PROJECT BLUE BOOK

S
PROJECT 10073 RECORD
1. DATE· TIME GROUP 2. LOCATION
.1 August66 01/0600-0900 1 August66 01/0600-9900 Eastern Maryland Area(Multiple) Eastern Maryland Area (Multiple)
.AOUNCE 3. SOUICE 10. CONCLUSION 1. CONCLUSION
Civilian INSUFFICIENT DATA FOR EVALUATION (JAH) CIENT DATA FOR EVALUATION (JAH)
4. NUMBER OF OBJECTS
Several
5. LENGTH OF OBSERVATION 11. 11. BRIEF SUMMARY AND ANALYSIS
SEE MEMOS FOR DETAILS SEE MEUOS FOR DETAILS
10 - 180 Minutes Various observers reported red, white, green lights moving in
6. TYPE OF OBSERVATION various erratic flight paths. Some objects were going in
Ground-Visual (BX) circles while others remained : stationary. No definite shapes
were noted, just lights in th sky. Objects appeared as
7. COURSE lights only. One object was bbserved to appear in the west and
Varied travel in an eastern direction at a high rate of speed,
8. disappeared er the horizon.
PHOTOS Andrews AF ported no sightings from their tower or their
07 Yes radar. Investigating officer did observe a satellite during
No the approximate three hour sighting. Insufficient data for
9. PHYSICAL EVIDENCE comprehensi ve evaluation.
4 7.
7 Yes
XXNO
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form rsy bo ueed.
.

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
A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember d.Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky Clear sky a a. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
Solid 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):
Brighter c. About the same
. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One): a. Fuzzy or blurred . other unalle to diteriminl
b. Like a bright star
c. Sharply outlined Sndrpiy outiined
Don't remember Don't remember
Did the object: (Circle One for each question) (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 Don't know
c. Break up into parts or explode? Yes No Don't know Don't know
d. Give off smoke? Give off smoke? Yes Yes No CNo Don't know
e. e. Change brightness? Change brightness? Yes 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
/
H

/
Page 3
.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? 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 IF you answered YES, then tell what
in front of: _ aTalyphiniPol
17. Tell in a few words the following things about the object:
b. Color  Red wntit Bhue
Wa 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? appropimatily /2
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. 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. Place an arrow beside the drawing to show the direction the object was moving.
DisRegua.red DisReguard
←2
7
RPR
very Brisht Lig his
11

Pagen 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes (No) 11
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? 22. Where were you located when you saw the object? Were you (Circle One) e One
(Circle One):
a. In the business section of a city?
a.Inside a building Inside a building In the residential section of a city? In the residential section of a city?
b. by In a car In a car C C. In open countryside?
C. Outdoors Outdoors dNear an airfield? d. Near an airfield?
d. In an airplane (type) e. Flying over a city? Flying over a city?
e. At sea f. Flying over open country?
f. Other _ f. Other. g. 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)
. North East e. South .9. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fas: were you moving? 90 ___miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yos No
2Did you observe the object through any of the following?
a. Eyeglasses No e. Binoculars Yes No
b. Sun glasses b. Sun glesses Yes Yes Wo No f. f. Telescope Telescope No No
c. Windshield Windshield Yes No g. Theodolite Yes No
d. Window glass d. Window glass Yes No 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 2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
I I seen lefoe
linalle to relate to any thing dluer luer seen lefore

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 "A"" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90° F
75°
30°
15 SW
SG
S
Draw a picture that will show the motion that the objectbjects madPlace nat the beginning  t
path, a "E" at the end of the path, and shiuw ony changes in direction during the course.
-
-Treeline
IF there was MORE THAN ONE object, then how many were there? 5
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
①
③ ②
⑤ ⑤
④ ④

Page 6
3. Have you ever seen this, or a similar object before. If so give date or dates and location.
NO
1
3. Was anyone eise 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:
Pot. -Pr. Gec. Co Policr Bowi Station
Many Pr.Gec. Co. Police 0 fiers on Duty on Duty
32. Please give the following information about yourself:
NAME Last Name Middle Name
ADDRESS Greenbelt Mcl.
City Zone State
TELEPHONE NUMBER AGE 23 SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent.
None
.When and to whom did you report that you had seen the object? 33 Pr. Ge Cc. P.liex Dispatcher
12 Cugust 1966
Day Month Year N.I.C.A.P.

