PROJECT BLUE BOOK

PROJECT CE73KECOND /
DATE · TIME GROUP .LOCATION
67 2
3. SOURCE 10. CONCLUSION
Civilian INSUFFICTENT DATA FOR EVALUATION
4. NUMBER OF OBJECTS
One
5. LENGTH OF O3SERVATION 11. BRIEF SUMMARY AND ANALYSIS.
30 seconds SEE CASE FILE /
6. TYPE OF OBSERVATION
Ground-Visual
7. COURSE
South-North
8. PHOTOS
07 Yos 07 Yos
(3. No (. No
9. PHYSICAL VIDENCE NCE
Yes
No
FORM
FTD FTD SEP 63 0-329 (TDE) Previous editions of this for may be used. Previous editions of this for may be used.
,
. &

a friend her mediately in others th
lost my "marb Happily,
of Louisville lanetarium observec some of the same
phenomena as I open-mind agree to
whic ve never been
able to achieve.
feel that I am disloyal to the U.S. Air
Force. but ranklv.mv amateurish scientific curiousity
a contact of oossible. it can be pursuad in
quiet and
often to som UFO that I am sure i they intedded
harm they inflicted it eeks aqo. Tbank you
for your Please I have careful notes
about i which will

Drpli
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 4S433
REPLY TO TDET/UFO 14 April 1967
ATTN OF
SUBJECT: servation , 23 Mar 67
TO:
Anchorage Kentucky 40001
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
the envelope provided. Thank you for reporting your observation
to the Air Force.
FAMES C. MANATT, COlOnel, USAF GAMES C. MANATT, COlOnel, USAF 1 Atch 1 Atch
Director of Director Technology and Subsystems Subsystems FTD Form 164 w/envelope
2

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 concerning the unidentified aerial phenoinenon that you have observeri.
Please try to answe ny questions as you possibly can. The information that ycu give will
be used for research purposes, Your name will not be used in connection with any statomenis,
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? 2.0
Hour Minuina
23 MAn 67 (Circle One): P.M.
A.M. or
Doy Month Your
.Time Zone:
(Circle Ongt: a. Eastern (Circle Une): o. Doylighe So:ing
b. Standard
Mounfain Mounfain
d. Pacific
o. e. Other
4.Where were you when you saw 4. Where were you when you saw object?
ANCHORAGE ANCHORAGE
Ky. Ky.
Nearest Postal Address City or Town Stote  County State  County
5. How long was oblect in sight? (Total Duratlon) 5.How long was oblect in s Total Duration) 30
Hours Minutes Seconds
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? YosX No---
What was the condition of the sky?
DAY NIGHT
a. Bright a, Bright
b. Cloudy b. Cloudy hazy
7.IF you sow the objoct during DAYLIGHT, where was the SUN located as you locked at the objest?
(Circle One): a. In front of you d. To your left
b. In bock of you •. Overhead
c. To your right f. Don't remember
FTD FORM
OCT 62 164 Thie form supereed FTD 164, Jul 61, which is obsolete. sond 164

.
8.1 STARS (Circle One): 8.2 MOON (Circl One): I
a. None a.Bright t moonlight
b. A few b. Dull moonlight
c._ Many a c. No moonlight - pitch dark.
d.Don't remember Don't remember. 4
onditions at the time you saw objoct?
CLOUDS (Circle One): WEATHER (Circl One):
. Cloar sky .Dry
Hazy b. Fog, mist, or light rain
c. Scorternd clouds C. Moderate or heavy rain
d. Thick on hoovy clouds d. Snow
•. Don't remember
"
.The objnct appeared: 1. The objnct appeared: (Circle One): (Circle One):
a. Solid Solid d. As a light
b. Transpaient Transpaiont o, Don't remember
c. Vapow Vapow
1If it appnared os a light, was it brighter than the brightest stars? (Circle One): 1.If it appnared os a light, was it brighter than the brightest stars? (Circle One):
a. Brighter Brighter c. About the same
b. Dimmer d. Don't know
1.1 Compare brightness to some common object: Compare s to some common object: .:
?
12. The edges of the objoct were:
(Ciclo (na): a. Fuzzy or blurred . Other
b. Like a bright stor
c. Sharply outlined
d. Don't remember L
Did the object: (Circle One for each question)
a. Appear to stond still at any time? No Don't know
b. Suddanly speed up ond rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
. Change brightness? Yes 9809:9 Don't know
f. Change shape? Don't know
o. Flash or flicker? Don't know
h. Disappear and reappear? Don't know

Puga 3
14. Did the object disappear while you werc vatching it? If so, how?
NO
1. Did the object move behind something at any time, particularly a cloud?
(Circle Ona): Yes Don't Know. IF you answered YEs, then tell what
it moved behind:
16. Did the objeet move in frant of spmething at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, the" ta!l wist
in front of: ._
17. Toll in a fow words the following things about the object:
a. Sound.N
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known ubject and nt "w
much of the object is covered by the head of the match. If you had performed this oxperiment at the tirw: i sit.
sighting, how much of the objoct would have been covered by the match head?
didn't Lint -d 7 7
undentend <
. 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 st trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
7
'

.
. At sea f. Flying over open country?
g.
the time, then complet
a. North c. East South y. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? _ _milos per hour.
24.3 Did you stop at an
No
. In ordor that you can give as clear a picture as possible of . ommon
ich you sow

75°
B
20E>AB
Bss
S0
A
2Draw a picture that will show the motion that the object or objects made. Place an "Aat the beginning of the
path, a "B" at the ond of the path, and show any changes in direction during the course. path, a "B" at the ond of the path, and show any changes in direction during the course.
25 J 4
ssw
29. IF there was MORE THAN ONE objoct, then how many were there?
Draw a picture of how they were orranged, and put an arrow to show the direction that they wore travaling.
orlyne

. Ploase give the following Infe mation about yourself:
NAME
First Neme
AD ANCHORAGE 4
Street City
TELEPHONE NUM AGE 49 SEX LEMALE 4 0001
Indieate any eddit ormation about yourself, inc cluding any spe
KNOWS ALIT
!
33. When and to whom did you repert that you had seon the object?
24 MAR 7
Doy Month Your
F17DO

Poge 7
3.Date you comple this questionnaire:
Compliatic ly  Do M Your
questionnaire or a narrative explanation of your slghting.
?
4
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