1 was Almost to hOnI2on to coat (irces, -
houses,c(), the ce was AN erfaemely
shost buest of light, to t2e. night, at 45, From fa1s,
DR soit looked, came te 228 aFo.
My yourgea son RACEd IN TE house √ his
hiNocnns, adjusted trem, t yelled with exciltoment:"IfS
SAUCER. I see tre disk. SAUCER. I see the d disk.s 1'
A FlyINs A Flyns
WAs ReatheR WAS Teat on the sukjcet. on the subjcet. I foik the I fook te glisses, glisses,
I,t00, I,too, SAW SAW the disk Note: the disk (Note: my cyes my cyes tre are 900d).My 900d).My
YOUWGFR sow dhew A guick sKelel of what SAC
we still have it, I PhINK.
I am PeportING WhaY I sAW.If othen reponts are
despred,the nomes of the other wilnesses Are Isted. There
Me additional reorle, NON- pelated, v
Lxter, snw V VFO t#I Bt The some time -doina the same things.