JDEN-GUARDIA
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair has been prepared soothat you can give the U.S. Air Force as much
information as possibl concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as 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? .When did you see the object? Time of day: Time of day: BET. 2:CC AM.AND 3:COAM BET. 2:CC AM. AND 3:COAM
Hour Minutes
1 ACE. ACE, 1966 1966 -
(Circle One): (Circle One): A.M. or P.M. P.M.
Day Day Month Month Year
Time Zone: . Time Zone:
(Circle One): a. Eastern (Circle One): G. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
SEAT PLEASANT AREA SEAT PLCASANT MD.
Nearest Postal Address City or Town State or County
2c23=BJCCTS-A15120X-1C
.How long was object in sight? (Total Duration) J CBSECT -APPROx, 2 HRS.
Hours Minutes Seconds
a, Certain c.Not very sure
b. Fairly certain d. Just a guess
5.1 HOW Was time in Sight determined? TWe 2) OBUECTS WCRC CON STANTLY 5.l How was Time in signt determine 1 m 31on7.
ONE ce RCMAINC RCMIAINED STATIONARY BY
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? YesV Yes. No_ No
6.What was the condition of the sky? What was the condition of the sky?
DAY NIGHT
a. a. Bright
b. Cloudy b. Cloudy b. b. Cloudy
(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.

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):
Ca. Bright moonlight: /
a. None
φ. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember dDon't remember
. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky Ca. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain Fog, mist, or light rain
C. Scattered clouds Scattered clouds (FEW) c. c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One): 1. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don T remember
c. Vopor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
. Brighter c.About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
A VERY CLOSE STAR
12.The edges of the object were:
(Circle One): c. Fuzzy or blurred e. Other ANETIER CBSECT DID NCT
.Like a bright star MCVE BUT CONSTAN'TLK
c. Sharply outlined
Don't remember d. Don't remember AND BULE
Did the object: (Circle One for each question) (Circle One for each question)
a. a. Appear to stand still at any time? Yes les No Don't know
b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? es es No Don't know
c. Break up into parts or explode? Yes No No Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Change brightness? Yes Don't know Don't know
f. Change shape? Yes 399999 Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know
X

Page 3
SMALLCR
As DISTANCE DISAPPEARED
1. 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? 1.Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes Yes No Don't Know IF you answered YES, then tell what
in front of:
17. Tell in a few words the following th ings about the object:
0. Sound NONE
b. COlOr BRIG-HT YELLOW
COLCRS YELCCW,REDTBLUE
8We 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?
.
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. of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or trails.
Place an arrow beside the drawing to show the direction the object was moving. Place an crrow beside the drawing to show the direction the object was moving.
NCRTH AT LEAST 2, AT LEAST 2, POS POSSiBLY 3 3
NORTH NORTH OBJECTS OBVECTS WERE SEEN WERE SEEN
NOVINE FROM CUERHEAD
TO NORTH,
COLERS) WAS STATIONARY. ARY
N.B. OBJECTS FLEW CUT
HORI2CN EF SIGHT WELL ABOVE
HORIZON.

