PROJECT BLUE BOOK

PROJECT ICOTS PECORD
GROUP 2. LOCATION
February 196? Glexctid, Otlfomia
sMcs 10. CONCLUSION
Civilian Possible (AIRORnY
1. NUMBER OF OBJECTS been an A/O.
One
5. LENGTH OF VATION 11.
Observer stated dbi ot was shaped like a passenger A/o bue no
3 Mnutes Object disuppsared over the hills in a NW direction.
l.. TYPE OF OBSERVATION wings.
Ground-Visual Ground-Visual
7. 7. COURSE
NW
2 PHCTOS
n Yes
CCie CChe
2. PHYSICAL EVIDENCE PHYSICAL VIDENCE
"7 Yos n7 Yos
-No
FORH Previous editions of thie form may bo used. Previous editions of thie form may be used.
FTD FTD SEP63 0-329 (TDE) SEP63 0-329 (TDE)
9

-T 1
Page 7
34. Date you completed this questionnaire: A0r11 18 1967
Day Month Year
.information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
My twin daughters were with me on our East Patio- I called their
attention to thething, just past overhead-going Nw over Verdugo Bills
Was moving too slow for an air plane to remain in the air unless it
was going to land

Ie /prlle DEB:67:
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN DIVISION (AFSC)
WRIGHT-PATTERSON AIR OH10 43433
PEPLY TO TDET/UFO 14 April 1967
ATTN OF
SUBJECT
TO.
Glendale Pornia 91203
Reference your unidentified observation. T The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return it in
the envelope provided, Thank you for reporting your observation
to the Air Force.
JAMES C. MANATT, Colonel, USAF 1 Atch
Director chnology and Subsystems FTD Form 164 w/envelope
ADO SILE TIOIO ON/JAL
ao 0dn/Jal

Verdugo Hills, on the extreme South tip of
the hills. 1720 Hillcrest.
As far as I know, any plane used civilians
could not have mainta slow speed
it was moving.
I have tried many anrles, Police Dept. Lockheed, test
pilot at Lockheed, civilians No one
'one of us drink anyt None of us drink anyt onger than than coffee!
Know what it was?
Sincere Sincene
Senk 164
DUND

This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phanomenon that you have observed.
Please try to answer as any questions as you possibly can. The information that you give will
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.
2. Time of day: L
Hour Minutes
(Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
a. Eastern (Circle One): Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? In back Petio at home In back Petio at home-
2 California
City or Town Calif State or County Stata or County
5. How long was object in sight 5.How long was object in sight? (Total Duration) a bout 3
Hours Minutes Seconds
a. Certain Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?I am a nioneer mfr of 5.1 How was time in sight determined?I am a nioneer mfr of L-rsy-counted time L-ray-counted time
before we had timers. lefore we had timers.
5.2 Was object in sight continuously? Yes Yes No NoI
6.What was the condition of the sky?
DAY NIGHT
a. Bright x a. Bright
b. Cloudy
.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you x d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supernedes F'TD 164, jul 61, which is obsolete.

8.1 STARS (Circle One): 8.2 MOON (Circle One):
None a. Bright meonlight
a. b. Dull moonlight
b. A few c. No moonlight - pitch dark
c. Many d. Don't remember
d. Don't remember
What were the weather conditions at the time you saw the object? Clear
9.
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Fog, mist, or light rain
b. Hazy Moderate or heavy rain
c. Scattered clouds c.
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid x d.As a light
b. Transparent e. Don't remember
c. Vapor apo
If it appeared as a light, was it brighter than the brightest stars? (Circle One): 17. lf i 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 d. Don't know
11.1 Compare brightness to some common object:
The edges of the object were: 12. The edges of the object were: Shaved like our passenger Shaped like our passenger
(Circle One): a. Fuzzy or blurred (Circle One): a. Fuzzy or blurred e. e. air planes but no wings. Other Other
b.Like a bright star b.Like a bright star Small box-like house on Smell box-like house on rear.
c. Sharply outlinedk Shgrply outlinedx
d. Don't remember
(Circle One for eoch question)
.Did the object: Don't know
Appear to stand still at any time? Yes No X
a. Yes No X Don't know
b. Suddenly speed up and rush away at any time? No X Don't know
c. Break up into parts or explode? Yes Don't know
Yes No X
d. Give off smoke? Yes No X Don't know
e. Change brightness? Yes No X Don't know
f. Change shape? Yes No X Don't know
9. Flash or flicker? Yes No Don't know
h. Disappear and reappear? are in the Verdugo Hills-
We lost sight of it beceure ve
on the Southem tin of the hills
Our home is

