PROJECT BLUE BOOK

PROJECT 1CO73 RECORD
1. DAIF . TIME GROUP LOCATION
31 Mir 67 1/03.37 Cuyahoga Falls, Onio (l wianess)
3. SOURCE 10. CONCLUSION
Civilian Civilian Possible POssible (AIRCRAFT) (AIRCRAFT)
1. NUMBER OF OBJECTS . NUMBER OBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
15 minutes Observer stated that the ooject appeared as a lighs. Osgect Oogect
e. 1YPE OF OBSERVATION TYPE OF OBSERVATION appeared to brighter than the brightest ster. to brighter than the brightest star. Brigioness of Brigroness or
ofobjoet was compared so sna: or a radio cower beacon. ofobjoet was compared so sna: or a radio cower beacon.
Ground Visual Ground Visual Object was hidden by scme trees. Object was hidden by some trees. Object had no distinst sot .
7. COURSE 7. COURSE Object was a bright red.
West-East
8. FRIOTOS
7 Yes
ox No
9. PHYSICAL EVIDENCE
07 Yos
C No
FORM
FTD SEP63 0-329 (TDE) Previous editions of thie form may So usod.
7

Page 6
Have you ever 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
1ex Road Cuxahond Falls Oh044223
odd Akron Ohio
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME
Last Name First Name
ADDRESS ahoyaFalls hoya Falls 44283 44223 Ohio
Street Street City Zone State
TELEPHONE NUMBE TELEPHONE NUMBE AGE 15 AGE 15 SEX M SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
Month Year only to you.
Day

1 - 6 APRIL 1967 SIGHTINGS
DATE LOCATION OBSERVER EVALUATION
Apr Ventnor, New Jersey Civilian (PHOTOS) Sighting: Other (CONFLICTING
DATA)
Photo: Other (FOREIGN N MAT
TER STICK-
ING TO NEG-
ATIVE)
Apr Levittown, New York INSUFFICIENT DATA
Apr-Aug Denville, New Jersey INSUFFICIENT DATA
1 Fairplay, Colorado AIRCRAFT
1 Tucson, Arizona AIRCRAFT
1 South Welliagton, Texas Other (PSYCHOLOGICAL)
1 New Orleans, Louisana (PHTOS) Sighting: Other (HOAX)
Photo: Otber (SMALL MAN
MADE OBJECT
2 Falls, Pennsylvania INSUFFICIRNT DATA
2 Shively.Kontucky 2 AIRCRAFT
2 Saeramento. California INSUFFICIENT DATA
Pittsburgh, Pennsylvania AIRCRAPT
Springfield, Chio Astro (VENUS)
mmmmm 3 ·Colorade Springs, Colorado ·Colorade Springs, Colorado Astro (VENUS) (VENUS)
3 Roseville, Michigan Other (BIRAS) Other (BIRaS)
3 Omaha, Nobraska IRCRAFT IRCRAFT
3 and 11 3 and 11 Canden, Ohiio Canden, Ohio Astro (VEnUS) Astro (VENUS)
3-11 3 -11 Kalida, Ohie Multiple Astro (VRNUS) (VENUS)
.Pensacola, Florida Pensacola, Florida Astro (SATUEN)
Youngatown, Ohio Multipl Multiple Astro (METEOR) Astro (METEOR)
Hatboro, Pennaylvania Hatboro,Pennsylvania Multiple AIRCRAFT
Hayesville, North Carolina Hayesville. North Carolina Multiplo Multiplo SATELLITE SATELLITE
Wheeling. West Virginia Wheeling. West Virginia AIRCRAFT AIRCRAFT
:Dayton, Ohio INSUFFICIENT DATA INSUFFICIRNT DATA
\Denver Wonve Colorado Colorado Astro (SIRIS) Astro (sIRms)
Las Vegas, N evada BALLOON
Creswell, Oregon Other (CONFLICTING DATA)
\Queens Village, New York INSUFFICIENT DATA
St Joseph, Michigan INSUFFICIENT DATA
Plaza, Colorado Astro (VENUS)
Westminister, Colorado INSUFFICIENT DATA
Old Bridge. New Joraey Multiple PHOTOS) Sighting: Other (CoNFLICTING
DATA)
PhOtO: INSUFFICIRNT DATA
Deaver, Colorado Astro (vEmuS)
n00 Wilberforce, Ohio INSUFFICIENT DATA
Denver, Colorado Astro (VENUS)
Albuquerque, Nw dexico Strobe light on jet

[1-6 April 1967]
ADDITIONAL
DATE LOCATION SOURCE EVALUATION
Apr Dorr, Michigan
1 New York, New York Green 164.
2 Walcott, Iowa Green 164.
2 Seattle, Washington Green 164. E
2 Cak Lawn, Illinois Green 164.
Iowa Falls, Lowa Green 164.
IChicago Area Newsclipping
'Cambridge, Ohio Green 164.
mmno0 Utica, New York Green 164.
Rochester, New York American Meteor Soc. Report
Stara Zagora, Bulgaria Foreign Broadcast Info Sve.
St Croix lls, Wisconsin Green 164.
.

Ginng
in the westerw shy, thom theobfect went south until of aki, the ogict was houlting and linhing
out of sight. 5me 1o'o & have Meveh Leen it again! -

4
Page 1
L 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.
7 A 00
.When did you see the object? When did you see mhe oolecr? 2. Time of day:
Hours Minutes
24 3 67 67 /P.M.
(Circle One): (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): aEastem (Circle One): a. Daylight Saving
6. Central Central 5. Standard
c. C. Mountain
d. Pacific
e. e. Other
4. Where were you when you saw ject?
Ditt bugh
Nearest Postal ddress City or Town State or County
5. How long was object in sight?. (Total Duration) 1D
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? ant.
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy 5. 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
c. To your right f. Don'tremember
FORM
FTD OCT62 164 This form supersedes FTD 164, jul 61, which is obsolete.