97
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? 1000+ MPH
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
BET. 10  20 MILES
22. 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  building b. In the residential section of a city?
b. In a car 3 DIFFERENT TIMES) In open countryside?
c. Outdoors d. Near an airfield?
d.In an sirplane (type) e. Flying over a city?
e. At sea f. f. Flying over open country? Flying over open country?
f. Other _ f. Other - g. Other - 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) NCT MOVINE: OBSERVED FROM STLPPED
CAR AND ALSO FROM OUTSIDE
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.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
Did you observe the object through any of the following?
Eyeglasses Yes e. Binoculars No
b. Sun glasses b. Jun y'Gsses Yes Tes f. m. renescope Telescope No
c. Windshield Yes g. Theodolite g. Theodolite Yes No No
d. Window glass Yes h. Other_RAKED EYE h. OtherAAKED EYE
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common .In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
A VERK CLOSE STAR A VERK CLOSE STAR THAN
50'in DIAMETER.

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
when you first saw it. Place a "B"" on the compass where you last saw the object. !
96-1,2 75
60 B_2B,
45• B2 A
(ALMOST OVERHEAD NW NE
B
A B3$
15° SW SE
path, a a the end of the path, ad shiu any changes in direction during the course.
A1 AR
STOPPED,
LATER MOVED AGAIN
APPARENTLY OBJECT
ALL OBJECTS
B EXCEPT VB EXCEPT ONE ONE WHICH WAS WHICH WAS STATIONARY,
-
IL
11

CUMBERLAND
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much II
information as pos ncerning the unidentified aerial phenomenon that you have observed.
Plecse try to ansv ny questions as you possibly can. The information that you give will
be used for resear
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? .When did you see the object? 2. Time of day:
Hour Minutes
Fiub Fiub (Circle One): (Circle One): (A.M. or P.M.
Day Day Month Year
.Time Zone: . Time Zone:
(Circle One): (a.) Eastern (Circle One): (a., ,Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
oo s0ir D010 B4 TE554P
Nearest Postal Address City or Town State or County
How long was object in sight? (TotalDuration)
Hours Minutes Seconds
c. Certain .Not very sure
. Fairly certain d.Just a guess
5.1 How was time in sight determined? dookak 8r i C0ck s0s Te 2002
T0 bo1ab To bolab
5.2 Was object in sight continuously? Yes Yes — No 8 T.
What was the condition of the sky? 6.What was the condition of the sky?
DAY NIGHT
a. Bright (a. a.
b. Cloudy 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
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.
1

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it

Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
NO
Was anyone else with you at the time you saw the object? (Circle One) No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes) No
31.2 Please list their ngmes and addresses:
/ MD
32. Please give the following information about yourself: .Please give the following information about yourself:
NAMF NMN NMN
Last Nome First Name Middle Name
ADDRESS MD --
Lone State
TELEPHONE NUMBE AGE 2.2 SEX M1
Indicate any additional information about yourself, ding any special experience, which might be pertinent.
PVT, P.G.CO, P.D.,
SEAT PLEASANT, MD.
.When and to whom did you report that you had seen the object? 33. When and to whom did you report that you had seen the object? 56-7
8 8 6C 66
Day Month Year
A

CHANGING COLCRS, SEVERAL MOVING ODSECTS WERE REPORTED
ranr2 mCViNe Obs WERE REPORTED
AT
MADE SEVERAL "PASSES" BUT
AT THE THE SANC SAMC
. RS,

