PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE - TIME GROUP 1. DATE - TIME GROUP 2. 2. LOCATION LOCATION 7
14 Jec. 66 14/234.52 14/234.52 Dayton, Chio Dayton, Chio multitie multigle
3. SOURCE 10. 10. CONCLUSION CONCLUSION
Civilian Aircraft with advertising sign Aircraft with advertising sign
7.
4. NUMBER OF OBJECTS 4. NUMBER OF OBJECTS
One
ii. DRIEF SUMMARY AND ANALYSIS SUMMARY AND ANALYSIS DATOAT
5. S. LENGTH OE LENGTH OF OBSERVATION OOGERVATION 11. DRIEF
seconds to minutes
TYPE OF OBSERVATION Observers watched a an object circle the area which had
5. several blinking lights. rvers compared the
Ground Visual object various things; a marcuee with some dark
7. COURSE object moving across it periodicaally. One ooserver said
it was more than eight lights. Others compared object
Varied to that of a st ring or lights that would go out and came
8. PHOTOS back on.
Yos
No Contact was made with nr of Winshester, Kentucky.
9. PHYSICAL EVIDENCE He was flying his aircraft which has a large advertising
sign fixed to:the bottom of his plane wings. He was
Yes flying in the Dayton area between 1830 and 2030 hours.
No
FORM
FTD SEP63 0-329 (TDE) FTD SEP 63 0-329 (TDE) Pravious editions of thlo form may be usea. Pravious editions of thlo form may be usea.
.

3
Paga 2
8.IF you sow tho object ol 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
c. Many C. No moonlight - pitch dark
d. Don't romember d. Don't remember
9. What nere the weather conditions at the tims you saw objoct?
CLOUDS(Circle One): WEATHER (Circle One):
a. Clsar sky a. Clsar sky a. Dry a. Dry
b. Haly b. Hazy b. Fog, mist, or light rain b. Fog, mist, or light rain
c. c. Scatternd clouds Scartared clouds Moderate or heavy rain
d. d. Thict on houvy clouds Snow
•. Don't remember Don't remember
. The object appeared: Circle One).
o. Solid Asa light
. Tronspoiont 8, Don'fremember
c. Vapur
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
12. The edges of the object were:
(C..cio (ine) a. Fuzzy or blurred . Other
b. Like a bright stor
Sharply outlined —
d. Don'tremember d.-Don'tremember
. Did the oblect: Did the oblect: (Circle One for eoch qusstion)
a. Appear to stand still at any time? Yos No Don't know
b. Suddanly speed up and rush away at any time? Yes No Don't knòw
c. Break up into parts or explode? Yes No No Don't know
d. Giva off smoke? Yes No Don't know
o. . Change brightness? Yes No No Don't know
f. Change shape? Yes No Dan'i know
o. Flash or flickar? Yes No Don't know
h. Disappear and reappear? No Don't know

Page 2
8IF 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 fow b. Dull moonlight
c. Many No moonlight - pitch dark
d.Don't remember d. Don't remember
9. What were time you saw object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. razy b. B. F og, misr, or Tight roin Fog, mist, or light rain
c. c. Scarternd clouds c. Moderate or heavy rain Moderate or heavy rain
d. d. Thick on houry clouds Thick on houry clouds Snow
•. Don't remomber Don't remomber
10. The objact appeared: . The objact appearad: (Circle One): (Circle One)
. Solid a. Solid As a light
b. Tronspoiont . Transpoiont . Don'fremember , Don'fremember
c. Vapor
1.If it app ,was it brighter than the brightest stars? (Circle One):
Brighter c. About the same
b. Dimmar d. Don't know
11.1 Compare htness to some common object:
12. The edges of the object were:
(C.rclo (ne) a. Fuzzy or blurred . Other -
b. Like a bright stor
c. Sharply outlined
. Don't remember
Did the object: (Circle One for eoch queation) (Circle One for eoch qusation)
a. a. Appear to stand ill at amy time? Yes No Den't know Don't know
b. Suddanly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes Don't know
. . Change brightness? Yes Yes No No Don't know
f. Change shape? Yes No No Don't know Don't know
g. Flash or flicker? No Don't know Don't know
h. Disappear and reappear? No Don't know
10

0
Puga 3
Did the object disappour while you werc ratching it?  so, how?
.Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you snswered YEs, than tell what
it moved behind:
1.Did the objeet move in front of spmething at any time, particularly a cloud?
(Circle One): Yes Yos No Don't Know. IF you answered YES, theu tll wis IF you answered YES, theni tnll wi:s
in front of: -. -
17. Tell 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_ white
8. Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and n?
much of the object is covered by the head of the match. If you had performed this oxperiment at the tir: i i.
sighting, how much of the object would have been covered by the match head?
1. Draw a plcture that will show the shape of the object or objects. Label and include in your sketch any dotails
of the abject 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.
08880 08880
4
1
LIGHTS ROTATING BLINKING

No
IF you answered YES, then what speed would you estin.ate? _
.Do you think you can estimate h 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. Wore you (Circlo One)
(Circle One):
a.in the business section of a city?
Insido a building b. In tha residential suction oi a city?
b. In a car c. In opan countryside?
c. Outdoors Near an airfield?
d.In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. g. Other .
24.1 What direction were you moving? (C Circle One)
a. North c. East South y. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast ware you moving? _ _miles por hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yos No
2 Did you obsorve the object through any of the following?
a. Eyeglasses Yos No . Binoculars Yes No
b. Sun glasses Yes No f. Telescope
c. Windshiold Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other-
common

Draw a picture that will show the motion that the object or objects made. Place an Aat the beginning of the . Draw a picture that will show the motion that the object or objects made. Place an "A at the beginning of the
path, a "B" ot 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 changes in direction during the course.
COXAIRPO2
KETIERING
WEST CENTEZJILLE /
CAROLTON
lobjict many light
) V

Jngo 6
Yes No
Yes No
31.2 Ploase list their names end addresses:
, 1
Ploase give the following Infermation about yourself:
would not gue unfinatior would not gz unfimation
NAME. NAME Irat Name
Lost Name Last Name Middl Name Nama
ADDRESS
Street City Zone State
TELEPHONE NUMBER AGE SEX
experlonce, which might bo pertinenr.
When and to whom did you report that you had sean the object? When and to whom did you repert that you had seen the object?
Day Month Yoar
1

0 0 Pago 8
bunch of light wute) (latglgt
- lights 620rd to rotlese
Nike (Bright)
- Lane
0715 /
Wisst oConterille
Coulisin
would not gua
nan
14

0
15 Dec. 66
Contact was made with WP RAPCON regarding the observation of
UFOs over the Dayton area. Conversation with Mr. Sizer (7oO42)
revealed that an aircraft with an advertising sign would be
December 1966.
Contact was made with Mr. Barnes, of Barnes Advertising Company,
Winchester, Kentucky(see 18-19 July 66, Dayton, Ohio). He was
flying in the Dayton the night of 14 Dec. 66. He landed at the
Montgomery County Airport Montgomery County Airport and refueled. and refueled. He was advertising for He was advertising for
Schoenling Beer on the night of 14 Schoenling Beer on the night of l4 Dec. 66. The aircraft flies Dec. 66. The aircraft flies
between 45-50 miles per hour while he is in operation. between 45-50 miles per hour while he is in operation. The sign
read "Happy Holiday Season from Schoenling Beer". read "Happy Holiday Season from Schoenling Beer".
.

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 oncerning the unidentified aerial phenoinenon that you havu olnervei.
Pleass try to answer questlons as you possibly can. The information that ycu give will
be used for research . Your name will not be usod in connection with any statonienis,
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 see the object? 2
?. Time of da!
Hour Minutna
O7 7
14 DEC 6 6O Circle One):
(Circle One): A.M. or or P.M.
Day Day Month Month Yeur Yeur
3. Time Zone: . Time Zone:
(Circla One): a, a. Eastern (Circle Une): o.Daylight Sa:ing (Circle Une): a. Doylight Saving +
b. Contral Standard Standard
c. Mountain
d. Pacific Pacific
. . Other
4. Where were you when you saw the object?
Nearest Postal Address City or Town Stata or County
5. How long was object in sight? (Total Duration) 1 2
Hours Minutes Sosonds
a.Certain c. Not vary sura
.Fairly certain
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes - No_--
6. O. ihdr was ms condirion or Thd sky? What was the condition of the sky?
DAY NIGHT
a. a, a. Bright
b.Cloudy b. Cloudy b. Cloudy
7.IF you sow the objoct during DAYLIGHT, where was the SUN located as you locked at the obiest?
(Circle One): a. In front of you (Circle Ona): :a.In front of you d. d. To your left To your loft
b. In bock of you e. Overheod Overheod
c. To your right f. Don't remember Don't remember
FORM
FTD OCT 62 164 Thi• form supereedee PTD 164, Ju! 61, whlch ie obsolete.

Pago 2
8.1 STARS (Circle One): 8.2 MOON (Circl One):
a. Non Bright moonlight
b. A fow 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 objoct?
/
CLOUDS (Circle One): WEATHER (Circle Ons):
a. Clear sky 0. Dry
b. Hazy b. Fog, mist, or light roin
c. Scatternd clouds c. Moderate or heavy rain
d. Thich o houvy cloud Snow
. Don't remember
10. The object appeared: Circle One).
o. Solid d.As a light
Transpoient . Don't remember
c. Vapor Vapor
1.If it appeared as a light, was it br righter than tho brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightnoss to some common object: IF
The odges of the object were:
(C.clo (ine) a. Fuzzy or blurred . Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
.Did the object: 1. Did the object: (Circle One for eoch question) (Circle One for eoch quastion)
a. Appear to stand still at any time? Yes Yes No No Don't know Don't know
b. Suddanly speed up and rush away at any time? Yes No No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know Don'tknow
. o. Change brightnass? Yes No Don't know Don'tknow
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 Don't know

O
Pugn 3
14. Did the objoct disappear while you werc ratching it? I1 so, how?
/
.Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you onswered YEs, then tell what
it moved behind: 4
.Did tha objeet move in front of something at any time, partic a cloud?
(Circle One): (Circle One): Yes No Don't Know. Don't Know. IF you answered YES, then H! wirst IF you answered YES, then ! wisst
in front of: -. in front of: -
17. Toll in a few words the following things about the object:
a. Sound . Sound
b. Color - b. Color
8.We wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and li
much of the object is covered by the head of the match. If you had performed this experiment at the tirn: i si.
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 skatch any details .
of the objoct 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.
.

O O
Pugn 3
14. Did the object disappear while you werc ratching it? 11 so, how?
eted 7
5
Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you snswered YEs, thon tall what
it moved behind:
. Did the objeet move in front of something at any time, particu a cloud?
(Circle One): Yos Yes No Don't Know. IF you answered YES. then th!i wirst IF you answered YES, the. u! wi:s
in front of: ... in front of: ..
N.
17. Tell in a few words the following things about the object:
a. Sound___. a. Sound _
b. Color wli
. We wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and m
much of the object is covered by the head of the match. If you had performed this oxperiment at the tirv: .i sit.
sighting, how much of the object would have baen covered by the match head?
1. Draw a plcture that will show the shape of the object or objects. Label and includ 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.
9 6 9 CS 9060
PLINEING LIGHTS PLO

(Circle One) Yes No
/
IF you answered YES, then how far away would you say it was?
aw the object? 23. Wore you (Circle One)
(Circle One):
a. ir: the business section of a city?
Insido a building b. In. sha residential sucticn si a city?
b. In a car c. In opon countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over opon country?
1. Other_- g.
. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction wers you moving? ircle One)
0. North c. East . South y. 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
2Did you obsorve the object through any of the following?
a. Eyeglasses Y.s No e. Binoculars Yes
b. Sun glasses Yes No f. Telescope No
c. Windshiold Yes No g. Thaodollte Yes No
d. Window glass Yes No h. Other
2In 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 whlch you sow. object or objects which, when placad up in the sky, would give the same appearance as the object whlch you sow.
Larg Lara auzlare 1 with
lught stuna fom

Fire Dispatcho Fire Dispatcha
32. Pleass give ellowing Infermation about lowing Infermation about yourse
NAME
Middlo Neme
ADDRESS
City Zone Stato
TELEPHONE NUMBER AGE SEX
Indicate any additional Information about yourself, uding any specl rience, which might be partinenr.
When and to whom did you report that you had soen the object? When and to whom did you report that you had seen the object?
Day Month Yoar
A

90.
73
60°
NW NU
SW
28..Draw a picture that will show the motion that the object or objects mado. Place an "A' at the baginnting of the 28..Draw a picture that will show the motion that the object or objects made. Place an "A'a baginning of the
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 oblect, then how many were there?
Draw a plcture of how they wore arranged, and put an arrow to show the direction that thoy wore traveling. 1

S.S.
-lange S with alle diffea
Fire Dispatcher saw this
Lootead at fou the $/2 fou lhe&1/=
through through bucles bunsculers 1A I
→ 299-5555 C
Officer Burke
1

//
This sigfting sighting ,include onel(1) includes nel)
8"x11" phofogaph,

Thank you for reyorting your observation to the Air Force.
o1n
Jo Sofris 1 Ap 29 0

Diee Sin:
Although
. ageboy D
your sady of U.F.C..
Lh
1

to doifd
should
.

PH 67-11 PAGE OF _LPASE
NR
REport20 February 19
SUBJECT UNIDENTIFTED FLYING OBJECT
LOCATION Wichita Falls, Texas DATE December 1966
PHOTOGRAPHY
AF_ IR- QUALITY- Good
PNRS 1 negative, 2 prints (B&W)
l. PURPOSE: This report is in reply to a request submitted by Major Quintanilla (TDETR) to l. PURPOSE: This report is n reply to a request submi sted by Major Quintanilla (TDETR)to
determine determi identity of the object photographed. identity the object photographed.
2. ANALYsIS: Examination of the original negative shows the "unidentified object" to be a 2. ANALYSIS: Examination of the original negative shows the "unidentified object" to be a
chemical or water blemish on the emulsion side the film.
PHOTO ANALYSIS BY: PHOTO ANALYSIS BY: APPROVED BY:
Donglas H. Rogers Wilhanl. Tuna
DOUGLAS H. ROGERS WILLIAM L. TURNER
Intelligence Research Specialist Major, USAF
Chief, Photo Analysis, Branch
WILBER PRICE, JR.
Chief, Photo Exploitatibn Division
TD APR62 FORM 132
7 F

FOREIGN TECHNOLOGY DIVISION,AFSC UNCLASSIFIED
*
UNCLASSIFIED

(Circle One) Yes No
IF you answered YES, then how far away w d you say it was?.
. Where were you u located when you saw the object? 2. Wore you le One)
(Circle One):
a. in the business section of a city?
Inside a building b. In the residential suction oi a city?
b. In a car In opon countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) . Flying over a city?
e. At sea f.
f. Other g.
24. LC
24.1 What direction were you moving? (Circle One)
0. North c. East .South $y.$Wost
b. Northeast d. Southeast f. Southwast 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 obsarve the object through any of the following?
a. Eyoglasses Yos . Binoculars Yes No
b. Sun glasses Yos f. Telescope Yes No
c. Windshiold Yes g. Theodolite Yas No
d. Window glass Yes No h. Other-
2.In order that you can give as clear a picture as possible of what you saw, describe in your own wor
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw

.9..91 M.3 CS3 1 -
the original nacetive showr the ellesad udlanblsied chdons'to bs the original negetive sl cl1a-:1wil: l ebdoos'to be
a chanieel or vator bloaeh cn ths eialsd a chamlieel or vator bl 1:31 Dn Blds oS tho Pilm. 00 14ln,
Ehenk you for Thonk you for - S
Your nosets Your negetal re end on ro inelbsal. o inelbsal.
Sincoraly,
CO32. FA, R. :
LA ColoAs, U97
Gier, Ctvll Drench
Conmity Ralotions Division
Orrioe o2 Infommation
Atteclment
'
as 75303
COORDINATED BY: SAFOI-CC
70 SAFOICCoord cy cy
Cmox Cn5k cy
Rdrs cy
Acty cy
Stbk cy cy
4

N.C.IO.
Never Use for Approvals, Disapprovals, ACTION
MEMO ROUTING SLIP Concurrences, OY Similar Actions
1 TO INITIALS CIRCULATE
TDPT/UFO
DATE COORDINATION
2 FILE
INFORMATION
3 NOTE AND RETURN
PER CON. VERSATION
4 SEE ME
SIGNATURE
REMARKS
I sent this kid a "thank you" note, but told
however, it would be added to our data base.
FROM DATE
Jo T. Jo T.
PHONE PHONE
Replaces DD Form 94, 1 Feb 50. and DD Form GPO :1365--O-233-859 GPO :1965--O-233-859
DD  860 95 DD9 95, 1 Feb 50, which will be used until exhausted.
D
:
-

Dirvee,
Crio-
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE Ju
NV '2 PM
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORC:
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSE
ANSWER ALI OUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FO
YOUR ED IN CONNECTION WITH ANY OF YOUR STATEMENTS OF
YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING 1
PATTERSON AFB, OHIO 45433, IAW AFR 8O-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR A
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
?
DAY.
2. WHAT TIME DIO YOU FIRST SIGHT THE PHENOMENON?
HOUR 8:00 MINUTES :30 CIA.M. P.M.
3. WHAT TIME DID Y oU LAST SIGHT T HE PHENOMENON?
I HOUR. 8.00 MINUTES:3 A.M. P.M.
a
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY. IDENTIFY THE A HAND DRAWN MAP WHERE YOU WERE STANOING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY. IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK. HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Once
eurhouse
x
whore l
Stood
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN "A' ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A 3^ ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 15
L
1
|
1
1
|
1
1
- "
OBSERVER OBSERVER /
AF AF FORM 117
AUG 57 AUG 67 -L
feok C bao poo the -
.

