DECLASSIFIEDUSAF PROJECT BLUE BOOK · NARA T-1206
UNITED STATES AIR FORCE
PROJECT BLUE BOOK
UNIDENTIFIED FLYING OBJECT CASE FILES · 1947 – 1969
CASE REFERENCE8294525
DATE OF SIGHTINGSeptember 1966
REPORTED LOCATIONSalt Lake City Utah
FRAMES27
Machine transcription · mean legibility 91.9/100 ·
engines: paddle-gpu-200dpi
Transcribed Frames
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:
PROJECT 10C73 PECORD
DATE·TIME GROUP 2. LOCATION
17 Sept 66 2450z Salt I Lake City, Uta.
3. SOURCE 3. SOURCE 0. CONCLUSION 0. CONCLUSION
Civilian (other) INSUFFICIETT DATA FOR EVALUTION INSUFFICIET DATA FOR EVALUTION
4. NUMBER OF OBJECTS
One One
5. LENGTH OF 5. LENGTH OF OBSERVATION O VATION 11. BRIEF SUMMARY AND ANALYSIS
Varied Varied SEE CASE
6. TYPE OF OBSERVATION
Ground Visual
7. COURSE
Vared
8. PHOTOS
ri Yes
x No
2. PHYSICAL EVIDENCE
17 Yes
×No
FORM
FTD SEP 63 0-329 (TDE) Previous editions of thie form may bo used.
. .
.
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8IF you saw the object at NIGHT, what did you notice co-cerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None Bright moonlight
b A few b. Dull moonlight
Many c. No moonlight - pitch dark
Don't remember d.
.What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
o. 0. Clear sky a a Dry Dry
b. Hazy b. Hazy b. Fog, mist, or light rain Fog, mist, or light rain
c. c. Scattered clouds Moderat- or heavy rain Moderat- or heavy rain
d. Thick or heavy clouds Snow
e. Don': remember
10. The object appeared: (Circle One): 1. The object appeared: (Circle One):
a. Solid a. Solid dAs a light d.) As a light
b. Transparent e Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stors? (Circle One):
6 Brighter c.About the sane
b. Dimmer d. Don't know
11.1 Compare brightnass to some common object:
.The edges of the object were:
(Circle One): gFuzzy or blurred c. Other _
b.Like c bright stor
c. Sharply outlined
d. Don't remember
Did the object: Did the object: (Circle One for each question) (Circle One for each question)
a. 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
c. Break up into parts or explode? Yes Yes No Don't know Don't know
d. Give off smoke? Give off smoke? Yes Don't know Don't know
e. Change brightness? Change brightness? Yes Yes Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappecr? Yes Don't know
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14. Did the object disappear while you were watching it? If so, how?
PASSED BEHND SomE DISTANT TREE5
. 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: distant trees
Some distant trees
Did the object move in front of something at any time, particularly a cloud? Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes Yes No No Don't Know. IF you answered YES, then tell what 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:
. Sound U 825-
wintt.
. color Banght y llen
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?
Draw a picture that wili show the shape of the object or objects. Label and include in your sketch any details 1. Draw a picture that wili show the shape of the object or objects. Label and include in r sketch any details
of the object thct you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. of the object thet 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.
Bail of fine Ball of fire
.
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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? Reentry wuelaity
Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
22. Where wers you located when you saw the object? 22. Where were you located when you saw the object? 3Were 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 aInside a building b.In the residential section of a city?
b. In a car In a car C. C. In open countryside?
c C Outdoors d. d. Near an airfield? Near an airfield?
d. d. In an airplane (type) e. Flying over a city? Flying over a city?
e. e. At sea f. f. Flying over open country? Flying over open country?
f. Other g.
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? (Ci 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
2. Did you observe the object through any of the following?
Eyeglosses Cy-yi-s3e3 Tes e. C. Binoculars Yes
b. Sun glasses b. Sun glesses Yes f. Telescope Telescope Yes
c. c. Windshield Windshield Yes g. Theodolite Yes
d. Window gloss Window glass Yes 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
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
Metear
V
111
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27. 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.
