PROJECT BLUE BOOK

Ground-Visuel
7. COURSE to have tae soito hiuish hit. Cogeot Ahs compred to the
E Description is ceasis ent dtn whst ol'a E Sttellito.
8. PHOTOS
do 5o Ms  s Badk of beorrrud dots'ty A
KXY.s KXY.s the absune:  femrt oudine, the absuney coupled visd Sie rese.cn oi
0 No preooureir rks atp riyeed n presoure ir rks ( the izs o irloutod this to
9. PHYSICA VIDENCE pesnitly a proce st.. pessiuly a Troce ri ruU6r th u. aosu 1 Vc ret6r thnte acsu i
07 Yes
XNo XENo
FORM
FTD SEP49 0-329 (TDE) FTD SEP43 0-329 (TDE) Previone editione of this form may be usad. Previome editione of this form may be usad.
'
'
.

when you first saw it. Place a "B compass where you last saw the object.
90° 75°
45° NE
30
E
-15• SW
S5
Draw a picture that will show the motion that the object or objects made. Place anat the beginning of th
path, a "B" ot the end of the path, and shuw sny changes in direction during the course.
45
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of /
,
NA

(
Page 7
34. Date you comp d this questionnaire: 8 apeil 1966
Day Month Year
3. Information which you feel pertinent and which is not adequately covered in the specific points of the
Iused 1. Windsoc Campie
Fupefilm-120 Extea Fast fi/m:
Shap pictuke wh hen obrect gotvey Beight
- 7

information as oncerning the unidentified aerial phenomenon that you have observed.
Please try to answ ny questions as you possibly can. The information that you give will
be used for research oses Your name will not be used in connection with any statements,
conclusions, or puk your permission. request this personal information so
that if it is deemed er details. or 014 57
1. When did you see the object? 8 30
Hour Minutes 7
30 MARCH 1966 (Circle One): A.M. or P.M.
Day Month Yoar
3. Time Zone: Time Zone: 0
(Circle One): (Circle One): Eastern Q. a Daylight Saving
Central 6. Standard -
c. Mountain
d. Pacific may mey
e. Other
4.Where were you you saw the object? T
4Where were you when you saw the object?
FORBES A.F.B FORBES A.F.B TOPEKA KANSAS
Nearest Postal Address City or Town State or County
_ obiect in s (Total Duration) !0
Hours Minutes Seconds
a. Cartain c. Not very sure ad is degT Sf
Fairly certain d.Just a guess (20D)
5.1 How was time in sight determined? TIimen
-
5.2 Was object in sight continuously? Yes K No —dmamoninod h
6. What was the condition of the sky?
DAY NIGHT
a. Bright
Cloudy b. Cloudy
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
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

( L
Page 2
8IF 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 6. Dull moonlight J
c. Many c. No moonlight - pitch dark
d. d. Don't remember bad
1300100:0
What were the weather conditions at the time you saw th ject? meya9oon barsab al B h sort
CLOUDS (Circle One): WEATHER (Circle One):
S 0s uoy hib  5
a. Clear sky a. Dry
b. Hazy Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds d. Snow Athe YOO
e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid As a light
b. Transparent b. Transparent e. e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): If it appeared as a light, was it brighter than the brightest stars?(Circle One): 91 991
a. Brighter C. About the same
b. Dimmer b. Dimmer d. Don't know
=
11.1 Compare brightness to some common object:
PLANET VENUES
The edges of the object were:
(Circle One): a. Fuzzy or blurred Other
G Like a bright star A
c. Sharply outlined
d. Don't remember 810D
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 No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

J
Page 3
MONE ERUALS
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:
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:
17.Tellin a few words the following things about the object: following things about the object:
a. Sound_NENE a. Sound NENE
b. Color GREEH TO RED CHMNSING b. Color GREE TO RED CHYNSING)
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?
ALL
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.
OBSECT WAS A LITE APPROK-: SIZE OF THE
PLANET VENNS mOVING SOWTH, SHAPE

