PROJECT BLUE BOOK

/
PRUJELI IUU/S RECURD
1. DATE · TIME GROUP 2. LOCATION
20 Nov 66 21/0120Z Glendale, Pa.
3. : SOURCE 10. CONCLUSION
Civilian INSUFFICIENT I DATA FOR EVALUATION
4. 4. 1 NUMBER OF OBJECTS NUMBER OF OBJECTS
One
5.1 LENGTH OF OBSERVATION 1. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
10 minutes SEE CASE SEE CASE
6. TYPE OF OBSERVATION
Ground Visual Ground Visual .
7. COURSE
None Noted
8. PHOTOS :
0 Yes.
U1 No
2. FHYSIC ENCE
17 Yos
X No
FORM
FTD SEP 63 0-329(TDE) Previous editions of this form may be "een.
in

.
1
U.S. AIR FORCE TECHNICAL. INFORMATION
This questionnaire has bean prepared so that you can give tha U.S. Air Force as much
information as po oncerning the unidentified aerial phenoinenon that you havu olsarvei.
Plaase try to answs yquestions as you possibly can. The information that ycu give will
bs used for research - name will not be used in connaction with any statemenis,
conclusions, or publicatic without your parmission. We request this personal information sc
that if it is deemod necessary, we may contact you for further details.
1. When did you see tho object? 20
Minutea
Now66 Now. (Circle One): A.M. P.M.
or
Day Month Your Your
. Time Zone: 3. Time Zone:
(Circle One): Eastern Eastern (CirclaUne): o.DoylighLSo:ing (CircleUne): 0. DoylighLSo:ing
b. b. Contral Contral b.Standard b.cStandard
t. Mountain
d. Pacific
o. Other
4. Where wore you when you saw the object?
Ave Glenside
Noarest Postal Address City or Town Stote or Couney
5.How long was objoct in sight (Total Duration)
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guass
5.1 How was time in sight determined? —
5.2 Was object in sight continuously? No---
What was the condition of the sky? 6. What was the condition of the sky?
DAY DAY NIGHT NIGHT
a. Bright
b. Cloudy Cloudy b.
7. IF you sow the objoct during DAYLIGHT, where was the SUN locoted as you locked at the obiest? 7. IF you sow the object during DAYLIGHT, where was the SUN locoted as you locked at the obiest?
(Circle One): a. In front of you (Circle One): a. In front of you d. To your left d. To your left
b. In bock of you o. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thlo form suporsedes 164, Jul 61, which is obsolete.

Pago 2
8.1 STARS (C.ircle One): 8.2 MOON (Circle One):
None a. Bright moonlight
b. A fow Dull moonlight
c. Many No moonlight - pitch dark
d.Don't remember d. Don't remember
ions at the time you saw object?
CLOUDS(CIrcl One): WEATHER (Circle One):
Cloar sky a. Dry
b. Hazy 5. Fog, mist, or light rain
c. Scatternd clouds Scatternd clouds c. c. Moderate or heavy rain Moderate or heavy rain
d. d. Thick o houry clouds Snow Snow
•. •. Don't remember Don't remember
.The object appeared . The object appeared: rcle One). cl One)
a. Solid d. As a light
b. Transpoient b. Transpoiont Don't remember 6,
c. Vapor
1.If it appeared as a light, was it brighter than the brightast stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
12. The adges of the object were:
(Ci.clo (gine) a. Fuzzy or blurred . Other
b. Like a bright stor
c. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question) (Circle One for eoch question)
a. Appear to stand still at anry time? Appear to stand still at ary time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? Yes No No Don't know Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes Yes No Don't know
•. . Change brightness? Yes Yes No Don't know
f. Change shape? Yes No Don't know
8. g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don'tknow Don't know

Pugn 3
1. Did the objoct move behind something at any time
(Circle One): Yes No Don't Know. IF you answered YEs, than teli what
it moved behind: #
-
.Did the objeet movs in front of spmothing at any g. time, particularly a cloud?
(Circle One): Yes Yes No No Don't Know. IF you answered YES, theu ta! wirsl IF you answered YES, theu ! wist
in front of:
17. Toll in a few words the following things about the object: 17. Toll in a few words things about the object:
a. Sound _ . Sound.
b. Color___
. We wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and l.
much of ths objact is covered by the head of the match. If you had performed this oxperiment at the tirn: i i.
sighting, how much of the object would have been covered by the match head?
1. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any dotails
of ths object that you saw such as wings, protrusions, etc., and especially exhaust trails ar vapor trails.
Place an arrow besida the drawing to show the direction the object was moving.

>2mi.distance
(Circle One) Yes No
Where were you 23. Wore you (Circle One)
(Circle One):
a.i ir: the business section of a city?
Inside a building In. rhie residential sucticn si o city?
b.In a car c. In open countryside?
C Outdoors d. Near an airfiald?
d.In an airplane (rype) e. Flying over a city?
. At sea f. Flying over open country?
g.
2.IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete
24.1 What direction were you moving? (Circle One)
. North c. East . South y. Wost
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) Yos No
25. Did you observe tha objact through any of ths following?
a. Eyaglasses Yos No . Binoculars Yes No
b. Sun glasses Yes f. Telescope No
c. Windshiold Yes 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 what you saw, describe in your own word: 2In order that you can give as clear a picture as possible of what you saw, describe in your own word a common common
you sow

90°
13• 18 SW 30
Draw a picture that will show the motion that the object or objects made. Place an "A'ar the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
29. IF thers was MORE THAN ONE object, then how many were there? —
One obi-
tormed V-tormation
Moving Eastwarl

j ago 6
3. Have you avsr soen this, or a similar objoct befara. If so give date or dates and location.
—
3. Was anyone elss with you at the tima you saw the object? (Circle One) Yos No
Yes No
31.2 Ploas list their names and addresses:
+
32. Please give the following infermatlon about yourself: 32. Please give the following Infermatlon about yourself:
NAME NAME
Lost Name Last Name Namo Middlo Neme Middlo Neme
ADDREss Se=e Iten 4
Street City Zone Stamo
TELEPHONE NUMBER AGE SEX
LPhila
Indicate any additional Information about yourself, including any speclal experioncs, whlch might bo pertinent.
20 Nov L O.D. O.D.
Month NAS Willow Grove. ihd
Doy Year

3o Toveh il
élsnle, Pa
TDET/UFO
13December 1966
ing, 20 November 1966
Avenue
Glenside, Pennsylvania
Dear
Reference your recent unidentified observation of 20 November
1966. The information which we have received is not sufficient
for evaluation. Request you complete the attached Frd Form l64
and return it in the envelope provided.
We wish to thank you for reporting your observation to the Air
Force.
Sincerely.