6A. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN *A* ON THE COMPASS TO INDICATE THE ,
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A B° ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
w AB"
wSw ESE
SW SE
sSw SSE
$
PAGE 2 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChOCK APPTODTiaTe blOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLI ETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER WATER YOU TRAVERSED DURING YOU TRAVERSED DURING
THE SIGHTING. THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS WAS THERE?
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME IF *YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON OF SIGHTING THE PHENOMENON AND AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT V ERY SURE
2to3 minutes FAIRLY
CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
ky glanding
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF "NO," INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON. AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
Becave l had to mave tm a fowed
windlowt an utoh od ew
PAGE 3 OF 9 PAGES

1O. IF THERE WERE MORE THAN ONE PHENOMENON. HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGEO. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
11. ConDiTioNs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (Low fluffy) FOG OR MIST
TWILIGHT CiRRus CLouDs (High fleecy or Herring- HEAVY RAIN
+1 NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS CUMULONIMBUS CLOUDS SNOW OR SLEET SNOW OR SLEET
COMPLETELY OVERCAST COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU DID YOU NOTICE ABOUT THE STARS AND MOON? AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS HIDDEN BY CLOUDS
UNKNOWN PAR TIAL (New or quarter)) PARTIAL (New or quarter))
D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? YES NO. IF."YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeW noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLIO OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
tut iide of ths it wos solid it wes nery
lught
colons
white
PAGE 4 OF 9 PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STI RAIGHT LINE?
STAND S TILL AT ANYTIME?
SUDOENI L Y SP EED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR?
GIVE OF F SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
I was do was leor Whough a lept a d so
Moh a lpypt
00 t RHOOA
toDCC it theigh mg raked
DNC
Werd dohid slding
8. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE. OR BUILDING AT ANY TIME?
YES NO. IF YES.DESCRIBE.
WA d it
PAGE S OF 9 PAGES

HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
-
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
to Xo
PAGE6OF 9 PAGES
-

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE' YES NO. IF YES," GIVE DATE AND
LOCATION.
~
23. WAS ANYONE WITH YOU AT THE TIME SAW THE PHENOMENON? YES NO. TOO?
YES O NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADDRESS(StreG
TELEPMONE (Area code and number) TELEPMONE (Area code and numbEr) AGE
MALE FEMALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDIN INDICATE ADDITIONAL INFORMATION OCCUF ATION TION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND AND TO WHOM DID DID YOU REPORT YOU REPORT THAT THAT YOU HAD SIGHTED THIS PHENOMENON? THIS PHENOMENON?
Itolda Sew sndl CS C mes m.es
NAME DAY. DAY. MONTH YEAR YEAR
26. DATE 26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY_ DAY_ MONTH YEAR
PAGE 8 OF 9 PAGES
-

17.010 YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATIO ON MODEL,
TYPE, FILTER. LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE .
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. ORDINARILY WEAR GLASSES? NO B. DO YOU USE READING GLASSES? YES NO
18 WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
C a
CiO
(
nave tsked
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON NOR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES,DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. O YES NO.
IF *YES," DESCRIBE.
1
PAGE 7 OF 9 PAGES PAGE 7 OF 9 PAGES
-

90°
BA
60°
NB
15 — 1
2. Draw a picture that will show the motion that the object or objects made. 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.
Ses bade Jo
29. IF there was MORE THAN ONE ob/sct, then how many were there?
Draw a picture of how they wore arranged, and put an arrow to show the direction that thoy wore trave!ing.
Slights omre

27 INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
Deo /
thonk yeulst youre and
boyeucnd soshitulle
Aealas
d Ceo
Jhontafou Thout fou
- PAGE 9 OF 9 PAGES

15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes №\o 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:
AAD REAC BRIGHT WIL
18. 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?
CANNOT DETERMINE THIS.
. 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.
COOLD NOT HARE COOLD NOT HAKE OOT OOT ANY ANY SHAPE SHAPE
OR FORM OF OF OBJECT OBJECT JOST JO'ST
POTTIN POTATiNG LIGHTS. 6 LIGHTS.
4

UFO form continued
Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) MiGHTY FAST
No
21. 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): AT FIRST
aIn the business section of a city?
aInside a building b. In the residential section of a city?
K. In a car c. In open countryside?
C. Outdoors d. Near an airfield?
d. In an airplane (type) e. F Flying over a city?
e. At sea f. Flying over open country?
f. Other. g. Other.
a. Eyeglasses Yes No e. Binoculars No
b. Sun glasses No f. Telescope Yes
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other_ ..
B07A254 G:T JOT CARAN1
In order that you can give as clear a picture as possible of what you sawdescribe in your own words a commn object r - 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 ob-
jects which, when placed up in the sky, would givethe same appearance as the object which you saw.
THE LIGHTS LIGHTS TAAT I THAT I SAW WHERE
SIMILiAR OF THOSE SiMiLiAR OF THOSE ON A AIRPENG WITH. ON A AiRPEANE WiTH.
TIFEY WERE BIGCER BIGCER
THE EXCEPTION EXCEPTION THAT THAT
AND 1BRIGTER THAN THOSE 1BRIGTER TAAH THOSE SF AN AIRPLANE AHD
HUCH LOWER THAN A PCANE WOOLD NORMALLY
FLY. ANO STANDING STILL.

Page 1
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 as many 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.
1. When did you see the object? 1. When did you see the object? Time of day: 11 11 45
EXACT DAy DAY iSNOT Hours Minutes
REHEMBERED 1
~ATEWINTER ATE WINTER 66 (Circle One): A.M. A.M. or or
P.M. P.M.
Day Month Year
3.Time Zone: .Time Zone:
(Circle One) a. Eastern (Circle One): aDaylight.Saving
6. Centrat b. Standard
c. Mountain
d. Pacific
e. Other.
4. Where were you when you saw the object?
GRAND RApiDs HichiGaal
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 1.5
Hours Minutes Seconds
a.Certain c. Not very sure
b. Fairly certain d.Just a guess
5.1 How was time in sight determined? By WATCH
5.2 Was object in sight continuously? Yes V No.
What was the conditian of the sky? 6.What was the conditian of the sky?
DAY DAY NIGHT NIGHT
a. Bright
b. Cloudy b. Cloudy
ou saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
One): a. In front of you d. To your left d.To your left
b. In back of you e. Overhead . Overhead
c. To your right c.To your right f. Don'tremember
This form supersedes FTD 164. jul 61, which is obsolete.
ho1

Pago 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 aBright moonlight
b. A few b. Dutl 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
6. Hazy b. Fog, mist, or light rain
C. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don'tremember
10. The object appeared: (Circle One):
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
distLike A REAL BRIGHT LiGHT
.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Oter CoDiD NoT HAKE Oor
Like a bright star CLEARLY SHAPE CE CBIECT
c.Sharply outlined EXCEDT THAT IT HISNT OF
d.Don't remember BEEN ROOND
Did the object: .Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know Don'tknow
Suddenly speed up and rush away at any time? Yes No Don't know
c.Break up into parts or explode? cBreak up into parts or explode? Yes No Don't know
dGive off smoke? d. Give off smoke? Yes No No Don't know
e. Change brightness? Yes Yes No N Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don'tknow
h. Disoppear and reappear? h. Disoppear and reappear? Yes Don't know
NAVED TO DIFFERENT LOCATION

Page 8
out fome dead stand still to an
then abgide fost rate fupeed. Fasto that
senved the shy Dave ab-
banely al eould gist
tonyJ follaw els path. But then. it
topud in for distanke.
tied sel close
Teil this donit knowohat
it was Hept shet it maale
beleview ant of me thatsome
does epist
as a fuinal on fhle.
and thnis OFO'S. OFO'S.

way home from wrk. I mrk
Deleving mail se the Post offeie
mesenger. wak nugits and
absenved ajeat it bd lhe a a light
o I? 0 :
was Deidleas to da
220 one stop (as
l ther reached n the
aut fiash light can and pulled
objict ard paitel ii is dition cetion
at that inatent set at that unatent spt

0
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 cbject too? (Circle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
ASCADE Ed ASCADE Rd MiacieName Miacievame
ADDRESS GRAND RAZiDS GRAND RADiDS 6 Hick. Hict.
City Zone Zone State State
TELEPHONE NUMBER AGE 2Y SEX M
Incae y dialoti urlep hh  r.
WORK FOR O.S.
ALSO AM AVERY OUT DOORS type PERSON.
AM A AVID HUNTER AND SPORTS MAN AND
ROW THAT THiS OBieCT WAS NOT A
PLANE SHOOTING OR FALLNG STAR, AND NOT MARSH GAS.
.When and to whom . When and to whom did youreport that you had seen the object? didyouseport that you had seen the object?
SAME SAHE y TO GRAND RAPiDS GRAND RApiDS Paice Dept. PoLice DEpt.
Day Day NIGHT" NIGHT Month Year Year
n
. 1

Official U.S. Air Force
Fage 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 com.
pass when you last saw the object.
90° 75 o
B N
45
NW NE
30°
w E
15° SV SE
BE S
28. Draw a picture that will show the motion that the object or objects made. 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.
B
--
29. IF there was MORE THAN ONE object, then how many were there?. ONE OJECT
6.
B

Jan
SAFOICC/Mrs Cassel/jad/79079/8 May 67
MAY 9 1967
Dear
This replies to your letter reporting the December unidentified
flying object (uro) sighted in Iran by you and your friend.
It would be It would b extrenely difficult to perforn extrenely diffieult to per comprehensivs
investigation at investigation at this late date. In fact, it i bis late date. .In fact, it i s extremelydirficult extremely dirficult
to investigate a sighting which is more than a nth old. Also, we th old. Also, we
do not normally investigate UFo sightings outside the territorial
limits of the United Statas since we lack jurisdiction outside those limits of the United Statas since we lack jurisdiction outside those
limits. Your observation will ba filed for information purposes. limits. Your observation will ba filed for information purposes.
Thank you for reporting your sighting to the Air Force; we
apprsciate your interest in our project. I have attached some apprsciate your interest in our project. I have attached some
reading material on this subject which I think you will enjoy.
Sincerely,
35
GEORGE P. FREKMAN, JR.
Lt Colonel, USAF
Chief, Civil Branch
Community Relations Division
Office of Inforration
Attachments (BB &109)
cushid cushid
Tehran, Tehre Iran Iran
COORDINATED BY: SAFOI-CC
SAFOIC Coord cv
Cmbk cy Cmbk cy
th Rdrs cy Rdrs cy
Acty cy Acty cy
Stbk cy Stbk cy

39g0 6
Yes No
31.1 IF you answered YES, did they see the objoct too? Circle One) Yes No
31.2 Ploaso list their names and addresses:
32. Please give the following Infermation about yourself:
NAME MISSED
Lest Name Ime Middle Neme
m
who 7 s with Hs addres. She was
VELy VEry uterestad S S COC CO 20t√s2 note
ca00s ba Qs bai+
When and to whom did you repeort that you had seen the object? When and to whom did you reper t that you had seen the object? O.D.
Day Day Month Yoar Yoar

2 -.
SAF-OICC/Mrs Cassel/bp/79079/8 May 67
Dear
This replies to your letter reporting the December unidentified
flying object (uro) sighted in
It would be extremely difficult to perforn a comprehensive
investigation at this late date.n is extremely difficult to
investigate a sighting which is more than a month more than a month old. Also we
do not normally investigate Uro sightings do not normally investigate Uro sightings a outside outside the territorial the territorial
limits of the United States since ve lack jurisdiction outside those
limits. Your observation will be filed for information purposes. limits. Your observation will be filed for inrormation. e8.
F2 2
Thank you for reporting your sighting to the Air Force; we
appreciate your interest in our project. I have inclosed some
reading readingI material on this subject which I think you will enjoy. material on this subject which I think you will enjoy.
2
Sincerely, ainoe
GEORGEP. FREEMAN,JR.
Lt Colonel, USAF
Chief, Civil Branch
Community Relations Division
Office of Information
Attachments SRB
fact
Mr
: 6
Jamshid
Tehran, Iran
OORDINATED By (Orfice Symbol,.Name, Grade, Date) GORDINATED By (Orfice Symbol,.Name, Grade, Date)
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cy- SAF-OIC
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Aotivity cy Activity CV - SAF-OIC - SAF-OIC
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/ No Case UnpMy Dec 66
Proposed reply to letter from Gary Sieja, 24 March 1967
Reference your recent letter regarding the observation of
Ldoo an unident
extremely 1 important that the Air Force be contacted as soon as
Several of the reports were
quite old; therefore, a meaningful scientifie investigation would not
Book analysts and filed accordingly.
0101
i
-
2o Aofare- 5Mhay 69.

U.FO: en hcala
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BLDE -Roham Entire File
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Anghe OBTE 90°I had filland wor on me
bacb lacb looking up of
SHHP= OROTHERFEITURFS- SHHPE OROTHERFTURFS-
BOTTOM MoReL
Moved veRy FAST Moued veRyFAST (2ookiNgup) (LookiNgup) DAR,
CHAngESin STSE cHAngESinSTLE- NONE NON
SHAPE NONe .
COLOR None
COMPAREPTOWFAiLER
C)OBTRCTNEAJU-NOIVE
N
3) SAHALLER. Nor
COMPNRCOETO PEHNY
NECKeL ATARIM S LCngTH ATARI S LEnGTH
S1 LURRTER dURRTER
HALF DOLLAR HAnF DOLLAR
PESPECT 7e 70 youR fesiTion YOUR fOsiTioN-
TME- SPRED- DRCCrienOF
3-550. veRx KcT
FEST

Form 3358 (11-54)
NAME
DATE Return To
AgE Return Pink Copy Only On 0.05= MaCh  1
CiTY-
STATE 010 File U.F0 sg#Tng,
TinT-7:308M DATTA bnecmglt
PAACE OrhOCATiON
OBJECT-(ORAW)
dvet con
SHAPIE SHAPE ORANYOTHEN:FEPTORES-
sound 2hes sound -Lhs- alllitborolts allitborolts
CHANGES INS121 IN SI2E
non n
STTAPTE
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COnnPANED TO PFAMLAR OBIECT NEAR YOU - AJ
C).OBTECT_NEARSYOU None
β.) SMALLEn
COMPAREOTO PENNEY
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RESPECT TO YOUR POSITiOM. RESPECT TO YOUR Position
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Time SPEED D.RECT.ONOPU,1FO DRECTION.OPU.FO
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730 300-400mpA
.

. Form 3358 (11-54)
NAre
DATE Return To
pe1 RteEntire File On
CiTY Return Pink Copy Only On 003  MAt(i1.5
STATE Fille UFO SiygttTin'gS.
Time-9:80
PLACE TOOM LAGRANGE& PARK
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Arg(\
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STOLE STO LE 45
SHQP SHQP To FERTURES ROUND ROOND E RED
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CHAnBS nr Si21E- SI21E- NONE NONE
SHAPE LOOND
CJLOR BLOE &RED
COMPARED TOA FAMILER OBJECT NEAN YOU-
C)ONJECT MEAR YOU- EDNOTDOG SrOeE
JOINT
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JOINt B)SMALLER
CCMPARGD-TO TNEY
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AT ARMS LNyTH- LNyTH
QAARTER QAART=R 2
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ANGLEOFOBIECT SEEN
SHAPEOR ANY
CHANGI CHANGE Si2 Si2i NONE
7
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COLOR
(SICUER)
C)OBJECT NEAR YOU- Yes
TELEPHONE POLE -5fom house
B)SMAKIR
1 No
CONPAREA TO CEMY AT ARMS 2ErgTH-
NiCKKICL ARMS
quat BASKET BAUKC BACLAt
S,a01n SiavnOLar OLLaR BAL LENGTH
BASKET
RESSECT TO YOUR POSiTion RESPECT TO YOUR POSIT.ON INFROOT INFRO1OT mit
75-85 4166E 75-854166E up Up
TiME
ThoeRS APROX A)CpmiN-
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." DEC66 No Care Unfo only
NICAP MASSACHUSETTS INVESTIGATING ITTEE
13E ourt
SURJECT: UFO SIGITING - Rt. #25 2-3 mi. bEfOre c Center,
Massachusetts exit - 12/1/66
DATE: 2 Jamary 1967
FROM: Raymond B. Fowler
Chairman; HICAP MASS SUBCOM
TO: NICAP
Washington, D.C.
of
Enelosed is a UFO report that was not personally investigated
but nevertheless may provide further statistical information
nearby Otis AFB. The enclosed report involves a glowing band of
light in the sky. No structural detail was positively seen and
as far as is knowm there were no other witnesses. I talked to
Mrs. Hathaway on the phone. She is an amateur artist and feels
quite certain that her details are precise. However, she wants
her name kept confidential fer fear of being bothered by crank
callers. Since a full-scale investigation was not warranted dne
to the nature of the sighting (light in-sky report with no unusual
features). no evaluation has been made. The report nay become
valuable if other sightings of a better quality are subritted for
that date and location.
Respectfullysubritted, Respecth ully subritted,
Raymond B. Fowler (Chairman) Raymond B. Fowler (Chairman)
NICAP IASS SUBCOM NICAP IASS SUBCOM
rEF/ref TEF/ref
VERY SIMILAR TO BETTER SIGHTING OF CIGAR-SHAPED VERY SIMILAR TO BETTER SIGHTING OF CIGAR-SHAPED
OBJECT AT CLOSE RANGE AT ARLINGTON, MASS. ON 10/29/64.
WITNESS NOTICED DARK UN-LIGHTED BAND OR DCAR IN WITTNESS N ARK IN-ITCHTED BAND O IN
CENTER OF GLOWING CIGAR.

NATIONAL INVESTIGATIONS COMMITTEE ON AERIAL PHENOMENA
1536 Connecticut Avenue N. W.
NOrth 7-9434 Washington 6, D. C.
REPORT ON UNIDENTIFIED FLYING OBJECT(S)
questions to which answers are needed for full evaluatron by NlCAP.
After all the information has been fully studied, the conclusion of our Evaluation Panel will be publishad by NICAP in its regularly
issued magazine or in another publication. Please try to answer as many questions as possible. Should you need additional room,
please we another sheetof paper. Please print or typawrite. Your assistance is of great value and is genuinely appreciated. Thank you.
Name in.I Place of Employment New sinrland Telenhone
also-licenred keal Estate Broker
Add Occupation
operator and K. . broker
"areham, mass. Education Lee Inst. & Swain School on De
Special Training & Hich Schocl
Telep Military Service
2. Date of Observation December 1, 1966 Time
3. Locality of Observation houte 25 be tween 2 & 3 mi. before Middleboro Center exit
V.i does not give tenths of mile so I cannot be more exact. Toward Bost
4. How long did you see the object? Hours 1-2 Minutes Seconds
5. Please describe weather conditions and the type of sky; i.e., bright daylight, nighttime, dusk, etc. night-Later
moon was bright-not at that hour-but sky was not pitch black.
6. Position of the Sun or Moon in relation to the object and to you. I did not see moon but i believe
would have been behind me, if it had started to rise & I may nct have
7
no c. Break up into parts or explode? on my I left until I was finally look
no d. Give off smoke? back, left at this
e. Leave any visible trail? object. I did r
no f. Drop anything? stop. It was not near enough to the
no - Change brightness? Change brightness? ground to ground to reflect anything. Thi
yes g. pulsated. ting.
no h. Change shape? Change shape? band or lichts s broken okel Dy what
i. Change color? to be a door. It to be a door. I possible possibl supp SUpD
no
c( eectt  ni giving ince, size, ete bossible. ossible. t
13.
no, no, it was above trees.
14. 14. Was there any wind? Was there any wind? If so, please give direction and speed. If  please give direction and speed.
do nct remember nct remember
15.
etc? What? What? windsheeld of car. of car.
:
16. Did the objoct(s) have any sound? no What kind? How loud?
17. would heer a train whistle!
a. Fuzzy or blurred. no
b. Like a bright star. no

21. How did you happen to notice theobject(s)? Couldn't miss, came frok. right of the wiet
and passed before me. Bright as neon sign. ked.
22. Where were you and what were you doing at the time? Dri v ing.
23. How did the object(s) disappear from view? Didn't, I continue ng and" stayed mot
for as long as I could see.
Compare the speed of the object(s) with a piston or jet aircraft at the same apparent altitude.
several times faster.
25.
no, there was not
26. Please estimate the distance of the object(s). I wouldn't know how, other
than to say it seemed larger than airplanes. I have seen.
27. What was the elevation of the object(s) in the sky? Please mark on this hemisphare sketch:
I have tried, to sketch it in proportion. I am artist.
28. Names and addresses of other witnesses, if any.
31.
No,. I have not,
32.' Please enclose photographs, motion pictures, news clippings, notes of radio or television programs (incl time, station and
date, if possible) regarding this or similar observations, or any other background material. date, if possible) regarding this or similar observations, or any other background material. We will return the We will return the material to you. material to you.
Dont't want it. I enclose Dont't want it. cl article which gave your nane rich gave your nane
33. Were you interrogated by Air Force investigators? By any other federal,
the name and rank or title of the agent, his office, and dotails as to where and when the questioning took place. the name and rank or title of the agent, his office, and dotails as to where and when the questioning took place.
Didn! Didn
Were you asked or told not to Were you asked or told not to reveal recsons or officialorders mentioned? recsons or officialorders mentioned?
elaborate carefully.
34. We should like pormission to quote your name in connection with this repart. This action will encourege other rasponsible We should like pormission to quote your name in connection with this report. This action will encourege other responsible
citizens to report similar observations to NlCAp. However, if you prefer, we will keep your name confidential. Plecse note citizens to report similar observations to NlCAp. However, if you prefer, we will your name confidential. Pleese nate
your choice by checking the proper statement below. In any case, pleusa fill in all parts of the form, for our own confidential your choice by checking the proper statement below. In any case, please fill in all parts of the form, for our own confidentia!
files. Thank you for your cooperation.
Pleasa kaop my name confidontial.
If at some future date some real
couid be sonomnlis hed I would raooneidom.