PAVLIK
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 oncerning the unidentified aerial phonomenon that you have observed.
Please try to answer ny 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 necessary, we may contact you for further details.
1. When did you see the object? 1. When did you see the object? 2. Time of day: 3:00 UNK
Hour Minutes
! AUG. AUG. i966 1966 (Circle One): A.M or P.M. P.M.
Day Day Month Year
3. Time Zone:
(Circle One): Circle a. Eastern (Circle One)a. ICircle Or Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
KENTLAND P.G.Co. mD
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 0 27 UNK
Hours Minutes Seconds
Certain c. Not very sure
6. Fairly certain d. Just a guess
5.1 How was time in sight determined? RAD/a Time
5.2 Was object in sight continuously? Yes X YesX No No
6.What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT
a. Bright a. a a Bright
b. Cloudy b. Cloudy 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. Overheod N.A.
c.To your right f. Don't remember
FTD OCT 62 164 FORM
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 b. Dull moonlight
c Many c. No moonlight - pitch dark
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. Clear sky Dry Dry
b. Hazy b. Fog, mist, or light rain Fog, mist, or light rain
c. c Scattered clouds Scattered clouds c. Moderate or heavy rain Moderate or heavy rain
Thick or heavy clouds Thick or heavy clouds d. d. Snow
e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid a. Solid As a light As a light
b. Transparent e. Don't remember
c. Vapor
If t appeared s a light, was it brighter than the brightest stars?Circle One):
O Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
peni LARGE BEACON
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other_
b. Like a bright stor
Sharply outlined
Don't remember
Did the object. Did the object. (Circle One for each question)
a. Appear to stand still at any time? 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 Don't know
c. Break up into parts or explode? Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes Yes No No Don't know
e. e. Change brightness? Yes Yes No Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don'tknow
h. Disappear and reappear? Yes No Don't know
11

Page 3
14. Did the object disappear while you were watching it? If so, how? nsieRLY DiReCTION
OBJECT APPEARED IN TNE WeST, 2>
RATe oE OVER THE HARIZOd
ATA HICN
1.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? 16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes 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 NON
b. Color veRy BRIGNT 3 ColoRs, Reo, Blue, wisiie
.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?
N.A.
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 arrow beside the drawing to show the direction the object was moving. Place an arrow beside the drawing to show the direction the object was moving.
o EAST
- —
1.

Poge 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?
2l. 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):
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. c. In open countryside?
c. c. Outdoors Outdoors dNear an airfield? d. Near an airfield?
d. In an cirplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other _ g. g. Other
24. 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 9. West
. Northeast d. Southeast f. Southwest h. Northwest
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes
. Sun glasses Yes Ne f. Telescope (NO
c. c. Windshield Windshield Yes No No g. Theodolite
d. Window glass d. Window glass Yes No No h. Other _ Other_ N.A.
.In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw. . -

Pago 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
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 75"
60
NW NT
30° A A O
E E B B
15° 3W
SE
path, a "B" at the end of the path, and shuw any changes in direction during the course.
29. 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.
N.A. N.A.
F

/
Page 6
.Have you ever seen this, or a similar object before. If so give date or dates and location.
n/o
Was anyone lse 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 (N\o
31.2 Please list their names and addresses:
SCAT
32. Please give the following information about yourself: 3. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
ADDRESS LANHAM MD
Street City Zone State
TELEPHONE NUMBE AGE 37 SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
Nor
When and to whom did you report that you had seen the object? Rap'e 33 W DISPATCNeR P.G.co Police e1
1 AuG CC
Day Month Year

Pago 7
34. Date you completed this questionnaire: 25 ACG- 1966
Day Month Year
Information which you feel pertinent and which is not adequately covered in the specic points of the
questionnaire or a narrative explanation of your sighting.
None
.
T

-
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
A few b. Dull moonlight
C. Many c. No moonlight - pitch dark
d. Don't remember d
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a.Clear sky a. Ca. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. e. Don't remember
10. The object appeared: (Circle One):
a. Solid dAs a light
b. Transparent e. Don't remember
c. Vepor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter c. About the same
. Dimmer d. Don't know
11.1 Compcre brightness to some common object:
1210 700621647
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred Other
Like a bright star
c. . Sharply outimes Sharply ourlined
d. Don't remember d. Don't remember
Did the object: .Did the object: (Circle One for each question)
a. Appear to stand still at any time? Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes Wo Don't know
c. Break up into parts or explode? Yes (No Don't know
d. d. Give off smoke? Yes No No Don't know
e. e. Change brightness? Yes (No (No. Don't know 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
11