(Circle One) Yes (No)
IF you answered
21.
uarld
(Circle One) Yes (No)
IF you answered YES, then how far away would you say it was? an
22. Where were you located when you saw the object? 3. Were you (Circle One)
(Circle One):
aIn the business section of a city?
Inside a building b.In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors Near an airfield?
d. In an airplane (type) Flying over a city?
e. At sea f. Flying over open country?
f. . Other g. Other
24.1
Circle One)
a. North c. East c. East e. South g. West
b. Northeast b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at anry you were looking at the object?
(Circle One) Yes No
a. Eyeglasses Yes No e. Binoculars
b. Sun glasses Yes No f. Telescope 8
c. Windshield Yes No g. Theodolite
d. Window glass Yes No h. Other
PLONET VENHGS
√

when you first saw it. Place a "B'
90•
75°
60°A
43
NE
30°
E
-15° SW
S5
S
a
Draw a picture that will show the motion that the object or objects made. Place an Aat the beginning of th
path, a "B at the end of the path, and shuw uny changes in direction during the course. path, a "B"" at the end of the path, and shuw uny changes in direction during the course.
EABT EAST
A
. BB
NORTH SOWTH
29. IF there was MORE THAN ONE object, then how many were there? =
Draw a picture of ho they were arranged, and put an arrow to show the direction that they were traveling.

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
NO
-
Yes No
31.1 IF you answered YES, did they see the object Circle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME NAME
Last Name First Name First Name Middle Name Middle Name
ADDI ADD FORBES AFB FORBES AFB KANSAS
Street City Zone Zone State
TELEPHONE NUMBER TELEPHONE NUMBE AGE 29 AGE29 SEX M SEXMALE
ditional information about yourself, including any special experience, which might be pertinent. L -
33.When and to whom did you report that you had seen the object?
331 Dianck 66
Day Month Year

(
Page 7
34. Date you completed this questionnaire: Z APRIL 1966
Day Month Year
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.
,

.
WACLNCE
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
1. 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
conclusions, or publications without your permission. We request this personal informnation so
that if it is deemed necessary, may contact you for further details. 2
1. When did you see the object? 2. Time of day: 2200
Hour Minutes
30 MARch 66 (Circle One): A.M. or P.M.
Day Month Year
3.Time Zone: 3.Time Zone:
(Circle One): a. Eastern Eastern (Circle One): Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other
4.Where were you when you saw the object? 4. Where were you when you saw the object?
Forbes RFB Forbes RFB TODEKA KANSAS KANSAS
Nearest Postal Address Neorest Postal Address City or Town Citv or Town State or County Stata or Ceunty
5.How long was otal Duration) - 1.5
Hours Minutes Seconds
a. Certain c. Not very sure
Fairly certain d.Just a guess
5.1 How was time in sight determined? By LookINg AT THE E CLOCK IN DAY ROON
5.2 Was object in sight continuously? YesX No___
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?
(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
FORM
FTD OCT 62 164 Thie form supersedes FTD 164, Jul 61, which is obsolete.

TDETR/Maj Quintanilla, Jr/70916/hl/6 Oct 66
UFO Sightings, 30 March 1966, Forbes AFB, Kansas
COT 7 1966
Base Operations
Forbec AFB, Kansas
Reference UrO sighting 30 March 1966 submitted to Project Blue Book
by your unclassified message, 838 AD 12332 April 1966. Enclosed
is original negative that was submitted. Request negative be for-
warded to A/3C H. Y. Yonemurs, Jr, Forbes AFB, Kansas along with
enclosed enlargement and the following Project Blue Book evaluation:
ac The image which appears on the negative and the photograpb
is of insufficient size and definition for accurate analysis as to
what the apparent object may be Any definit atement is precluded
by the absence of exposur processing. information. However, the
noticeable Lack of background density and the absence of format
outline, coupled with the presence of pressure marks superimposed
on the image indicates this is possibly a processing aberration
rather than an actusl image.
FOR BE-COMMANDER
OWS
LULS TE GORS Colonel, USAF 2 Atchs
Deputy for Technology & Subsystems I. Negative
TDETR MAJ BQUINTANILLA, JR
DATED SOCPCC
TDET

Page 2
T
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
d. Don't remember 2
9. What were the weather conditions at the time you saw object?
CLOUDS (Circle One): WEATHER (Circle One):
yeba
Clear sky Dry
Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick heavy clouds Snow
e. Don't remember
The object appeared: (Circle One): . The object appeared: (Circle One):
a. Solid As a light
b. Transparent Don't remember Don't remember
c. Vapor Vapor
1.If it appeared as a light, was it brighter than the brightest stars? (Circle One): If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brightev About the same About the same
b. Dimmer 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
(b.) Like a bright star I
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 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? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes NO Don't know /

( L ( L
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 poss concerning the unidentified aerial phenomenon that you have observed.
Please try to answe any 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 may contact you for further details.+ ev orf 9190 grie
1. When did you see the object? Time of day: 2200
Hour Minutes
30 MARCh 66 (Circle One): A.M. or P.M.
Day Month Year
. Time Zone: 3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving
A Central 5 Standard
c. Mountain
d. Pacific
e. Other NOTDY NTDY 40
4. Where were you when you saw the object?
Forbes RFB TopekA TopekA KANSAS
Nearest Postal Address City or Town State or County
Total Duration - 15
Hours Minutes Seconds
a. Certain c. Not very sure
Fairly certain d. Just a guess
5.2 Was object in sight continuously? Yes X 100
No _—
6. What was the condition of the sky?
DAY NIGHT
a. Bright a.
b. Cloudy
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. Overheod
To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

