PROJECT BLUE BOOK

-.
PROS- TECONG
1. DATE - T:AE GROUP 2. LOCATION
20 Nov. 66 21/0300Z New New York Cioy, Naw York Cioy, Nav York muitiple muitiple
3. SOURCE 3. SOURCE 10. CONCLUSION
Civilian Civilian Aircraft(possibie) Aircraft(possible)
4. NUMBER OF OBJECTS Astro(S/P) Astro(S/P)
several
5. LENGTH OF 5. LENGTH OF OBSERVATION OBSERVATION 11. BRIEF S BRIEF SUMMARY AND ANALYSIS SUMMARY AND ANALYSIS
Varied Coservers watched sn octagonal ooject with lights at each
6. TYPE OF OBSERVATION angle, with a f surface, and an inverted bowl on top.
The objects in formation may very well have been a couple
Ground Visual planes flying close together, stated one witness. ? This
7. COURSE same witness did not see the objects close enough to tell.
The plane shapsd object went over the building very low
Varied 3 without any motor sound. Another witness said that she
8. PHOTOS saw.aI plane flying so low that the bright headlight type
beams in front nearly blinded us.- This aircraft lifted
Yes sceming to just clear the building. Also during the
O No observation period several other objects were noted. These
9. PHYSICAL EVIDENCE objects were red blinking lights that were stationary.
Yos The descriptions are consistent with that of an aircraft
XNo observation and that of an astronomical observation.
FORM
FTD SEP 63 0-329 (TDE) Previous editlons of this form may be used.
-
1

a Page S
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27

U.S.AIR FORCE TECHNICAL INFORMATION
This questionne has been praparad so that you can give the U.S. Air Force as much
information as possibl concerning ths unidentified aerial phenoinenon that you havo olservei.
Please try to answ er as many questions as you passibly can. The information that ycu give wil!
bo used for research p name will not be used in connaction with any statorienis.
conclusions, or publications without your permission. We request this personal information sc
that if it is daamed necessary, wa may contact you for further details.
1. When did you see the object? ?. fime of da!
Howr Minutea
(Circle One): (Circle One): A.M. or or P.M. P.M.
Day Monrh Your Your
. Time Zone:
(Circlo One): a. a. Eastern Eastern (Circle Une): (Circle Une): a. Doylight Soving
b. Contral b. Contral b. Standard
c. Mountain Mountain
d. Pacific
. Other
4. Whore were you when you sow the objoct?
ronx
Neorest Postal Addre City or Town
Total Duration)
Hours Minutes Soconds
a. Certain c. Not very sure
b. Fairly cortain d. Just a guess
5.1 How was time in sight determined? (1
5.2 Was objoct in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHI
a. Bright g. Bright
b. Cloudy 6.--Cloudy 6.--Cloudy
7.IF you saw the object during DAYLIGHT, whore was tho SUN located as you locked a: the obiest? 7.IF you sow the object during DAYLIGHT, whore was tho SUN located as you locked a: the obiest?
(Circle Ona): a. In front of you In front of you d. d. To your left To your loft
b. In bock of you . Ovarheod Ovarhood
c. To your right f. f. Don't remember Don't remember
F FORM
TD OCT 62 164 Thle form supereedes PTD) 164, Jul 61, which is oheolote.

Page 2
, what did you notice conceming the STARS and MOON?
8.1 STARS (C.ircle 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
object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Cloar sky o. Dry
. Hazy b. Fog, mist, or light rain
c. Scatternd clouds c. Moderate or heavy rain
d. Thick o houvy clouds Snow
•. Don't remember
10. The object appeared: (Circle One).
a. Solid d. As a light
b. Transpoiont . Don't remember
c. Vapow
. If it appeared as a light, was it hter than tho brightast stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common obloct:
Cal
(C.clo Cna) a. Fuzzy or blurred
b. Like a bright stor
C. Sharply outlined_
d. Don't remember
.Did the object: .Did the oblect: (Circle One for ach question)
a. Appear to stand still at amy time? Appear to stand still at amy time? Yes No Don't know
b. Suddenly speed up and rush away Suddenly speed up and rush away at any time? 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 No No Don't know
o. Change brightnass? Yes Yas No Don't know
f. Change shape? Yes No No Don't know
g. Flash or flicker? Flash or flickor? Yas No Don't know
h. h. Disappear and reappear? Disappaar and reappear? Yes Yes No Dan't know Dan't know

Pugn 3
14. Did the objoct disappear while you were vatching it? I1 so, how?
sildg
1. Did the objoct move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you answered YEs, then tell what
it moved behind:
.Did the objeet mova in front of spmething at any time, particularly a cloud?
(Circle One): Yos No Don't Know. IF you answered YES, the. ta!l whst
in front of: _.
17.  Toll in a fow words the following things aboyt the object:
a. 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 sr
much of the object is covered by the head of the match. If you had performed this oxperimant at the tir: i
sighting, how much of the objoct would have been covered by the match head?
dontMnt
1. Draw a pleture that will show the shape of the objoct 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.

