PROJECT BLUE BOOK

PROJECT JUO/3 RECORD
1. DATE · TIME GROUP 2. LOCATION
.1 Dec 66 0400Z Philadelphia.
3. SOURCE 10. CONCLUSION
Civilian Civilian INSUFFICIENT INSUFFICIENT DATA FOR EVALUATION DATA FOR EVALUATION
7
4. NUMBER OF OBJECTS 4. NUIMBER OF OBJECTS
One
5. 5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 1. BRIEF SUMMARY AND ANALYSIS
None Noted None Noted SEE CASE
6.TYPE OF OBSERVATION 6. TYPE OF OBSERVATION
Ground Visual
7. COURSE
None Noted
3. PHOTOS
n Yes
No
9. PHYSICAL EVIDENCE
17 Yes
No
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form may be' used.
.

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair has been propared so that you can give the U.S. Air Force as much
information as possibl ole concerning the unidentified aerial phenoinenon that you havo ol servari.
Plaase try to ansy questlons as you possibly can. The information that ycu give will
be used for ros name will not be used in connection with any staterienis,
conclusions, or publicati without your permission. We request this personal information sc
that if it is deomed n we may contact you for further details.
1. When did you see the object? . Time of da.. 2300
Hour Minutea
(Circle One): (Circle One): A.M. A.M. or or P.M. P.M.
Doy Month Yeur Your
.Time Zone:
(Circle Ono):-a. (Circle Ono):a. Eastern (Circle Une): (Circle Une): a. Doylight Soving
b. Conteat Centeat Standard
c. Mountain Mountain
d. Pacific
. o. Other
4. Where wer you when you saw object?
Nearest Postal Address City or Town Stota or County
.How long was object in sigh (Total Duration)
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? Yes No_-
6. What was the condition of the sky?
DAY NIGHT
a. Bright a.
Cloudy b. Cloudy b.
7.IF you sow the objact during DAYLIGHT, where was the SUN located as you locked at the obiest? 7. IF you sow the objact during DAYLIGHT, where was the SUN located as you locked a: the objest?
(Circlo One): a. (Circla One): a. In front of you d. To your loft To your loft
b. In bock of you . Overheod
c. To your right c. To your right f. Don't remember send 164
.
FORM
FTD OCT 62 164 Thie form supersedee F 164, Jul 61, which ls obsolete.

Pogo 2
8.IF you saw the object of NIGl
8.1 STARS (Circle 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 d.Don't remember
9. What were YOU B bject?
CLOUDS (Circle One): WEATHER (Circle One):
a.) Clear sky . Dry
Hazy b. Fog, mist, or light rain
c. Scatternd clouds c. Moderate or heavy rain
d. Snow
e. Don't remember
. The object appeared: Circle One): Circle One): It looked like a
star
o. Solid o. Solid d. As a light
b. Transpoient Transpoient Don't remember , Don't romember Ouly brilte
Vapow only brihten
c.
11. If it appeared as a light, was it I
6 Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare bri htness to some common object:
12. The edges of the object were:
(C.clo(na) Fuzzy or blurred . Other
b.) Like a bright stor
C, Sharply outlined
d. Don't remember
Did the object: (Circle One for each quostion) (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 Don't know
b. b. Suddanly speed up and rush away at any time? Yes Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No No Don't know
o. Change brightness? Yes No Don't know
f. Change shape? Chang shape? Yes No No Don't know Don't know
g. 9. Flash or flicker? Flash or flicker? Yes No Don't know Don't know
h. Disappear and reappear? Yes No Don't know
.

Pugn 3
Moving slowly ( N.E diwection
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 bohind:
.Did the objeet move in front of something at any time, porticularly a cloud?
(Circle One): Yes No Don't Know. Don't Know. IF you answered YES, theu thll wirsl IF you answered YES. thea tall wisl
in front of:
17.  Toll in a few words the following things about the object:
a. Sound a. Sound.
b. Color_ b. Color _
.Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjoct and n "
much of the object is covered by the head of the match. If you had performed this axperiment at the tirn: i vi.
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 includei in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails ar vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.

(Circle One) Yes No
22. Where were you locot object? le One)
(Circle One):
a. ir: the business section of a city?
Inside a building b. In. sha residontial sucticn si a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an oirfield?
d. In an airplane (type) . Flying over a city?
e. At sea f. Flying ovar open country?
1. Other g. Other_.
a
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complate the followirg questions:
24.1 What direction were you moving? (Circle One)
a. North c. East South y. West
b. Northeast d. Southeast f. Southwest 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 obsorve the object through any of the following?
Eyoglasses Yos No . Binoculars Yes No
Sun glasses No f. Telescope Yes No
c. Windshiold Yes No g. Theodolite Y.s No
d. Window glass Yes No h. Other
I
E

90°
73
NE
nAs
15 15
28 Lomill
path, a "B" at the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE objoct, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that thoy were traveling.
E-
1

3age 6
Yos No
Circl Ona) Yes No
31.2 Please list thair names end addresses:
Plsase give the following infmation about yourself: .Plsase give the following infarmation about yourself:
NAME MRS NAME mes
Lasy Name FIrst Namo Middlo Neme
Due Ave Phila Peuu Deun
ADDRESS Zone
City
TELEPHI NUMBE AGE SEx Female
Indicate any additional Information about yours erionce, which might be pertinenr.
When and to whom did you repert that you had seen the objsct? When and to whom did you report that you had seen the objoct?
Day Day Month Yoar Yoor

Pago 7
34. Date you compl stionnaire: Day Month Yoor
7
Information which you foel pertinent and which is not adequately coveredin qusstionnaire or a narrative explanation of your sighting. specific points of the
object sighled ckut 15-20 miler
from willow Strove NAS
Autevon Autevon 231 231 3796 NAS telephone #
1 Yoe man 3rd Class 3rd Class Martie Ht. Goldbery Martin H. Goldberg
1 Phone Ph. watch i.tl in Duty Offirce.
Called recenied from Willow Gove NAS 1
Penua. Very few details. for further
info you can call)
-

Dec66
. .
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 4S433
REPLY TO ATTN OF: TDET/UFO
30 Junuary 1967
SUBJECT: UFO Observation
TO: Mee
Fhilacelphia, Pennsylvania 19131
Reference your unidentified observation. The information which Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request Request you complete the attached FTD Form 164 and return it in
the envelope provided. Thank you for reporting your observation the envelope provided. Thank you for reporting your observation
to the Air Force. to the Air Force.
JAMES C. MANATT, COlOnel, USAF 1 Atch 1 Atch
Director of Director Technology and Subsystems FTD Form 164 w/envelope
711 7U121410 04011301