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 5 b. Dull moonlight
Many c. No moonlight - pitch dark
d. dD Don't remember
RCTEAIOMY
5andel a eU bl
CLOUDS (Circle One): WEATHER (Circle One):
3eo ad 1oy 5i6 n9
0. Clear sky Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One): 1a00 200
a. a. Solid As a light As a light
b. Transparent .Don't remember Don't remember
c. Vapor Vapor
If it appeared as a light, was it brighter than the brightest stars?Circle One): 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter About the same About the same
b. Dimmer d.Don't know d. Don't know
11.1 Compare brightness to some common object:
12.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
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 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? Yes N Don't know
e. Change brightness? Yes) Don't know
f. Change shape? Yes NO Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

IT STILL COULD STOP
FATELY BE SEEW
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:
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:
17.7 Tell in a few words the following things about the object:
0. Sound NoNE
b. Color White LikE AVERy bright STAR.
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
NOT KNOW
drew it becrus allit loosed like to me
wae a round is

( (
Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
(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? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. I 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 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
b. Northeast d. Southeast f. Southwest h. Northwest
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common L
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
I can only light

90.
75°
60
B
A NT
1-1
30
15 SW
S5
S
2Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 2.Draw a picture that will show the motion that the object or objects made. Place an "A at the beginning of the
path, a "B" at the end of the path, and slun any changes in direction during the course. path, a "B"a t the end of the path, and sliun any changes in direction during the course.
B
?9
AAA
2. IF there was MORE THAN ONE object, then how many were there? .
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

Page 6
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 to cle One) Yes No
31.2 Please list theio names and addresses:
RFB RANSAS
3C Forbes RFB, KANSAS
2c Forbes
NSAS
32. Please give the following information about yourself: . Please give the following information about yourself:
NAME NAME
ast ast Name Name First Name Middle Name Middle Name
ADD TopekA TopeKA KANSAS
City Zone State State
EX
TELEPHONE NUMBER TELEPHONE NUMBER 2 21 SEX SEX MALE MALE
experience, which might be pertinent.
1
When and to whom did you report that you had seen the object? Col J.B. SHATTUCK
31 PMARch 66
Day Month Year

Page 7
34. Date you completed this questionnaire: 7 Rprl 66
Day Month Yeor
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.
Yud
J
V

Please try to answ questions as you possibly can. The information that you give will
be used for research
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necess oy contact you for further details. Noros adirew palt s rote a
When did you see the object? 2. Time of day: 22 15
Hour Minutes
30 MARCH 1966 (Circle One): A.M. or P.M
Day Month Year
3. Time Zone:
(Circle One): 4 a. Eastern a. Daylight Saving
b Central b. Standard Wilad Wilae
c. Mountain toemeenest 8 toareane:t
d. Pacific
e. Other III
4. Where were you when you saw the object? 4. Where were you object?
FORBES AFB 5AR FOPEKA. KANSAS KA
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Tatal Duration) O 4 30
Hours Minutes Seconds
a. Certain c. Not very sure Ats acs 5
b. Fairly certain E
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes X
6. What was the condition of the sky?
DAY NIGHT
Bright a. Bright
b. Cloudy
7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): 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 F TD 164, Jul 61, which is obsolete.

(
Page 2
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):
None a. Bright moonlight
b. A few b Dull moonlight
c Many c. No moonlight - pitch dark atpo
Don't remember 31 d. Don't remember Heneen otbsay od
1R7707
. What were the weather conditions at the time you saw the object? o bomasb ai rode
CLOUDS (Circle One): WEATHER (Circle One):
to a ty bib n
a.Clear sky a.)Dry
b. Hazy .Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain "
d. Thick or heavy clouds d. Snow
e. e. Don't remember Don't remember
10. The object appeared: (Circle One):
a. Solid a. Solid d. As a light
b. Transparent b. Transparent Don't remember
c. Vapor Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): 4oh phe
a. Brighter a. Brighter c. About the same
5. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Si2E AUD Bni6HTneSS of LAND.NO
The edges of the object were:
(Circle One): Fuzzy or blurred e. Other _
Like a bright star
c. Sharply outlined
d. Don't remember
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 up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