FORCE UFO FORM
Page 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 a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight-pitch dark
d. Don'Tremember d. Don'tremember
9. What were the weather conditions at the time you saw the object?
CLOUDS(Circle One): CtOuLstCrcre One): WEATHER(Circle One): WEATHER(Circie OHe):
a. Clearsky a.Dry .Dry
b. Hazy Fog, mist, or light rain b.Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d.Thick or heavy clouds d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared:(Circle One):
a. Solid d. Asalight d. Asalight
b:Transparent b:Tramsparent e.Don'tremember e. Don'tremember
c. Vapor
If it appeared 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 brightness to some common object:
12.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other_
b. Like a bright star
c. Sharply outlined
d. Don't remember
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? Yes No Don't know
e. Change brighiness? Yes N2 Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes Don't know )
h. Disappear and reappear? No Don'tknow

Official U.S. Air Force
Poge 3
e
Lay a 45 angle
Dd the ctmove bhind sthing  n particulary a ?
(Circle One): Yes No Don't know. IF you answered YES, then tell whot
it moved behind:_
16. 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:
.Tell in a few words the following things about the object: 17. Tell in a few words the following things about the object:
b. Color
. 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 th . 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 th
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much
the object would have been covered by the match head?
Draw a picture that will show the shape of the object or objects. Lobel 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.
actualdize
LE

Air Force UFO form continued
Page 3 Page 4
20. Do you think you can estimate the speed of the object?
Rel Plent
(Circle One) Yes) No
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
tell what
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?
aInside a building b.In the residential section of a city?
tell what b. In a car c. In open countryside?
cOutdoors d.Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. Atseo
f. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the foilowing questions:
24.1 What direction were you moving? (Circle One)
o. North 0. North c. East e. South g. West g. West
b. Northeast d. Southeast f. Southwest f. Southwest h. Northwest Northwest
note how much of the
sighting, how much of 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. Eyeglasses Yes No e. Binoculars No
y details of the object b. Sun glasses Yes No f. Telescope Yes
w beside the drawing C. Windshield No g. Theodolite Yes
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 object or ob-
jects which, when placed up in the sky, would give the same appearance as the object which you sow.

Official U.S. Air Force
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 "8" 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°
60 o N
NW NE
30°
w E
Vrs
15 Sw SE
$\ra}$ A
Dra a picture that will show the motin that the ect  ject ma. Place an the beginnig of the pat 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.
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.

UFO form continued
Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location. no
2
31. Was anyone else with you at the time you saw the object? (Circle One) (es) No
31.1 IF you answered YES, did they see the object too? Yes) No
31.2 Please list their names and addresses:
2NNSYLUANiA1S220
32. Please give the following informgtion about yourself: 32. Please give the folloy wing informgtion about yourself:
NAME
Name Name First Na irst Na widGie idaie dm-
ADDRE 20 20
Street City City Zone Zone State
TELEPHONE TELEPHONE AGE/3 AGE. SEX MA/E SEX MA/E
Indicate any additional information about yourself, including any special experience, which might be pertinent. Indicate any additional information about yourself, including any special experience, which might be pertinent.
24 3
Day Month Year

Official U.S. Air Force UFO
Page 7
34. Date you completed this questionnaire: 24 3 GZ
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.
7zne
1
-

Air Force UFO form continued
Page 5 Page 6
ow how high the object . Have you ever seen this, or a similar object before. If so give date or dates and location.
w high the object wcs
ace a "B"on the com-
+
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
31.2 Please list their names and addresses:
E
SPRINCFIELD
SE
32. Please give the following information about yourself: 32. Piease give tne following intormation about yourself:
NAME
First Name Middle Name
g of the path, a "Bat g of the path, a "B"at FKU
ADDRESS 4FIC CHIO Cμ
City City Zone State
TELEPHONE NU SEX M1+46 SEX MA+4C
Indicate any additional information about yourself, including any special experience, which might be pertinent.
veling.
33. When and to whom did you report that you had seen the object?
Z4 L1ARCit 196
Day Month Year

31MAn67
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCZ BASE. OHIO 43433
REPLY TO ATTN OF: TDET/UFO 14 April 1967
SUBJECT: 31 Man67
TO: Cuyahoga Falls, chid
Cuyahoga Fs hio 44223
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 for your observation
to the Air Force.
POE E TE O/ JAMES C. MANATT, COlOnel, USAF 1 Atch
Director of Technology and Subsystems FTD Form 164 w/envelope
-

Official U.S. Air Force U
Page 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 cbject
was above the horizon (skyline) when you first saw it. Ploce 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. Piace a "B" on the com-
pass when you last saw the object.
90° 75°
N
NW NE
30°
w E
15° SE
GE BE 0° s S
Draw a picture that will show the motion that the object or objects made. Place an "at the beginning of the path, a Draw a picture that will show the motion that the object or objects made. Place an t the beginning of the path, a
the end of the path, ond show any changes in direction during the course.
A WE
6 L
— →-+
2 2
iD E A<7
C 1
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.
WEST
OTH
NOKTL
VEAT
.-

65 Official U.S. Air Force UFO form
Pogo7
34. Dare you sompleted this questionnaire: 24 M/12CH 1962 Month Year
Day
e or a narrative explanation of your sighting. THE
bejit T
50UTTO W is
alnnoet evee SouT
ttr2
The atheer djist
ivt hete whDn liefo2e 1
it Llile te

UFO form continued
Page 8
WEs-
SAOT NRT
THEN THEN
Here Here
7
EFST

T
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, may contact for further details.
When did you see the object? 2. Time of day: 9 15
Hours Minutes
24 24 MrhcH Mrh-cH 1967 (Circle One): A.M. A.M.
or P.M.
Day Month Month Year
3. Time Zone: 3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving (Circle One): a. Daylight Saving
b. Central b. Standard b.Standard
c. Mountain Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
5PRINGFIELD
Nearest Postal Address City or Town State or County
5.How long was object in sight? (Total Duration) 3
Hours Minutes Seconds
a. Certain c. Not very sure
. Fairly certain d. Just a guess
5.1 How was time in sight determined? BY CLOCK
5.2 Was object in sight continuously? Yes_ No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. 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
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164. jul 61, which is obsolete.