2
E
2-3011
PMK DOT-NCP.ST
x/-4 Route 25 15 Dousle hl-igAy YeLLOw -APP. HCODU
DIRECTION WAS TOWAAD BOSTOR FRENCO
N+s means Norlise To me. This th
CURDG OF ROd. BOSTON 1S CCnCOaTy NAR
he,(1 Thg Soaey Alout tot!
SHY LIGHT ENOUCK TO SILUNe TRCCS C SICRS OWT
J The 0FO WES KED. ID
11. hose a red pencil on trond
SeJ

to determine the speed and altitude of the object.
On one specifie sighting you mentioned that the object was traveling
at a speed of at least 30,oo0 mph at an altitude of 25 - 35 miles.
—
0 n

conventional aircrart. conventional aircraft
2.) At about 10:58p.m. 2. At 10:58p.m. on night of July l, 1966, a nicht teur shapet teur shaped
object was sighted aveling on a eling on a so south course. The course. The ooject was object was about 25- about 25-
35miles high, and i traveling at a speed of at 1east 30,000 uon The object
was silent. It was visible for about 3 s was silent. It was visible r about 3 seconds or less. seconds or less.
3.On 3 On 11230 fi3o p.m,an object was seen D.m,an object was seen travelint iha
west to east dir west to cast dire was the brightest the brightest t
time of its appearance time of its appearanc xcluding cluding the moon. It zig-zagged many the moon. It zig-zagged many times before
going out o going out of : sigh nutes later. nutes later.
1 (
Echo I
ALL TEME REFERENCES RIFER TO EASTERN DAVLIGHT SAVINGS TIME.
THE V WEATHER CONDITIONS FOR NO. 1 WAS CLOUDY, AND COLD.
THE WEATHER
ABOUT 65-70 DEGREES.
was
EcheI
ovir the ann
67w 674
40N 40N
at 03352
5 lng 5 lng
or 2335
on N N eaat at
on
heading
a

Reference your request for information on three unidentified
flying object (uro observations. ithout additional infornation
on each sighting, a soientifie investigation is not possible.
Details such as angular sise, lighting charaoteristics, whether
optieal aids were utilized, etc., are essential in a comprehensive
avaluation. In addi tion, it would be essential to kmow what
instruments were used to determine the speed and altitude of the
object.
t. On one specifie sighting you mentioned that the object was
traveling at a speed of at least 30, Go0 miph at an altitude of 25 -
35 milss. Even with the additional information at this late date,
it would be extremely difflcult to Locate the exact stimilus in s it would be extremely difflcult to Locate the exact stimilus in
each case. Mormally records of any air activity in a particular each case. Mormally records of any air activity in a particular
area.ars destroyed after 3o days. area.ars destroyed after 30 days.
Your interest in our program is appreciated. I am scrry that
I could not be of more help to you.
Sinceraly, 2
H 2
GEORCE-P. FREEMAN, JR..
Lt Colonel, USAF
Chier, Civil Branch
Comaunity Ralations Division
Office of Information
Lackawanna, New York 14213
COORDINATED BY:. COORDINATED BY:.
SAFOI-CC
6 SAFOIC Coord cy
Cmok cy CmOk cy
At Readers cy
Activity cy
Stybk cy
.

course at about' l0 seconds of observation
the object stopped dead d started esterly course was observed
for about 30 seconds,and Ibs height was about 200
feet. The object w rmance of any
conventional aircraft.
2.) At about 10:5Sp.m. enight of July l, l966, a tear shaped
object was sighted object was sighted traveling on a south to aveling on a south to course. The object was about 25- course. The object was about 25-
35miles high, and traveling at a speed of of of at least 30,Oo0 mph.The object
was silent. It was visible for about 3 seconds or loss. was silent. It was visible for about 3 seconds or loss.
3.) On Aug. 3.) On Aug. L. 196óat fi30 .p.m,an object was seen traveling in a 41. 11:30 tithe
west to east diroc Twas
time of its appearance excluding the moon. It zig-zagged many times before
going out of utes later.
ALL TEME REFERENCES REFER TO EASTERN DAYLIGHT T SAVINGS TIME.
THE WEATHER CONDITIONS FOR NO. 1 WAS CLOUDY, AND COLD.
THE WEATHER
ABOUT 65-70 DEGREES.
ars
Ecke I Echei
over the ana ouor the ana
670 670
H0N
at03352 at 03352
5 ang 5 ang
or 2335E or 2335E
1 on N euat
hding

Dear Mr
-
such as angular size, lighting characteristics, whether optical aids .
-
e used used
at a speed of at least 30,00o mph at an altitude of 25 - 35 miles. of 25 - 35 miles.
Even with the additional information at t this s late would be
Normally
destroyed after
30 days.
youintenat s oud p
sormy t coud t he y m bo you.
-
1

OPFICIALU.S.AIR FURCE UFUFURIMI
Page 1 Page 2
U.S. AIR FORCE TECHNICAL INFORMATION 8. IF you saw the object at NIGHT, what did you notice concerning tho STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
This questionnaire has been prepared so that you can give the U.S. Air Force as much a. None a.Bright moonlight
informotion as possible concerning the unidentified aerial phenomenon that you have observed. b. A few b.Dull moonlight
Please try to answer as many questions as you possibly can. The information that you give will C. Many c.No moonlight-pitch dark
be used for research purposes. Your name will not be used in connection with any statements, d. Don't remember Don'tremember
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. 9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
.When did you see the object? 2. Time of day: 10 15AROX. a.Clearsky a. Dry
Hours Minutes b. Hazy .Fog, mist, or light rain
c.Scattered clouds c. Moderate or heavy rain
12 DEC. 1966 (Circle One): A.M. or or CP.M.) Thick or heavy clouds d. Snow
Day Month Year e. Don'tremember
The object appeared: (Circle One):
3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving a. Solid d. As a light.
.Central .Central b. Standard b. Transparent e. Don'tremember .Don'tremember
c. Mountain c. Vapor
d. Facific d. Pacific
e. Other e. Other
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One): . If it appeared as a light, was it brighter than the brightest stars? (Circle One):
4.Where were you when you saw the object? a. Brighter c. About the same
b. Dimmer d. Don't know
Donce City. Fakn COUNty, KANS.
Nearest Fostal Address City or Town State or County 11.1 Compare brightness to some common object:
ELAShING lED TeAIN SiGNAL LiChT
5. How long was object in sight? (Total Duration) - IToie
Hours Minutes Seconds
a. Certain c. Not very sure .The edges of the object were:
b. Fairly certain d. Just a guess, (Circle One): a. Fuzzy or blurred e. Other
5.1 How was time in sight determined? /N CAR bLike a bright star
Yes c.Sharply outlined
5.2 Was object in sight continuously? No__ d. Don't remember
What was the condition of the sky? Did the object: (Circle One for each question)
DAY. NIGHT Appear to stand still at any time? Yes) No Don't know
a. Might aBright b. Suddenly speed up and rush away at any time? Yes No Don't know
b Cloudy b. Cloudy Yes No Don't know
c.Break up into parts or explode?
dGive off smoke? Yes (lo Don't know
7. IF you saw the object during DAYLiGHT, where was the SUN located as you looked at the object? e. Change brightness? Yes №o) Don't know
f. Change shape? Yes No Don'tknow
(Circle One): a. In front of you d. To your left g.Flash or flicker? No Don't know
b Inback of you e. Overhead Yes No Don'tknow
Toyourrh

could read 7 2
BEER (SHEKINA)
..

UInICIar U.o. AI TUICE
Page 3 Fage 4
20. Do you think you can estimate the speed of the object?
(Circle One) Cres No
VISUAL SiGhT
IF you answered YES, then what speed would you estiate?.
21. Do you think you can estimate how far away from you the object was?
15. Did the object move behind something ot any time, particularly a cloud?
(Circle One) Yes No
(Circle One): Yes No Don't know. IF you answered YES, then tell what
IF you answered YES, then how far away would you say it was? 5ZoM.
it moved behind:
2.Where were you located when you saw the object? Were you (Circle One)
(Circle One): a. In the business section of a city?
16. Did the cbject move in front of something at any time, particularly a cloud? a.Inside a building b.In the residential section of a city?
(Circle One): Yes N0 Don't know. IF you answered YES, then tell what b. In a car THEN c. In open countryside?
c. Outdoors d.Near an airfield?
in front of: d. In an airplane (type) e. Flying over a city?
e. At sea e. At sea f. Flying over open country? f. Flying over open country?
f. Other. f. Other_ g. Other_
17. Tell in a few words the foilowing things about the object:
a. Sound_ NO SOUND SOUND ATALL 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
b. Color RED CED BLvish BLUiSh GREEN GREEN 24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
. Northeast d. Southeast d. Southeast f. Southwest h. Northwest
18. 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 6d 6d
object is covered by the head of the match. If you hod performed this experiment at the time of the sighting, how much of object is covered by the head of the match. If you hod performed this experiment at the time of the sighting, how much of 24.2 How fast were you moving?_ 24.2 How fast were you moving?. miles per hour. miles per hour.
the object would have been covered by the match head? 24.3 Did you stop at any time while you were looking at the object?
PARTiAL COVERiNG op OBjECT (Circle One) Tres No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b.Sun glasses Yes No f. Telescope Yes No
. Drow a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object .Windshield Yes No g. Theodolite Yes No
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. 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 ords a common object or ob-
jects which, when placed up in the sky, would give the same appearance as the object which you saw.
MAYBE SIGNAL FLAShER

Ufticial U.S. Air Force UFO form continued
Page 7 Page 8
34. Date you completed this questionnaire: SAT. Day FEB Month 1968 Year et aspped v the hoigod and
35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explcnation of your sighting. we dove lack to schood, teliy ny ou
fuind who is a livil Ogfense xan. Aand
rtuunng fon the punting g oue sckool wo kas sic th st a e
niuspophh.e notied xhe ligit wkile A 350pomo the coy of ou dome.
Aing. My prind wos diing and e kept
it to it to e t atout inte  tod mohel Ifte about 1insite el told
my soonale Int we stoped the Cae. We my sonate dnt we stoped the Coe. We
Observed the object as it moved vey fost obseved the object os it noved vey fost 7
acos the Spy At fut we shought it
us a plan, until it stoped and clon-
ged dlections.
wWe itcked it foo alout o minute.
It stoited moving lost at k wituly
xoonal speed. at thew picked yp fied
and seened to gow flasd dhy.

Official U.S. Air Force UFO form continued
Page 5 Page 6
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 30. Have you ever seen this, or a similar object before. If so give date or dates and location.
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 NEVEK BEFORE
above the horizon (skylinc) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the com-
pass when you lost saw the object.
90 75°
60° 31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
N
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
NE 31.2 Please list theiasemes umaddresses:
NW
30°
E PLAiNS CollECE PLAiNS COllECE
15° KANSHS
Sw SE
32. Please give the following information about yourself:
S
0° 0°
First Name Middle Name Middle Name
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B at 28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at DODGe City KANSHS
the end of the path, and show any changes in direction during the course. ADDRESS. Zone
Street City State
TELEPHONE NU AGE / SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
I NEVEK Thoucht ThEy ExisTED!!
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.
I D0 NOW!!
33 Whan ard ts whom did you repert that you bad teen the objegi?

US AR FORCL TECHNICAL INFORMATION 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 (Circie One):
It r o i a. bren prepared so that you can give the U.S. Air Force as much a. None Bright moonlight
ofas at n  pde concermng the unidentified aurial phenomenon that you have observed. b. A few b. Dull moonlight
Piegse ty to answer as muny questions os you possibly can. The information that you give will c. Many. c. No moonlight-pitch dark
be used for rescarch purposes. Your name will not be used in connection with any statements, Don't remember d.Don't remember
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.
9.What were the weather conditions at the time you saw the object?
10 CLOUDS(Circle One): WEATHER (Circle One):
Time of day: 3 a. Clear sky 6. Dry
I. When did you see the object?
Hours Minutes b. Hazy b. Fog, mist, or light rain
c.Scattered clouds c.Moderate or heavy rain
122v DEC 1966 (Circle One): A.M. P.M. dThick or heavy clouds d. Snow
or
Day Month Year .Don't remember
10. The object appeared: (Circle One):
3. Time Zone:
(Cicle One o.(Eastern (Circle One): a. Daylight Saving al Solig d.As a light
b. Central (b. Standard b.Transparent Don'tremember
c. Mountain c. Vapor
d. Pacific
e. Other
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
4. Where were you when you saw the object? a. Brighter c. About the same
FANCHFUEN FAUCHFTUEN MASS. MASS b. Dimmer d. Don'tknow
Nearesi Postal A Nearesl Postal A City or Town State or County 11.1 Compare brightness to some common object:
5. How long was object in sight? (Total Duration) 70 70
Hours Hours Minutes Minutes Seconds
al Certain c. Not very sure 12.The edges of the object were:
b. Fairly certain d. Just a guess (Circle One): a. Fuzzy or blurred e. Other_
5.1 How was time in sight determined? TIME ON RADIO b, like-a bright star
5.2 Was object in sight continuously? res V c. Sharply outlined
No_ d. Don't remember
What was the condition of the sky? Did the object: (Circle One for each question)
DAY NIGHT a.Appear to stand still at any time? Y No Don't know
a. Bright b.Suddenly speed up and rush away at any time? Yes No Don't know
b. Cloudy Don't know
c. Break up into parts or explode? Yes No
d. Give off smoke? Yes No Don't know
7. IF you saw the object during DAYLiGHT, where was the SUN located as you looked at the object? e. Change brightness? Yes No Don't know
f. Change shape? Yes No) Don'tknow
(Circle One): a. In front of you d. To your left g. Flash or flicker? Yes No Don't know
b. In back of you e. Overhead Yes No Don't know
c. To your right f. Don't remember h. Disappear and reappear?
FORM
FTD OCT 62 164 This form supersedes FTD 161. ju! 61, which is obsolete.

60 (Circle One) Yes No
IF you answered YES, then what speed would you estimate?
21. Do you think you can estimate how far away from you the object was?
15. Dic the object move behind something at any time, particularly a cloud? (Circle One) Yes No
(Circle One): Yes (No) Don't know. IF you answered YES, then tell what IF you answered YES, then how far away would you say it was?
it moved behind:
22. Where were you located when you saw the object? 3.Were you (Circle One)
a.In the busirss section of a city?
16. Did the object move in front of something at any time, particularly a cloud? Inside a building b.In the residential section of a city?
(Circle One): Yes No Don't know. IF you answered YES, then tell what b. (In a car) c. In open countryside?
c. Outdoors Near an airfield?
in front of: d. In an airplane (type) e.Flying over a city?
e. At sea f. Flying over open country?
f. Other 9. Other EE HOUSEr ARDUAD
17. Tell in a few words the following things about the object: BEHiNIO 1 SUPERIMACiO
NONE wHire - LKE HEBOREIOTS) 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
a. Sound_
RDYISH - RED+CREENLI6HT E2PSHiNIG DYISH- RED+GREEMLIGHT FLASHINI6 24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
b. Color = b. Color
THEM TO WHITC ONLY THEM TO WHITC ONLY a. North c. East c. East e. South g. West
b. Northeast . Northeast d. Southeast f. Southwest h. Northwest h.Northwest
18. We wish to know the ungular size. Hold a match stick at arm's length in line with a known object and note how much of the 24.2 How fast were you moving? _miles per hour. miles per hour.
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? 24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
UIERY
25. Did you observe the object through any of the following? 5. Did you observe the object through any of the following?
a. Eyeglasses Yes No) e. Binoculars Yes No
b. Sun glasses Yesx No f. Telescope Yes Ne
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 c.Windshield Yes No g. Theodolite Yes (Ne
that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing Yes (No h. Ohe BOLLED DOVN WIUDOW
to show the direction the object was moving. d.Window glass
AAiD LDOKED Up.
LIGHTSWPRPON sideview
CREEN liGur 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 cb-
FKONT. jects which, when placed up in the sky, would give the same appearance as the object which you saw.
BUT LARGC AS
SHAPED LIKE
0
ECv Nosc
LIGHT
ALL. THEM A SECONID ONUE APPEARCD FHOM
OUT OF NIOWUHONC . SAME APPEDUCNICC.

Official U.S. Air Force UFO form continued
Page 5 Page 5
27. In the foflowing sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object 30. Have you ever seen this, or a similar object before. If so give date or dates and location.
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 com-
pass when you lost saw the object. NO
90
60° N 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
NW NE 31.2 Please list their names and addresses:
30°
W E
mAS mA5
15° Sw SV SE 02740 02740
32. Please give the following information about yourself: 32. Please give the following information about yourself:
Az 0
FB FAB
NAME
SENG
. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at 28. Draw a picture that will show the motion that the obiect or obiects made. Place an "A" at the beginning of the path. a
the end of the path, and show any changes in direction during the course. ADDRE
1TSEEPIEP C DIPPINIE UP AMD OOUN Street City Zone 0270
NND CONG FHOMSIDETOSIDC :THCN TT GE34 sEx EEMACe
TELEPHONE NUMB
TOOMED OWDYBACCWARDS. THC SECONID ONIE
Indicate any additional information about yourself, including any special experience, which might be pertinent.
SURPA
79  there was MORE THAN ONE object, then how many were there? 2
Da a picdure of haw they ere arranged, and put an arrow to show the direction that they were traveling.
7
1
7
11
3J Whas and to whom did you repea that you had soan the ohier?