Page 3
14. Did the object disappear while you were watching it? If so, how?
/
Lost sight as it rassed over the Verdugo Hills going in a 'orth
We terly direction
.
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes Nox Don't Know. IF you answered YES, then tell what
it moyed behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No x Don't Know. IF you answered YES, then tell what
in front of:
.Tell in a few words the following things about the object:
a. Sound. Heard nothing
Off-white same as rost passenger planes
b. Color
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?
Do not know to do this but the shio was at jeast as long as the Jet$
possibls a possiblea bit longer.
. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details 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 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.
G noise
L
Resemble the body of a passenger ship-saw no windows.
.

UNCUCO
.
Page 4
20Do you think you can estimate the speed of the object? Petween l5 and 25 miles per hour
(Circle One) Yes X 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?
(Circle One) Yes x No
IF you answered YES, then how far away would you say it was? When_overhead-500 to 1000 ft
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?
a. Inside a building b. In the residential section of a city? x
b. In a car In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city? Glendele
e. At sea f. Flying over open country?
f. Other g. Other
24. 1 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? (Circls One) 24.1 What direction were you moving? (Circle One)
c. North c. East c. East e. South g. West g. West
b. Northeast b. Northeast d. Southeast Southeast f. Southwest h. Northwest 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
Did you observe the object through any of the following? 25. Did you observe the object through any of the following?
a. Eyeglasses a. Eyeglasses Yes No x e. Binoculars Yes No x No x
b. Sun glasses b. Sun glasses Yes Yes No X f. Telescope Yes No X
c. Windshield Yes N X g. Theodolite Yes No X
d. Window glass Yes No x 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
- no windows
.
.

Pago 5
27.1 In tha 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 the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90
75
60° Ioved North West over Verdugo
t-B
Hills
NW NS
30°
E
-15°
SW 55
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. path, a "B" at the end of the pat and show any changes in direction during the course.
7
It moved NW It moved W
We were X We were
here
A
2. IF there was MORE THAN ONE object, then how many were there? 29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho w they were arranged, and put an arrow to show the direction that they were traveling. they were arranged, and put an arrow to show the direction that they were traveling.
Only one Only one

32.Please give the following information about yourself:
NAME First Name Middle Name
Last Name
Clendale Clendale 91203 91203 Calif Calif
ADDRESS State
Street Street City Zone
AGE 80 80 SEX Nake
TELEPHO T3LEPI
indicate any additional information about yourself, including any special experience, which might be pertinent.
I am intetestedin gardening-take care of acres acre (In office about
I am intetestedin gardening-take X-ray-Galvenic & Faradic ecuiorenlt Faradic ecuiprent
30 hours a week) ( tarted on Static on Static Took course for
Aug. 4, l9oo) Have PhT degree-never practice practic choice!
information.I love amimals-even the Coyete-they are not here by choide ! Coyete-they are not here by
Patents Make & Freak--Solit core trensformer-Freather in X-ray-Sterilux- transformer-Freather in X-ray-Sterilux-
FISCHERqUARTz- (had 7 years in Grammar School)want to work so I
could eat.)
.When and to whom did you report that you had seen the object? copy-'ope you can fill in where
I wrote you a letter-sorry I made no ges.
Day Month Year
(Am Co-Pilot)
.