DEPARTMENT OF THE AIR FORCE AENT OF
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC) EF
WRIGHT-PATTERSON AIR FORC OHI0 45433
REPLY TO ATTN OF: TDEW/UFO
APR 5 1966
SUBJECT:
TO: Base Operations
Forbes AFB, Kansas
subject U Request you have observers, mentioned in
message, fill out
that the original negative be obtained and forwarded to
this office. Negative will be returned upon completion of
analysis.
FOR TH OMMANDER
bie I. dskne snlkene
ERIC T. de JONCKHEERE, ERIC T. de JONCKHEERE, Colonel, USAF 1 Atch
Deputy for Technology and Subsystems chnology FTD Form 164 (3 cys)
lst. Ind. (8380TBO) 1st. Ind. (8380TBO) 8 April 1966
838 Cmbt Spt Gp, Forbes AFB, Kansas 66620 838 Cmbt Spt Gp. Fo FB, Kansas 66620
TO: T TDEW/UFO - Colonel Eric T. de Jonckheere
Complied.
JACK B. SHATTUCK
Lt. Colonel, USAF 1
Base Operations Officer

.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: EON 11 DLE
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 DNe a. Sound noNe
Like A STAR W:LL. Like A ETAR W:L4.
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 much of the object is head of the match. If you had performed this experiment at the time of the
LLood2
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.
IT ONLY LOOKED LiKe A BRiGHT LiGHT.I
COULD noT Tele A3CUT
AnytHina The SHAPE.
-44

Page 4
2Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
2. Do you think you can estimate how far away from you the object was?
(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? 3. 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? BC
f. Other . g.
IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questins:
24.1 What direction were you moving Circle One)
a. North c. East South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
4 LANDiNO Genn hibnT 0n AC130
me size kL iT t
APProxAmAtLY CHANGED
Direction.

show how high the object was above the horizon (skyline) when you last saw it. Place an " compass
when you first saw it. Place a "B compass where you last saw the object.
90° 75°
60B
4001
NE 44
30
15° SW S5
A A S
o
path, a '"B at the end of the path, and show path, a"B" end of the path, and show anyhanges in direction during the course. hanges in direction during the course.
SOPET SoSE
FLASU Did wot Dio wot
WHiLE Le HiLE FLASH
RiS.NG A LeAViNG. wHen
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ywere arranged, and put an arrow to show the direction that they were traveling.
,
→

Page 7
34. Date you completed this questionnaire: 7 APRIL _1966
Day Month Year
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.
,
A

Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
NO
Yes No
31.1 IF you answered YES, did they see the object t Circle One) Yes No
31.2 Please list their names and addresses:
A2C LAR Ry FORBeS
AZC DAn FORBES
42cJ FORBeS
F=0RB0s
A3C H. RBeS
A2C
Please give the following information about yourself: 32. Please give the following information about yourself:
NAME
Last Name First Nam First Na Middle Name
ADDRESS FORBES AFB KANSHS KANSAS
Street City City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE 20 SEX SEX MALE
Indicate any additional
.When and to whom did you report that you had seen the object? LT. COL SHHTTUCK
31 MARCH 66
Day Month Year
/

SEMTON
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 phenomenon that you have observed.
Please try to answer as many 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, may contact you for further details.
When did you see the object? 2. Time of day: 21 30
Hour Minutos
30 3 66 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): (Circle One): a. Eastern (Circle One): a._ (Circle One):a._ Daylight Saving Daylight Saving
b. CentraD b. Standard
c. C. Mountain Mountain
d. Pacific
e. Other Other
4. Where were you when you saw the object? 4. Where were you when you saw object?
Forbes AFB Forbes AFB Topeka Topeka Kansas Kansas
Nearest Postal Address City or Town State or County
5.How long was object in sight (Total Duration) 0 20 0
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? Personal watch (wrist)
5.2 Was object in sight continuously? Yes V No
6. What was the condition of the sky?
DAY NIGHT
a. Bright
Cloudy b. Cloudy
7.IF you saw the object during DAYLIG , 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
To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete,

-
Page 2
8IF 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): 1
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. 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 Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. e. Don't remember Don't remember
The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don't remember
c. c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter o. Brighter c. About the same c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Only slightly ly brighter then a star
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
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 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? Yes Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know 1
h. Disappear and reappear? Yes NO Don't know

(
Page 3
14. Did the object disappear while you were watching it? If so, how? No
1
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:
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: _
17. Tell in a few words the following things about the object:
.SoundNone
b. Coloram ber
.We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how 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?
most most likely likely all of it. all af it
. 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.
all that was Visable to me
light.
)

(
Page 4
20. Do you think you can estimate the speed of the object?
(Circle 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
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):
o.In the business section of a city?
aInside 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. 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
(Circle One) Yes No
2Did you observe the object through any of the following?
Eyeglasses Wo e. Binoculars Yes No
b. Sun glasses f. Telescope Yes No
c. Windshield No g. Theodolite Yes (No
d. Window glass Yes No h. Other
.In order that you can give as clear a picture as possible of of what you saw, describe in your own words a common
object or objects which, when placed up in th
It had the actions of a floating balloon
and the appear nce of a light.