ORCE UFO FORM
Paga 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(Circl One):
a. None a. Bright moonlight
5.Afew b. Dull moonlight
c. Many c. No moonlight-pitch dark
d. Don'tremember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS(Circle One): WEATHER(Circle One):
aClaocsky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Thick or heavy clouds d. Snow d. Snow
e. Don't remember e. Don'tremember
10. The object appeared: (Circle One):
a. Solid d.As a light d. As a light
b. Transparent e. Don'tremember
C. Vapor
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):
a. Brighter c. About the same c.About the same
b. Dimmer b. Dimmer d. Don't know d. Don't know
11.1 Compare brightness to some common object:
Cl
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other.
b. Like a bright stor
c. Sharply outlined
d. Don't remember
1Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don'tknow
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'tknow
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don'tknow
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Air Force UFO form continued
Page 3 Poge 4
20. Do you think you can estimate the speed of the object?
(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?
(Circle One) Yes No
en tell what
IF you answered YEs, then how far away would you say it was?.
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a.In the business section of a city?
a.Inside a building b. In the residentiol section of a city?
en tell what b. In a car c. In open countryside?
c. Outdoors dNear an airfield? Near an airfield?
d.In an airplane (type) e. Flying over a city? e. Flying over a city?
e. Atsea f. Flying over open country?
f. Other Other g. Other. 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 e. South g. West
b. Northeast b. Northeast d. Southeast f. Southwest Southwest h. Northwest
nd note how much of the
e sighting, how much of e sighting, how much of 24.2 How fast were you moving?. 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. Eyeglasses No e. Binoculars Yes
ny details of the object b. Sun glasses No f. Telescope Yes
row beside the drawing c. Windshield 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 ob-
jects which, when placed up in the sky, would givethe same oppearance as the object which you saw.
L

Official U.S. Air For
Puge 3
Did the object disappear while you were watching it? If so, how?
Did the object 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:
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 whot
in front of: in front of:.
17. Tell in a few words the following things about the object: T
a. Sound_ !
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
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much
the object would have been covered by the match head? the ohiactwn motch.head?
. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the obj
that you saw such as wings, protrusions, etc., ond especially exhaust trails or vapor trails. Place an arrow beside the draw
to show the direction the object was moving. EST
O CC Lenin C
CLOTNS
VNT

Me ond
took a woth i the fo
tie

c8 itther
I Cinel
E

. Air Force JFO form continued
Foge5 Page 6
o show how high the object 30. Have you ever seen this, or a similar object before. If so give date or dates and location.
w how high the object was Cea detdal Lume 20,1966
i Place a '8 on the com
buust 15
n
31.1 IF you answered YES, did they see the object too? (Circle One) (Yes No
NE 31.2 Please list their names ond addresser tiale ln
teme all
E Scottdale Cvenae
kom
SE Avemme feddalea
32. Please give the following information about yourself:
NAME Last Name Last Name Middle Name Middle
ning of the path, a "B" at hning of the path, a "B" at idal idal
ADDRESS City Zone State
egh hegh City
TELEPHONE NUMBER AGE. SEX. Mai Mal
aisaopian a1s20pian
Clrude Cloude Indicate any additional information about yourself, including any special experience, which might be pertinent. Indicate any additional information about yourself, including any special experience, which might be pertinent.
the watcher
Egtth the a good a Good I1FO watcherr U1FO
troveling. Foo pned to goort utode berauae Loe
baie bg Jacobo Cicha and At i called
the tronaylrona
UFO
fhrulhy
33. When and to whom did you report that you had seen the object? 4
24 3 Li7
Day Month Year
to Lonci News
-

and heDaw Zigler-
.it

Official U.S. Air Force
Page 5
bove the horizon (skyline) when you las saw. Place an on the compass when you fi sw . Place a n the com
pass when you last saw the object.
13
90° 75°
N
NW NE
30°
W E
15 Sw SE
s
Draw a picture.that wil show the motion that the object or objects made. Piace an "A" at the beginning of the path, a "Eat
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.
The UFe The UFC went staighA taighA sne then met
ond alttude and they altitude and they disappein disoppian
thCleud ani lonmg Gut dthe Coud the Couds
29. IF there was MORE THAN ONE object, then how many were there? 1 Itogithe
D      a ty .
ducton OUfC
O.
>r

OFFICIAL U.S.AIR
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. W Ve request this personal information so
that if it is deemed necessary. ay contact for further details.
.When did you see the object? Time of day: 9 25
Hours Minutes
3 (Circle One): A.M. A.M. P.M. P.M.
(Circle One): or
Day Month Year Year
3. Time Zone: 3. Time Zone:
(Circle One): a. Eastern (Circle One): a. (Circle One): a. Daylight Saving Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. e. Other
4. Where were you when you saw the object? Where were you when you saw the object?
Che tait and f Pettlugtfttale Destmoland
Nearest Postal Address City orTowin State or County
5.How long was object in sight? (Total Duration) 3
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? R Clock
5.2 Was object in sight continuously? Yes. No
What was the condition of the sky?
DAY NIGHT Night
a. Bright
b. Cloudy Eloudy
F 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
c. To your right f. Don'tremember
FORM
FTD OCT62 164 This forrn upersedes FTD 164, jul 61, which is obsolete.

FORCE UFO FORM
Page 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 a.Bright moonlight
b. A few .Dull moonlight
C. Many c. No moonlight—pitch dark
d.Don't remember d. Don'tremember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c.Moderate or heavy rain
d. d. Thick or heavy clouds Thick or heavy clouds d. Snow d. Snow
.Don't remember . Don't remember
The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid d. As a light d. As a light-
b. Transparent e. Don'tremember e. Don'tremember
c. Vapor Vapor
I t appeared as a liht, 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):
a. Brighter a. Brighter .About the same c.About the same.
b. Dimmer b. Dimmer d. Don'tknow d. Don'tknow
11.1 Compare brightness to some common object:
Aunimum
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other_
b_Like a bright star
c. Sharply outlined
d. Don'tremember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
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? Yes No. Don't know
e. Change brightness? Yes No Don'tknow
f. Change shape? Yes No Don'tknow
g.. Flash or flicker? Yes No Don't know
h. Disappear and reappear? (Yes No Don'tknow

Air ForceUFO form continued
Page 4
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?
(Circle One) Yes No
then tell whas 1 mila high:
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 a building .In the residential section of a city?
then tell ha b. Inacar b. In a car c. In open countryside?
c. Outdoors Outdoors d.Near an airfield? dNear an airfield?
d. In an airplane (type) e.Flying over a city? e. Flying over a city?
e. Alseo e. Alseo f. Flying over open country?
f. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle ot the time, then complete the following questions: 2. 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 g. West
b. Northeast d. Southeast f. f. Southwest Southwest h. Northwest h. Northwest
and note hoe mast arthe and note bo mast ar th
the ighting hce nmt 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
2s. Did you observe the object through any of the following?
. Eyeglasses Yes No e. Binoculars
ch any detoo thae qo b. Sun glasses Yes f. Telescope No
hcro-tes c. Windshield Yes No g. Theodolite
c. Window glass Yes No h. Other.
in order that you can give as clear a picture as posible of what you saw, describe in your own words a common object or ob.
jects which, when placed up in the sky, would give the same appearance as the object which you saw.
balp
√

