PROJECT BLUE BOOK

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| 1, PATE + TIME GROUP

LY, Feb 67 15/2,002

— ee ee ee ee

Civilian

4. NUMBER OF OBJECTS
1

5. LENGTH OF GESERVATION

3 - 5 Minutes

é&. TYPE OF OBSERVATION

Ground=Visual

7e COURSE

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2. PriOTOS

ci Yeas
AXNo
1” PHYSICAL EVIDENCE

it Yes

ULXNo

FORM
FTD sep 63 0-329 (TDE)

a AV ite i o< mn

PRUJEUI 100/35 KOULUKY
2. LOCATION

Murfreesboro, North Carolina
10. CONCLUSION

Astro (JUPITER) Vn at

JUPITER was at an elevation of 30 deg, azimuth of 80 dex at tim

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UU ViviQile

11. BRIEF SUMMARY AND ANALYSIS =

Object was like a bright star and about twice as bright as
Venus, Object grew large, stay that way a few seconds, tnm
grew dim. Observer stated she looked away for a moment and
then looked back and object was gone. Observer stated i al |

was stationary most of the time but appeared occasionally move
in a small area.

Previous editions of this form may be used.

Page 5

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 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 /ast saw it. Place an ‘'A’’ on the compass

when you first saw it. Place a ‘'B’’ on the compass where you /ast saw the object.

90°

T5°

28. Wraw a picture that will show the motion that the object or objects made. Place an ‘‘A’’ at the beginning of the
path, a ''S’’ at the end of the path, and show any changes in direction during the course.

wv
8

| eg

W/ iE

~ S

: 7
29. IF there wes MORE THAN ONE cbiject, then how many were there? _ ONS Ott

Drow a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

Page 6

”

30. Hove you ever seen this, or a similar object before. If so give date or dates and location.

No

—_—-——_—_— 7 —-+ — —- —---- —_——_

31. Was anyone e!se with you at the time you saw the object? (Circle One) Yes
31.1 IF you onswered YES, did they see the object too? (Circle One) Yes No

31.2 Pleose list their names and addresses:

>—>— ———_—_-—- — ee ——- — — _ _—

—_—-

PL2aAse FXKtuS e&
“le S {A {" €_

32. Please give the following information about yourse

NAM

Lest Nome we First Nome Middle Nome

au, Leak ee. we Ss

City Zone State

ADDRES

as

tree!

TELEPHONE — #  g« AcE _/ S sex AA ALS

indicate ony edditional information about yourself, including any special experience, which might be pertinent.

_—_— —_—_ _— —_—_——_—-— -_—_—__-—- —— —_—_— _ ——$—$——— _— —_

33. When and to whom did you report that you had seen the object?

[4 Feb, l4G67
Da

—

y Month Year

SS

Page 7

34. Date you completed this questionnaire: 7 [ if — MAr e (4 [4 ]
Day Month Yeor

ne ee ee — —+- _—— ———_ - —_ re ee es = oo See -scces +e «

35. 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.

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DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45435

arn or, TDET/UFO 15 March 1967
sunect’ UFO Observation, 14 Feb 67 Pi FEE ae

W) 4 free Teed ca JC. G’.

TO:

Ahostie, North Carolina 27910

Reference your unidentified observation. 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

envelope provided. Thank you for reporting your observation
to the Air Force.

fr"
gory
7 Fh,

‘JaMES C. MANATT, Colonel, USAF 1 Atch
/Birector of Technology and “Subsystems FTD Form 164 w/enve lope

|

TDET/UFO OFFICIAL FILE COPY

U.S. AIR FORCE TECHNICAL INFORMATION

This questionnaire has been prepared so that you can give the U.S. Air Force as much
informetion 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.

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a i 7 ee — 4 F = ya ee i “-. ‘4 i, aaa
]. When did you see the object? 2. Time of day; __ O é a) aii
Hour Minutes
—,', te “ “a
i4f a oe ib 1 (Circle One): A.M. or %;,
Doy Month Year

— —_—_----- - —— ——- - —— -—_

3. Time Zone: (. be :
(Circle One); @._ Eastern) (Circle One): a. Dayli ht Saving |
b. Gaia! ; Cb. “Standard |

¢. Mountain —— |
d. Pacific :
e. Other |
| |
4. Where were you when you saw the object? 2
Murk te 2sbo ro _ Muekcees boro North Carola:
Necrest Postal Address City or Town State or County
5. How long wes object in sight? (Tots! Duration) oO Bite S O
Hours Minutes Seconds
s. Certain c. Not very sure |
co. Fairly certain d. Just a guess
5.1 How was time in sight determined? ~- YP wes Aus rT AFrTer Sew (tact Ce FE
| 5.2 Was object in sight continuously? Yes tae No — |
6. What was the condition of the sky?
DAY NIGHT
o. Bright Ca,_ Bright >
b. Cloudy b. Cloudy
7. 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 d. To your left
b. In back of you e. Overhead |
¢. To your right f. Don't remember |
FORM

FTD Oct 62 164 — This form supersedes FTD 164, Jul 61, which is obsolete.