Official U.S. Air Force UFO form continued
Page 7 Page 8
34.Date you completed this questionnaire: 22 MAR 1967
Day Month Year
35. Information which you fecl pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
Hhe (AritedNOTICED ONE OBJECT
THE SKy lOITH WO WUHITC LIEHTS U0H1 6HTS
IN THe SKy lOITH IN
AMD 1HEM THC!LA AND INEN
FLRSHINIE ON RED AID OME GREEM. FLRSHMIE ONC REDAID OME GREEM.
TT 11D:. 1!0 NO1SC AiD HAD no
TAILS, WUMIDOIOS OR OTHCN OBJECTS.
THEN HINOTHPR ORIC JUST DPPEANED 17211T1100010
FROM OUT OE NIO WHCRE. SAME SHAOC
SEEMED TOJIUT HDNE IU SPACC.
N10 10Ne

in
moved dhirictly aver the toad anal
ax I Came feloser stelret Kept still bnight ibut is nitthe
wae
ahau H dak the attlne wvat nat
hear
wae so tifrgee thicer.
up deily ente the botto of a
lag soud ofjet wtl tive ned alDon ao
avay fro the object.
Ihee, nod lv told sonebody. all I can
do is tope jau belevel sper.
a

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 30. Have you ever seen this, or a similar object before. If so give date or dates and location.
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 Seneral yeare ogo lut I ivae guts
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 com- rpes,
pass when you last saw the object. Gailrq doit refembe the cat.
90° 75
60° N 3 Was anyone else with you at the time you saw the object? (Circle One) Nes) No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes) No
NW NE 31.2 Please list their names and addresses:
30° Qther cace were bineed alony the
E
hejhivay watehing tie
15 sw SE
32. Please give the following information about yourself: o iiae no wternkae
0° S
NAME as
Last Nom
28. Draw a picture that will show the motion that the object or objects made. 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. ADDRESS. Zone State
It fln ir a otragk
*E Cine. Stoppidaj Hhe TELEPHONE NUMBE AGE_ 19 sex fimal
(X) and contineed.
9 Indicate any additional information about yourself, including any special experience, which might be pertinent.
c2
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. gdduated fron hegh siherl an
dabave average stledent Put myi4
bing
owe
,
Cre Daw
alrad (thiy 2
Doy Month Year
MOpic

Page 1 Page 2
U.S. AIR FORCE TECHNICAL INFORMATION 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):
This questionnaire has been prepared so that you can give the U.S. Air Force as much a. None .Bright moonlight
information as possible concerning the unidentified aerial phenomenon that you have observed. b. A few b.Dull moonlight
Please try to answer as many questions as you possibly can. The information that you give will c. Many c. No moonlight—pitch dark
be used for rescarch purposes. Your name will not be used in connection with any statements, d Don't remember d. Don't remember
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. 9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
1. When did you see the object? 2.Time of day: la 30 a. Clear sky a. Dry
Hours Minutes b. Hazy b.Fog, mist, or light roin
c. Scaltered clouds c.Moderate or heavy rain
13 12 606 (Circle One): A.M. or P.M. dThick or heavy clouds d. Snow Justuefore big
Day Month Year e.Don't remember
Aristib
10. The object appeared: (Circle One): The object appeared: (Circle One):
3. Time Zone:
(Circle One): . Fastern 6. Fastern (Circle One): a. Daylight Saving (Circle One): a. Daylight Saving a. Solid a. Solid d.As a light
b. Central b. Standard b. Transparent b. Tronsparent e.Don'tremember e. Don'tremember
c. Mountain c. Vapor
d. Pacific
e. Other
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
4. Where were you when you saw the object? 4.Where were you when you saw the object? Slipukepre Seipudepe a. Brighter c.About the same c.About the same
milfod nd Pinna. Pinna b. Dimmer d. Don't know d. Don't know
Nearest Postal Address City or Town State or County 11.1 Compare brightness to some common object:
5. How long was object in sight? (Total Duration) 10
Hours Minutes Seconds
c. Certain c. Not very sure The edges of the object were:
b. Fairly certain d. Just a guess . omer Di Chai enn
(Circle One): a. Fuzzy or blurred
5.1 How was fime in sight detcrmined? Like a bright star t ti skirdeiN
c.Sharply outlined these liifslis
5.2 Was object in sight continuously? r0ffv No d. Don't remember 00 Pl0dnd to l)
What was the condition of the sky? Did the object: (Circle One for each question)
DAY NIGHT a. Appear to stand still at any time? Yes No Don't know
a. Bright b.Suddenly speed up and rush away at any time? Yes No Don't know
b. Cloudy b. Cloudy? Don'tknow
c. Break up into parts or explode? Yes (No
dGive off smoke? Yes (No Don't know
7. IF you saw the object during DAYLiGHT, where was the SUN located as you looked at the abject? e.Change brightness? Yes (No Don't know
f. Change shape? Yes (No Don't know
(Circle One): a. In front of you d. To your left g. Flash or flicker? Yes (No Don't know
b. In back of you e. Overhead h.Disappear and reappear? Yes (No Don'tknow
c. To your right f. Don't remember
FORA
FID OC16 164 n

would go .cn on
Slayad stationi W moisd
Sekam Delem 2 2 Hlerst
/ - Corcling Coclina Canu
f
mourd wourd o dagyton
61500. to 6'55
lootenng south
- Bright light
—
.

Page 3 Thiy lwenk aleut 5 melie ir
fane second.fegured
4.Did the object disappear while you were watching it? If so, how? 0Do you think you can estimate the speed of the object? by the ho fired
It sped qubly avoy foy jute a ditance. (Circle One) Yes No Fis 15,000mp.h.
The ldls led p fate were either IF you answered YES, then what speed would you estimate?.
Tunddoff cr the ohpel diboppeareel
1. Do you think you can estimate how far away from you the object was?
15. Did the object move behind something at any time, pafticularly a cloud? Yes) No
(Circle One) 40ft above me
(Circle One): Yes No Don't know. IF you answered YES, then tell what
IF you answered YEs, then how far away would you say it was?.
it moved bchind:
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?
Did the object move in front of something at any time, particularly a cloud? aInside a building b.In the residential section of a city?
(Circle One): Yes No Don't know. IF you answered YES, then tell what b. Inacar c. In open countryside?
O/ was lucthyabave me. c. Ouldoors . Near an airfield?
in front of: d.In an airplane (type) e. Flying over a city?
sisdifin fesk Above telphone pelie e. At sea f. Flying over open country?
f. Other. g. Other_ g. Other.
17. Tell in a few words the following things about the object:
0.sound on Dicere 0.soundnd Dicird 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
.coor diskin colo (bhane cblack) 6.coor diskin colo (bhane bluck) 24.1 What direction were you moving? (Circle One)
a.North a. North c. East c. East e. South) e. South ) g. West g. West
b. Northeast . Northeast d. Southeast f. Southwest f. Southwest h. Northwest
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 18. 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 24.2 How fast were you moving?) miles perhour. thin alowedt alower terl miles per hour. thin alowedt alower terl
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of I stoppsd I stopped
the object would have been covered by the match head? 24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
It was begger than my
ahove mne. 25.Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
.Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the obiect c. Windshield Yes) No g. Theodolite Yes No
that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing h. Other
to show the direction the object was moving. d. Window glass (Yes) No
ged liget 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 ob-
lig jects which, when placed up in the sky, would give the same appearance as the object which you saw.
Beligt NonefKave ever Deen. Otwaeround
on the botlo.Lhekis tk olypantI
Ievae los
upatlhe Dan absoltly eleir: It hod f3 ligil
dkct Coat ord
bittom on the bettont.

Official U.S. Air Force UFO form continued
Pago 7 Page 8
34. Date you completed this questionnaire: Doy Year
information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation spoted itdirecty
nerkead. eshead for a shart pedod
f time then slwly started
frm eights frm aights
----

OncialL
Page 5 Page 6
27. In the following sletch, 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 com-
pass when you last saw the object.
90 75° 3. Was anyone else with you at the time you saw the object? (Circie One) Nes No
60° N
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addr
NW NE
30°
N E
SW SE
32.Please give the following information ch use sourself:
S
0o 0o
Mrddte Name ndate Name
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "8" at 28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B at Ds.Llpd. Ba.Lld. L.
the end of the path, and show any changes in direction during the course. the end of the path, and show any changes in direction during the course. Cityl Citylj Zone
B
AB 10 0 AGE /6 SEX 17 AGE /6 SEX 177
TELEPHONE NUMBER TELEPHONE
D
Indicate any additional information about yourself, including any special experience, which might be pertinent.
29. 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.
Day Month Year √

Official U.S. Air Force UFO form continued
Page 3 Page 4
4. Did the object disappear while you were watching it? If so, how? 20. Do you think you can estimate the speed of the object?
(Circle One) (Yes No
21. Do you think you can estimate how far away from you the object was?
15. Did the object move behind something at any time, particularly a cloud? (Circle One) 4 Cres No
(Circle One): Yes (\ Don't know. IF you answered YES, then tell what I you answeed  te hoy would you say
it moved behind:
Where were you located when you saw the object? Were you (Circle One)
(Circle One): ain the business section of a city?
. Did the object move in front of something at any time, particularly a cloud? Inside a building b,) In the residential section of a city?
(Circle One): Yes No Don't know. IF you answered YES, then tell what b. In a car c. In open countryside?
Outdoors dNear on airfield?
in front of: d. In an airplane (type) d. In an airplane (type) e.Flying over a city? e. Flying overd ciry?
c. At sea e. Atsea f. Flying over open country?
f. Other_ f. Other. g. Other_ g. Other_
17. Tell in a few words the following things about the object:
a.Sound Puint o.Sound Puiet hum hum 24. If you were MOVING IN AN AUTOMOBiLE or other vehicle at the time, then complete the following questions: 24. If you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
Oback, wrth oultry crd lights meach coner Oback, wirth anulty codrd lights oneach conor 24.1 What direction were you moving? (Circle One)
b. Color e. South g. West g. West
a. North c. East
. Northeast .Northeast d. Southeast . Southwest h. Northwest h.Northwest
.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 . 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 24.2 How fast were you moving?. miles per hour.
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of 24.2 How fast were you moving?
the object would have been covered by the match head? 24.3 Did you stop at any time while you were looking at the object?
58fk.ln -20ft wude (Circle One) Yes No
Did you observe the object through any of the following?
a. Eyeglasses Yes No e.Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object c. Windshield Yes No g. Theodolite Yes No
that you saw such as wings, profrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing Yes No h. Other.
to show the direction the object was moving. d. Window giass
Oranqe In order that you can give as clear a picture as possible of what you saw, describe in your own wordis a common ebject or ab-
jects which, when placed up in the sky, would give the same appearance as the object which you saw.
oreen UItrA-viet
bayach with lights on it
Blue Purple
Bottom view
brayish-white

OFFICIAL U.S. AIR ORCE UFOFORM
Page 1 Page 2
U.S. AIR FORCE TECHNICAL INFORMATION 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):
This questionnaire has been prepared so that you can give the U.S. Air Force as much None a. Bright moonlight 1
informalion as possible concerning the unidentified aerial phenomenon that you have observed. A few .Dull moonlight
Please try to answer as many questions as you possibly can. The information that you give will c. Many c.No moonlight—pitch dark
be used for research purposes. Your name will not be used in connection with any statements, d. Don't remember dDon't remember
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. . What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
1. When did you see the object? Time of day: a. Clear sky a. Dry
Hours Minutes b. Hazy b. Fog, mist, or light rain
c.Scattered clouds c. Moderate or heavy rain
13 he. 6le (Circle One): A.M. or P.M. d.Thick or heavy clouds d. Snow
Month Year e. Don't remember e. Don'tremember
Day
10. The object appeared: (Circle One): .The object appeared: (Circle One):
3. Time Zone: Solid Solid
(Circle One): . Eastera (Circle One): g. Daylight Saving d.As a light
b. Central b. Central b. Standard . Transparent .Don't remember
c. Mountain C. Mountain c. Vapor
d. Pacific
e. Other
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter a. Brighter c. About the same c.About the same
b. Dimmer d. Don'tknow
8oPe Afc
Nearest Postal A City Town 11.1 Compare brightness to some common object:
4 O
5. How long was cbject in sight? (Total Duration)
Hours Minutes Seconds
a. Certain c. Not very sure 2.The edges of the object were:
b. Pairly certcin d. Just a guess (Circle One): a. Fuzzy or blurred e. Other.
5.1 How was time in sight determined? b.Like a bright star
C. Sharply outlined
5.2 Was object in sight continuously? Yes. No_ d.Don't remember
.What was the condition of the sky? Did the object: (Circle One for each question)
DAY NIGHT Appear to stand still at any time? Yes No Don't know
a. Bright Bright b. Suddenly speed up and rush away at any time? Yes No Don't know
b. Cloudy b. Cloudy c.Break up into parts or explode? Yes Don't know
d.Give off smoke? Yes Don't know
7. IF you saw the cbject during DAYLiGHT, where was the SUN located as you looked at the object? Change brightness? Yes No Don't know
f.Change shape? Yes No Don't know
(Circle One,: a. In front of you d.To your left g. Flash or flicker? Yes No Don'tknow
b. In back of you e. Overhead h Di genear and reappear? Yes Don't know

16 - 31 DECEMBER 1966 SIOHTINGS
DATE LOCATION OBSERVER EVALUATION
Elmar, New Jersey Insufficient Data
Dayton, Ohio Multiple Insufficient Data
Kettering, Ohio Insufficient Data
16 Hollywood, California Insufficient Data
15 Cincinnati, Ohio Insufficient Data
16 APo San Francisco Insufficient Data
13 Bear Mountain State Park, New York (PHOTO) Other (HOAX)
18-22 Elizabeth, Colorado Insufficient Data
19 Columbus AFB, Mississippi Civilian/Military Astro (FIREBALL)
19 19 Monrce, New York Monrce, New York Satellite (Possibl. Satellite (Possiol:
19 San Diego, California Mulitple Balloon (HOT AIR)
20 20 Philadelphia, Pennsylvania Philadelphia, Pennsylvania Aircraft (Possible
21 Lakewood, Colorado Ealloon (Possible) Ealloon (Possible)
21 Englewood, Colorado Englewood, Colorado Insufficient Data
23 Klamath Falls, Oregon Klamath Falls, Oregon Military Astro METEOR Astro (METEOR)
23 Elkins Park, Pennsylvania Insufficient Data
25 Monroe, Oregon Multiple Multiple UNIDENTIFIED
27 27 Memphis, Tennessee Memphis, Tennessee Insufficient Data
27 27 Corvallis, Oregon Corvallis. Oregon Multiple Aircraft (Possible Aircrait (possible
27 St Paul, Minnesota PHOTO) Vis: Insufficient I
Photo: Insufficieni
28 McClellan AFB, California Insufficient Data
30 Allentown, Pennsylvania Aircraft (Possible)
ADDITI REPORTED SIGHTINGS (NOT CASES)
DATE LOCATION SOURCE EVALUATION
17 Fort Churchill, Manitoba, Canada
19 San Diego, California
23-24 Hawaii, Fijii, Islands
23 Detroit Area
30 St Boniface, Manitoba
30 Arkansas
T
4

^
PROJECT IOU/S FECORD
1. DATE ·TIME GROUP LOCATION
16 Dec 66 Lo Dec Oo Dayton, Ohio (Three Witness) inree wi aress)
Dayton, on1o
. SOURCE 3. : SOURCE . CONCLUSION 10. CONCLUSION
Civilian INSUFFICIENT DATA FO EVALUATION INSUFFICIENT DATA FOR EVALUATION
1. NUIMBER OF NLIMBER OF OBJECTS
One
5. 5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
lOminutes lOminutes . SEE CASE
6. TYPE OF OBSERVATION
Ground Visual
7. COURSE
East
3. PHOTOS r.
2.
Yes
X No
2. PHYSICAL VIDENCE
17 Yes
XX No
FORM
FTD SCP 63 0-329 (TDE) Prevlous editions of thle form may be uaed.
2
:
-
M

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair has been propared so that you can giv the U.S. Air Force as much
information as possibl ncerning the unidentified aerial phenoinenon that you havu observari.
Please try to answ questions as you possibly can. The information that ycu give will
be used for resear . Your name will not be used in connsction with any statarenis,
conclusions, or publications without your permission. We request this personal Information sc
that if it is deamed neces we may contact you for further dotails.
1.When did you see the object? 2. Time of day
Hour Minutas
16 Dec Dec ll (Circle One): (Circle One): A.M. or P.M.
A.M. P.M.
Doy Month Your Yeur
3. Time Zone:
(Circle One): (Circle One): a. Eastern (Circle Une): o. Doylight Soving
b. Central Central Standard Standard
c. C. Mountain
d. Pacific Pacific
. Other Other
4. Whore were you when you saw the object?
Centeville 5pointo rond and 48
Noarest Postal Address City or Town Srate or Couney
. How long was oblect (Total Duration) 10
Hours Minutes Soconds
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_
What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT
a. a. Bright a
b. Cloudy
7.IF you sow the objsct during DAYLIGHT, where was the SUN located as you locked a: the obiest? -
(Circla One): a. (Circla Ono): a. In front of you In front of you d. To your left
b. In bock of you . Overheod
c. To your right 4 f. Don't remember Don't rememher
FORM
D OCT 62 164 Thie form eupereodes PTD 154, Jul 61, which ie obsolete.

Page 2
8. IF you saw the object al NIGHT, what did you notice concerning the STARS and MCON?
8.1 STARS (Circle One): 8.2 MOON (Circle, One):
No moorlight
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
weather conditions at the time you saw object?
CLOUDS (Circle One): WEATHER (Circle One):
a Cloar sky Dry
Haxy b. Fog, mist, or light rain
c. Scaltered clouds c. Scaltornd clouds c. Moderate or heavy rain Moderate or heavy rain
d. . Thick on houvy clouds Thick houvy cloud Snow Snow
•. Don't remomber Don't remomber
10. The object appeared: (Circle One):
Solid d. As a light A a light
b. Transpoiont , 6, Don't remember
c. Vapor Vao
If it appeared as a light, was it brighter than the brightest stars?(Circlo One):
0 Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
con
Lytle Spto nod.
12. The edges of the object were:
(C.clo (na): a. Fuzzy or blurred . Other-
b. Like a bright stor
c. Sharply outlined —
Don't remember
Did the object: .Did the object: (Circle One for each question) (Circle One for eoch question)
a. Appsar to stand still at any time? Yes No Don't know
b. Suddanly speed up and rush away at any time? es No Don't know
c. Break up into parts or explods? Break up into parts or explode? No No Don't know
d. Give off smoke? Y Yos No Don't know
e. Change brightnoss? Change brightness? Yes No No Don't know
f. Change shape? Yes No No Don't know
g. g. Flash or flicker? Flash or flickor? Yes Yes No Don't know
h. Disappear and reappear? Yes (N Don't know

Pugn 3
14. Did the objoct disappeur while you were vatching it? I so, how?
1. Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you snswored YEs, then teli what
it moved bohind:
.
1.Did the objeet move in front of spmething at any time, particularly a cloud?
(Circle One): (Circle One): Yes Yes No No Don't Know. Don't Know. IF you answered YES, theu n!l wist IF you answerea YES. then n!l wiisi
in front of: . in front of: ._
17. Toll in a fow words the following things about the object:
b. Color sed-
. Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjoct and i
much of the object is covered by the head of the match. If you had performed this oxperiment at the tir: i i.
sighting, how much of the object would have been covered by the match head? matchcovero
levo than half of the object.
1. Draw a picture 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 especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
Dred light ed lght
white light white lighut

0 O
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair s bean prepared so that you can give the U.S. Air Force as much
information as possibl oncerning the unidentified aerial phenoinenon that you have olnervari.
Please try to answe nany questlons as you possibly can. The information that ycu give will
be used for research purposes. Your name will not be used in connee ection with any statemanis,
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 see the object? ?. Time of day 45
Hour Minutna
14 14 DEC DEC ,G iCircle One): A.M. or CM
Doy Month Month Yeur
. Time Zone:
(Circle One): g. Eastexn (Circle One): g. Eastern (Circla Une): a. Doylight So.ing (Circle Une): a.Doylight So.ing
b. Contral Contral Standard
c. Mountain
d. Pacific
. Other
4. Where
Dauton
City or fown Srote or County
5. How long was object in sight? (Total Duratlon) MANY
Hours Minutes Soconda
a. Certain c. Not very sure
. 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
a. Bright a.
b. Cloudy b. Cloudy
7.IF you sow the object during DAYLiGHT, where was the SUN located as you locked a: the objest? 7. IF you sow the object during DAYLIGHT, where was the SUN located as you locked a: the objest?
(Circle One): a. In front of you (Circle One): In front of you d. To your left d. To your left
b. In bock of you . Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thie form supereedes P 164, Jul 61, whlch la obuolete.