(
Pag• 5
. In the following sketch, imagine that you are at the point shown. Place an "A"" on the curved line to show how
show how high the object was above the horizon (skyline) when compass
when you first saw it. Place a "B
90°
75°
6
45° 11
NW NE
30
E
AA B
-15• SW S5
C
path, a "B' at the end of the path, and show any changes in direction during the course. path, a "B at the end of the path, and show any changes in direction during the course.
t 6 8
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of he they were arranged, and put an arrow to show the direction that they were traveling.
/
L

iN nvas 2rers
mved. If avae
uceptionaly interested as I had
Seow USAF
Base Operitione Hin

.
Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
31. 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:
A2C Forbes AFB
A2C 1' "
A3C 11 11
A3C 11 '1
A3C 11 !'
32. Please give the following information about yourself:
NAME Name Middle Name Middle Name
Last Name Last First Name
ADDRESS Topeka Kansas
Street Street City Zone Zone State
TELEPHC TELEPHONE NUMBER NUMBER AGE AGE 21 21 SEX Male SEx Male
If, including any special experience, which might be pertinent.
When and to whom did you report that you had seen the object? I was called by
31 3 66 Lt. CO1 shattuck as
Day Month Year someone
it.

(
Poge 7
8 3 66
Day Month Year
questionnaire or a narrative explanation of your sighting.
:
1
I

This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as poss oncerning the unidentified aerial phenomenon that you have observed.
Please try to answ y questions as you possibly can. The information that you give will
be used for research name will not be used in connection with any statements,
conclusions, or publicati request this personal information so
that if it is deemed ay contact y er details. to edeexort anTe
e1
When did you see the object? Time of day:
Hour Minutes
30 mARCH 1966 (Circle One): A.M. or P.M.
Day Month Year
3. 3. Time Zone:
(Circle One): (Circle One): a. Eastern a. Daylight Saving Daylight Saving
b. Central b. Standard
c. c. Mountain
d. Pacific Pacific CENTRAL
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
TOPEKA KANSAS
Nearest Postal Address Nearest Pos ass City or Town State or County State or County
5.How long was Total Duration .7
Hours Minutes Seconds
a. Certain C. Not very sure
.Fairly certain d. Just a guess
5.1 How was time in sight determined? APPBO XMATE
5.2 Was object in sight continuously? Yes V No—
6. 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 the object?
(Circle One): In front of you d. To your left
b. In back of you e. Overhead
To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes F TD 164, Jul 61, which is obsolete.

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 moohlight
b. A few b. Dull moonlight
C. Many c. No moonlight - pitch dark
d. Don't remember C. Don't remember
1
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky a. Dry
b. Hazy Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow
e. 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
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter C. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
LIGHT REFLEETING OFF HIGHLY POLISHED METAL
.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
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. 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? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes 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 object disappear while you were watching it? If so, how?
No
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:
.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_NO SOUND a. Sound NO SOUND
b. COIOr BRIGHT (IKE STAR. WITH RED b. COIOr BRIGHT LIKE STAR. WITH RED LITE LITE 5 5 BLUE JITE
We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how 8.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 abject is covered by the head of the match. If you had performed this experiment at the time of the much of the object is covered by the heod 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?
4-5
.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 arrow beside the drawing to show the direction the object was moving.
LIKE STAR

Poge 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No 7
IF you answered YES, then what speed would you estimate?
Do you think you can estimate how far away from you the object was?
(Circle One) Yes (No
IF you answered YES, then how far away would you say it was?
Where were you located when you saw the object? .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 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
2. IF you were MOVING IN AN AUTOMOBILE or other vehicle at time, then complete the following questions:
24.1 What direction were you moving? ircle One)
a. North c. East e. South g. West
b. Northeast b. Northeast d. d. Southeast f. 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
a. Eyeglasses No e. Binoculars Yes No
b. Sun glasses No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other_NoNE
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
MOVING SATELLITE
:

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
when you first saw it. Place a "B' n the compass where you last saw the object.
90° 75°
AB
60°
NW NE
3 O E
15° SW S5 S5
Draw a picture that will show the motion that the object or objects made. Place an Aat the beginning of the Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" at the end of the path, and slun uny changes in direction during the course. sny changes in direction during the course.
A
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of h
1