(Circle One) Yes No
(Circle One) Yos No
IF you answered Y
Where were you
(Circle One):
a. ir: the business section of a city?
.Inside a building . In tha residential sucticn si 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.
1. Uther g.
24. IF you were IN AN AUTOMOBILE or other vehicle at the time,
24.1 What direction were you moving? (Circle One) -
a. 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) Yes No
2Did you observe the object through any of the following? +
a. Eyoglasses Yos e. Binoculars Yes No
b. Sun glasses Yos f. Telescope Yes No
c. Windshiold Yes No g. Theodollte 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, dascribe in your own words a common . In order that you can give as clear a picture as possible of what you saw, dascribe in your own word a common
object or objocts which, when placed up in the sky, would give the same appearance as the objoct whlch hlch you sow you sow
I
.

-
75
46
NW
SW 30.
2. Draw a picture that will show the motion that tha object or objocts mada. Place an "A' at tho begining of the 2. . Draw a picture that will show the motion that the object or objects mada. Place an "A' at the beginning of the
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 changesin direction during the course.
Draw a picture of ho they were arranged, and put an arrow to show the direction that thoy were traveling.
N
a

Yos No
31.1 IF you answered YES, did thay see the object too? Circle One) Yes No
Cue
32. 32. owing Infarmation about yoursell Infarmation about yourself
m t
B Name st Name Middl Middl Name sme
ADDRESS
Stree City Zone Stato
=
TELEPHONE NUMBER AGE f SEX
mation about yourself, luding any specla expariance, which might bo pertinenr.
When and to whom did you roport that you had saon the object?
Day Month Year Chp
Day Yoar

Pogo 7
34. Dato you complatad this questionnaire: 15 K
Day Month You +
Information which you fosl partinent and which is not adequately covered in -
questicnnaire or a narrative explanation of your sighting.
I
.
y

This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as pos concerning the unidentified aerial phenoinenon that you havu olserveri.
Please tryto answer iny questlons as you possibly can. The information that ycu give wil!
bo used for research poses. Your name will not be used in connection with any statonienis,
conclusions, or publications without your permissior. We request this personal information sc
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? Time of da
Hour Minutoa
(Circle One): (Circle One): A.M. A.M. or P.M. P.M.
Day Month Your Yeur
. Time Zone: .Time Zone:
(Circle One): (Circle One): a. Eastern (Circle Une): a. Doylight Soving
b. Contral b. Standard
c. Mountain Mountain
d. Pacific
. Other
yOU saw the objoct?
n.4
Nearast Postal Address City or Town
5. How long was object in sigh (Total Duration) 10
Hours Minutes Seconds
g. 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 No
6. What was the condition of the sky?
DAY NIGHT
a. a, Bright a.
b. b. Cloudy Cloudy b. Cloudy
7.IF you sow the objoct during DAYLIGHT, whare was ths SUN located as you locked a: the obiest? 7.IF you sow the object during DAYLIGHT, whare was ths SUN located as you locked a: the obiest?
(Circla One): a. In front of you (Circla One): a. In front of you d. To your left
b. In bock of you b. In bock of you . . Overheod
c. To your right c. To your right f. Don't remember Don't remember
FORM
FTD OCT 62 164 Thie form supersedes PTD 164, jul 61, which is obsolete.