(Circle One) Yes No /
IF you answered YEs, then how far away would you say it was?
22. Whore were you located when you saw the object? 2. Were you lo One)
(Circle One):
a. in the business section of a city?
o. Insido 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 .
24. IF you were N AN AUTOMOBILE or other vehicle at the time, then complete
24.1 What direction were you moving? (CincleOmo) Circle Ono)
. North c. East . South y. 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?
(Circls One) No +
Yos
25. Did you observe the object through any of the following?
a. Eyoglasses Yos NO •. Binoculars Yes No
b. Sun glasses Yes No f. Telescope No)
c. Windshiold Yes No g. Theodollte No
d. Window glass Yos No h. Other -
2In ordar that you can give as clear a picture as possibls of what you saw, describe in your own words 2In ordar that you can give as clear a picture as possibls of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would gi same appearance as the objset whlch you saw ou sow
no Lnown ojet No tnown objed
K
10

75°
NW NU
30 A-B
28..Draw a plcture that will show the motion that the object or objects mado. Place an "A' at the begining ot tho 28. . Draw a plcture that will show the motion that the objact or objects mado. Place an "A' at tha beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
M
29. IF there was MORE THAN ONE obloct, thon how many were there?
Draw a plcture of how they were arranged, and put an arrow to show the direction that thay were traveling.

3ngo 6
30. Have you aver son this, or a similar objuct befora or dates and location.
15 Dec West of this
Was anyome else with you at the time you saw the objoct? (Circle One) Y0 No
3.1 IF you answered YES, did they see the object too? (Circle Ono) 0 No
31.2 Pleese lint thoir nar and addresses:
+
Pleass give the following Infemation about yourself: 32. Pleass give the fellowing Infemation about yourself:
NAME
FIrat Namo Firat Name Midria Hame Midala Hame
ADDRESS Labomoon Pike Daylon 59 Ohis
Stredt City Zone State
TELEPHON NE NUMBER AGE 33 SEX F
Indieate any eddiglonal Information about yoursel including any special experience, which might be pertinont.
. When and to whom did you repart that you had saan the object? 33. When and to whom did you repart that you had saen the object?
16 Ree 1946 1966
Doy Doy Month Month Your Your

Page 7
34. Date you completed this questionnaire: 16Dee 1966
Dey Month Your
T
noatin whch  rtn  whcis  equat cove po
questionnaire or a narrative explanation of your sighting.
/

TDET/UFO 21 December 1966
UFO ing, 16 December 1966
:
Dayton, Ohio 45459
1. I Reference your unidentified observation of l6 December 1966
which you reported to the Duty Officer at Wright-Patterson AFB. a
The information in his report was not sufficient for evaluaticn.
By od pod Request you complete the attached FTD Form l64 and return it in
the envelope provided.
2. We vish to thank you for reporting your observation to the
Air Force. 3 T
.
1

Pago 2
8IF you saw the object at NIGliT, what did you notice concerning th STARS and MOCN?
8.1 STARS (C.ircle One): 8.2 MOON (Circle Ona):
None a. Bright moonlight
b. A fow b. Dull moonlight
Many c. No moonlight - pitch dark
d.Don't remember Don't remember
time you saw
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky Clear sky a.Dry a. Dry
b. Haly b. Hazy b. Fog, mist, or light roin
c. Scatternd clouds c. Moderate or heavy rain
Thick o houvy clouds Thic ouvy clouds d. d. Snow
•. Don't remomber
The abject appeared: 10. The object appeared: (Circle One).
a. Solid o. Solid As a light As a light
b. Transporent . Don't remember
c. Vapor
1. If it appaored as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer .Don't know
11.1 Compars brightness to some common object:
The edges of object were:
(C..clo (ina) a. Fuzzy or blurred . Other
b. Like a bright ster
cSharply outlined
d. Don't remember
Did the oblect: Did the object: (Circle One for eoch qusstion)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Suddanly speed up and rush away at any time? Yes No Don'iknow
c. Break up into parts or explode? Break up into parts or explode? Yes No Don't know
d. d. Give off smoke? Give off smoke? Yos No Don't know
. Change brightness? Change brightness? Yes No Don't know Don't know
f. Change shape? Change shape? Yes No Don't know
0. Flash or flicker? Elash ex flicko-? Yes Yes No Don'iknow Do'mow
h. Disappear and reappear? Yes No Don't know
I
4

U.S. AIR FORCE TECHNICAL INFORMATION
This quastionnaire has bean prepared so that you can givo the U.S. Air Force as much
information as possib oncerning the unidentified aerial phenoinonon that you hnvu observei.
Please try to answe iny questions as you possibly can. The information that ycu give will
be used for research rposes. 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 doemed necessary, wa may contact you for further details.
.When did you see the object? ?. Time of da0700
Hour Minulas
1
14 DEC DEC 66 b6 (Circle One): P.M. P.M.
A.M. A.M. or
Day Day Month Your
.Time Zone: . Time Zona:
(Circle One): a. a. Eastern (Circle Une): a._ (Circle Une): a. Doylight Soing Daylight Souing
b. Contral b Standard Standard
c. Mountain
d. Pacific
8. o. Other
4. Whare were you when you saw ths object?
DAION
Nearest Postal Address City or Town Stata  County
5.How long was object in sight? (Total Duration) SEJEPAL
Hours Minutes Saconda
a. Cortain C. Not very sure
. Fairly certain d. Just a guess
5.1 How was time in sight determined? _ 7
5.2 Was object in sight continuously? Yos No
6.What was the condition of the sky? O. Whdt was ma cohdirion or Yhe Sky?
DAY NIGHT
a. Bright Bright a. Bright
b. Cloudy b. Cloudy b. Cloudy
7. IF you sow the object during DAYLIGHT, where was tho SUN located as you locked a: the obiest? 7.IF you sow the object during DAYLIGHT, where was tho SUN located as you locked a: the obiest?
(Circle One): a. In front of you In front of you d. d. To your left To your left N/A
b. In bock of you b.In bock of you . Overhead Overheod N/A
c. To your right f. Don't romamber Don't romamber
FORM
FTO OCT 62 164 Thls form supereedas FTD 164, jul 61, which lo obsolete.
1
4

0
Pugn 3
1.Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you answered YEs, then tall what
it moved behind:
a
.Did the object move in front of something at any time, particularly a cloud? Io. Did thd objdzr move in fronr or Ggmetning ar any fime, parfilcuiarly a cioud?
(Circle One): (Circle One): Yos Yos No Don't Know. IF you answered YES. the. n!I wirst
in front of: _. in front of:
17. Toll in a fow words the foll Ilowing things about the object:
a. Sound. . Sound
b. colorbireglit white
1. Wa wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and ir
much of the object is covered by the head of the match. If you had performed this experiment at the tiran: i i.
sighting, how much of the object would have been covered by the match head?
can lid would
1. Draw a plcture that will show the shape of the object or objects. Label and include in your sketch any details
of ths 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.
rotatung f
qlowng duh shaped dih shaped
goug 900 glownng
obj=cθ.

(Circle One) Yes No
IF you answered YES, then what spead would you estin.ate? .
(Circle One) Yes No
22. Where were you located when you saw the object?
(Circle One):
a. ir the business section of a city?
o. Inside a building . In the residential suction oi a city?
b. In a car c. I 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 _ g. Other -
24.1 What direction were you moving? (Ci 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) Yos No
25. Did you observe the object through any of the following?
a. Eyaglassss No e. Binoculars Yes
b. Sun glasses Yes No f. Telescope No
c. Windshiold Yes No g. Theodolite Yes No
d. Window glass d. Window glass Yes Yes No h. Other h. Other
2.In ordar that you can give as clear a picture as possible of what you saw, de scribe in your own words a common
objoct or objects which, when placed up in the sky, would give the same app earance as the object which you saw arance as the object which you sow

90. 75-
NO
OX
1s
Draw a picture that will show the motion that the object or objects made. Place an Aar the beginning of tha . Draw a picture that will show the motion that the object or objects made. Place an "Aar the beginning of tha
path, a "" at the end of the path, and show any changes in direction during the course.
A
B SE
2. IF there was MORE THAN ONE objoct, then how many were there? —
Draw a picture of how they wore arranged, and put an arrow to show the direction that thoy were traveling.
1 sbjict

Jng. 6
30. Have you ever seen
Yos No
3.1 IF you answered YEs, did they see the object too? (Circls One) Yes No
famly So. as waldas
otes
+
.Ploase give the following Infermation about yourself: 32. Please give the following Infermation about yourself:
me Middio Nome Middia Neme
ADDRE Dayton
City Zone State
TELEPHONE NOMBER AGE 12 SEX M
Indicate any additional Information about yourself, Including any speclal axperience, which might be pertinent. -
. When and to whom did you report that you had soan the object? 33. Whon and to whom did at you had seen the object?
Day Month Year

-
- 5 out &on)
- or peogle
- gouig o√er sldar Bsssma
go in cricle 1
A 1- stoppd gat out
- whitish
, bright
can lid

This questionnaire has boon propared so that you can give the U.S. Air Force as much
information as possible concarning the unidentified aerial phenoinenon that you have al servei.
Please try to ansy any quastlons as you possibly can. The information that ycu give will
bo usod for research purposes. r name will not be used in connaction with any statemenis,
conclusions, or publications without your permission. We request this personal Information sc
that if it is deemed necessary, we may contact you for further dotails.
When did you see the object? ?. Time of da! _ OO
Hour Minutas
07 30
14 DEC 66
(Circle One): A.M. or P.M.
Day Day Month Month Your Yeur
3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Eastern (Circle Une): a._ (Circla Une): a. Daylight So.ing Doylight So.ing
b. Contral Central b. Standord
erMountain er Mountain
d. Pacific
o. . Other
4. Where were you when you saw the object? GTAMPK
Daylon 0.
City or Town State or County
Total Duration) 10
Hours Minutes Seconds
a. Certain c. Not very sure
. Fairly certain d. Just a guess
5.1 How was time in sight determined?.
5.2 Was object in sight continuously? Yes No_—
DAY DAY NIGHT
a. a. Bright a. Bright
b. Cloudy b.
7.IF you saw the object during DAYLIGHT, where was the SUN located as you locked a: the objast? 7.IF you saw the object during DAYLIGHT, where was the SUN located as you locked a: the objast?
(Circle One): a. (Circlo One): a. In front of you d. To your left
b. In bock of you . Ovorheod Ovorheod
c. To your right c. To your right f. Don't remember Don't remember
FTD FORM
OCT 62 164 Thlo form supersed . Jul 6l, which is obaolete.

O
Pago 2
8. IF you sow tho objoct al NIGltT, whar did you notice concerning the STARS and MOON?
8.1 STARS (C.ircle 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
the weather conditions at the time you saw objoct?
CLOUDS (Circl One): WEATHER (Circle One):
a. Cloar sky 0. Dry
h. b. Fog, mist, or light rain
c. Scattornd clouds c. Moderate or heavy rain
d. Thick a houvy clouds Thick sa houvy clouds Snow Snow
•. Don't remomber Don't remomber
10. The object appeared: (Circle One). 10. The objact appeared: (Circle One). .
o. Solid d As a light
b. Transpoiont Transpoiont Don't remember
c. Vapor Vapor
1. If it appeored 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 brigh ghtness to some common object: 2 F4
12. The edges oi the object were:
(Circlo Cna) a. Fuzzy or blurred . Other
b. Like a bright stor
C. Sharply outlined
Don't remember
Did the oblect: Did the oblect: (Circle One for eoch question) (Circle One for eoch question)
a. a. Appear to stand still at any time? Yes No No Don't know Don't know
b. Suddanly speed up and rush away at any time? Yes No Don't know
c. c. Break up into parts or explodo? Yes No Don't know
d. Give off smoke? Yes Yes No Don't know
. Change brightness? Changa brightness? Yes No Don't know
f. f. Change shape? Yes Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Disappear and reappear? Yes No Don't know Don't know

0
Puge 3
1.Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you answered YEs, then tall what
it moved behind:
1. Did the objeet move in front of spmething at any time, particularly a cloud?
(Circle One): Yes . No Don't Know. Don't Know. IF you answered YES, the. #!l wisl IF you answered YES, then #!l wial
in front of: _.. in front of: _.
17. Toll in a fow words the following things about the object: 17. Toll in a few words the following things about the object:
.Sound . Sound
b. Color_
8.Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and n?
much of the object is covered by the head of the match. If you had performed this experiment at the tirr: i vi.s
sighting, how much of the object would have been covered by the match head?
(47 at ft
. Draw a plcture 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.

0 0
,..4
20. Do you think you can estimate the spsed of the objoct?
(Circle One) Yes No
(Circle One) Yes No
(Circle One):
a. ir: the business section of a city?
o. Insido a building b.In. shie residential socticn si a city?
6. In a car c. In opon countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
1. Other g.
24. IF you wer MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete th following qussli
a. North c. East . South y. Wost
. 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 the object through any of the following?
a. Eyoglasses Yos . Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshiold Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other-
a common
C-47 at 3 000 t

90
/ NW NS
30
Draw a picture that will show the motion that the object or objects mado. Place an "A'ar the beginni.ng of the
path, a "B"" at ths end of the path, and show any changes in direction during the course.
FEELS THAT HE CAN PUT FLIGHT PATN ON
A DAYTON CHART IF REQOE
T DO So.
29. IF thers was MORE THAN ONE object, then how many were there? —
Draw a plcture of how they wers arrangad, and put an arrow to show the direction that thoy ware traveling.

Pago 2
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None 7 a. Bright moonlight
A few b. Dull moonlight
c. Many - No moonlight - pitch dark
d. Don't remember Don't remember
objoct?
CLOUDS (Circle One): WEATHER (Circle One)
a. Clear sky 7 a. Dry
b. Hazy b. Fog, mist, or light rain
. c. Scortornd clouds ~ c. Moderate or heavy rain
d. Thick on hoovy clouds Snow
•. Don't remomber
1. The object appeared: (Circle One).
a. Solid o. Solid d. As  light d. As  light
. Transporont . Transpoiont . Don't remember Don't remember
c. Vapur Vapur
1.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 bri wightness to some common object:
LK HEADLIGHTS
12. The adges of the object were:
(C..clo (ina) a. Fuzzy or blurred e. Other -
b. Like a bright stor
c. Sharply outlined
d. Don'tremomber
Did the oblect: 13. Did the oblect: (Circlo One for each question) (Circla One for each question)
a. a. 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 No Don't know
c. Break up into parts or explods? Break up into parts or explodo? Yes Yes No Don't know
d. Give off smoke? Yas No Don't know
e. o. Change brightness? Change brightnoss? Yes Yes No Don't know
f. Change shape? Yas No No Don't know Don't know
g. g. Flash or flicker? Yes Yes No No Don't know Don't know
h. Disappear and reappear? Yes No No Don't know Don't know
,

'3go6
Was anyome slse with you at the time you saw the objoct? (Circle One) Yes No
31.1 IF you answered YEs, did they see the object too? (Circle One) Yos No
31.2 Ploes list thoir namos end addressas:
many pople
Please give the fellowing Infsmatlon about yourself: .Please give the fellowing Infsmatlon about yourself:
NAME
Neme First Name Middlo Neme
ADDRESS
City Stato
TELE GE SEX
experionce, which might bo pertinent. -
When and to whom did you rope that you had seen the objoct? at you had seen the objoct?
Day Month Yeur
T

0
Page 8
can diraw paith on Danton Map
- soww oVEL
taon H.S
C-47 at ft.
slow -to
on Willimgton
A

0
U.S. AIR FORCE TECHNICAL. INFORMATION
This quostionnaire has been prepared so that you can give the U.S. Air Force as much
information as possib oncerning the unidentified aorial phenoinenon that you havu ol servei.
Ploase try to answer any questions as you possibly can. The information that ycu giva will
be used for research 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 deemed necessary, , we may contact you for further details.
1. When did you see the object? .Time of da,. 15
Hour Minutas
14 DEC 660
(Circle One): A.M. or P.M.
Day Month Your
3. Time Zone:
(Circle One): a. Eastern (Circle Une): g.Doylight Soing
6. Centrat
Mountain
d. Pacific
OWE Dayton
Nearest Postal Address City or Town Srata or County
.How long was object in sight? (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 DAY NIGHT NIGHT
a. Bright a.
b. Cloudy b. Cloudy
7.IF you sow the object during DAYLIGHT, where was the SUN located as you locked a: the objest? 7. IF you sow the object during DAYLIGHT, where was the SUN locoted as you locked a: the objest?
(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 b. In bock of vou . Overheod Overhaod
c. To your right f. Don't remember
FORM
FTD OCT 621 164 Thie form suporsede 164, Jul 61, which is obaolete.
W

Page 2
.IF you suw the objoct at NIGliT, what did you nolice concerning th• STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circl One):
a. None a. Bright moonlight
b. A fow b. Dull moonlight
c. Many c. No moonlight - pitch dark 8
d. Don't remember Don't remember
9. objoct?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky 0. Dry
b. Hazy b. Fog, mist, or light roin
c. Scorternd clouds c. Moderate or heavy rain
d. Thick on houvy clouds d. Snow
•. Don't remomber
.The object appeared: ircle One).
o. Solid As a light As a light
b. Transpoient b. Transpoient romember nembar
c. Vapor
I. If it appeared os 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 common objoct:
12. The edges ot tho object were:
(C..ilo (ine) a. Fuzzy or blurred . Other -
b. Like a bright stor
c. Sharply outlined
d. Don't remember .
. Did the object: .Did the object: (Circle One for each qusstion) (Circle One for each qusstion)
a. Appear to stand still at any time? till at any time? No Don't know
b. Suddenly speed up and rush away at any time? No Don't know
c. Break up into parts or explode? Break up into parts or explode? No No Don't know
d. Give off smoke? Yos No No Don't know
. Change brightness? g)= =9g@: Yes No Don't know
f. Change shape? Change shapa? No Don't know
g. a Flash or flicker? Elosh o (lickoe? No No Don't know Don' know
h. Disappear and reappear? Yas No Don't know
1

0
Puga 3
Movmig soth trulerd Cncennati
1.Did the objoct mova 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 move in front of spmething at any time, particularly a cloud?
(Circle One): Yes Yes No Don't Know. IF you answered YE IF you answered YES, the. a! wiist S. the a! wiist
in front of: __. in front of: _
17.  Toll in a fow words the following things about the object: 17. Toll in a few words the following things about the object:
a. Sound 7 7
b. Color_ whute
. Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and l
much of the object is covered by the head of the match. If you had performed this experiment at the tirn: .i si.s
sighting, how much of the object would have baen covered by the match head?
1. Draw a picture that will show the shape of the objoct or objocts. Label and include in your sketch any detoils
of the abjoct 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 objoct was moving.
00000 00000 00000
F
STLING OF LIGHTS IN BOTN FORMS