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
rcle One) Yes No
31.2_ Please list their names and addresses:
A3
A2 FORBES
A2L
ssgt.
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME First Name First Name
Last Name Last Name Middle Nome Middle Name
ADDRESS FORBES AFB,TOPEKA FORBES AFB, TOPEKA KANSAS
City Zone Zone State
TELEPHONE NUMB AGE 18 SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
When and to whom did you report that you had seen the object?
31 MIAECH 66
Day Month Year
-

(
Page 7
34. Date you completed this questionnaire: 8 APRIL 66
Day Month Year
Information which you feel pertinent and which is not adequately covered in the specific points of the
STOPPED
BOUNCED AROUND INSKY.
1
√

Elf
OCONNER
U.S. AIRF FORCE1 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 phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
it.
that if it is deemed necessary, you for further details.
.When did you see the object? TH 30
* Hour Minutes
30 Mar 1966 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
a. Eastern (Circle One): Daylight Saving
Central 6 Standard
C c. Mountain Mountain
d. d. Pacific
e. Other Other
4. Where were you when you saw the object? 4Where were you when you saw the object?
ase A0 Laba KANSAS KANSRS
Neores Postai Address City or Town State or County
Total Duration) 60 13
Hours Minutes Seconds
c. Certain c. Not very sure
5. Fairly certain
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes -— NoX
6. What was the condition of the sky?
DAY NIGHT
a. Bright 6. Bright
b. b. Cloudy
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
To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

U.S. AIR FORCE TECHNICAL INFORMATION I
information as possibl that you have observed.
Please try to answer as mar any questions 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, ay contact you for further details.
2. 30
Hour Minutes
29 mrech 1966 (Circle One):
A.M. or (P.M.
Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One): a. Eastern (Circle One): Daylight Saving
b Central Standard
Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Forbes AFB Topka KANSAS
Neorest Postal Address City or Town City or Town State or County
5.How long was objact in si Total Duration) 0 12 0
Hours Minutes Seconds
C. 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 NoK
6. What was the condition of the sky?
DAY NIGHT
a. a. Bright
Cloudy b.
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
FTD FORM
OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

~ I
Page 2
8IF 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
by A few b. Dull moonlight OWOHE
c. Many c. No moonlight - pitch dark
d. Don't remember
.What were the weather conditions at the time you saw the object? 90
CLOUDS (Circle One): WEATHER (Circle One):
6 Clear sky @ Dry
Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds d. Snow
e. e. Don T remember Don't remember
10. The object appeared: (Circle One): The object appeared: (Circle One):
a. Solid 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): 0042 2
a. Brighter About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Cmpanas a s Leldbyoy  do -
.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
6 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 speed up and rush away at any time? Yes NO Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Don't know
e. Change brightness? 2 Don't know
f. Change shape? Don't know 1
g. Flash or flicker? Don't know
h. Disappear and reappear? Don't know

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:
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:
Tell in a few words the following things about the object:
a. Sound_K
b. Color WhiD witD semehaD fa Le Lue
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 cov head of the match. If you had performed this experiment at the time of the
-
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.
O
K
--

2. Do you think you can estimate how far away from you the object was?
(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? 3. Were you (Circle One)
(Circle One):
aIn the business section of a city?
aInside a building b. In the residential section of a city?
b. In a car c. In open countryside?
Outdoors Near an airfield?
d.In an airplane (type) e. Flying over a city?
e. At sea f.
g. Other
24.
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
24.2 He ilosno-
Yes No h.
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
an anticolhision light an an eccdligly low fhing aniergy

Page 5
2. 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 " compass
90• 75°
45• NW NE
E
-15• SW S5
path, a "B" at the end of the path, and show uny changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho

Page 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 the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
Aze.
Aze
33GT 313Th T.C.W., Lribs His Fra Bace
Azc
Ase
A3C
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME NA
Last Name Last Name Nama
ADDRESSCM2 ADDRESS. CMR Lebes AEB Lobes A.EB. 66660 64660 Kansas
Street City Zone State
AGE ∠9 AGE 19 SEX MALE MOLE
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
Day Month Year

Page 7
d this questionnaire: 7 196b
Day Month Year
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.
I
-
ADMU