3 Page 2
8.IF you saw the objact at NIGliT, what did you nolice concorning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight)
b. A fow b. Dull moonlight
c.. Many c. No moonlight - pitch dark
d.Don't remember d. Don't romember
object?
CLOUDS(Circle One): WEATHER (Circle One):
a. Cloar sky_ . Dry
b. Hazy b. Fog, mist, or light rain
c. Scattornd clouds c. Moderate or heavy rain
d. Thick o houry clouds Thick on houry clouds d. Snow Snow
. Don't remember
10. The objact appeared: (Circle One). 0. The object appearad: (Circle One).
a. Solid a. Solid dA  light dAso light
b. Transpaiont 0, Don't remember
c. Vapur
0. Brighter c. About the same
b. Dimmer d.Don't know
.The edges of the object were:
(C.clo (ine) a. Fuzzy or blurred . Other _
b. Like a bright stor
c. Sharply outlined
d.Don't remomber
Did the object: (Circle One for each qusstion) (Circle One for each question)
a. Appear to stand still at any time? Appear to stand still at amy time? Yes No Don't know
b. Suddanly speed up and rush away at any time? Suddanly speed up and rush away at any time? Yes No Don't know
c. C. Break up into parts or explods? Break up into parts or rexplods? No Don't know
d. d. Give off smoke? Yes No Don't know Don't know
. Change brightness? Change brightness? Yes No Don't know
f. Change shape? Yes No No Don't know
g. Flash or flickor? Yes No Don't know
h. Disappear and reappear? Yos No Don't know

PI!7:
244
FTD TDETR)
Wright-Patterson AFB, Ohio 45433
22 November 1966
Bronx, New York 10451
Dear M
Reference your recent unidentified observations which you reported
to Lt. Marley at Wright-Patterson AFB. Request you complete the
attached FTD Forms l64 and return them to our office in the envelope
provided. It is also requested that you give your two friends, who
also witnessed the objects, a copy of the form to aid in our evaluation.
We wish to thank you for report ing your observation to the Air Force..
HECTOR QUINTANILLA, Jr, MajOr, USAF
Chief, Project Blue Book

Pugo 3
14. Did the object disappear while you werc vatching it? Il so, how?
-
damp
15.Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you answered YEs, then tell what
it moved bohind:
1. Did the objeet move in front of spmething at any time, particu 16. Did the object move in front of spmething at any time, slarly a cloud?
(Circle One): Yes Yes No No Don't Know. Don't Know. IF you answared YES, the n! winst IF you answared YES, then n!l wirst
in front of: _. in front of: ...
17. Toll in a few words the following things about the object: 17. Toll in a few words the following things about the object:
a. Sound. a. Sound _
b. Color _
.We wish to know ths angular siza. Hold a match stick at arm's length in line with a known ubjost and s
much of the object is covered by the head of the match. If you had performed this experiment at the tirn: i sl.s
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 or vapor trails.
Placs an arrow beside the drawing to show the direction the object was moving.

2. Were you (Circlo One)
(Circle One):
a. ir: the business section of a city?
Inside a building T. In the residential suction si a city?
b. In a car c. In opon countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) . Flying over a city?
e. At sea f. Flying over open country?
1. Other _ g. Other __
. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t lowing questions:
(Circle One) Yos No
Did you observe the object through any of the following?
a. Eyeglasses Yos No e. Binoculars Yos No
Sun glasses Y.s No f. Telescope Yes No
c. Windshiold No g. Theodolite Yes No
d. Window glass Yes No h. Othar
a common
you sow

whon you flrst saw it. Place a "B" on the compass where you last saw the ohjoct.
90 73°
NW NS
3
15
30
2. Draw a picture that will show the motion that the object or objocts made. Place an "A'ar the begining of the 2
path, a "B" at the end of the path, and show any changes in direction during the course.
2 IF there was MORE THAN ONE objoct, then how many wore thore?
Draw a picture of how they wore arrangsd, and put an arrow to show the direction that thoy wern traveling.
A7C
-

No
Yes No
31.2 Ploase list thoir names
. Pleass give the following infemation about yoursalf: 32. PI leass give the following infemation about yoursell
LaatNa.. First Nome First Name Middl Name
ADDRI 5
City Zone State
TELEPHC SEX
Indicate any additlonal Information about yourself, including any spec erlencs, whlch might bo pertinenr.
Whon and to whom did you repert When and to whom did you repeart you had sean the object?
Day Day Month Yoar Year

Page
Day Month Your
.Information which you fosl pertinent and which is not adequately covered in - +
questionnaire or a narrative explanation of your sighting.