Do you think you can estimate how far away from you the objoct was?
(Circle One) Yes No
22. Where were you located wh 2. Wore you (Circle One)
(Circle One):
aIr: the business section of a city
o.Inside a building b. In. sha residential sucticn si a city?
(b. In a car c. In opon countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
1. g. Other . ~
24. IF you wer• MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete quastions:
24.1What direction were you moving? (Circle One)
a. North c. East South y. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? — miles por hour.
24.3 Did you stop at any time whila you were looking at the object?
(Circla One) Yos No
25. Did you observe the object through any of the following?
a. Eyoglasses Yos No . BInoculars Yes
b. Sun glasses Yes f. Telescope No
c. Windshiold Yes g. Theodolite No
d. d. Window glass Yos Yes No h. Other h. Other-
2. In order that you can giva as claar a picture as possible of what you saw, describe in your own words a common 2. In order that you can giva as claar a picture as possible of what you saw, describe in your own w
objact or objects which, when placed up in the sky, would give the same appearance as the objact which you sow. objact or objects which, when placed up in the sky, would give the sams appearance as the objact which you sow.
.

sngo 6
30. Have you aver saen this, or a similar object before. If so give date or dates and location.
7
Was anyone olse with you at the time you saw the object? (Circle On) Yos No
Yes No
31.2 Please list their names end addresses:
Pleass give the following infermation about yourself: 32. Pleass give the following Infermation about yourself:
NAME NAME -
a Irst Namo Name Middla Neme Middlo Neme
X Dayton O
ADDRESS
Strest City Zone Steto
TELEPHONE NUMBER AGE SEX M
Indicate any additlonal Informetion about yourself, incli luding any spec erionce, whlch might be pertinenr.
Whan and to whom did you repart that you had seen the object? Whan and to whom did you ropart that you had seen the object?
Day Day Month Year Year
1
I

when you first saw it. Place a "B" on the compass where you last saw the chjoct.
90° 73
.
gW
2. Draw a picture that will show the motion that the object or objects made. Place an "A' at the beginning of the 28. 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" ot the end of the path, and show any changes in direction during the course.
IA
29. IF thors was MORE THAN ONE objoct, then how many wers there? .
Draw a picture of how they were arranged, and put an arrow to show the direction that thoy ware traveling.
isbiyet
Tobyect

1 Grand Qe.
NtoE
OW W Stuect Poidge
flidkaring lights.
lang )
sthaught d them.
horigonda
.

U.S. AIR FORCE TECHNICAL. INFORMATION 7
This questionnair has bean prepared so that you can give the U.S. Air Force as much
information as ssible concerning the unidantified aerial phenoinenon that you havu o!servei.
Please try to ans many questlons as you possibly can. The information that ycu giva w:ll
be used for resoarch r name will not be used in connection with any staterntenis,
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.
1. When did you see the object? ?. Time of da, 10
Hour Minuina
14 DEC 606
(Circle One): A.M. A..M. or P.M. P.M.
Day Month Yeur
3. Time Zone:
(Circle One): a. (Circle One): a. Eastern (Circle Dne): gDaylight So.ing (Circle Une): g.Daylight So.ing
b. 6. Central b. Standard b. Standard
c. C. Mountain
d. Pacific
. Other
4. Where were you when you saw the object?
VA Hosortal DAYTON
Noarest Postal Addras City or Town State or County
.How long was object ins Total Duration) SEUERAL
Hours Minutes Seconds
a. Certain Not very sure
b. Fairly certain Just a guess
5.1 How was time in sight determined? _
5.2 Was object in sight continuously? Y.s
6. What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright Bright a.
b. b. Cloudy
7.IF you sow the object during DAYLIGHT, where was tho SUN located as you locked at the obiast? 7. IF you sow the object during DAYLIGHT, where was the SUN located as you locked at the obiast?
(Circle Ons): a. 1 (Circle Ons): In front of you d. To your left
b. In back of you . Overheod
c. To your right c. To your right f. f. Don't romember Don't remember
FTD FORM
OCT 62 164 Thle form supersedes PTD Jul 6l, whlch is obsolete.

Pugn 3
14. Did the object disappear whi 3 ile you werc ratching it? I so, how?
BUINKING
...
15. Did the object move behind something at any time, particulurly a cloud?
(Circle One): No Don't Know. IF you answered YEs, then tell what
it moved behind:
1. Did the objoet move in front of something at any time, particularly a cloud?
(Circle One): Yos Yes No No Don't Know. IF you answered YES, theu t4!l winrst IF you answered YES. the. tu!l wi'st
in front of:
.
17.  Tell in a fow words the following things about the object:
a. Sound_ a. Sound
Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and t:
much of the object is covered by the head of the match. If you had performed this experiment at ths tirv: i st.
sighting, how much of the object would have been covered by the match head?
7
1. Draw a plcture 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 espscially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
BUNKIRUIGNTS BUNKIRLIGNTS
Tminxs

Paga 2
8.IF you suw the object of NIGliT, what did you nolice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON(Circle One):
a. None a. Bright moonlight
b. A fow .Dull moonlight
Many c. No moonlight - pitch dark
d. Don't remember Don't remomber
9. What nere the weather conditions at the time you saw the object?
CLOUDS (Circls One): WEATHER (Circle One):
a. Cloar sky 0. Dry
b. Hasy b. Fog, mist, or light rain
c. Scattornd clouds Moderate or heavy rain
d. Thick d. Snow
. Don't romomber
.The object appeared: (Circle One):
a. Solid d.(As a light
a. Brighter c.About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The edges of the object were:
(Cnclo (na) a. Fuzzy or blurred . Other-
b. Like a bright stor
C. Sharply outlined -—
d. d. Don't remember Don't remember
Did the object: Did the oblect: (Circle One for eoch question)
a. Appear to stand still at any time? Appear to stand still at amy time? Yes No Don't know Don't know
b. Suddanly speod 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
d. Give off smoke? Yes No No Don't know Den't know y
. . Change brightness? Yos Yos No No Don't know Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yas No Don't know
h. Disappear and reappear? Yes No Don't know

O 0
Pugn 3
14. Did tho objoct disappeur whilo you ware ratching it? Il so, how?
Hage in ditenee
.Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you snswered YEs, then tali what
it moved behind: B:8
1. Did the objoet move in front of something at any time, particularly a cloud?
(Circle One): Yes Yes No Don't Know. IF you answered YES, the. *n!l wist IF you answered YES. the.i *n! wist
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:
. Sound_.. a. Sound 7
b. Color h. Coler whi whis
. We wish to know the angular size. Hold a match stick at arm's langth in line with a known ubjest and i
much of the object is covered by the head of the match. If you had performed this experiment at the tir: i
sighting, how much of the object would have been covered by the match head?
1. Draw a plcture that will show the shape of the object or objects. Label and include in your sketch any detoils
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.
6835 80
A

O .
.. 4
20. Do you think you can estimate the speed of the objoct?
(Circle One) Yes No
T
(Circle One) Yes No
IF you answered YEs, then how far away would you say it was?
22. Where were you locatod when you saw the object? 2Were you (Circlo One)
(Circle One):
a. In the business section of a city?
Inside a building b. Ir. it:a residential socticn st o city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d.In an airplane (rype) e. Flying over a city?
. At sea f.
1. Other g.
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 4. 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 South Weat
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? __miles por hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yos No
+
2. Did you observe the object through any of the following?
a. Eyeglasses Yes No •. Binoculars Yes
b. Sun glasses Yes f. Telescope No
c. Windshiold No g. Theodollte Yes No
d. d. window glass Window glass Yes YOS No No h. n. Other _ UTnd
2. In order that you can giva as clear a picture as possibla of what you saw, describe in your own words a common 2. In order that you can giva as clear a picture as possible of what you saw, describe in your own words a common
objoct or objects which, when placed up in the sky, would give the same appearance as the object which you sow. objoct or objects which, when placed up in the sky, would give the same appecrance as the object whlch you sow.
THETPE THESPE MA2QOEE MAPQOEE

37g0 6
30. Have you aver sven this, or a similar object before. If so giva date or dates and location.
i
Yes No
Yos No
31.2 Please list their names and addresses:
.
32. Please give tho follom . Please give tho follom rmation about yourself: mation about yourself:
NAME NAME
ast Name Middi Neme teme
evlle Olo 1
ADD
Strest City Zone
TELEPHONE NUMBER AGE SEX M
Inaty dnal nfoton uyusInluyn hcih  rt
Flys alot and fslsthat i
couldn't howe ban an airplans
When and to whom did you report 3. When and to whom did you repart that you had seen the object? .
Day Day Month Yoar
B

90. 73
NW HU
/
Draw a picture that will show the motion that the object or objects mado. Place an Aat the begining of she
path, a "B" at the end of the path, and show any changes in direction during the course.
A FAST
29. IF thera was MORE THAN ONE object, then how many were there?
Draw a plcture of how w they were arranged, and put an arrow to show the direction that thoy wore trave!ing.
lobjet
Tobyie

- 0700 docotoon vaylon
OVE2
- Fastof Hospilal in ca
X ligut arow
white
g i due cost lighits dlickeep
of6 on.
weut out ints the Hase
URT
L

Page 2
8.1 STARS (C.ircle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A fow b. Dull moonlight
c. Many No moonlight - pitch dark
d.Don't remember Don't ramember
9. What were the weather conditions at the time you saw oct?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky 0. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain
c. Scattered clouds C. c. Moderate or heavy rain Moderate or heavy rain
d. Thick on hoovy clouds d. Snow
e. . Don't remember
. The object appeared: (Circle One): 10. The object appeared: (Circle One):
o. Solid a. Solid d. As a light
b. Transpoient Don't remember
c. Vapor
1If 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 common object:
.The edges of the object were:
(Cclo(na) a. Fuzzy or blurred . Other
b. Like a bright stor
C. Sharply outlined
d. Don't remember
F.
Did the object: . Did the object: (Circle One for each question)
a. Appear to stand still at amy time? Appear to stand still at any time? Yes No Don't know Don't know
b. Suddanly speed up and rush away at any time? Yes Yes No Don't know
c. Break up into parts or explode? Yes Yes No Don't know
d. Give off smoke? Yes No No Don't know
o. Change brightness? Yos Yes No Don't know Don't know
f. Change shape? Yes No Don't know Don't know
g. Flash or flicker? Yas No Don't know
h. Disappear and reappear? Yes No Don't know

Page 2
8.IF you saw the object at NIGHtT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circla One):
a. None a. Bright moonlight
b. A few Dull moonlight
c. Many No moonlight - pitch dark
Don't remember d.
object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain b. Fog, mist, or light roin
c. Scoltored clouds c. Moderate or heavy rain Moderate or heavy rain
d. Thick cloud Snow
e. Don't remomber Don't remomber
. The object appeared: . The object appeared Circle One):
a. Solid d. As a light d. As a light
b. b. Transpoient Transpoiont e. Don't remembar o. Don't remembar
c. Vapur
11. If it appaared as a light, was it br prightar than the brightast stars? (Circle Ona):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common n object:
The edges of the object were:
(Cinclo(na) a.1 Fuzzy or blurred e. Other
b. Like a bright stor
C. Sharply outlined
d. Don't remember
.Did the object: (Circle One for eoch question) (Circle One for eoch question) I
a. a. Appear to stand still at any time? Yes No No Don't know Don't know
b. Suddanly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
o. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know Don't know
g. Flash or flicker? Yes Yea No No Don't know Don't know
h. Disappear and reappear? Yes Yes No No Don't know

O
U.S. AIR FORCE TECHNICAL INFORMATION
7
This questionnair as beon prepared so that you can give the U.S. Air Force as much
information as possibl oncerning the unidentified aerial phenonenon that you havu olisorvei.
Please try to answer as questions as you possibly can. The information that ycu give wil!
b used for research name will not be used in connaction with any statamenis,
conclusions, or publications without your permission. We request this personal Information sc
that if it is deomed we may contact you for further details.
1. When did you see the objoct? 2. Time of da,
Hour Minutna
(Circle One): A.M. or P.M.
Day Day Month Your
. Time Zone: .Time Zone:
(Circle One): a. a. Eastern Eastern (Circla Une): (Circla Une): Doylight Soving
b. Contral b. Standard
c. Mountain Mountain
d. Pacific
.. . Other Other
4. Where were you when you saw the objoct?
Nearest Postal Address Town Stata or County
.How long was object in sight? (Total Duration)
Hours Minutes Soconds
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 --
.What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright a.
b. Cloudy b. Cloudy Cloudy
7.IF you sow the object during DAYLIGHT, whare was the SUN located as you locked a: the obiec!? 7.IF you sow the objoct during DAYLIGHT, whare was the SUN located as you locked a: the obiec!? T
(Circle One): a. (Circle One): : a. In front of you In front of you d. To your left To your loft
b. In bock of you . Overheod
c. To your right f. Don't ramember
FORM
FTD OCT 62 164 Thie form supereeden FTX) 164, jul 61, which is obuolete.
1

b. A fow b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't romember Don't remomber
. What wore objoct?
CLOUDS (Circle One): WEATHER (Circla One):
a. Cloar sky a. Dry
b. Hazy b. Fog, mist, or light roin
c. Scatrornd clouds c. Moderate or heavy rain
d. Thickn clouda Snow
. Don't romomber
10. The objact appeared:
o. Solid d. As a light
b. Tronspoient . Don't ramember
c. Vapor
1. If it appeared as a light, was it hter than tho brightest stars? (Circle One):
o. Brighter c. About the same
b. Dimmer d. Don't know
brightness to some common object:
12. The edges of the object were:
((nclo(na) 0. Fuzzy or blurred . Other
b. Like a bright stor
C. Sharply outlined -
d. Don't remember .
1. Did the object: (Circla One for sach quostion)
a. Appear to stand still at any time? Yes No Don't know
b. Suddanly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Chango brightnass? Yes No Don't know

(Circle One) Yes No
object was?
(Circle One) Yes No
IF you answered YES, then how far away wo
the object?
(Circle One):
a. irn: the business section of a city?
Insido a building 7
b. In a car c. In open countryside?
C. Outdoors - d. Near an airfield? 7
d. Tn an airplane (type) e. Flying over a city?
. At sea f.F Flying over open country?
i. Other g.
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following quastions:
(Circle One) Yos No
25. Did you observs the object through any of the following? Y
a. Eyoglassss No e. Binoculars Yes No
b.s Sun glasses No f. Telescope Yes No
c. Windshiold No g. Theodolite Yes No
d. Window glass niduw yruss Yes No No h. Other
2In ordar that you can give as clear a picture as possible of what you saw, describe in your own word 2. In ordar that you can give as clear a picture as possible of what you saw, describe in your own wor a common
objoct or objacts which, when placed up in the sky, would give the same appearance as the object object or objacts which, when placed up in the sky, would give the same appearance as the obj you sow saw
BUDKING THEATRE MARQUEE MAZQUEE
with obj obj
. movlng acroLA
4

0
Puge 3
14. Did tho objoct disappaar while you were ratching it? I1 so, how?
Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you snswered Ys, than tel what
it moved behind:
I
-
1. Did the objeet move in front of something at any time, particularly a cloud?
(Circle One): (Circle Onej: Yes Yes No No Don't Know. Jon't Know. IF you answered YES, the !l wi:st WT:S
in front of: in front of: ..
17. Tell 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 _ b. Color _
1. Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and i
much of the object is covered by the head of the match. If you had performed this experiment at ths tir: i i.s
sighting, how much of the object would have been covered by the match head?
could CON n with undex fungs
. Draw a plcture 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 ar vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
0000 oo
↑
BLINKING LIGHTS IN BLINKING LIEHTS IN STANG STRING
W

0
,..4
20. Do you think you can estimate tha speed of the objoct?
(Circle One) Yos No
IF you answered YES, thon what speed would you estin.ate? _
(Circle One) Yes No
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 (Circlo One)
(Circle One):
a. in the business section of a city?
o. Insids a building b.In. the residential sucticn si a city?-
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d.In an airplane (type) o. Flying over a city?
e. At sea f. Flying over open country?
1. 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 South y. West
b. Northeast d. Southeast f. Southwest h. Northwest
a
24.2 How fast were you moving? milos per hour.
24.3 Did you stop at any time whi looking at the object?
(Circle One) No
25. Did you observe the object through any of the following?
a. Eyeglasses Yos No Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshiald Y.s g. Thoodolite Yes No
d. Window glass Yes No h. Other -
2. In order that you can give as clear a picture as possible of what you saw, de 2.In order that you can give as clear a picture as possible of what you saw, describe in your own war in your own wer a common
objact or objects which, whon placed up in the sky, would give the same appearanca as the objoct whl objact or objocts which, when placed up in the sky, would give the same appearancs as you sow
1

when you first saw it. Place a "g"" on the compass where you last saw the chjoct.
18
8AS
28. Draw a picture that will show the motion that the object or objects made. 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.
SW
29. IF there was MORE THAN ONE object, then how many were there? -
Draw a pleture of how thay were arranged, and put an arrow to show the direction that thoy were traveling.
.
.
-

sgo 6
1
Was anyone else with you at the time you saw the objct? (Circle One) Yos No
Circle Ono) Yes No
31.2 Ploase list their names end addresses:
+
3. Plaase give the following Infermation about yourself: 3. Plaase give the following Infermation about yourself:
NAME
First Name Middlo Neme
ADDRES O.
Street City Stato
TELEPHONE NUMBI AGE
Indicats any additional Information about yourself, ding any spec xperionce, which might be pertinent.
When and to whom did you repart that you had soen the objact? When and to whom did you repart that you had seen the objact?
Day Month Yoar
)

7:00 TiKE MM=
goug From T to sw
long oting of ligut
Atg Aton car Quz! Que!
goung sw goung s
Flashing
oblong () lightswnt
on'soff
- about as lona as undex fmiliar
..
.