(
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 28246 (2 Apr 66) A/ap Pg 1 of 3
ACTION: NIN-7 INFO: XOP-1, DIA-1(15) ADV CY DIA
SMB C15 TJC230
RR RUEAHQ
DE RUWJELA5097 0921915
ZNR UUUUU
R 01212TZ
FM 838CSG FORBES AFB KANS FM 838CSG FORBES AFB KANS TO TO ICYS CYS
OS
TO RUWMGDA/ADC ENT AFB COLORADO OSA OSA
OSP
RUWGKG/30THAD RICHARDS GEBAUR AFB US
RR
RUCDSQ/AIR FORCE SYSTEMS COMMAND POREIGN TECHNOLOGY WIRGHT PATTERSON OREIGN TECHNOLOGY WIRGHT PATTERSON IL
I TT.A
AFB OHIO | TT.I | TLI
ILP
RUEAHQ/HQ USAF WASHINGTON D C RUEAHQ/HQ USAF WASHINGTON D C ILS
ILT
RUEAHQ/SECRETAR FM
RD
BT MP
MPP
UNCLAS/838AD 12332 APR 66. SUBJECT: UFO. PART ONE: MPR
AA C
UFO SIGHTED AT FORBES AFB KANSAS 2030 CST 30 MARCH 1966. AAA
| AAR
PART TWO: IAW AFR 200-2, PARA 14 ALPHA: (1) UMBRELLA SHAPE, I'GC
OI
(2) SIZE WAS COMPARED TO A B-52 FLYING FLIGHT LEVEL 350 (3) LL
SS
WHITE (4) ONE (5) N/A (5) NONE (7) THE TAIL WAS EQUAL TO WING SPAN DSMG
(COMPARISON WITH AN AIRCRAFT IN FLIGHT) (8) NONE (9) NONE. BRAVO:
(1) ONE THIRD CLASS HAPPENED OBJECT AND
AFHQ JAM 65 FORM 0-309C
UNCLASSIFIED

: C
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
2 of 3
CALLED IT TO THE ATTENTION OF OTHER PERSON, (2) 45 DEGRESS TO 60
TO 90 DEGREES ELEVATION 120 DEGREES TO 150 DEGREES AZIMUTH, (4>MOVED
HORIZONTALLY FAST, THEN FIGURE EIGHT PATTERN, THEN HOVERED, THEN
PAGE TWO RUWJELA5097 UNCLAS
VERTICALLY, THEN OUT OF SIGHT IN SOUTHEAST DIRECTION (5) SAME AS
FOUR ADOVE,(6) TWELVE MINURES COOO:(1) GROUND VISUAL,(2) NONE (3) FOUR ADOVE,(6) TWELVE MINURES COCO:(1) GROUND VISUAL,(2) NONE (3)
N/A DELTA:(1) 0130Z THREE 0415Z, 30 MARCH 1966 (2) NIGHT. ECHO:
FORBES AFB, KANSAS. FOXTROT: (1) N/A, (3) J.J. KENNEDY, SSGT. FORBES AFB, KANSAS. FOXTROT: (I) N/A, (3) J.J. KENNEDY, SGT.
313 TCW, JET ENGINE SPECIALIST, D.T. 0'CONNER, A/3C, 313 TCW OONNER, A/3C, 313 TCW
AGE SPEC., C.E. SPENCER, A/2C, FMS., L.H. WALLACE, A/2C, WELDER,
DoJ. SEATON, A2C, AREO REPAIR, DO. LEE, A/3C, FMS.,
H.Y. YONEMURA, A3C, AREO REPAIR, D.P. RICH, A/3C SHEET METAL
SPECIALIST RELIABILITY OF REPORTED OVSERVAPION IS CONSIDERED D 100 PER CENT. AFTER
VIEWING AN EDLARGED PHOTOGRAPH OF THE OBJECTN ALL OBSERVERS AGREE IT
LOOKED LIKE IT LOOKED LIKE THE OBJECT THEY OBSERVED • GOLF: (1) CLEAR
WITH GOOD VIZIBILITY,(2) SFC 31/04, 6M 31/20, 10M 32/23, 16M
34/39,201 34/50, 30M 35/55, 50M 32/42, 80M 28/35, (3) N0NE, (4) G00D,
(5) NONE, (6) NONE, (7) SFC PLUS 25.5 DEGREES, 30M 44.5 DEGREES.
HOTEL: NONE INDIA: NONE JULIET: NONE KILO: BASE POERATIONS OFFICER.
AFHQ JAN 65 FORM 0-309C UNCLASSIFIED

(
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 28246 (2 Apr 66) Pg 3 of 3
AS TO
POSSIBLE CAUSE OR IDENTITY OF REPORTED OBJECT.
BT
NNNN
/
04
AFHQ JAN SS FORM 0-309C
UNCLASSIFIED