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has bean prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenoinenon that you havu ol.sorveri.
Please try to answer iny questions as you possibly can. The formation that ycu give will
bo used for resoarch r name will not be used in con ion with any statenienis,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemed necessary, we may contact you for further details.
.When did you soe the object? 2. rime of da? 3:00 t45
Hour Minutes
Apprs
20 L1 1266 iCircle One): A.M. or or P.M.
iCircle One): A.M.
Day Month Yeur
. Time Zone:
(Circle One): (Circle One): a Eastern (Circla Une): o. Doylight Soving DoylightSoving
b. Contral b. Standard
c. Mountain
d. Paciflc
. Other
4. Whore were you when you saw the object?
BRONX NewYork
Noorest Postal Addres City or Town Stata or Couney
Total Duration)
Hours Minutes Seconds
a. Cortain c. Not very sure
. Fairly certain d. Just a guess
5.1 How was time in sight datermined?
5.2 Was objoct in sight continuously? Yes No
What was the condition of the sky?
DAY NIGHT NIGHT
a. a. Bright Bright aBright
b. Cloudy b. Cloudy
.IF you sow the object during DAYLIGHT, whare was the SUN located as you locked at the obiast? 7.IF you sow the object during DAYLIGHT, whare was the SUN located as you locked at the objast?
(Circla One): a. In front of you (Circla One): a. In front of you d. d. To your left To your loft
b. In bock of you . Ovarhaod
c. To your right c. To your right f. f. Don't romomber
FTD FORM
OCT 62 164 Thie form supersedes PTD 154, Jul 61, which la obaolste.

Page 2
8. IF you suw ths objoct ot NiGltT, what did you notice concarning th STARS and MOON?
8.1 STARS (C.ircle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A fow b.Dull moonlight
Many c. No moonlight - pitch dark
d. Don't remember .Don't remember
bjoct?
CLOUDS (Circle One): WEATHER (Circl Ona):
a. Cloar sky 0.(Dry)
b. Hazy b. Fog, mist, or light roain
c. c. Scottornd clouds c. Moderate or heavy rain
d. Thick ox houvy clouds Thick on houry cloud d. Snow Snow
•. •. Don't remember Don't remember
10. The object appeared: 0. The object appeared (Circle One). Circle One).
.Solid a.Solid d. As a light
b. Transporont Don't remember
c. Vapor Vapor with bright ligh witl boiaht
T
1. If it appeared as a light, was it brighter than the brightest stars? (Circls One):
a. Brighter c. About the same
b. Dimmer d. Don'tknow
11.1 Compars brightness to some common object:
lite Flashbulls
The edges of the object were:
(Circlo (ina) a. Fuzzy or blurred . other hed lights all around
b. Like a bright stor ashi Onx afE
.Sharply outlined
d. Don't remember Dhiect.
Did the object: .Did the object: (Circle One for each question) (Circle One for each question)
a. Appear to stand still at any time? Appear to stand still at any time? Yos) Yes No Don't know
b. Suddanly spead up and rush away at any time? Suddanly speed up and rush away at any time? Yos Yes No Don't know
c. c. Break up into parts or explode? Yes No Don'tknow Don'tknow
d. Give off smoke? Give off smoke? Yes (No) Don't know Don't know
e. Change brightness? (Y0s) No Don't know
f. Change shape? Change shape? Yes (No) Don't know Don't know
g. Flash or flicker? Yas Yos No No Don't know Don't know
h. Disappear and reappear? Yos) No Don't know

(Circle One): Yos No Don't Know. IF you answered YES. then thll wist
in front of: LLipLaee, O 2ar me Ibe an
sirplane, and sfayed in frant ai plane acsupe of minates 9s.
17. Toll in a few words the following things about the object:
b. ColorNyt dei
than the size to be
When viewed with the waked 5 e the
object was seen at close range.
Draw a pleture that will show the shape of the object or objects. Label and include in your sketch any dotails
of the object that you saw such as wings, protrusions, etc., and espocially exhaust trails or vapor trails.
Place an arrow besida the drawing to show the direction the object was moving.
Circling Circling
---- Raised done with white lights anund
or inside shining or insidt shining
through ovenings
Fard ior Aard t or mgt arw.Shipe was wa≤
tol octaonal but nt hike oc ta hedeon.

-
2Do you think you can estimate how far away from you the object was?
(Circle One) Yos No
IF you answered YEs, then how far away would you say it was? tsst
22. Where were you located when you saw the object? Were you (Circlo One)
(Circle One):
a. ir: the businsss section of a city?
o.7 Inside a building b. Trn sha residential sucticn si a city?)
b. In a car c. In open countryside?
c. Outdoors d.Near an airfield?
d. In an airplane (type) . Flying over a city?
At sea f. Flying over open country?
1.Other Out on Terrace g. Other _
24. IF you wore
24.1 What direction were you moving? (Circle One)
a. North c. East . South y. Wost
b. Northeast d. Southeast . 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
Did you observe the object through any of the following?
a. Eyeglasses Yos No e. Binoculars Yes
b. Sun glasses Yos No f. Telescope Yes No
c. Windshiold Yes g. Theodolite Yos No
d. Window glass Yes) No h. Other
Any octagonel object Any octagonal object 174 174
ailat ailot surface, surface, and
Know o 1x12 0112 5142
141
1