90° 75°
60
NW
30 OZ E
2OX E
SW SC
path,a at the end of the path, nd shuw any changes in direction during the course.
-A
Straigist
B-
2. IF there was MORE THAN ONE object, then how many were there? _ Qnlyone
I
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Have you ever seen this, or a similar object before. If so give date or dates and location.
NeveR ANy FA5T
IH5LY
. 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? ircle One) Yes No
31.2 Pleese list their names and addresses:
Spungfuld
1240 1240 Selma Rd. Solma Rd.
.Please give the following information about yourself: Please give the following information about yourself:
NAME First Name Middle Name
ADDRESS Dr. FATRBOIN O40
City State
TELEPHONE E NUMBE 42 SEX M
including any special experience, which might be pertinent.
TDF
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?
1'7 Jepst C6
Day /Month Year
LTFAZEE
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34. Date you completed this questionnaire: 17Sefst 66
Day Morth Yoar 1
Inforatin which u epertinent and which s adequatey covered itspeciic points
questionnaire or a narrative explanation of your sighting.
8 8
I
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.. .
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair 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 ma y questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without 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::0C 2.Time of day: :0C
Hour Minutes
17 SEP SEP 1.6 (Circle One): A.M. or P.M.
Day Day Month Yoar Year
. Time Zone: 3. Time Zone:
(Circle One): a Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4.Where were you when you saw the object? .
ThIRD STREET DAYTON 0110
Nearest Postal Address City or Town State or County
.How long was object in sight? (Toral Duration) U D 4
Hours Minutes Seconds
c. Certain .Not very sure
6 Fairly certain d. Just a guess
5.1 How was time in sight determined? _ 5.l How wcs fime in sight determined?
5.2 Was object in sight continuously? 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. a. Bright
b. Cloudy 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 )
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.
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Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None Bright moonlight
b. A 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): WEATHER (Circle One):
a. Clear sky a.Dry
b. Hazy b. Fog, mist, or light rain b.Fog, mist, or light rain
c. Scattered clouds c. c. Moderate or heavy rain Moderate or heavy rain
d. d. Thick or heavy clouds d. Snow
e. Don't remember Don't remember
10. The object appeared: (Circle One):
0 Solid d. As a light d. As a light
b. Transparent e. Don't remember Don't remamher
c. Vapor
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 Compars brightness to some common object:
Liaht BULD
V
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: .Did the object: (Circle One for each question) (Circle One for each question)
a. Appear to stand still at any time? Yes Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. c. Break up into parts or explode? Yes ZZz Don't know
d. Give off smoke? Give off smoke? Yes Z222z Don't know Don't know
e. Change brightness? Yes Don't know
f. Change shape? Change shape? Yes Don't know
g. Flash or flicker? EL. Yes Don't know
h. Disappear and reappear? Yes Don't know
M
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Page 3
. Did the object disappear while you were watching it? If so, how?
NO
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? Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes (NO) NO Don't Know. 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_
b. Color__ OFANGF= FLAMINC TAIL-
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?
. 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.
ORANG ORANG E
1l il
1
BRIGHT BRIGHT
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Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No 7
2.Do you think you can estimate how far away from you the object was?
-
(Circle One) Yes No
22. Where were you located when you saw the object? 3. Were you (Circle One) Were you (Circle One)
(Circle One): (Circle One):
a O In the business section of a city?
a. I Inside a building b.) In the residential section of a city?
(6.) (b.) In a car c. c. In open countryside? In open countryside?
c. Outdoors d.Near an airfield? dNear an airfield?
d.In an airplane (type) d. In an airplane (type) e. Flying over a city?
e. At sea e. .At sea f. Flying over open country?