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 questions as you possibly can. The information that you give will
be used for researe s. Your 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, we may contact you for further details.
1. When did you see the object? .When did you see the object? Time of day: 3 30 3:30
Hour Minutes
1 / 8 :4 6:4 (Circle One): A.M. or P.M. aidl
Day Day Month Year
3. Time Zone:
(Circle One): a. Eastern) (Circle One): d. Daylight Saving)
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
PENNMAR SHPPiNG CENTER DISTRIET HGTS. MD. . Mo. PG.Co.
Necrest Postal Address City or Town State or County
5.How long was object in sight? (Total Duration) $}$
Hours Minutes Seconds
. 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. Yes No No
What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT
a. Bright ; a. Bright
b. Cloudy b. Cloudy 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
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD) 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):
a. None a. Bright moonlight
b. A few b.Dull moonlight
C. Many c. No moonlight - pitch dark
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 Clear sky a. Dry Dry
b. Hazy Hazy b. b. Fog, mist, or light rain Fog, mist, or light rain
c. Scattered clouds Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid a. Solid d. As a light d. As a light
. 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 cemmon object:
1.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright stor
c. Sharply outlined
d. Don't remember Don't remember
.Did the object: (Circle One for each question) (Circle One for each question)
a. Appear to stand still at any time? Yes Yes No No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. c. Break up into parts or explode? Yes No Don't know Don't know
d. Give off smoke? Yes No Don't know Don't know
e. e. Change brightness? Yes No No Don't know Don't know
f. Change shape? Change shape? Yes No Don't know Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know )

Page 3
.Did the object disappear while you were watching it? If so, how? yes
acght.
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? 16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes Yes No Don't Know. Don't Know. IF you answered YES, then tell what
in front of: _ in front of: _.
17.  Tel!l in a few words the following things about the object:
a. Sound 12ens
b. Color_
.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?
alp
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details I9. Draw a picture inct will show the shape of the object or objects. Label and include in your sketch any defails
of the object thet you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. of the obiect thety saw such as wings, protrusions, etc., and especially xhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving. Place an arrow beside the drawing to show the direction the object was moving.
O
y

/
Page 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?
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? 22. Where were you located when you saw the object? .Were you (Circle One) Were you (Circle One)
(Circle One):
a. In the business section of a city? In the business section of a city?
a.Inside a building a. I Inside  building b. In the residential section of a city? b.In the residential section of a city?
b. In a cor) b. Ina cor) . c. I In open countryside?
c. Outdoors c. Outdoors d. Near an airfield?
d. in an airplane (type) d. in an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country? C
f. Other g. Other
. !F you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle 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.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through ary of the following?
a. Eyeglasses Yes No No e. Binoculars Yes
b. Sun glasses . Sun glasses Yes No f. f. Telescope Telescope No
c. Windshield Yes) Yes No g. g. Theodolite Theodolite Yes
d. Window glass Yes No No h. 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 . In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw. object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
A liftl on lin a iplane

Pago 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
when you first saw it. Place a "B" on the compass where you last saw the object.
90• 75
60°
NS
30
15• SW
S5 S5
path, a "B" at the end of the path, and shuw any changes in direction during the course.
A P 3
2. IF there was MORE THAN ONE object, then how many were there? _ 3
Draw a picture of how they were arranged and put an arrow to show the direction that they were traveling.
o
.
7 0

Page 6
30.Have you ever seen this, or a similar object before. If so give date or dates and location.
I
No
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:
S'EAT PLEASANT STATION
32. Please aive the following information about yourself: 32. Please aive the following information cbout yourself:
Last Name First Name Middle Nome
ADDRES IANDOVER
Street City Zone State
TELEPHONE NUMBE AGE 35 SEX MALE
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? 3. When and to whom did you report that you had seen the object? SGT.SEATFLEnSANT
2 8 66
Month STATION.
Day Year