60
NW
1ss
15 30 3XI
28. Draw a picture that will show the motion that the object or objects mado. Place an "A' ar the begining ot the 28. . Draw a picture that will show the motion that the object or objects mado. Place an "A' ar the beginning oft ihe
path, a " at the end of the path, and show any changgs in direction during the course.
O 6 10
r
29. IF there was MORE THAN ONE obloct, then how many were hortLdein2
Draw a picture of how they wors arrangad, and put an arrow to show the direction that thay were traveling.
=
0000
O ①
-
sse objec ts in tormat objects intormati may very well hove been
a couple of plnes tlyng clise together. I didnot see then
kepy lou without moter sound. no5 souind.

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnai bean prepared so that you can give the U.S. Air Force as much
information as possil oncerning the unidentified aerial phenoinenon that you havu obnorveri.
Please try to answer a any questions as you possibly can. The information that ycu give will
b• used for research urposes, Your name will not be used in connection with any statonienis,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemed necessary, wa may contact you for further details.
1. When did you see the object? ?. fime of da!:
Hour Minutes
(Circle One): (Cirele One): A.M. A.M. or or P.M.
Day Day Month Yeur
3. Time Zone:
(Circle One): a. Eastern Eastern (Circla Une): o.Daylight So:ing a.Daylight Soing 1
b. Contral b. Srandard
c. Mountain
d. d. Pacific
o. . Other
4. Where were you when you saw the objoct?
Nourusy Postal Address City or Town State or Couney
5. How long was object in sight? (Total Duration) 3
Hours Minutes Soconds
a. Cortain 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 No_--
6. What was the condition of the sky?
DAY DAY NIGHT NIGHT
a. Bright- o. Bright o. Bright
b. Cloudy
7. IF you sow the object during DAYLIGHT, whare was the SUN located as you locked a: the objest?
T
(Circle One): a.In front of you_ (Circl One): a.ln front of you_ d. To your laft To your laft
b. In bock of you . o. Overheod Overheod
c. To your right f. Don't remember Don't remember
FTD FORM
OCT 62 164 Thie form supersedes PTD 164, Jul 51, which Is obsoiete.

32go 6
20. Hava you aver soon this, or a similar objoar beiore. Ii so give dare or daten and locgtion.
No
Yes No
31.1 IF you answered YES, did they ses the object too? (Circle One) Yos No
31.2 Please list thsir names end addrosses:
Brone rOn Nen Vort 10453 NewVort
32. Pleass give the following infemation about yourself: 3. Pleass give the following infemation about yourself:
NAME NAME Trai Name Aiddlo Neme
Lest Name Last st Name Alddlo Neme
ADDRESS rronx 53 Nev York
City Zone Stato
TELEPHONE NUMBER AGE 5 SEX E
Indicare any edditlonal information about yourself, Including any spocial ) experiones, which might be pertinent.
Lision left eye 20/70
wi thout glasses
fight eye 20/20
Since every thing I saw i was viewed witheut
( be be sure sure about what I saw about what I saw
my glasses I can only I can only
at clese sange,and inrermet on such as dhrectionot
morement.
.When and to whom did you ropt 33.When and to whom did you rep hat you had seen the objoct? at you had seen the objoct? New lork tsly New Lork ta ly News News
20 20 11 )1 1266 1366
Day Day Month Yaur Your
siors mady  is. Lie hen by on

Pogo 7
25
Day Month Year
7
qusstionnaire or a narrative explanation of your sighting.
Or m4 215UErs 125103 22722, thest
- + 025 291002 -S;
1
1/ T10M the Herrct since
- tbon anOddl Lgbip
1- nothing 0101
P-
ibservalions on distance were made cliservalions on distance were made using usinq ruke th rule
16 duerage city block's constitute a mile.
-
3 3 cbseruations on obseruatrons on time r time may o totall toal - me Nvlaccura vlaccuralt
snce they
T arrivs
9:00pm6 and talked about % hourietort her
ehildren called Us to the window to see what
hey ihought were "shootngstars'
There is One poinf thet I am abolutely surt
of That is the octaganal shape of the aljects
me h5
Snth and Mis Lieben were outhe phone I
Opered Opered the jh Crrece door errecs door and wtrf and wert CU75169
where 7e where 7 Wrewad the ob et2a55 Uead the obet2ass
oUEr OUEr halngay8Sdwck 1017 1017
.

conuinced that washit a brighily It phne, 2.nd
7 thought
-race 10w0.
Just after I vrewed the cbject rom th
me and we saa a
plane flying so low that
Deams the bright head light
type in front blinded us. It
I
since it seemed to be
almost level with U while yoeaebiva ang
not swear
samie as
oer Jersey when wr sau them and II dec:ded I
the "object"only
approuched the building wihen we hegan screanp ier he
whie onfne Se2m27 to Come ilestr ds t-A
dLr danger tot.
.