Official U.S. Air Force
Page 3
Did the object disappear while you were wotching it? If so, how?
It heappeeed si the clonds and
Cloale
1Did the object move behind something at any time, particularly a cloud?
(Circle One): No Don't know. IF you answered YES, then tel! what
it moved behind:.
Are V
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:_ and deily 2 aome out c
C
17. Tell in a few words the following things about the object:
S0 tmas high
a. Sound a. Sound_
b. Color onit ofe aloo it fealom
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 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?
3 objict
. 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.
C
stlod an Ithanat trail
A

:
Official U.S. Air Force
Page 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°
N
45o
NW NE
30°
E
Vre
15 SE
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. the end of the path, and show any changes in direction during the course.
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.
&

UFO form continued
Page 6
30.Have you ever seen this, or a similar object before. If so give date or dates and location.
Three
aeitiins.
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
3. Please list their names and addresses: Carl Dusn.
John, Cavid )
Joeeph(nd) Pand ls prine
32. Please give the following information about yourself:
NAME
Last Name Name First Name Middle Name
ADDRESS Uncasuil Incasuil Connof382 Conn_of382
Street City Zone Zone State
TELEPHONE NUMBER AGE_ AGE_ SEX. SEX F
Indicate any additional 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? Did
24 3 1967 refect the pightiny
lut
Day Month Year
1

1
Official U.S. Air For
Pege7
34. Dote you completed this questionnaire: 27 3 1967
Day Month Year
questionnaire or a narrative explanation of your sighting.
8
, 2

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 nv 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, may contact you for further details.
When did you see the object? Time of day: 7 : 45
Hours Hours Minutes Minutes
25 25 3 1967 1967 (Circle One): A.M. or P.M.
Day Day Month Year
3. Time Zone:
(Circle One):(a. Eastern (Circle One): a. Daylight Saving
Central . Standard
C. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Incuville m,06382
Postal Address City or Town State or County
How long was object in sight? (Total Duration) a p2+. 45
Hours Minutes Seconds
a Certain c. Not very sure
5. Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? res
6.What was the condition of the sky?
DAY NIGHT
a. Bright Bright
b. Cloudy 5. 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
c. To your right f. Don'tremember
FORM
FTD OCT 62 164 This form supersedes FTD 164. jul 61, which is obsolete.
a

.,
y
ORCE UFO FORM
Page 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 a. Bright moonlight
(6. A few b. Dull moonlight
c. Many c. No moonlight-pitch dark
d. Don't remember d. Don'tremember
. What were the weather conditions at the time you saw the object?
CLOUDS(Circle One): WEATHER(Circle One):
a.Clear sky G.Dry
b. Hazy E. Fog, mist, or light rain
c. c. Scattered clouds Scattered clouds c. Moderate or heavy rain c.Moderate or heavy rain
d.Thick or heavy clouds d. Thick or heavy clouds d. Snow
Don't remember Don't remember
0.The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid a. Solid d. As a light 1
b. Transparent b. Transparent e. Don'tremember e. Don'tremember
c. Vapor c. Vapor
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):
aBrighter c. About the same
b. Dimmer d. Don'tknow
11.1 Compare brightness to some common object:
sht.
The edges of the object were:
(Circle One): a. Fuzzy or blurred
Like a bright star
Sharply outlined
d. Don'tremember
Did the objact: (Circle One for each question)
a.Appear to stand still at any time? Yes No Don't know
Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don'tknow
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know doo
Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don'tknow
-t

and 1o os She night aftr that it did mot go south lrat it didd

T
UFO form continued
Four 4
Do you think you can estimate the speed of the object?
(Cirele One) Yes No
you answered YES, then what speed would you estimate?.
Do you think you can estmate how far away fro you the object was?
(Circle One) Yes No
you answered YES, then how far away would you say it was?
Where were you located when you saw the object? 2 Were you (Circle One)
(Cirtle One): In the business section of a city?
inside a building In the residential section of a city?
In a car c. In open countryside?
c. Outdoors d.Neor an airfield?
d, In an airplane (type) e. Flying over a city?
.Al seo f. Flying over open country?
4. Other 9. Other
Corng,
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)
o. North c. North c. Eost e. South g. West
b. Northeast 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
II
25. Did you observe the object through ony of the following?
. Eyeglasses Yes No Binoculars Yes
b. Sun glasses No f. Telescope Yes
c. Windshield No g. Theodolite Yes
d. Window glass Yes No h. Other_
in ordr that you can give as clear a picture as possible of what you sow describe in your own wor a ommn object or -
ects which, when ploced up in the sky, would give the same appearance as the object which you saw.
3004 hig Sight stars fu all togcth
2

traid  blut S a
ligh and dicappined betind The thees I could see te
15. Did the object 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:
Liot Thi y pee Ie me 4eital and thiw
1
16. 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:
17. Tell in a few words the following things about the object:
a. Sound_ No Sorend
b. Color Biohra Bn ReA
18. We wish to know the angular size. Hold a match stick at orm'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 ot 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?
. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details 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. This thig 2e0m t Shert a
Theifoe appeared li
different
abont
->
-

15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
LratThin Broiney reen Te one 4aine Tal and than
1
16. 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:. in front of:
17. Tell in a few words the following things about the object: .Tell in a few words the following things about the object:
a. Sound a. Sound Hr Sound. Ni Sound.
Bn
. We wish to know the angular size. Hold a match stick at orm'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
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? ho motch boad?
. 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. This thig Qeem to thvl Ule
od Theefou affeared
diherdnd 4 2
alont
resig
->
—

2
..
bo
tree hig and Wighor.
J

T pan the thisanls
widow and t he alreed 4C
uj & fo thes aay. to alont 40° angle to Hiy tgh
te roctiong up. and down, back and goih, and hit
Ca, Telad hues Gileiandred. D Calles The
State Pelice and Gave Li 5 lisciplin 07 what I ad.
hoinr, gave biection in whick I betd
watiing. This nts the legt the tonver and
t. leift. at the time, I did put trow thes, tee
the wis acturlg actuilly pecing pecing the New
Lelevision Loves in
ill e  og Th
misled the Offien. Yy Conld ple
thiu70 in the trcasille 4cn
hest theeh to the wen My That foe +1
and my hieland
pieing
eli thip. Hhe ales toka
theaugh the and apeod the is foot
like than a bet
interrested enbugh to wZel Longer. Firally ad