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age 2

8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

po
8.1 STARS (Circle One): 8.2 MOON (Circle One): |
a, None a. Bright moonlight
(b. A fs ‘sw > b. Dull moonlight

c. Many Ce -Neo moonlight — pitch dark

d. Don't remember (d._Don't remember,

—

—— —— -— — —

9. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One): WEATHER (Circle One):
sen ge ee
(a, Clear sky b { a. Dry )
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e. Don’t remember

—

10. The object cppeared; (Circle One);

~—-

c. Solid d, Asa ligh |
b, Transpcrent e. Don’t remember
c. Vapor

$$

——

1]. lf it appeared os a light, was it brighter than the brightest stars? (Circle One):

Co, Brighter > c. About the same

b. Dimmer d. Don’t know

11.1 Compere brightness to some common object:

:
J LL weed about LUA OA acalet Cd Vena.

_—_— — — ———$—$— —

———--- —_— — ——_—_--- —

12. The edges of tne object were:

(Circle Ores: _unty or blurred e. Other
Li b. Like @ bright star |
» Sha rply outlined | |
Do

on’t remember

1. 9 L i

13. Did the object: (Circle One for each question)

a. Appear to stand still at any time? ( Yes) No Don’t know
b. Suddenly 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? es ass Don’t know
e. Change brightness? . es No Don't know
f, Change shape? Yes o. Don’t know
g. Flash or flicker? 7 Yes (No> Don’t know
h. Disappear and reappear? Yes (No) Don't know

14,

15,

Poge 3

Did the object hes while you were ;watching it? If so, how? — <). ho. page| rat pct C0 wa

Le47¢ AE al

Alec! X ¢ eee 2 awrtule J rae soothe. 4 wea at PTA . a5. b.
LATE Y BUM ret ioe ,AdO, thet pled. fe si Eche. ane AMPA Yet

LAMAR y Orde oot JD WPte WD AF, A> 4hrar bhrArhid ec KH,
It. iegha! “Sans oud, Ae bkeeNt. Ctr.

—s* eee —— ee -

Did the cbject move behind something at any time, particularly a cloud?

(Circle One); Yes ( No } Don’t Know. IF you answered YES, then tell what
it moved behind: «

— ee ee ee ee ~~

—_— ---— -—- —__

16.

Did the object move in front of something at any time, particularly a cloud?

(Circle One): Yes (io) Don’t Know. IF you answered YES, then tell what

a a eS ee

——— a ee —_

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- -_—_——

17.

Tell in a few words the following things about the object:

9. Sound I dtdn't Aid LL Qed Letimndk. gitE ee

_———

b. Color Li Are. the CUM AAL wo Hees “eg Leg, hot

— a ——

18.

19,

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 wou!d have been covered by the match head? 9 tL Ad Angee et de

por — tp yare  caalgee The. Y aie gan oh ae J hing hens

a" fee

9 lt eat ae, pcm v2 hed hed relay fee ade Sete

det EA ae men ent, wert Cher Coe-he eeu brehyand
AX Ate 6 Fore

—

Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object shat vou saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.

Place an crrow beside the drawing to show the direction the object was moving.
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And Atotiena7) rath
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» Page 4

20. Do you think you can estimate the speed of the object? |

(Circle One) Yes (Ne) i |

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

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):

a. In the business section of a city?

a. Inside o building b. In the residential section of a city?

b, Ina car c. In open countryside?

CY Outdoors: d. Near an airfield?

d. In an airplane (type) e. Flying over a city?

e. At sec f, Flying over open rey

f, Other g. Other OA ot 74 TN

—— —— 1.

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 e. South g. 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

25. Did you observe the object through any of the following?

a, Eyeglosses No e. Binoculars Yes No)

b. Sun glasses Yes No_ f. Telescope Yes o
c. Windshieis Yes (No? g- Theodolite Yes No)

d. Window glass Yes {No h. Other

26. 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 objects whigh, when placed up in the sky, would give the same appearance as the object which you saw,

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