O
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 phenoinenon that you hnvu ol sarveri.
Please try to answe y questlons as you possibly can. The information that ycu give will
ba used for research purposes. 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, we may contact you for further details.
1. When did you see the object? Time of da? 0700
Hour Minutna
14 14 DEC 66 (Circle One): (Circle One): A.M. A.M. or
Day Month Yeur Your P.M.
3. Time Zone:
(Circle One): a. Eastern (Circla One): (Circla Une): Daylight So.ing Daylight So.ing
be b. Central Standard Standard -
c. Mountain
d. Pacific Pacific
e. . Other
4. Where ware you when you saw th objoct?
Danto
Nearest Postal Address City Town Srate  County
.How long was Total Duration) 10-12
Hours Minutes Seconds
a. Certain c. Not vary sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determinad?_
5.2 Was object in sight continuously? Yes No----
6. What was the condition of the sky? P wus hie tonurrronr or md sky?
DAY DAY NIGHT
a. a. Bright Bright
b. b. Cloudy b. Cloudy
7.IF you sow the objoct during DAYLIGHT, where was the SUN located as you locked a: the obies!? 7.IF you sow the object during DAYLIGHT, where was the SUN located as you locked a: the obies!?
(Circls One): a. In front of you (Circl One): : a. In front of you d. To your left To your left
b. In bock of you . Overheod
c. To your right c. To your right f. f. Don't remember
FORM
FTD OCT 62 164 Thle form supersedee

Page 2
8.IF you saw the objact at NIGltT, what did you notice concarning th STARS and MOON?
8.1 STARS (C.ircle One): 8.2 MOON (Circla One):
a. None a. Bright moonlight
b. A fow b.Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember .Don't remember
9. What wore the weather conditions at the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky o. Dry
b. Hazy b. Fog, mist, or light rain
c. Scalte:nd clouds c. Moderate or heavy rain
d. Thick o houry clouds d. Snow
•. Don't remomber
.The object appeare (Circle One).
a. Solid a. Solid d. As a light d. As o light
.Transporent . remember momber
c. Vapor
1. If it appeared as a light, was it brighter than tho brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compar
.The edges of the object were:
(C..clo (ine) a. Fuzzy or blurred . Other
b. Like a bright stor
caSharply outlined
d. Don'tremember
.Did the oblect: (Circle One for eoch quastion) (Circle One for eoch quastion)
a. a. Appear to stand still at any time? Appear to stand still at any time? Yes No Don't know Don't know
b. Suddenly speed up and rush away at any time? Suddanly speed up and rush away at any time? Yes Yes No No Don't know
c. Break up into parts or explode? Yes Yes No Don't know Don't know
d. Give off smoke? Yes No Don't know Don't know
. , Change brightness? Yes No Don't know
1. Change shape? Yes No Don't know Don't know
g. Flash or flicker? Flash or flicker? Yes Yes No No Don'tknow
h. Disappear and reappear? Yes No Don't know

0
Puga 3
14. Did the objoct disappear while you werc ratching it? If so, how?
dsat dus ance
.Did the object move behind s
(Circle One): Yes No Don't Know. IF you Jnswered YE, than tall what
it moved behind:
.Did the objeet move in front of spmething at any time, particularly a cloud?
(Circle One): Yes Yes No Don't Know. IF you answered YES. then n! winst IF you answered YES. the. ou!l winst
in front of: _. in front of: _
17. Toll in a few words the following things about the object:
a. Sound. a. Sound ...
b. Color whit=
.Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjest and i
much of the object is covered by the head of the match. If you had performed this oxperiment at the tin: i i
sighting, how much of the object would have been covered by the match head?
1. Draw a pleture that will show the shape of the objoct or objects. Label and include in your sketch any detaila
of the objoct that you saw such as wings, protrusions, etc., and especially exhaust trails ar vapor trails.
Placs an arrow beside the drawing to show the direction the object was moving.
.
C
8o581 6581
/SUNGNG LIGHTS

0
.A
20. Do you think you can astimate the speed of the object?
(Circle One) Yes No
IF you answared YES, then what speed would you estinate? _ 1
(Circle One) Yes No
IF you answered YEs, then how far away would you say it was? -
2 Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. in: the business section of a city?
o.Insido abuilding o. Insido a.building (b.In. the residential suction si a city?
b. b... in a car c. In open countryside?
c. Outdoors d.Near an airfiald? d. Near an airfiald?
d. In an airplane (type) d. In an airplane (type) e. e. Flying over a city?
e. At sea At sea f. Flying over oper country?
1. Uther g. Other_
*
24.1 What direction were you moving? (Circle One)
a. North c. East . South y. West
b. Northaast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? - miles por hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yos No
25. Did you obsorve the objoct through any following?
a. Eyeglasses Yos No . Binoculars Yes
b. Sun glasses Yes No f. Telescope Yes No
c. Windshiold Yes No g. Theodolite Yas No
d. d. Window glass Window glass Yes No h. h. Other Other-
s a common
object or objacts which, when placed up in the sky, would give the same appearance as the objeet whlch you sow. you sow

900
AA
28. . Draw a picture that will show the motion that the object or objects made. Place an "A' ar the beginning ot the
Bellbroote to Kethrng
29. IF there was MORE THAN ONE ob|ect, then how many were Da pt ho thy rane nd   ro ho tin that  w tai. ther?
lobjict + a Amall
phane in stey at same turie

E
900 73°
↑
AB Nu
15• 18
Draw a picture that will show the motion that the object or objects made. Place an "Aat the begining of the
path, a "B" at the ond of the path, and show any changes in direction during the course. ..
?
29. IF there was MORE THAN ONE oblect, than how many were thare?
Draw a pleture of how they were arranged, and put an arrow to show the direction that thoy ware traveling.
1 obj=ct
/

Jnge 6
30. Have you aver saen this, or a similar object befere. If so give date or datos and location.
31. Was anyone else with you at the time you saw the object? (Circle One) Yos No
31.1 IF you answered YES, did they see the object too? (Circle Ono) Yes No
31.2 Ploase list their names end addrosses:
.Ploase give the following infermation about yourself: 32. Plaase give tho following infermation about yourself:
NAME NAME
First Name First Namo Middlo Name
ADDRESS uon
Streot City Zone Stato
TELEPHONE NUMBER AGE ~ SEX
Indicate any additional information about yourself, ionce, which might bo partinent.
Whan and to whom did you report that you had seen the object? .Whan and to whom did you report that you had seen the object?
Day Day Month Year
/
.

Bright Light ioiglt Liglots (white blinbeng (White) Dlubing
outh outh around aroud
bclboole blbose
moved ui big are,
0700
Lighet naton
sOw small plane in sky
alss. ver Ceutervilla
i distanee in distanee
.
.

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has beon prepared so that you can give the U.S. Air Force as much
information as possil oncerning the unidentified aerial phenoinenon that you havu obsorvei.
Ploase try to answ y questlons as you possibly can. The information that ycu give will
be used for researc rposes. Your name will not be used in connection with any statemenis,
conclusions, or publications without your permission. We request this porsonal information sc 1
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? Time of 08
Hour Minutea
14 14 66 66 (Circle One): (Circle One): A.M. A..M. P.M. P.M.
or
Day Month Your Yeur
3. Time Zone:
(Circle One): aEastern_ (Circle One): a. Eostern (Circla Une):.Daylight Soing
Contral b. Standard
C. C. Mountain Mountain
d. Pacific
. Other
4. Where were you when you saw the object?
U.D. DATON ottic
Nearest Postal Address City or Town State or County
5.How long was object in sight? (Total Duration)
Hours Minutes Seconda
a. Certain c. Not very sure
b. Fairly certain
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes-- No -— 7
6. What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy b Cloudy
7.IF you sow the object during DAYLIGHT, where was the SUN located as you locked a: the obiest? 7. IF you sow the object during DAYLIGHT, where was the SUN located as you locked a: the obiest?
(Circle One): a. (Circle One): In front of you In front of you d. d. To your left To your left
b. In bock of you . •. Overheod Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thle form supereed 164, Jul S1, whlch is obeolote.
1

Page 2
8. IF you sow tho objoct ot NIGliT, what did you notice concoming the STARS and MOCN?
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
dDon't remember d. Don't romember
the weather conditions at the time you saw the objoct?
CLOUDS (Circle One): WEATHER (Circle One):
a. Cloar sky 0. Dry
b. . nazy Hazy b. Fog, mist, or light rain d. Tog, misr, or nignr rain
c. c. Scattornd clouds Scattornd clouds c. Moderate or heavy rain c. Moderate or heavy rain
d. d. Thick on houvy clouds Thick on houvy cloud Snow Snow
. 6. Don't remomber Don't remomber
10. The object appeared: (Circle One): . The object appeared: (Circle One):
a. Solid a. Solid d. As a light
b. Transpoiont Transpoiont remember emember
c. Vapor Vaao
1. If it appearad os a light, was it brighter than the brightest stars? (Circlo One):
a. Brighter c. About the same
.Dimmer d. Don't know
11.1 Compare brightness to some common objoct:
The edges of the object were:
(Ci.clo Cna) 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 any time? still at any time? Yes No Don'tknow
b. Suddanly speed up and rush away at any time? Yes No Don't know Don't know
c. Break up into parts or explode? Yes Don't know Don't know
d. Give off smoke? Yes No No Don't know Don't know
e. Change brightness? Yes Yes Don't know
f. Change shape? No Don'i know
g. g. Flash or flicker? Yes No No Don'tknow
h. h Disappear and reappear? No Don'tknow Don' know
W

0
Pugn 3
14. Did the objoct disappaar while you were ratching it? II so, how?
7
.Did the object move behind something at any time, particulurly a cloud?
(Circle Ona): Yes No Don't Know. IF you snswered YE, then teli what
it moved behind: Ha
7
-
. Did the objeet move in front of something at any time, particularly a cloud?
(Circle One): (Circle Onej: Yes Yes No No Don't Know. IF you answered YES, the. n! winst you answared YES, the.i Y
in front of: _.. in front of: ..
7
17.  Toll in a fow words the following things about the object: 17. Toll in a fow words the following things about the object:
a. Sound
b. Color__ wh 105
Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and li
much of the object is covered by the head of the match. If you had performed this exporiment at the tir: i i.s
sighting, how much of the object would have been covered by the match head?
7
1. Draw a plcture 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 ar vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
7
-
1

-
(Circle One) Yes No 7
IF you answered YES, then how far away would you say it was? __.
22. Where were you located 23. Were you (C le One)
(Circle One):
a. irn: the business section of a city?
o. Inside a building b. In the rosidential sucticn oi a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. Tnan airplane (rype) . Flying over a city?
. At sea f. Flying over open country?
1. Other g. Other __.
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 wera looking at the object?
(Circl One) Yos No
+
25. Did you observe the object through any of the following?
a. Eyeglasses Yos e. Binoculars Yes No
Sun glasses Yes f. Telascope Yes No
c. Windshiold Yes No g. Theodolite 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 words a common 2. In order that you can give as clear a picture as possibls of what you saw, describe in your own words a common
objoct or objocts which, when placed up in the sky, would give the same appearance as the object which you sow. object or objects which, when placed up in the sky, would give the same appearance as the object w you sow
stumg of liglts stuig ofliglds
—

90•
7
NS
. Draw a picture that will show the motion that the object or objects mado. Place an "A ar the beginnting of the 28.  Draw a picture that will show the motion that the object or objects mado. Place an "A' at the beginning ot the ,:
path, a "B" at the end of the path, and show any changes in direction during the coursa. -.
29. IF there was MORE THAN ONE objoct, then how many were thare? _
Draw a plcture of how they were arranged, and put an arrow to show the direction that thoy were traveling.
LOBJECT
.

3 9gs 6
3Have yow avw saon this, of a similar objoct belora. If so give dato or datgs and location.
No
31. Was anyone slse with you at the time you saw the objoct? (Circle Ona) No
31.1 IF you answered YES, did they see the objoct too? cl One) No
31.2 Please list their names end addrssses:
2 SCHODL CLASSMATES
32. Plaass give the fellowing infmation about yourself: 32. Plaase give the fellowing infmation about yourself:
NAM LAM
St Name Name MIsdl Neme MINd Neme
ADDRESS LTON Qto-
City Zone Stato
TELEPHONE NUMBER AGE SEX F
Indieate any edditional Information about yourself, including any specl ) xporioncs, whlch might bo pertinont.
3.When and te whom did you ropart that you had seen the objoct? When and te whom did you ropw you had seen the objoct?
Dey Month Your
H

O 0
Page 8
stuig lolts
- looted lie he, ou g
- no
wallenig a arond U.D.
-0708: - min)
4
-

0 O
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 oncerning the unidontified aerial phenoinenon that you havo olservni.
Please try to answer iny questions as you possibly can. The information that ycu give wil!
bo used for research r name will not be used in connaction with any statenienis,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemod necessary, wa may contact you for further dotails.
.When did you see the object? ?. Time of da, 30
Hour Minutns
14 DEC.. DEC... 66 66 iCircle One): iCircle One): /
A.M. A.M. or P.M. P.M.
Day Day Month Your
3. Time Zone: 3. Time Zone:
(Circle One): a. Eastarn (Circle Une):_- (Circla Une):_- Doylight Soving
5. Centrat Contrat b. Standard
C. c Mountain
d. Pacific
. Other
4. Where ware you whon you saw object?
U.D. DAYTON Ott10
Nearest Postal Addrass City or Town State or County
.How long was object in sight (Total Duration)
Hours Minutes Seconds
a. Certain c. Not very sure
b. Eairly 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? 6. What was the condition of the sky?
DAY NIGHT
a. Bright a.
b. Cloudy $. Cloudy b. Cloudy
7. IF you sow the object during DAYLIGHT, whore was the SUN located as you locked at the obiest? 7. IF you sow the object during DAYLIGHT, whare was the SUN located as you locked at the obiest?
(Circle One): a. In front of you (Circla One): a, In front of you d. To your left d. To your left
b. In bock of you o. Overheod Overhad
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thie form supersedee FTD 164, jul 61, which Is obsolete.

0
33go 6
No 7
. Was anyone else with you at t − timo you saw the object? (Circle One) No
31.1 IF you answered YES, did they sse the object too? (C ircle One) Yes No
31.2 Ploaso list thoir names end addresses:
Wit
nsiglbor ssossal blockes
mother Motuer eastof williets
.Please give the following infermation about yourself:
NAME NAME
Last Name Lest Name First Name FIrst Name Middl Nome
Dauton
City Srato
TELEPH NUMBE AGE SEX M
Indicats any Informetion about yourself, Including exporlonce, which might bo pertinent.
When and to whom did you report that you had seen the objoct?
14 DEC O.D.
Day Day Month Yoar Yoar
L

Page 2
8IF you saw the object al NIGT, what did you notice concorning the STARS and MOCN?
8.1 STARS (C.ircle One): 8.2 MOON (Circle One):
a. None Bright moonlight
b. A fow Dull moonlight
c. Many No moonlight - pitch dark
d. Don't remember d.Don't remember
9. What were the weather conditions at the time you saw objoct?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky o. Dry
b. Hasy b. Fog, mist, or light rain
c. Scatternd clouds Scatternd clouds c. Moderate or haavy rain Moderate or heavy rain
d. Thick on houry clouds Thick s houvy clouds d. Snow
•. Don't remomber
10. Tha object appeared: 0. Tha object appeared (Circle One) ircle One):
with windows with windows
o. Solid d. As a light
b. Tronspoiont Don't remember
c. c. Vapor
1.If it appnored as 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 ightnoss to some common object:
1.The edges of the object were:
(Ciclo (ine) a. Fuzzy or blurred . Other
b. Like a 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. Appear to stand still at any 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'tknow. Don'tknow.
C. Break up into parts or explode? Break up into parts or explodo? Yes No No Don't know
d. d. Give off smoke? Give off smoke? Yes No Don't know Den't know
. Change brightness? Yes Yas No No Don't know
1. f. Change shape? Yes No No Don'i know
g. Flash or flicker? Yes Yes No Don't know
h. Disappear and reappear? Disappear and reappear? Yes No Don't know.. Don't know
I

O 0 :
Pugn 3
14. Did tho objact disappecr while you were vatching it? if so, how?
earsd OUL CS
Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. IF you answored YEs, then tell what
it moved bohind:
1. Did the objoet move in front of something at any time, particularly a cloud?
(Circle One): (Cirele One): Yes Yes No No Don't Know. Don't Know. IF you answered YES, theu th!l wist IF you answered YES, the.
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. SoundL
b. Color_ b. Color white ouli whit
.We wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and nt
much of the object is covered by the head of the match. If you had performed this axporiment at the tin: i
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 skatch any dotails
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.
notating
V
WINDOLD WINDO
C

0 0
,.4
20.Do you think you can estimate the speed of the object?
(Circle One) Yes No
(Circle One) Yes No
IF you answered YEs, then how far away would you say it was? _.
2. Where were you located when you sow the object? 23. Were you (Circlo One)
(Circle One):
a. in: the business section of a city?
o. Inside a building b. In. the residential suction si a city?
b. In a car c. In open countryside? COUNerY
c. Outdoors d.Near an airfield?
d. In an airplans (rype) . Flying over a city?
e. At sea f. Flying over open country?
1. Other g. Other
24. IF you war MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions;
24.1 What direction ware you moving? (Circle One)
a. North c. East South y. 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) Yos No
25. Did you observs the object through any of the following?
a. Eyoglasses Yos No e. Binoculars Yes
b. Sun glasses No f. Telescope Yes No
c. Windshiold Y.s g. Theodolite Yes No
d. d. Window glass Window glass Yes Yes No No h. n. Other Other
In order that you can give as clear a picture as possible of what you saw, describe in your own wore 2. In ordar that you can give as clear a picture as possible of what you saw, describe in your own wore 3 a common a common
objoct or objocts which, when placed up in the sky, would give the same appearance as the objact which you sow

when you first-sow It. Place a "B"
90' 75
_A
NW N8
30
B B
28..Draw a picture that will show the motion that the object or objects made. Place an "A ar the beginning of the nbiectorohi
path, a "B" at the ond of the path, and show any changes in direction during the course.
29. IF thore was MORE THAN ONE obloct, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that thoy wern trave!ing.

)ngo 6
3Havs you avar soen this, or a similar objoct bafars. If so givs dore or daras and location.
Yos No
Yos No
31.2 Please list their names end addrosses:
32. Plaase give tha following infarmation about yourself: 32. Please give tha following Infermation about yourself:
NAME NAME
Last Name Lost Nomo FIrat Nam Irat Nam 18 IX Middl Name
i
ADDRESS Stregt
Stato
TELEPHONE NUMBER SEXMA
Indicats any additional information about yourself, Including any speclal axperience, which might be pertinent. I
Whan and to whom did you rapert that you had seen the object? 33. When and to whom did you rapert that you had seen the object?
Day Day Month Yoar Yoar
I

0 . Page 8
U.D. outdoows.
7:30 which looked atfurist
Now an
looked crcular with Wundowrs
ou ouitsiche (destuncttly)
-. north out of sight
seamEdto seamed to sotate sotaste
changed chonged slwation wation
- n sound
- whitish blue light /very bi biught
- x3 3 min sighting
nearly overhsad when 1ST
sightad fom Libary
( over fesld house over feald house 4 1
- fist frist callad callrd
- - was postive that it was not positius 4
an arcraft.

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 po oncerning the unidentified aerial phenoinenon that you havu olservei.
Please try to answe y questions as you possibly can. The information that ycu give will
be used for resear poses. 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 deemed necessary, we may contact you for further details.
When did you see the object? Time of da 10
Hour Minutns
14 DEC 66 (Circle One):
(Circle One): A.M. A.M. or P.M. P.M.
Doy Day Month Yeur Yeur
. Time Zone:
(Circle One): a..Eastern (Circle Une): a. Doylight So:ing (Circle Une): a. Doylight So:ing
(b. b. Contral Central b. Standard b. Standard
c. Mountain
d. Pacific
. Other
4. Where were you whon you saw the object?
DAYTON
Nearest Postal Address City or Town Stats or County
5.How long was objact in sigh (Total Duration) 30 to60
Hours Minutes Seconds
a. Cortain C. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? _ -7 —
5.2 Was object in sight continuously? Yes No_--
What was the condition of the sky?
DAY NIGHT
a. a. Bright . Bright
b. Cloudy Cloudy
7.IF you sow the object during DAYLIGHT, where was the SUN located as you locked a: the obiest?
(Circla One): a. (Circlo One): In front of you d. d. To your left
b. In bock of you . Overhood
c. To your right c. To your right 1. 1. Don't romember Don't remember
FORM
FTD OCT 62 164 This form supersedos FTD 164, ju! 61, which le.obsolete.