1g minet, longei
it ly Xoich Diy Crsae, boon Jowning liks
Hhe, like a pecket it placted d chorting I beantigul clos
big . loy trail in fa the mot
blie and ped. Ther appoe as red as a plop
bli uehing the z the z
lifet, gat gat Ungi Unge end desafeared Ushing bisapeaed
The Tower, at about 8:40 P.M. Wait 8:40 P.M. wait
to the left To the at at tbant 12:20 P.M. ofit
til til 9:0opmand 9: Cone Cind home.
where it appers the firat tine. Go big
Uint peemed higher.
Inail thee instanees so head

vitle
erly 20 se2ando
2.. 6 while th
horigorl way
then 0 sagain Deil
foor alnet 6:5
- untd 8:0=pM. B:0PM.
The 23.0 itee The uf0 itae
nas fenalv
on its lpis at apis at
apeed I abst
the Aie tar
leftd toun
t the Tover
gitling
and big
as it w
appryahe
Yint from a 7
doun to ibout 2sa
fom 655 5 2:107
Disappared apont 8:5

2
Official U.S. Air Force
Page 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%
N
45°
NW NE
30°
w E
Brs
15 o SE
860 86 S
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
the end of the path, and show any changes in direction during the course.
29. IF thers was MORE THAN ONE object, then how many were there?_
Draw a picture of how ow they were arranged, and put an arrow to show the direction that they were traveling.
4
:4

JFO form continued
Page 6
.Have you ever seen this, or a similar object before. If so give date or dates and location. NO
31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
One) Yes No
31.2 Please list their names and addresses: mna.
Praston sboury
32. Please give the following information about yourself:
NAME
Name First Name Middle Name Middle Name
ADDRE PrestoNsburg. Kosc Kos5f
City . City Zone State State
TELEPHONE NUMBER AGE SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent. Indicate any additional information about yourself, including any special experience, which might be pertinent.
Collage Studast
9
33. When and to whom did you report that you had seen the object? NO oNE
Day Month Year

frem out land, itjust blocked
view
were Sitting in
this area
o
1-
F

.
U.S. AIR FORCE TECHNICAL INFORMATION
This questionna has been prepared so that you can give the U.S. Air Force as much
information as pc ncerning the unidentified aerial phenomenon that you have observed.
Please try to answ any questions as you possibly can. The information that you give will
be used for research oses. 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 neces we may contact you for further details.
.When did you see the object? . Time of day: 1 45
FWr Hour Minutes
31-2 March
8-7 April 1967 (Circle One): A.M. (P.M.)
or
Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One): Eastern Eastern (Circle One): a. Daylight Saving a. Daylight Saving
b. b. Central b.Standard Standard
c. Mountain
d. Pacific T
e. Other
4. Where were you when you saw the object?
Luyahogn Falls 44223 Cuyahoga Falls Ciyahoga Fal 0hio oni
Necrest Postal Address Necrest Postal Address City or Town City or Town State or County State or County
5. How long was object in sight? (Total Duration) 15 (foreach sighting)
Hours Minutes Seconds
a.Certain c. Not very sure
b. Fgirly certain d. Just a guess
5.1 How was time in sight determined? Estimat ion
5.2 Was object in sight continuously? Yes V No-
6. What was the condition of the sky?
DAY NIGHI
a. Bright a. (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. I In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FTD FORM
OCT 62 164 This form supersedes FTD 164, Ju! 61, which is obsolete.

atthe Righto detended at a
angle. aNgle.
/

-
i 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 phenorenon that you have observed.
Please try to answer y questions as you possibly can. The information that you give will
be used for research name will not be used in connee ction with any statements,
conclusions, or publications without your permission. We request thi personal information so
that if it is deemed necessary may contact for further details.
.When did you see the object? 2.Time of day: 9.
Hours Minutes
210 260 Mah19G7 Ma3th19G7 (Circle One): A.M. or (P.M) P.M.
Day Month Month Year Year
3.Time Zone:
(Circle One) a. a. Eastern Eastern (Circle One): a. Daylight Saving (Circle One): a. Daylight Saving
6. Central b. Standard
C. Mountain Mountain
d. Pacific d. Pacific
e. e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
PrastoNsburg Kentuciy(3loyd)
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 25to35 oRC.
Hours Minutes Seconds
a Certain 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? res
6.What was the condition of the sky?
DAY NIGHT .
a. Bright
b. Cloudy evercast 0
IF you saw the ject durg DAYLGHT, where was he SN located as yu loked at the ect?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don'tremember
FORM
FTD OCT 62 164 This form supersedes FTD 164, jul 61, which is obsolete.

1
ORCE UFO FORM
Page 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 ._Bright moonlight
b. A Few 6 Dull moonlight
c. Many C. No 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):
a.Clear sky a. Dry
b. Hazy .Fog, mist, or light rain b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain c. Moderate or heavy rain
d. d. Thick or heavy clouds Thick or heavy clouds d. Snow
e. Don't remember e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared:(Circle One):
a. Solid d.As a light d. As a light
b. Transparent e. Don'fremember e. Don'tremember
C. Vapor
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):
a. Brighter cAbout the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
a Glowing Red Light
T
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other_
Like a bright star
c. Sharply outlined
d. Don'tremember
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? Yes No Don'tknow
e. Change brightness? Yes No Don't know
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

UFO form continued
Page 4
D you think you can estimate the speed of the object?
(Circle One) Yes No
you answered then what speed would you estimate?.
(Circle One) Yes No
CST
2. Where were you located when you saw the object? 23 Were you (Circle One)
Creie One): In the business section of a city?
inside a building bIn the residential section of a city?
b. in a car c. In open countryside?
.. Outdoors Near an airfield?
din an airplane (type) e. Flying over a city?
e. Alseo f. Flying over open country?
Other g. Other ive-iN Movi
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 g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour. miles per hour
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
s. Did you observe the object through any of the following?
Eyegiasses Yes e. Binoculars No
b. Sun glasses Yes No f. Telescope
c. Windshield Yes No g. Theodolite No
d. Window glass Yes No h. Other__
I also Laoked. + recgh apiylw'indaw
20 iorder that you can give as clear a pictue as possible of what you saw, describe in your own words a common ectr
which, when placed up in the sky, would give the same appearance os the object which you sow.
AN Flong ated Bow
upside -down ( z.
-

Official U.S. Air Forc
Page 3
14. Did the object disappear while you were watching it? If so, how?
yes. Behind a moute
Ridge
15. Did the object 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:
16. 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:_ $l0ud≤ Clouds
17. Tell in a few words the following things about the object:
o.sound No Saund 0. sound No Saund
b.color  Glow ing b.color  Giow ina Kedish- Ked reg
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 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 obiect is covered by the head of the match. If vou had performed this exoeriment at the time of the siahting. how much of
the object would have been covered by the match head?
Qbout Y4
. 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 drowing
to show the direction the object was moving.
Mistas
.