1
Pago 7
34. Date you completed this questionnaire: 24 8 1l
Doy 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.
/

SMITH
i
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 pos soncerning the unidentified aerial phenomenon that you have observed.
Please try to answer as any 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 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? 1.When did you see the object? 2.Time of day: 2. Time of day: 1.5 15
Hour Hour
1 ST 'lle '1le (Circle One): A.M.
A.M. or P.M. P.M.
Month Month Year Year
3. Time Zone:
Eostern (Circle One): 6. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4.Where were you when you saw the object?
BELTSUILLE SOVN'T. BELTsUille Mp. (R. G)
Nearest Postal Address FARiM City or Town State or County
5.How long was object in sight? (Total Duration) 3 30
Hours Minutes Seconds
aCertain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was rime in sight determined? iHY. OBSFRNATION
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? YesK Yes No_—- No--
.What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHI NIGHT
a. Bright a. Bright
Cloudy Cloudy b. b.
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
FTD 0CT 62164 FORM
This form sunereedeo FTn 164 Y
1

4
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
d. Don't remember
. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): CLOUDS (Circle One): WEATHER (Circle One):
a. Clearsky a. Dry
b. b. Hazy Hazy b. Fog, mist, or light rain
c. c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember
TO. The object appeared: (Circle One): One ):
a. Solid . As a light
. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
o. Brighter LC. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One): sFuzzy or blurred e. Other
5. Like a bright star D. Like a bright star
c. Sharply outlined
dDon't remember d. Don't remember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No No Don't know
b. Suddenly speed up and rush away at any time? Yes No No Don't know
c. c. Break up into parts or explode? Yes No Don't know
d. d. Give off smoke? Yes No .Don't know Don't know
e. Change brightaess? (.O.eRS 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 1

Page 3
14. Did the object disappear while you were watching it? If so, how?
ONE ECT.WHICH WHE THE FIRST ONG ERVED,
WAS AT STAND STILL FOR SOMETIME THEN MOVED)
05 J:GHT.
Did the objest 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: -
sighting, how much of the object would have been covered by the match head?
NO EXPERIMEN PERFORWIED
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. 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. Place an arrow beside the drawing to show the direction the object was moving.
UBJECTS UBJECTS NPPEARRED To BEJUST JUST A ROUND A ROUND
WERFSEEN
AT ONE TIME IN AT APPROX. A WILE OR SO AFPROX. A MILE. OR SO
RADionS.

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? 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: _ 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 obiect:
a.Soundon
b.Color∠dGi7
.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 oe 17
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.d Place an arrow beside the drawing to show the direction the object was moving. gndi06 55022
sus7 3 264T5 CAoSS 21H51,1003&825
.
IN !

TE
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? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a.Inside  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 cirplane (type) e. Flying over a city?
e. At sec f. Flying over open country?
f. Other - g. Other
.
24.1 What direction were you moving? (Circle One)
. North c. East e. South g. West
. Northeast d. . Southeast 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 .
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No Binoculars
b. Sun glosses Yes No f. Telescope No
C3 C3 Windshield Windshield Yes No g. Theodolite Theodolite
d. Window gloss Window gloss Yes No h. Other Other
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
FIRST DBSARUATION
JR A BRIYHT oRA LIqHY WiTH NO qLow oR FuZZr
Aeein NLG.

/
Pago 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
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 1 75•
60
30° E
-15 15 SW SE
Draw a picture that will show the motin that the object or objects made. Place an "A at the beginning of the
path, a "B" at the end of the path, and sliun any changes in direction during the course.
8
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
O
O 0 0 O
0
0
0 0
0 0
0

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 object too? Circle One) fes No
31.2 Please list their names and addresses:
P\ -BOWiESTATION -Pa.Gaon Co.P.D.
PVT HYHTTSUILLE STATION - "!' "!!
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME (SR)
Last Name First Name Middle Name
ADD Ro, Bowic - MARYLAND
City Zone State
TELEPHONE N! AGE 29 SEX MALE
Indicate ny 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? . When and to whom did you report that you had seen the object?
1J Auq 'U REPORTED THE INSIDENT
Day Month Year TO CPL. CARPENTER DISPATCHER
PR. Gro. lO. PoLiC. DE.PT.
Q

