PROJECT BLUE BOOK

PROJECT 10O73 RECORD
1. DATE · TIME GROUP I. DATF · FIME GROUP 2. LOCATION LOCATION
23 Dec 66 2000Z 2000Z Elkins I Elkins Park, Tenn. Park, Fenn.
.SOURCE 3. . SOURCE 10. CONCLUSION
Civilian INSUFFICIENT DATA FOR EVALUATION
1. NUMBER OF NUMBER OF OBJECTS
Ona
5. LENGTH OF OBSERVATION LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
None Noted SEE CASE
t.. TYPE OF OBSERVATION
Ground Visual
7. COURSE
NE .
3. PHOTOS
D Yes
XNo
2. PHYSICAL EVIDENCE
17 Yes
No
FORM
?. TD St P 63 U-329 (IDE) Previous editlons of this form mey be used. FTD SEP 63 0-329 (TDE) Previous editions of this form mey be used.
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U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has beon prepared so that you can give tha U.S. Air Forca as much
information as poss concerning the unidentified aerial phenoinenon that you havu ol sorvei.
Please try to answer many questions as you possibly can. The information that ycu give wil!
b used for research urposes. name will not be used in connection with any statemienis,
conclusions, or publications without your pormission. We request this personal Information sc ,
that if it is doemed ne necessary, we may contact you for further details.
1. When did you see the object? 2. Time of da
Hour Minutas
23 DEC 66 (Circle One): A..M. or or P.M.
Day Month Your Yeur
3. Time Zone: 3. Time Zone:
(Circle One) (Circle One) a. Eastern Eastern- (Circla Une): a, Daylight Soving
b. Contral Contral Standard +
c. Mountain
d. Pacific
e. Other
4. Where were you whan you saw the objoct?
Elhin Park 7
Nearest Postal Addresa City or Town Srate or Cousnty
.How long was object in sight (Total Duration)
Hours Minutes Soconds
Cortain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? _
5.2 Was object in sight continuously? Yes- No
6. What was the condition of the sky?
DAY NIGHT
Bright a.
b. b. Cloudy
7. IF you sow the objoct during DAYLIGHT, whare was the SUN loccted as you locked a: the obiast? 7. IF you sow the objoct during DAYLIGHT, whare was the SUN loccted as you locked a: the obiast?
(Circle One): a. In front of you (Circle One): In front of you d. To your left To your left
b. In bock of you . o. Overhaod
c. To your right 1. Don't remember seed 6y
FORM
FTD OCT 62 164 This form supereedoe PT7 164, Jul 61, whlch io obsolste.

Page 2
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many No moonlight - pitch dark
d. Don't romember d. Don't remember
objoct?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. F Fog, mist, or light rain
c. Scottered clouds c. Moderate or heavy rain
d. Snow
•. Don't remomber
0.The objact appeared: ircle One).
0. Solid d. As a light
b. Transpoent Transpoent Don't remember o. Don't remember
c. Vapur
1. If it appeared as a light, was it brighter than the brightest stars? (Circls One):
a. Brighter c. About the same
b. Dimmer .Don't know
11.1 Compare brightness to some common object:
1.The odges oi the object were:
(C.clo(na) a. Fuzzy or blurred . Other
b. Like u bright star
c. Sharply outlined
d. Don't remember
Did the oblect: .Did the object: (Circle One for each question) (Circls One for och question)
a. Appear to stand still at amy time? Appear to stand still at any time? Yos No Don't know
b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? Yes No No Don't know
c. Break up into parts or explods? Break up into parts or explode? Yes No Don't know
d. d. Give off smoka? Givo off smoka? Yes No Don't know
e. Change brightness? Change brighiness? Yos No Don't know
f. f. Change shape? Yes Yes No No Don't know
9. Flash or flicker? Yes No No Don't know
h h. Disappaar and reappear? Yes Yoe No Don't know anhnow

Puga 3
(Circle Ona): Yos 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 No Don't Know. IF you answered YES, theu n!l winal
in front of: _.. nTron
17.  Toll in a few words the following things about the object:
a. Sound cue.
b. Color b. Color _ silnn 2ilnn —
. 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 tira: i i.
sighting, how much of the object would have been covered by the match head?
. 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.
Placa an arrow beside the drawing to show the direction the object was moving.

20.Do you think you can estimate the speed of the objoct?
(Circle One) Yos No
IF you answered YEs, then what speed would you estin.ate?
—
(Circle One) Yes No 2-3m
IF you answered YEs, then how far away would you say it was? __
22. Where 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 b. In she residential sucticn si a city?
b. in a car in a car c. In open countryside?
c. Outdoors d. d. Near an airfield?
d. In an airplane (type) . Flying over a city?
e. At sea f.
1. Other __ g. Other - Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete
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 whils you were looking at the object?
(Circla Ono) Yos No
25. Did you observe the object through any of the following?
a. Eyoglasses Yos No . Binoculars Yos No
b. Sun glasses Yos No f. Telescope Yes No
c. Windshiold Yes No g. Theodolite Y.s No
d. Window glass d. Window glass Yes No h. h. Other Other-
2. 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 possible of what you saw, describe in your own word a common
object or objacts which, when placed up in the sky, would give tho same appearanca as the objoct whlch you sow.
)
7

900
75°
NW NS
2.. Draw a picture that will show the motion that the object or objects made. Place an "A'at the beginning of the 28. AM ow thomotion shat the ohioct or ohiects mada. Piec
path, a "" at the end of the path, and show any changes in direction during the course.
29. IF thore was MORE THAN ONE objoct, then how many were there? -
Draw a plcture of how they ware arranged, and put an crrow to show the diraction that thoy wore traveling.

,ngo 6
30. Have you over seen this, or a similar object before. If so give date or dates and location.
3. Was anyone else with you at the time you saw the object? (Circle One) Yes No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names end addresses:
+
32. Please give the following Infarmation about yourself: . Please give the following Infarmation about yourself:
NAME
Last Name FIrat Name Middlo Neme
ELKINS PARK
ADDRESS PENU
Street City Zone Stato
19112
TELEPHONE NUMBER AGE SEX MALE
Indicate any additional information about yourself, incl uding any special experionce, which might be pertinent.
Whan and to whom did you raport that you had saen the object? 3.Whan and to whom did you raport that you had saen the object?
Day Month Yoar
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- 23 Dec66
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DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE, OHIO 4S433
REPLY TO TDET/UFO 1 February 1967
ATTN OF:
SUBJECT: UFO Observation, 23 Doe 66
TO:
SLkias Perh, Pounsylvenia 19117
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form l64 and return it in
the envelope provided. Thank you the envelope provided. Thank you for reporting your observation l for reporting your observation
1000 27147 to the Air Force.
JAMES C. MANATT, COlOnel, USAF JAMES C. MANATT, COlOnel, USAF 1 Atch
Director rechnology and Subsystems FTD Form 164 w/envelope
1000 2714 7M12110 040/1301