Official U.S. Air Forc
Page 5
2. 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 N\q$
51
NW NE
30
w E
15° SW SE
0°A S s
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 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.
"B3 B 13 13 (1) (1)
OH
E B3u1 Bu)
29. IF there was MORE THAN ONE object, then how many were there?_ 3
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
I
VTUS
V

;
Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
Pal Beaek, farida
ear
Yes No
3.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME First Name Midale Name
ADDRES faed Clacbites N.C.
Street City Zone State
TELEPHONE NUMBER AIGE 26 SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent.
but an.exJeeleel leis
Oaing have
lu aks
When and to whom did you report that you had seen the object?
27 3 67
Day Month Year
lauglan Gepait laal Javer

ee haxt
l geile Deice aned was eee Li Caulate
egeet pane
'e geee like
eed sean au-
fiet
d
3-27-67

Qeie as
olgiete by (acee
rid and . he geeene
jell like Laek ind of O mih
tla
ald buexed aut. the red affiex
sxseed upuaed, - Big zaggid and
.. +
1.1r

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 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, may contact you for further details.
1.When did you see the object? 2. Time of day:. 30
Hours Minutes
27 3 3 67 67 (Circle One): A.M. or P.M. P.M.
Day Month Year
3. Time Zone:
(Circle One): a. Eastero (Circle One): a. Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other Other
4. Where were you when you saw the object?
had Chauatte lasse Coacln
dress City or Town State or County
5. How long was object in sight? (Total Duration) 3
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certaw d. Just a guess
5.1 How was time in sight determined? Op dionatedentimatien
5.2 Was object in sight continuously? Yes- No
What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
Cloudy b. Cloudy paseially
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT62 164 This form supersedes FTD 164. jul 61, which is obsolete.

Page 2
8.IF you saw the object at N!GHT, 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 few b. Dult 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 object?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky 6. Dry I8
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 appeared: (Circle One):
a. Solid Solid LAsaligh(oneor morelightsinclusteratonetime) LAsaligh(oneor morelightsinclusteratonetime
a.
b. Transparent e. e. Don't remember
c. Vapor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a Brighter a. Brighter, c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Radio Tower Beacon
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
1. Did the object: (Circle One for eoch question)
a. Appear to stand still at any time? No Don't know
b. Suddenly speed up and rush away at any time? Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? 2 Don't know
5. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes) No Don't know

FORCE UFO FORM
Page 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 a. Bright moonlight
. A few b. Dull moonligh -
c. Many c. No moonlight-pitch dark
d. Don't remember d.Don'tremember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a.Clear sky a. Dry
b. Hazy b.Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain ferare or heuryram
d.Thick or heavy clouds d. Snow d. Snow
e. Don'tremember e. Don't remember
0The object appeared: (Circle One): 10. The object appeared: (Circle One): 4
a. Solid d. As a light d.As a light
b. Transparent e. Don'tremember
c. C. Vapor Vopor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. a. Brighter c. About the same
b. Dimmer Dimmer d. Don'tknow d. Don't know
11.1 Compare brightness to some common object:
e sellaw hget hulke
1.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
6. Like a bright stai
C. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? No Don't know
b. Suddenly speed up and rush away at any time? Yess No Don't know
C. Break up into parts or exolode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? No Don't know
f. Change shape? Yes e No Don't know
g. Elash or flicker? No Don't know
h. Disappear and reappear? 3 No Don't know

Air Force UFO form continued
Page 2 Paue 4
Do you think you can estimate the speed of the object?
lie keel (Circle One)
Yes No
IF you answered YES, then what speed would you estimate?.
I
71. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
hen tell what 20 muilew
If you answered YES, then how far away would you say it was?
Where were you located when you saw the object? 2.Were you (Circle One)
Circle One): a. In the business section of a city?
c. Inside a building b. In the residential section of a city?
hen tell what b. Inacar c. In open countryside?
. Qutdoors d. Near on airfield?
d In an airpiane (type) e. Flying over a city?
e. A!sea f. Flying over open country?
6. Other. g. Other.
IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questic s:
24.1 What direction were you moving? (Circle One)
c. North c. East e. South g. West
he sighing. hoe aw at
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?
c. Eyeglasses Yes e. Binoculars Yes
any delals of ne obvel . Sun glasses Yes f. Telescope 22121
arrow beide the dro- "y c. Windshield 212112 g. Theodolite Yes
d. Window glass Yes h. Other_ .
al
einal dl jie
Qx uxmm aed saket wiìl
cen

ant
laeket pax leeing aunckd-
(Circle One): Yes No Don't know. . IF you answered YES, then tell what
it moved behind:
1. Did the object move in front of something at any time, particularly a cloud?
(Circle One): 1 Yes No Don't know. IF you answered YES, then tell what
in front of:_
-——
17. Tell in a few words the following things about the object:
a. Sound_ uxD
b. Color Yellew-
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
linxed
Bun 0(3
keelx
bex- a secbow
.
..