Page 7
34. Date you completed this questionnaire: 25TH Auq '66e
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.
In RRqARU TO THE FIRST OBJECT SEGN, AFTER
IT - BECAME
ATA FLASHES
oF oF LIGHT LIGHT LIKE AN EXTRA LIKE- FIN EXTRA HIGH HIGH POWERED POWERED SPOT LIGHT SPOT
CAME CAME DIRECTLY FROM DIRECTLY FROM UNDER THE OBTE.CT OBTE.CT i iN
A H
Fucu EnCu FLASH FLASH I WHS WHS APPROX. 20 20 miNS. APART. miNS. APA

TDETR/Maj Quintanilla, Jr/70916/h1/16 Aug 66
UFO Oservation, 1 August 1960.
AUG 1 8 1366
Prince Georges County Police
l. We are in receipt of an unidentified flying object report fram
Andrews AFB, Maryland. The information in their report Indicates
that several patrolmen from the Prince Georges County Police reported
observing this unidentified ob,ject. However, and addresses
were onitted.
2.
1 August 1966 at approximately O6oo GMT. at approximately O6oo GMT. The information in the
report is not report is not sufficient for evaluation. If you are knowledgeable of If you are knowledgeable of
the witnesses who observed this unidentified flying object, request
you have then you have them complete the attached FTD Forms ló4 and return them to complete the attached FTD Forms l64 and return then to
our office in the envelope provided. our office in the envelope provided.
PP  B EI 3. Any assistance ide us with on these si;
will be . appreciated.
281
WARREN S. WHEELER, COlOneL, USAF 1 Atch
Deputy for & Subsystems FTD Form 164 (5 copys)
w/envelope
COORDINATION
CRIGINATOR: DATED 17 0ugh
TDETR MAJ HQUINTANILLA, JR
U el. DATBD 17ly6é
TDET

I Auguad Maylad
TDETR /Maj Quintanilla, Jr/70916/h1/16 Aug 66
UFO Observations, 1 August 1966 AUG 1 8 1966
Maryland State Police
l. We are in receipt of an unidentified flying object report from
Andrews AFB, Maryland. The information in their report indicates
that several patrolmen from the Maryland State Police reported 1
ocserving this unidentified object. However, names and addresses
were omitted.
2. The sightings took place over the Baltimore - Annapolis area on 2. The sightings took place over the Baltimore - Annapolis area on
1 August 1966 Sat approximately C6oo GMT. at approximately C6oo GMT. The information in the
report is not sufficient for evaluation. If you are knowledgeable of sufficient for evaluation. If you are knowledgeable of /
the witnesses the witnesses who observed this unidentified flying object, request
you have them complete the attached FTD Forms ló4 and return them to
our office in the envelope provided.
3. Any essistance 3. Any assistance that you can pro us with on these sightings Us with on these sightings
will be eppreciated.
W. S.Uhuler
WARREN N S. WHEELER, COlonel, USAF 1 Atch
Deputy for Technology & Subsystoms FTD Form 164 (5 copys)
w/envelope
COORDINATION
ORIGINATOR: DATED17g
TDETR MAJ H LLA, JR
2.12 Dou, Gl. D
DATED /7 Caghf
TDET
2