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
. 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?
d. cyegiesses Eyeglasses Yes Tes No e. e. binocuiars Binoculars
b. Sun glasses f. Telescope Yes No No
c. C. Windshield Windshield g. Theodolite Yes No
d. d. Window gloss Window glass Yes 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
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
Bngit stget Bnt stpd will will orang oag tuil tuil
√
<
M
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1
1
U.S. AIR FORCE TECHNICAL INFORMATION 7
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as pos oncerning the unidentified aerial phenomenon that you have observed.
Please try to The information that you give will
be used for research poses. 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? Time of day:. 7 50
I. When did you see the object? 2. Time or day: Hour
Minutes Minutes
M17 MA17 Sep 66 (Circle One): (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): (Circle One): a Eastern (Circle One): a. Daylight Saving
b. Central b. Standard b.-Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Centerville
Necrest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) a fiw
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Was ocject in sight continuously? Yes No
What was the condition of the sky? What was the condition of the sky?
DAY NIGHT
a. Bright a. a
b. Cloudy b. Cloudy Cloudy
7.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. In front of you d. To your left
b. In back of you e. Overheod )
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form superaedes FTn 164, Jut 61, which is obsolete.
1
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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° 75°
60 B
A *
30° 30
15 SW SE SC
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 sliuw iny changes in direction during the course.
LINE
STRAIGIT
29. IF there was MORE THAN ONE object, then how many were there? _NC
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
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"
Have you ever seen this, or a similar object before. If so give date or dates and location.
SEUCPAL TIMCS ALWAYS 7 STANCL
(METCORS)
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:
.Please give the following information about yourself: 32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
ADDRE DAyTON8 14 Or
Street City Zone Stote
TELEPHONE NUMBE AGE 33 SEX MJ
BUSINESS
.When and to whom did you report that you had seen the object? FTD OUTY 01
18SFP66
Day Month Year
21
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34. Date you completed this questionnaire: is SiP_ 66
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.
L
8
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ad, Xehia
a.. Pa. Pa.
Bod
Carlisle
The second event was reported Reporting time was 0415z/18 Sep.
were:
9th East
Salt Lake City, Utah
Salt Lake City, Utah
The only available data from reporting
individual indicated tha
1
—
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Iuff Dacte
FTD (TDETR)he
Wright-Patterson AFB, Ohio 45433 2
19 September 1966
Salt Lake City, Utah 84105
Dear Mrs.
L7 L7 prurd Reference your unidentified observation of 17 September 1966.
The information which we have received is not sufficient for
MRY FM BIIO prurd w evaluation. evaluation. I Request you complete the attached FTD Form l64 Request you complete the attached FTD Form l64
and return it in the envelope provided.
We wish to thank you ting your observation to the
Air Force.
Sincerely,
HECTOR QUINTANILLA, Jr, MajOr, USAF
Chief, Project Blue Book
7
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R
Sart Lake City, Utah 84lo5
Dear Mrs.
Reference your unidentified observation of l7 September 19óc.
AAOO : The information which we have received is not sufficient for
evaluation. Request you complete the attached FTD Form l64 2
.
4
41
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FID (TDETR)hl
Wright-Patterson AFB, Ohio 45433
19 September 1966
Philadelphia, Pennsylvania Philadelp ,Pennsylvania 19115 19115
Dear Dear M
Reference your unidentified obser ation of 17 September 1966. Reference your unidentified obser ation of 17 September l966.
The information which we have received is not sufficient for
evaluation. Request you complete the attached FTD Form l64
and return it in the and return it envelope provided.
R prera
We wish to thank you thankwou reporting your observation to the
AOO ITIA THILSO pe e Air Force.
Sincerely,
HXCTOR QUINTANILLA, Jr, Major, USAF
Chief, Project Blue Book
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TDETR he
UFO Sighting
Camoridge City Indiana 47327
Reference your unidentified observation of 17 September 19ó6. The
information which we have received is not sufficient for evaluation.