information as pos ncerning the unidentified aerial phenoinenon that you havg olserveii.
Please try to answ nany questlons as you passibly can. The information that ycu give will
ba used for resear 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.
1. When did you see the objoct? . rime of da 30.-
Howe Mimules
MAROU (Circle One): A.M. P.M.
or
Day Month Your
3. Time Zone: . Time Zone:
(Circle One):. (Circle One):. Eastern (Circla Une): a. Daylight Soking (Circla Une): a. Daylight Soving T
6. Central Contral b. Standard
c. Mountain /
d. Pacific Paciflc
. Other Other
4. Where were you whon you saw the object?
Cacc Hattins ace Hatts Ruxton Buxton North Cautin Noth Cauin
Nearest Postal Address City or Town Stota or Couney State o Couney
5. How long was object in sight? (Total Duratlon)
Hours Minutes Soconds
a. Certain C. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? _ ing by disfoor hembed
5.2 Was object in sight continuously? Yos No--
6. What was the condition of the sky?
DAY NIGHT 4Ndeld
a. Bright aBright
b. Cloudy Cloudy
7.IF you sow the object during DAYLIGHT, whare was the SUN located as you locked at the obiest?
(Circlo Ona): a. In front of you d. To your left
b. In bock of you . Overhaod
c. To your right f. Don't remember
FTD FOR4
OCT 62 164 Thie form supereodua FTD 154, Jul 61, which is obaolete.
SEND TO 164

Page 2
8.IF you saw the object of NIGliT, what did you notice concerning th STARS and MOCN?
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 romember d.Don't ramember
. What were the weather conditions at the time you sa object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Cloar sky 0.Dry
b. Hazy b. Fog, mist, or light rain
c. Scattared clouds c. Moderate or heavy rain
Thick  houvy cloud d. Snow
. Don't remember
10. The objact appeared: (Circle One).
a. Solid As a light
b. Tronspoient Don'Tromember
c. Vapor
1. If it appeored as a light, was it brighter than the brightast stars? (Circle Ona):
a. Brighter c. About the same
b. Dimmer d. Don't know
d. Don'tremember
Did the object: Moan odog citt (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddanly spead up and rush away at any time? Yor No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don'iknow
e, Change brightness? Yes .No Don't know
f. Change shape? Yes No Don't know
9. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yos No Don't know

b. Color_
18. Wo 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 tir: i s.
sighting, how much of the object would have been covered by the match head? hu
Cgan ofal (20)
Codd. lihe a lage Lote
lep. slade ctarns
legth

b. In a car f. In open countryside?
c. Outdoors d. Near an airfiold?
d. In an airplane (rype) . Flying over a city?
. At sea Flying over opon country?
1. g. Other
24.1 What direction were you moving? (Circle One)
a. North c. East South y. Wesr
b. Northeast d. Southeast f. Southwest h. Northwest
_miles per hour.
No Yes No
c. Windshiold Yes No g. Theodolite Y.s
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 words a cor mon
objoct or objects which, when placsd up in the sky, would give the same appearance as the object which you sow.
see. iten 17

75°
60
NO
30
7
2. Draw a picture that will show the motion that the object or objects made. Ploce an "A at the beginning of the 28. . Draw a picture that will show the motion that the object or objects made. Ploce 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 path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picturs of how they wors arranged, and put an arrow to show the direction that thay wore traveling.
see ithe19

. Was anyone elso Yos No
31.1 IF you answered YEs, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
5 highodlal Kids. who lepented
t N.C. Stade Palce Bine
In Patrol Brittors opinin Ue
sd trustunth kil arand anlh.
32." Pieass givs fhe Yonowing inyarmarion dbout yourseir:
NAME
Lost Name Lost Name First Name Middl Neme
ADDRESS
Streot Street City Zone Steto Steto
TELEPHONE NUMBER AGE SEX
Indicate any additlonal information about youraslf, including any speclal experience, which might be pertinent.
When and to whom did you report that you had seen the object?
Day Month Yoer

Day Month Yoar
.Information which you foel pertinent and whlch is not adequately covared in questicnnaire or a narrative explanation of your sighting. n the specific points of the
This litio repatil fintly lug
N.C. Stale Patrolma
Buista N.C. And Lt. J.S. Cuttitta /
Exce Hinen Nany Fality Cape Hatteras,
Burta N.C. Auto venn 555-3746
the 5 H.S. Olildi regorted thew Anati
to N.C. stat polince whoin ten Contantid
Nay stati, whil entacted mé. they
0 t +-
Ane ere
ho at lon shown ling
2odi such ike
ton Ct I stgtn gi spn
28M0-67

OUT -
3Nentdownt
15. Did the object 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: tnees as it went dowh
1. 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: _
17. Tell in a few words the following things about the object: 17. Tell in a few words the following things about the object:
a. Sound No sound
b. Color Very bright red
We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how .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
. 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.
small red lights onered light withoot
throughbinocolans 0
bihocukars

Proposed reply to letter from
Dear Mr
Reference your recent letter in which you reported your unidentified
observations of March 29 and May 10, 1967.
With the i information submitted, it would be extremely difficult
to offer much of an explanation. I Essential data such as flight
characteristics, maneuvers, etc., are quite important in a comprehensive
evaluation. If you had reported your observation to your nearest
military installation at the time, an evaluation would have been
possible. The local Uro investigator is in a far better position to.
conduct an on-the-spot investigation. Your nearest military installation
is:
9l0 Troop Carrier Group
Youngstown Municipal Airport
Vienna, Ohio 44472
to our present data base.
The inclosed information on Project Blue Book may be of interest 2
to you. Thank you for reporting your observation to the AirForce.
7
3
-

292 107 to
AUG 18 1987
Dear Mr.
With respect to your unidentified observation of March 29
and May 10, 1967, it would be extremely difficult to offer much
of an explanation from the information submitted. Essential data,
such as flight characteriatics, maneuvers, ete. are iuportant to
a comprehensive evaluation. Your information wi added to our
data base.
Had you reported your observation to the nearest Air Force
base at the time, an evaluation would have been P Your
nearest Air Force installation is:
910 Troop Carrier Group
Youngstown Mumicipal Airport
Vienna, Ohio 44472
Phone: Area
The attached in The attached infora ject Blue Book may be of interest
to you.
Thank you for reporting your observation.
Sincerely,
BARNETT B. YOUNG
Lt Colonel, USAF
Chief, Civil Branch
Community Relations Division
Office of Int rmation
Mr.
Salem. Ohio M60
COORDINArED By (Ofrice Symbal, Name, Grade, Date)
SAFOI- S7.
-cv - SAF-OIC
Combk cy - SAF-OIC
Te Reader cy - SAF-OIC
Activity cy - SAF-OIC
Stayback