/
MEMO For the Record
1 August 66
In regards to the Eastern Maryland Area sightings the following
commentw are offered:
At approximately O230 EDT
Capella 45° Az & 18 Elevation
Aldebaran Aldebaran 73 Az & 8 Elevation 73 Az Elevation
At approximately O At approximately 500 EDT SOO EDT
Capella Capella 58c Az 40 40'
Stars Betelgeuse 90 90 Az 15c 15
Aldebaran 95.c 95 Az $3rac}$ 33$
Pollux Pollux 58 58c Az 8 E1
Stellar Mag. Stellar Mag.
Planets Jupiter 65^ Az 8 El - 1.4
Mars 67^Az 12 El
Venus 70° Az 15 El - 3.3
According te the Smithsonian Institute tracking service
various satellites were due to be visible at Ol46, O225, and
0255 in the morning. Echo I passed over the area at approximately
0146. Echo II should
0443.
Since no definite shapes were observed by any of the witnesses,
just lights in t appeares that the witnesses observed
the various stars and planets and satellites that were visible
during that August morning. It is a difficult matter to actually
determine which of the above culprits were responsible for each above culprits were responsible for each
of the observations. There There were no were no radar returns of unknown
objects in the area, and considering objects in the area, and onsidering the approximate three hours the approximate three hours
these objects were visible there should have been some type of these objects were visible there should have been some type of
radar pickup. Jupiter and Venus were radar pickup. Jupiter and Venus were unusually bright in the
morning sky and should have definitely been observed. morning sky and should have d definitely been observed.
111

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Page 4
2.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?
. 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? Were you (Circle One)
(Circle One): Circle One7:
a.In the business section of a city?
a.Inside a building a. Inside a building b.In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors Outdoors d. Near an airfield?5
d. In an airplane (type) d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country? d
f. Other - g. Other
24. 1 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) N07 meunb
. North c. East e. South g. West
. Northeast d. Southeast 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
25. Did you cbserve the object through any of the following?
Eyeglasses No e. Binoculars Yes No
. Sun glasses Yes No f. Telescope Yes
c. c. Windshield Windshield Yes No No g. g. Theodolite Theodolife Yes es No
d. Window glass d. Window glass Yes No h. Other _ 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 . In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw. object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
3 8in642 3 Bin64y 216473 21643 2e0 bk nk
VSRY CLOSE TEGETNSC USY CIOSE TeCETYSC

!
Pag• 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 "A" on the compass
when you firs: saw it. Place a "B" on the compass where you last saw the object.
90° 75°
60
30 1B 1B
30•
E
-15° SW 3W SC
C
2Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a"at the end of the path, and shuw any changes in direction during the course.
n0710n
2. IF there was MORE THAN ONE object, then how many were there? -
Draw a picture of how they were arronged, and put an arrow to show the direction that they were traveling.

Pago 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
1
31. Was anyone eise 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 thoir
.Please give the following information about yourself: 3. Please give the following information about yourself:
Last Name First Name Middle Name
a2208
City Zone State
TELEPHONE AGE SEX 17
Indicate any a experience, which might be pertinent.
CR2., 1J1CE
3. When and to whom did you report that you had seen the object?
/ 14 1716 1i.
Day Month Year

Page 7
3. Date you completed this questionnaire:
Day Month Yoar
Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a norrative explanation of your sighting.
IL

.
DOWLING
U.S. AIR FORCE TECHNICAL I INFORMATION -
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as pos ssible concerning the unidentified aerial phenomenon that you have observed.
Plecse try to answer as many 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 necessary, we may contact you for further details.
1. When did you see the object? .When did you see the object? 2. Time of day:.
Hour Minutes Minutes
1$ Ausust 1966 (Circle One): A.M. A.M.
or P.M. P.M.
Day Day Month Year
3. Time Zone: . Time Zone:
(Circle One): (Circle One): a. Eastern a. Eastern (Circle One): a. Daylight Saving (Circle One): Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Lonhen Dihed Onbro
Neares: Postal Address City or Town State or County
.How long was object in sight? (Total Duration) 3
Hours Minutes Seconds
. Certain Not very sure
b. Fairly certain d. Jyst a guess
5.2 Was objest in sight continuously? 5.2 Was object in sight continuously? Yes Yes NoX NoA
6.What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT
a. Bright 6. 6.
b. Cloudy
IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. 1 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.