A
Base Operations
Forbes AFB, Kansas 4
Reference your unclassified message, 838AD 12332 Apr 66,
subject UFO. Request you have observers, mentioned in
messege, fill out the attached FTD Forms l64. Also request
that the original negative be obtained and forwarded to
this office.r Negative will be returned upon completion of
analysis.
FOR THE COMMANDER
ERIC T. de JONCKHEERE, ColOnel, USAF 1 Atch
Deputy for Technology and Subsystems FTD Form 164 (8 cys)
PM FIL BK
COORDINATION:

L
Page 2
.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 few b. Dull moonlight
c. Many c. No moonlight - pitch dark GC
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):
Clear sky a. Dry
b. Hazy Fog, mist, or light rain
c Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow
e, Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent b. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? Circle One): If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter a c. About the same About the same
b. b. Dimmer Don't know
11.1 Compare brightness to some common object:
Head Lights a CAR MI2
.The edges of the object were:
(Circle One): Fuzzy or blurred Other
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? 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? Yes No Don't know
e. Change brightness? es No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

PNRS
1 Negative,1 (5 X 7 Print
l. PURPOSE: This report is w ten in response to Work Order Number 66-34 requesting photo
be performed as unide cified object may be.
2. ANALYSIS: Analysis was conducted Photo Analysis ision. and the
Photo P: ocessir
3. The image which appears on the negative appears on negative and the photograph is of insufficient size and and the photograph is of insufficient size and
definition for accurate ccur analysis as tc what analysis as tc what the apparent object may the apparent object may be. Any definite statement
is precluded by the absence of exposure and processing information. the absence of exposure and processing information. However, the noticeable However, the noticeable
lack of background density and the absence of format outline, coupled with the presence of
pressure marks superimposed on the image indicates this is possibly pressure marks superimposed on the image indicates this is possibl; processing aberration rocessing aberration
rather than an actual image.
PHOTO ANALYSIS BY: APPROVED BY: APPROVED BY:
CHARLES A. BURTON CHARLES BURTON RICHARD L. CHANCE RTCHARD I.. CHANCE
Intelligence Research Specialist Capt, USAF
Chief, Photo Analysis Division
WILBER PRICE, JR.
Director
Exploitation Directorate
-TD FORM
APR 62 132

30 march
ENGINEERING SUPPORT WORK REQUEST
ENGINEERING ANALYSIS x MACHINE cO TATION
PPT NUMBER: A6010301
DESCRIPTION WORK: Request ohoto analysis be performed on the attached negative,
as to unidentified object
-
REFERENCE MATERIAL:
and one
print. I Request a reference material be returned upon pletion
of analysis.
REQUESTED BY MaiH SYMBOL UD PHONE
I CERTIFY THAT THIS WORK IS AUTHORIZED BY ME THAT IT HAS THE FOLLOWING PRIORITY AND
DEADLINE WITHIN MY DIVISION.
23 May 66..
PRIORITY DEADLINE SIGNATURE OF APPROVING DIVISION CHIEF DATE
ENGINEERING SUPPORT MONITOR. ASSISTANT
FINAL WORK TO BE IN FORM OF :
ENGINEERING NOTE COMPUTATION PI REPORT PROGRAM
WORK REQUEST APPROVED BY: DEADLINE DATE
PRIORITY NUMBER ONE TWO THREE
WORK ORDER NUMBER
FORM
T61 462 Previoun editiens mey be used.

foe a shoet tince.then cane out in theopen
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know.
in front of: SANe As
17. Tell in a few words the following things about the object:
a. Sound nosounds.
b. Coior _ b. Coior. Lumainted white
We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how .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 much of the object is covered by the head of the match. If you had performed this experiment at the time of the
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.
↑
1

21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes 03r
No)
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the object? 2. 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 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.
Ather Betwcen Bks
g.
.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? ircle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
object or objects which, when placed up ich you saw.
upside he
Bebtom,

Page 6
.Have you ever seen this, or a similar object before. If so give date or dates and location.
no.
3. 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 ircle One) Yes No
31.2 Please list their names and addresses:
A2c B.E6827
AdC 1.2 k1
Aic 1 41
A3C 12
v 11
UU
32. Please giv 32. Please give the following information about yourself: owing information about yourself:
NAME
Last Name First Name Middle Name
CMRG89.66620 CMRG0G. 66620 KanSAS KansAs
ADDRESS
Street City Zone State
TELEPHONE NUMBER TELEPHONE NUMB AGE 19 19 SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
Aie ceaft thech.
33. When and to whom did you report that you had seen the object?
30 MAeLl bb Lt Lekuliski
Day Month Year