Request you complete the attached FTD Form l64 and return it in the
envelope provided.
ng your observation to the Air Force.
pieon 1o
Sincerely,
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Page 2
.IF you saw the object at NIGHT, what did you notice corcerning 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
Many c. No moonlight - pitch dark
C@ Don't remember
What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky 0 0 Dry Dry
6. 6. Hazy b. b. Fog, nist, or light rain
c. Scattered clouds Moderat or heavy rain Moderat or heavy rain
Thick or heavy clouds d. Snow Snow
e. Don' remember Don': romember
10. The object appeared: (Circle One):
a. Solid a. Solid
b. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stors? (Circle One):
4 uch
Brighter .About the sane
b. Dimmer d. Don't know
11.1 Compare brightnass to some common object:
Almost SuN-bright
The edges of the object were:
(Circle One): a. Fuzzy or blurred c. Other
b. Like bright stor
Sharply outlined
Don't remember Don't remember
Did the object: (Circle One for eoch question) (Circle One for eoch question)
a. Appear to stand still at any time? Yes 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? Yos No Don't know
d. Give off smoke? Yes. Yes No, Don't know
e. Yes es No No Don't know Don't know
f. Change shape? Chango shane? es No Don't know Don' know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappecr? Yes No Don't know
/
11
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14. Did the object disappear while you were watching it? If so, how?
%s, like a fire geing c
15. Did the cbject 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? 16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No No Don't Know. IF you answered YES, then tell what
in front of: in front of:
7. Tell in a few words the following things about the object:
a. Sound NoNe
b. Color__ Red-t yelow
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?
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.
)
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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? .
2.Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
5026viles with
IF you answered YES, then how far away would you say it was?
Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One): In the business section of a city?
a.In the business section of a city? a.
a. Inside a building a. Inside a building b.In the residential section of a city? b. In the residential section of a city?
b. In a car -In open countryside? c-In open countryside?
C. Oufdoors d. Near an airfield? d.Near an airfield?
d. In an airplane (type) e. 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)
a. 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?
Eyeglasses Yes No e. Binoculars
b. Sun glasses Yes .. No f. Telescope 999
c. Windshield c. Windshield No g. g. Theodolite Yes Yes
d. Window glass d. Window glass Yes Yes No No h. Other h. Other Ne
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.
ala
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Page 5
27. 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 NE
30°
O E
15 -15 SW
SS
S
path, a "B" at the end of the path, and shuw any changes in direction during the course.
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.
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.Have you ever seen this, or a similar object before. If so give date or dates and location.
.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:
Please give the following formation about yourself: 32. Please give the followina formation about yourself:
NAME
Last Name First Name Middle Name
ADD Centerville Chic
Street City Zone State
TELEPHONE NUMBER AGE 15 sex Male
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? 33. When and to whom did you report that you had seen the object?
Day Month Year
11.
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34. Date you completed this questionnaire: 17 Sc.p2 66
Day Month Year
questionnaire or a narrative explanation of your sighting.
Ohsiriver indicated that the chject was
similar to what one might eepito
in S
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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 possibl oncerning the unidentified aerial phenomenon that you have observed.
Please try to answer 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, we may contact you for further details.
1.When did you see the object? Time of day: 1950 ±2
Hour Minutes
17 17 S 1966 1966 (Circle One): (Circle One):
$S_$ A.M. or P.M.) P.M.)
Day yonth Year
3. Time Zone: . Time Zone:
(Circle One):Ca. (Circle One):Ca. Eastern Eastern (Circle One):
b. Central Central Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
PARKINELOT -TWINBASE W-PAFB OHTO
To Nogres esal Addro City or Town/ State or County
.How long was object in sight? (Totel Duration) 3±2
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain -d. Just a guess
5.1 How was time in sight determined? _ tSTIMATE
5.2 Was object in sight continuously? Yes X 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
7.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. 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.