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 possib soncerning the unidentified aerial phenoinanon that you hnvu ol serveri.
Plaase try to answe nany questions as you possibly can. The information that ycu give wil!
be used for research Your name will not be used in connection with any statenienis,
conclusions, or publications without your permission. We request this personal Information sc
that if it is deomed ne necessary, wa may contact you for further details.
1. When did you see the object? ?. Time of da _10 30
Hour Minutns
20 20 Nov. Nov. 1966 1966 iCircle One): A.M. P.M.
or P.M.
Day Month Yeur Yeur
3. Time Zone:
(Circle One): a, Eastern (Circle One): a. Doylight So:ing (Circle Une): a. Doylight So:ing
b. Contral . Standard . Siandard
c. Mountain
d. d. Pacific
. Other
4. Whore wera you when you saw the object?
Noarest Postal Address City or Town Stata or Couney
.How long was object in sight? (Total Duration) 82
Hours Minutes Seconds
a. Cortain c. Not very sure
b. Fairly eertain d. Just a guess
5.1 How was time in sight determined?
ATIME
5.2 Was objoct in sight continuously? No_
What was the condition of the sky? 6. What was the condition of the sky?
DAY DAY NIGHTV √
a. Bright aBright
b. Cloudy b. Cloudy Cloudy
7. IF you sow the object during DAYLIGHT, where was the SUN located as you locked a: the obiest?
(Circlo Ona): a. In front of you (Circle Ona): a. In front of you d. To your loft To your laft
b. In bock of you b. In bock of you . o. Ovorheed
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thia form aupereedes 164, Jul 61, which ls obsoleto.

Pago 2
8.IF you sow tho object ot NIGlIT, what did you nolice concerning th STARS and MOON?
8.1 STARS (C.ircle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A fow b. Dull moonlight
c.Many c. No moonlight - pitch dark
d. Don't remember d. Don't remember
9. What nere tine weather conditions at th objoct?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky 0. Dry
b. Hary b. Fog, mist, or light rain
c. Scatternd clouds c. c. Moderate or heavy rain Moderate or heavy rain
d. Thick on houvy clouds Thick o houvy cloud d. Snow Snow
. o. Don't remomber
0. The object appeare .The object appeared ircle One).
a. Solid 0. Solid d. As a light d. As o light
b. Transpoiont b. Transpoiont . Don't remember e, Don't remember
c. Vapor
1. If it appeared as a light, was it brighter than tho brightost stars? (Circlo One):
. Brighter c.About the same
b. Dimmer d.Don't know
11.1 Compars brightness to some common objoct:
Crmad s righ s A Fhad i an The is  .
The edges of the object were:
(C.clo Cine) a. Fuzzy or blurred . Other -
b. Like a bricht stor
c. Sharply outlined
d. Don't remember
Did the object: Did the object: (Circle One for sach question) (Circle One for ach question)
a. Appear to stand still at any time? Appear to stand still at amy time? Yes No Don't know
b. Suddanly speod up and rush away at any time? Y03 Yos No Don't know
c. Break up into parts or explode? Yes Don't know Don't know
d. Give off smoke? Y0s Yos Don't know Don'tknow
. . Change brightness? Yoa Yea Don't know Don't know
f. f. Change shape? Change shape? Yes Don't know Don't know
g. a. Flash or flickor? Flash or flicker? Yos Don't know Don't know
h. Disappear and reappear? Yes No Don't know
-

ANyThiNg
cloud?
(Circle One): Don't Know. answered YES. then ! wist
com
17. Tell in a fow words the following things about the object;
. Sound. HAd No SouNd AT All.
Color Borrls Shio Cne
whot'e Thiig whok7 Thiis wAS wAs hut I couldN'TsEE THE
ENd becAuse beCAUsE Icould. Icoukd se
whole ThiNg E Nough T drAwiT perFecThy.
.

. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. ir: the business section of a ciry?
b. Insido a building E. In. the residential suction si a city
b. In a car c. In open countryside?
c. Outdoors d. Near an airfiald?
d. In an airplana (type) . Flying over a city?
e. At saa f. Flying over open country?
1. Arher ANd oN The TErrAR g.
S BILE or other vehiclo at the time, then complef
WAS AT WAS AT CLiSEST
doneon Top having CORNEr, ORNEr
.

90° 73°
NO
15•
30
28. . Draw a picture that will show the motion that the object or objects mado. Place an "A' ar the begining ot the
path, a "B"" at the ond of the path, and show any changes in direction during the course.
Coming Towards me ThEN IN ThE SAINE MOTIBN  OWEr T The buildig
7
Draw a plcturs of how w they were arranged, and put an arrow to show the direction that thoy wore traveling.

Marqie
IN rEFErENcE To quESTIeN 30
SAW The LitEs Froim IT because he was driving.
Plaase give the following Infermation about
NAME Last Name Name Middlo Name
ISTLL 1 5/2 couldN'T ses iT perfecily. poErtecILy, IsTood
There ANd wArChEd IT ANd WATchEd Fhy OvEr The building. The building.
PEsTigon PENTigON
20 Nou. 19661 1966 N.Y. Driky News, PoLice DEpt. N.Y. Driky News, Pohice Dept.
Day Month Yeur Year
I

Thrugh seemed
about 1/2 a
though the phoxe calls cone
thertore different angles the Seck.
There Thire mayhe 3 pometking pomithinig that that Car Cax be checked be cheakeedl that
we ni ive ticid. Shere was wRo te obfecte obgect logkig logkig like
ptars Thickiring Thickering red red Jist gisd before the the
ares 222 stes obpect seen
coming iloses the flyoirg

Page 2
8. IF you saw the objoct at NIGliT, whal did you nolice concarning th STARS and MOON?
8.1 STARs (C.ircle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A fow b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remamber .Don't remember
objoct?
/
CLOUDS (Circle Ona): WEATHER (Circle One):
a. Cloar sky o.Dry
b. Hazy b. Fog, mist, or light rain
c. Scartornd clouds Scortornd clouds c. c. Moderate or heavy rain Moderate or heavy rain
d. Thick on houry cloud Thick on houry clouds d. Snow Snow
•. . Don't remomber Don't remomber
10. The object appeared: 0. The object appeared: (Circle One):
a.Solid a.Solid d. As o light
b..Transpoient b..Transpoiont .Don't remember .Don't remember
c. Vapor
if it appeared as a light, was it brighter than the brightast stars? (Circle One):
a.Brighter c. About the same
b. Dimmer dDon't know
11.1 Compqre brightness to some common objoct:
1
IOA
12. The edges of the object were:
(C..clo (na) a. Fuzzy or blurred Othe
b. Like a bright stor
C. Sharply outlined
d. Don't remember
. Did the object: Did the object: (Circls One for aoch,quastion) (Circls One for aoch,quastion)
a. a. Appear to stand still at any time? Appear to stand still at any time? G Yes No No Don't know
b. b. Suddanly 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 Yes No Don't know
d. Give off smoke? Yes Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yos Yas 7 No Don't know
g. Flash or flicker? - Yes Yes No No Don't know
h. Disappear and reappear? Disappear and reappear? Yos Yes No Don't know Don't know

2 and phor 1
al aq they 012
Sane nahs didi't pee the looking
ab all cauld pee peguler
staro Shire phould be L peporb these thig
a way
of Sometne to
Con heve peex these Objict
in x0 plane hoe
the area and envestigated ix the
time they stayed vesicalle.
... .

t
A. Description of the Object(s):
1. Shape:
9 X 9 oval rug,(1) the size of 3 big
3. Color:
Old gold
4. Number:
3
Formation, if more than one:
6. Any discernible features or details:
1. On the clam shaped objects olue lights kept flashing low beam
and high beam.
7. T Tail, trail, or exhaust, includ ding size of
white search lights.
B.
north. They met in front of my house and stayed for five minutes.
Two small sons
2. Angle or elevation and azimuth of object(s) when first observed:
North
3. Angle or elevation and azimuth of object(s) upon disappearance: 3. Angle or elevation and azimuth of object(s) upon disappearance: - E
West - all went west. West - all went west.
1

windows.
After this happened the other two objects terminated west. I called the
Pentigon again (I always got the Command Post) and told the officer what
happened and thanked him for getting our planes out so fast. He didn't
want to frighten me but it wasn't one of our planes.
I don't go out at night. Those things are stationary in the atmosphere.
They are so enormous you can't count them. I can't sleep. I also lost
42 pounds since Nov 20 when I first sighted them.
.