Page 2
IF you suw the object at NIGliT, what did you notice concerning the 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 ramember d. Don't remember
. What were the weather conditions at the time you saw
CLOUDS (Circle One): WEATHER(Circl One):
a. Clear sky 0. Dry
b. Hazy b. Fog, mist, or light rain
c. Scatternd clouds c. Scattornd clouds c. Moderate or heavy rain Moderate or haavy rain
Thick on houvy clouds Thick on houvy cloud d. Snow Snow
•. •. Don't remomber
.The object appeare 10. The object appeared
a. Solid As a light
b. Tronspoiont .Don'rremember Tromomber
c. Vapor 7
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimm d. Don't know
11.1 Compare ightness to some common object:
1.The edges of the objoct were:
(C..clo (ine): a. Fuzzy or blurred . Other
b. Like a bright stor
c.Sharply ourtined
d. Don'tramember
1. Did the object: Did the object: (Circle One for each question) (Circle One for each quostion)
a. a. Appear to stand still at any time? Yos Yos No Don't know
b. Suddanly speed up and rush away at any time? Suddenly speed up and rush away at any time? Yos Yes No Don't know
c. c. Break up into parts or explode? Yos No No Don'tknow
d. Give off smoke? Yas No Don't know
e. . Change brightness? Yes No Don't know
f. Change shape? No No Don't know
g. Flash or flicker? No Don't know
h. Disappecr and reappear? No Don't know Don' kaow

Puga 3
15. Did the object move behind something at any time, particulurly a cloud?
(Circle Ona): Yes No Don't Know. IF you answered YEs, the' tell what
it moved behind: .
-
(Circle One): (CircleOne): Yes Yos No Don't Know. Don't Know. IF you answered YES, thau !l wirst IF you answere ES, then . wirst
in front of: in front of: _
17. Toll in a fow words the following things about the object:
. Sound o. Sound noe
b. Color _ whute (greerinst whute qreemsh)
We wish to know the angular size. Hold a match stick at arm's length in line with a known ubjest and
much of the object is covered by the head of the match. If you had performed this experiment at the tirw: i it.
sighting, how much of the object would have been covered by the match head?
could couer with thumbnail
Draw a plcture 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 besids the drawing to show the direction the object was moving.
,
G G
O
+
CIGHTS GOING ARDOND OBJECT

2 Wore you (Circlo One)
(Circle One):
a. irn: the business section of a city?
o. Inside a building b. In. tha residential sucticn oi 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. Flying over ope country?
1. g. Other
24. IF you wore VING IN AN AUTOMOBILE or other vehicle at the time, then complets the
a. North c. East South y. 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) Yos No
2. Did you observe the object through any of the following?
a. Eyoglasses Yos . Binoculars Yes No
b. Sun glasses Yes No f. Telescope No
c. Windshiold g. Thaodollite Yes No
d. Window glass Yes No h. Other
objoct or objects which, when placed up ir
THEATEE MARQUER
1

0 0 Page 8
Bught Shuney
slongated C
white ligue (yllow
SE diredion (moton)
Blikeing Blikeing
Somethuing Something
1900
Movniq acrost towand Gresn Co
out
111 Watewislsts
dusse bed house
C47 Apind

DO
60•
NW
1B
30a
Draw a picture that will show the motion that the object or objects made. Place an "Aar the beginning of the 28. . Draw a picture that will show the motion that the object or objects made. Place an "A' ar the beginning of tho
path, a "" at the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE obloct, then how many were there? —
1ObJECT
——
.

0
Jage 6
Yos No
31.1 IF you answered YES, did they see the objact too? (Circle Ono) Yes No
31.2 Please list their names end addresses:
2 frends
stotal psonle +
Plsase give the following Infermation about yourself:
NAME NAME
First Name First Namo Middlo Neme Middlo Neme
Daon Tout
ADDRESS State
TELEPHONE NUMBE AGE SEX M
experience, which might be pertinent. .
When and to whom did you repart that you had seen the object?
Day Day Month Yoar
I

- no shato white (qreanish)
- palorn of lught (2) g0us around
a craulan ob bjzt
- from SSW turned  want east turned  want sast
away away From From
slow slow DC-S DC-
3000 500s.
A 130
- no noe
- 0710 - 30 to 60 Aec
- clear light ULOL ound
F2om lf F20mlf rigtt Nigtl
- tub se o langen tubail se on large
.
W

Do you th ink you can estimate how far away from you th object was?
(Circle One) Yes No
IF you answered YES, then how far away wou
22. Where were you located when you saw
(Circle One):
a. ir: the business section of a city?
o. Inside a building 5. In he residential section oi a city?
b. In a car c. In opon countryside?
c. Outdoors d. Near an airfiold?
d. In an airplane (type) . Flying over a city?
. At sea f. Flying over operi country?
g. Other. -
24.1 What direction were you moving? Circle One)
a. North c. East South y. 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) Yos No
Did you observe the object through any of the following?
a. Eyeglasses Yos . Binoculars Yes No
b. Sun glasses f. Telescope Yes No
c. Windshiold Yes No g. Theodollte Yes No
d. d. Window glass Window glass Yes Yes No h. Other h. Other
2.In order that you can give as clear a picture as possibla of what you saw, describe in your own wo a common
- .
object notating objet notating
lght laht
L

O 0
Pugn 3
14. Did the objoct disappaur while you werc ratching it? if so, how?
1. Did the objoct move behind something at any time, particularly a cloud?
(Circle Ona): Yes No Don't Know. IF you answered YEs, then tellwhat
it moved behind:
.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. Don't Know. IF you answered YES, the. ta!l wirsl IF you answere ES. then t!l wioat
in front of: in front of: ..
17. Toll in a few words the following things about the object: 17. Toll in a fow words the following things about the object:
a. Sound . Sound._ ho
b. Color b. Color_ white
8.Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and nr
much of the object is covered by the head of the match. If you had performed this experiment at the tirn: i si.s
sighting, how much of the object would have been covered by the match head?
1. Draw a plcture 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.

U.S. AIR FORCE TECHNICAL INFORMATION
L
This questionnaire has bean prepared so that you can give the U.S. Air Force as much
information as possible concerning the unldentified aerial phenoinenon that you havu al serveri.
Please try to answer as many questlons as you possibly can. The information that ycu give will
ba usod for research purposes. 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, we may contact you for further details.
1. When did you see the object? ?. Time of da!
Howr Minutas
14 DEC (Circle One): A.M.
(Circle Une): A.M. or or P.M. M.
Day Month Month Yeur
. Time Zone:
(Circle One): Eastarn (Circle Une): Doylight So:ing Soving
b. Central Contral Standard
c. Mountain
d. d. Pacific
. 8. Other
4. Where were you when you saw the object?
DAUTON OHtLd
Nearest Postal Address City or town State or County
5. How long was object in sight (Total Duration)
Hours Minutes Soconds
o. Certain c. Not very sure
.Fairly certain d. Just a guess ?
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No
What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright a.
b. Cloudy b. b. Cloudy
7.IF you sow the object during DAYLIGHT, where was the SUN located as you locked at the objest? 7.IF you sow the object during DAYLIGHT, whore was the SUN locatad as you locked at the objest?
T7
(Circle One): a. In front of you (Circle One): a. In front of you d. d. To your left To your left
b. In bock of you , e, Overheod
c. To your right To your right f. Don't remember Don't romember
FORM
FTD OCT 62 164 Thie form supersedo FTD 164, Jul 61, which is obsolete.

Page 2
8.IF you saw the object at NIGliT, what did you notice concerning th• STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight 1
b. A fow b.Dull moonlight
c. Many No moonlight - pitch dark
d. Don't remember d.Don't remember
9. What nere the weather conditions at the time you saw th objoct?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky 0. Dry
b. Hary b. Fog, mist, or light rain
c. Scortornd clouds Moderate or heavy rain
d. Thick on hoovy clouds d. Snow
•. Don't remember
10. The object appeare ircle One):
a. Solid d. As a light
. Transpoient b. Transporent T remember remember
c. Vapur
If it appeared as a light, was it brighter than the brightest stars?Circle One):
Q. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
12. The edges oi the object were:
(C.clo(na.1 Fuzzy or blurred e. Other
b. Like a bright stor
c. Sharply outlined
d. Don't remember
Did the object: 1. Did the oblect: (Circla One for ecch qusstion) (Circle One for eoch qusstion)
a. Appear to stane Appear to stand d still at amy time? still at any time? Yes No No Don't know
b. Suddanly speed up and rush away at any time? Yes No No Don't know
c. Break up into parts or explode? Yes No No Don't know
d. d. Give off smoke? Yes No Don't know
o. Change brightnass? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

0
Pugo 3
14. Did the object disappear while you werc ratching it? Ii so, how?
. Did the object mova behind something at any time, particulurly a cloud?
(Circle One): Yes, No Don't Know. IF you answered YE, theu tell what
it moved behind:
. Did the objeet move in front of spmething at any time, particularly a cloud?
(Circle One): (Circle One): Yos Yes No No Don't Know. Don'tKnow. IF you answered YES, tha. th! wist IF you answered ES. then ta!l wist
in front of: .. in front of: .._
17. Toll in a fow words the following things about the object:
a. Sound wo o
b. Color white white 26
1. Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and l?"
much of the object is covered by the head of the match. If you had performed this experiment at the tir: i i.
sighting, how much of the object would have been covered by the match head?
. 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 ospecially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.

Jago 6
imilar object beiore. If so give date or dates and location.
No
31.1 IF you answored YEs, did they see the objoct too? (Circle One) No
31.2 Ploase list thoir names end addresses:
Brothen
32. Please give the fellowing infamation about your .Please give tho following infamation about your
NAME NAME
FIrst Name First Name Middlo Neme
DDRE DAYTON OHiO
Ciy Zone State
TELEPHONE AGE 20 SEX F-
Indleate any edditional information about yoursslf, Including any spoclal experionce, which might b pertinent.
1
When and to whom did you ropart that you had seen the objoct? 33. When and to whom did you re; that you had seen the objoct?
Doy Dax Month Menth Yoar Yaar
F

(Circle One) Yes No
IF you answered YEs, then how far away would you say it was? .
22. Whore were you located when you saw the object? 2. Were you (Circle One)
(Circle One):
a. in the business section of a city?
. Inside a building Inhe residential suction oi a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfiold?
d. In an airplane (type) . Flying over a city?
. At sea f.
1. Other g.
.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 c. East South y. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? — _miles por hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yos No
+
25. Did you observe the object through any of the following?
a. Eyoglasses Yos No T e. Binoculars Yes
b. Sun glasses Yes No f. Telescope No
c. Windshiold g. Theodolite Yes No
d. Window glass Yes No h. Other
2In order that you can give as clear a picture as possible of what you saw, describe in your own word In order that you can give as sclear a picture as possible of what you saw, describe in your own word
object or objocts which, when placed up in the sky, would give the same app objoct or objocts which, when placed up in the sky, would give the same app arance as th obioct which you sow.
object rotatig object rotating
light light

This quastionnaire has bean prepared so that you can give the U.S. Air Force as much
information as pos concerning the unidentified aerial phenoinenon that you havu olsorver.
Please try to answe many questlons as you possibly can. The information that ycu give will
be used for resear name will not ba used in connection with any statenienis,
conclusions, or publications without your permission. We request this porsonal information sc
that if it is deemed necessary, we may contact you for further details.
When did you see the object? . Time of da, 06 5D
Hour Minutas
14 DEC DEC 66 66 iCircle One): iCircle One): A.M. A.M. or
Day P.M.
Month Yeur
. Time Zone:
(Circle One): a. a, Eastern (Circle Une): a. Daylight_So:ing (Circla Une): a. Daylight_So:ing
b. Contral b. Contral b. Standard
G GMountain Mountain
d. d. Pacific
. Other Other
4. Whare were you when you saw the object?
TALITON
Nearest Postal Address City or Town State or Couney
(Total Duration) 5
Hours Minutes Seconds
a. Certain c. Not very sure
. Fairly certain d. Just a guess
5.1 How was time in sight determined? _
5.2 Was object in sight continuously? Yos No-—
6. O. What was the condition of the sky? What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright a. a. Bright
b. Cloudy b. Cloudy Cloudy
7.IF you sow the object during DAYLIGHT, where was the SUN located as you locked a: the obiest?
(CIrcle Ona): a. (Circle Ona): a. In front of you d. d. To your left
b. In back of you . Overheod
c. To your right c. To your right f. Don't remamber Don't remamber
FORM
FTD OCT 62 164 Thia form supersedee obsolete.

whon you first saw it. Place a "B" on the compass where you last saw the ohioct. .
90• 73°
60 7
A3
NW
18• 18•
BS 35
2. . Draw a picture that will show the motion that the object or objects made. Place an "A. 28. Draw a picture that will show the motion that the obiect or obiects made. Place an "A.' A'at the boginning of ihe the begingiag ot ihe
path, a "g" at the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE oblact, 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.

0
Pago 8
Dezn again GuE Oabwood
0710
tzavrlng S.

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 pos oncerning the unidentified aerial phenoinenon that you havu olserveri.
Please try to answer y questlons as you possibly can. The information that ycu give will
b used for resear 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, we may contact you for further details.
1. When did you see the objoct? 2. Time of da
Hour Minuina
14 DEC 66 (Circle One): A.M. or P.M.
P.M.
Day Month Yeur
3. Tima Zone: 3. Time Zone:
(Circlo One): a. Eastorn (Circla Une): a._Doylight So:ing (Circla Une): . Doylight Soing
b. b. Contral b. Standard
C. Moontain Mountain
d. Pacific
. Other Other
4. Where were you when you saw the object?
Yorth Ston Drus Inn.
Nearest Postal Address City or Town Stot or Couney
.How long was object in s (Total Duration) 5
Hours Minutes Seconds
a. Certain c. Not very sure
. Fairly certain d. Just a guess
5.1 How was time in sight determined? _
5.2 Was object in sight continuously? Yes No_—--
What was the condition of the sky? 6. What was the condition ot the sky?
DAY NIGHT
a. Bright a.
b. Cloudy b. Cloudy b. Cloudy
7.IF you saw the objoct during DAYLIGHT, where was the SUN located as you locked a: the objest? 7.IF you sow the object during DAYLIGHT, whare was the SUN located as you locked a: the objest?
(Circle One): a. In front of you (Circle One): a. In front of you d. To your laft
b. In bock of you . Overhaod Overhaod
C. Te vour richt To your right . f. Don't remember Don't ramember
FORM
FTD OCY 62 164 Thle form superaedee FTD 164, Jul 61, which obsolete.

Page 2
8IF you suw tho 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 fow b. Dull moonlight
c. Many No moonlight - pitch dark
d. Don't romember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky o. Dry
b. Haxy b. Hazy b. Fog, mist, or light rain b. Fog, mist, or light rain
c. Scatternd clouds Scatternd clouds Moderate or heavy rain Moderate or heavy rain
d. Thick o hoovy clouds Thick on hoovy clouds d. Snow
. e. Don't remomber
. The object appeared: (Circle One): 0. The object appeared: (Circle One):
. Solid .Solid d. As a light
. Transporent b. Transpoient . Don't ramember e. Don't ramember
c. Vapur
1. If it appnared os a light, was it brighter than the brightost stars? (Circle One):
a. Brighter c.About the same
b. Dimmer d. Don't know
11.1 Compare bri
The edges of the objoct were:
(Ci.clo Cna) a. Fuzzy or blurred 7 . Other
b. Like a bright stor
c. Sharply outlined
.Don't remember
.Did the object: (Circle One for each question) (Circle One for each quostion)
a. Appear to stand still at amy time? Appear to stand still at amy time? Yos Yes No Don't know
b. Suddanly speed up and rush away at any time? 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
d. d. Give off smoke? Yes No No Don't know Don't know
e. Change brightnoss? Yes No No Don't know
1. f. Change shape? Change shapo? Yes as No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Pugn 3
14. Did tho objoct disappaar wh "1 so, how?
.Did the object move behind something at any time, particularly a cloud?
(Circle One): Yos No Don't Know. IF you answored YEs, then tell what
it moved behind: 1
.. ..-.
.Did the objoet mova in front of something at any time, porticularly a cloud?
(Circla One): (Circla One): Yes Yes No Don't Know. IF you answered YES, the #! wist IF you answere S. tha e! wi:31
in front of:.. in front of:
17. Tell in a few words the following things about the object: .Tall in a few words the following things about the object:
0.Sound 0.Sound
b. Color b. Color _ white y white
8. 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 experiment at the tirw: i i
sighting, how much of the objoct would have been covered by the match head?
3t0 4 at 2ns
lugth
. Draw a picture 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 espacially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
-

(Circle One) Yes No
22. Where were you located when you saw the object? 2. Wore you (Circlo One)
(Circle One):
a. ir: the business section of a city?
o. Inside a building b.1 In the residential secticn oi a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (rype) e. Flying over a city?
e. At sea f. Flying over open country?
1. Other g.
24. IF you wore MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the f llowing qusstions:
24.1 What direction were you moving? Circle One)
a. North c. East . South y. West
. Northeast 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 following?
a. Eyoglassos Yos e. Binoculars Yes No
b. Sun glasses No f. Telescope Yes No
c. Windshiold g. Theodolite Yes No
d. Window glass Yes No h. Other
a common
you sow
L

90 75°
+
A
V
SU.
Draw a picture that will show the motion that the object or objects made. Place an Aat the beginning of the 28. Draw a picture that will show the motion that the object or objects mado. Place an "A' at the begining of the
A
OBSFLOER
29. IF there was MORE THAN ONE obloct, then how many were there?
Draw a pictur of ho they wore arranged, and put an arrow to show the direction that thoy were traveling.
Iobjiet

O
32go 6
3Havs you ave soon this, or a similar object befere. If so give date or dates and location.
Yes No
31.1 IF you answered YEs, did they ses the object too? (Circle One) Yos No
31.2 Ploese list their names end addresses:
6 peout bsnsd
32. Please give the following tnfemation about yoursolf: 32. Please give the following tnfemation about yourself:
NAME NAME
Neme Nome Middio Nome Middio Neme
ADDRESS Daytor __
City Stato
TELEPH NE NUMBER AGE SEX M
Including any speclal experioncs, whish might bo pertinenr.
.When and to whom did you repert that you had seen the objoct? When and to whom did you repert that you had seen the objsct?
Day Month Yoar

0 0
Pago 3
nouth Ston Drve 7
-lights .15-20 yllosh
- loolening Ne to NW
, Movis is on!
- no sowind
-
(blubeing)
thet Moved away
bgogale bot
A

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 pos ncerning the unidentified aarial phenoinenon that you havu olservei.
Please try to ansy y questions as you possibly can. The information that ycu give will
be used for resac Your name will not be used in connection with any statomienis,
conclusions, or publico ns without your permission. We request this personal information sc J
that if it is dsemed ecessary, we may contact you for further details.
1. When did you see the object? ?. Time of da 15
Hour Minutns
14 DEC 66 (CircleOne): (Circle One): A.M. A.M. or P.M. P.M.
Day Day Month Month Your
3. Time Zone:
(Circle One): (Circle One): a.Eastarn a.Eastarn (Circla Une): a. Daylight Soing) (Circle Une): a.Daylight Soing
b. Contral Standard Standard
ComMounirain
d. Pacific
. Other Other
4. Whers were you when you saw the object?
Dot
Neorest Postal Address City or Town Srate or County
.How long was object in otal 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
6. What was the condition of the sky? O. What was the condition of the sky?
DAY DAY NIGHT
a. Bright a.
b. Cloudy Cloudy b.
IF you saw the object during DAYLIGHT, whare was the SUN located as you locked at the obiest? 7.IF you saw the object during DAYLIGHT, whare was the SUN located as you locked at the obiest?
(Circle One): a. In front of you (Circla One): a. In front of you d. To your left To your left
b. In bock of you b. In bock of you o. Overheod Overheod
eTe vou riht To your right f. . Don't romember Don't rammmber
FORM
FTD OCT 62 164 Thia form superaedes PTD 164, Jul 61, whlch ls obeolote.