4. Description of flight path and maneuvers of object(s): (1) From north to
south - from south back to my bu g and met one coming from north and
going around in circles.
5. How did the object(s) disappear:
It didn't.
C. Manner of
1.
2. Optical Aids:
3. From I mv terrace on the 15th floor.
D. Time and Date of Sighting: Time and Date of Sighting:
Nov. 10, 1 Nov. 10, 10 0 p.m. Local p.m. Local
1. 1 Zulu time-da Zulu time-date groun of ighting:
2. Light conditions: Night
E. Location of Observer(s):
dgwick Ave. Bronx (Terrace)
F. Identifying Information on Observer(s):
Civilian:
3. Age: 30
4. A 4. A Bronx Bronx
TELE
6. Estimate of UNRNOWON
2
.

1/Lt Thomas A. Knutson
UFO Officer
Lt Barnauskas went to investigate this report. He was unable to contact
we sent her a base questionnaire, which she sent back. She has called
me twice on the day that she was leaving for North Carolina. I will
interview her when she gets back in four days.
L. Existence of physical evidence, such as materials and photographs:
NoNe,
Thele creeszN2
AlLE TO hE CTOZED.
4

Pugo 3
14. Did the objoct disappear while you werc atching it? If so, how? f
15. Did the object move behind something at any e, particulurly a cloud?
(Circle One): es No Don't Know. IF you answered YEd, then tall what
it moved behind:
16. Did the objeet move in front of something at any time, particularly a cloud?
(Circle One): Yes Don't Know. IF you answered YES, then ! wirst
in front of: ..
17. Tell in a fow words the following things about the object:
0.Sound
b. Color  lel 20e
ClECle
tburfaadlage jes
Draw a picture that will show the shape of the objoct or objects. Label and include in your sketch any detoils
of the object that you saw such as wings, protrusions, etc., and espacially exhaust trails or vapor trails.
Placa an arrow beside the drawing to show the direction the object was moving.

. Whore were you located when - 23. Were you
(Circle One):
in the business section of a city?
Inside a building b. In the residential suction oi 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 saa lAce f. Flying over open country?
1. Other g.
wot
(Circle One) Yos No
25. Did you obsarve the object through any of the following?
a. Eyeglasses Yos No . Binoculars Yes (No
b. Sun glasses Yos f. Telascope Yes No
c. Windshiold Yes No g. Theodollte No
d. Window glass Yes No h. Other
~..--.a-a.
2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
Thekf Hani itChes 12i1 Che
12
he
21 2ACghb
K
J

show how high the objoct was above the horizon (skyline) when you last suw it. Place an '"A.' on the compass
90° 75°
NW NU
3ASA
SU.
2. Draw a picture that will show the motion that the object or objects made. Place an "A at tha begining of the 28. Draw a picture that will show the motion that the object or objects made. Place an "A' at tha begining of the
path, a "B" at the ond 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 durina the caurse.
(
2. IF there was MORE THAN ONE obloct, then Agw many ware there? Iiallnie
finiihe
Seadha10.3opn C
hi h
WCChOC. 1d
kcl
ihe .- 9c
ihe 90
C A
lie jht
hroghtcha

Was anyome slse with you at the time you saw the objoct? (Circle One) Yos No
31.1 IF you answered YEs, did thoy see the object too? (Circle One) ( Yos No
31.2 Ploase list their names end addresses:
1Gus 2x26
Jih 11 apl Ir
149Sig lve 131.
32. Plsase gl llowing infemation about yourself:
Irst Name Middl Nome
ADDRESS 113 712
City Zone Stato
TELEPH SEX
exporiencs, which might bo pertinont.
Clle Ath fCnl
night and Phahiday Dhet
Jinday
Ishane
a Crestill
The almaaphie
An Chim i Cale as
theertt therl
Caidsghl Cied Pebufii se
Whan and to whom did you rope Whan and to whom did you repert that you had seen the object? t you had seen the object?
10
Day Month Month Your
1602 106 AL
.

Page 7
3d. Date you complorod this questionncire: Doy Month You
Informaticn which you fasl pertinent and which is not adoquately covared in -
qusstionnaire or a narrative explanation of your sighting.
.Mi. ik. J n 1.1.
.1 Ltl
L 2
Jtk
de Qiroit lk.
CC SCoC
loSeuth
27
Libth Heble
1/
)laben
ted Cght set Ca r2
the Souck
el
J
1 7
the . f Gi Jhaghe Dhaghe
).ik..
2nd Bite hl
2ght lng