RESEARCH ON
UFO'S AND Saiem, noN
August
roject Bluebook" ASTRONOMY,
htsFatterson.Air Force Base
ayton,Ohio
Dear sirs; I would like to report seeing a UFO on March 29, 1967. Since t
have seen two or three moret Below is a form describing two of tle ones I have
Le logest. One was onyMarch 29 and the other one was on May 10
0 March 29.
Discription of the object:
Shape_Oval
2 Size Approximately the size of a quarter, but thicker.
Color-Sidver-white.
Number at the time-One
Tail, trail,or exhaust-None
6 Sound-None
Unusal Leatures-None
Discriptionof.coarse.ofobject,
) I was riding in the car with brotner looked up and there it was.
(2)rAngle ofzelevation and azmit) -Angle 45 degrees (approx), Azbith-350ò (a 77
(3)rDiscriptior ofifligbt path-Moving east at about 7 times faster then a (3).Discriptior ofi fligbt path-Moving east at about 7 times faster then a
slight tilt forward in direction of travel.
(4)rhow object disappeared-Want behind a building. (4)rEow object disappeared-Went behind a building.
(5) Lenght of time in veiw-Three and one half minutes
Manner of observation:
Ground-visual Ground-Visual
2) No opticaliaids used
Location of observer-In car looking northwest.
Observer-Robert M. Smith 37O N Lundy Saem, Ohio Observer-Robert M, Smith 37O N Lundy Saem, Ohio
May.10 1E10
Discription of the object:
Shape-Straw.hat'shaped
Size-The size of anickle
orange to blue-white.
Number at. the time-One
Tail, trail, or exhaut-None
Sound-None.
Unusal features-Shape and color, no UFO I read about is a grayish-wnite.
Discription of coarse of-object:
IT was out back with friend looking at stars through telescope when tei
p.and saw it.
northeast.r
speed of jet.
Howed it-disappeared-Went behind treesy
Eenght of time in veiw Three ninutes. (approx)
Narmer of observation
Ground- Ereif-gliusa through telescope.
elescopo
Location- Backyard
Observer- elense

Official U.S. Air Force
Page 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° 9
60° N
5 NW NE
30°
w E
15° SE
s
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
the end of the path, and show any changes in direction during the course. A-Bis motin A-Bis anotim
H H towadnmdi towadome.
A A 3
woa
G Soigortad foionto
taily
29. IF there was MORE THAN ONE object, then how many were there?. 4
Draw a picture of how w they were arranged, and put an arrow to show the direction that they were traveling.
would occAsion
They
pAiR off And move
honicontal
iN
sometimes

1
JFO form continued
Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
NO
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
1.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME
Last Name First Name Middre Name
ADDRESS Ae. SRooksuills Aue. SRooksuills J O
Street Street City Zone Zone State
TELEPHONE TELEPHONE NUMR NUMB AGE_ AGE_ SEX.
Indicate any additional information about yourself, including any special experience, which might be pertinent. Indicate any additional information about yourself, including any special experience, which might be pertinent.
I believe in flging And
gRepudiced. I have
therefoRe
seev Ad U.F.O. bEfORe,
Nev 1
33. When and to whom did you report that you had seen the object? To my mothe.
29 G7
Day Month Year
a

Air Force UFO form continued
Puge Page 8
FAR AWAY to viake outA 1
they moved A+
fast. the 7A
ther neither slow NOR A+
jcets to blimk exch
times, scemed cod=
ie ASIP nE some
I other
ThanK you for 7o0r time.
20
c
e
.
DCi 4
CHiNC

Official U.S. Air Force UFO fo
Page 7
34. Date you completed this questionnaire: Day 67 Year f
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.
I have +alked +o fouR other. nei
people who SAW similae objects +
that night A+ the same time
on wot with me. I
but they weRe
these objects on1 T
SNUS
And 3/31/67.I Am n0t
A nd wAs
much suRpkised to S e e
VER VER had the th e
these th O jects. I I
while watchins
UNCA ecli.
C : that
thes
watched
The bjects USUAILG morcd
IRS And two them Came
N conksnilly
emosg town
close the shape.
tat coold ce
But they WEK 2 10ail
'1.

3
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 possibl oncerning 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, may contact you for further details.
1. When did you see the object? 2.Time of day:. 11 10
Hours Minutes
29 29 3 67 P.M.
(Circle One): A.M. or
Day Month Year
3. Time Zone:
(Circle One): (Circle One): a. a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
C. Mountain
d. Pacific
e. Other
Where were you when you saw the object?
Ave. CRooksville Ohio
Nearest Postal Adoress City or Town State or County
5. How long was object in sight? (Total Duration) 10 -
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? Tii finst seen And time lastseen
5.2 Was object in sight continuously? Yes_ No↓
What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b. Cloudy
7. IF you saw the object during DAYLlGHT, 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
c. To your right f. Don'tremember
FORM
FTD OCT62 164 This form supersedes FTD 164. jul 61, which is obsolete.

'2.
ORCE UFO FORI
Page 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 a.Bright moonlight
b. A few b.Dullmoonlight
c. Many c. No moonlight-pitch dark
d. Don't remember d. Don'tremember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
dThick or heavy clouds d. Snow
e. Don'tremember
The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don'tremember
C. Vapor
-
1. if it appeared as a light, was it brighter than the brightest stars? (Circle One):
2The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b.Like a bright star
c. Sharply outlined
d. Don'tremember
Did the object: (Circle One for each question)
d. 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? Yes (No Don't know
e. Change brightness? Yes No Don't know
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
M

Air Force UFO form continued
Page 4
ed +0 Do you think you can estimate the speed of the object?
t far (Circle One) Yes No
you answered YEs, then what speed would you estimate?_
staNCe
27. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
hen tell what
you answered YES, then how far away would you say it was?
Where were you located when you saw the object? 23. Were you (Circle One)
Circle One): o. In the business section of a city?
inside a buiding b. In the residential section of a city?
hen tell whas t. in a car c. In open countryside?
Outdoors d. Near an airfield?
dtn an Dirplane (type) e. Flying over a city?
3 sea f. Flying over open country?
i. Other. g. Other._
you were MOViNG IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
ax.1 What direction were you moving? (Circle One)
. North c. Eost e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
Two ANgulan SRUCERS P o nl
be th e
each
corld ve.
0
oc2+
1

(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? 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?
b. In a car In open countryside?
Outdoors d. Near an airfield? /
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g.
2. IF you were MOVING IN AN AUTOMOBILE or other vehicle at time, then complete the following questions:
24.1 What direction were you moving? (C Circle One)
.North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
opet looked like a pline we
tower eaton beacon light in the shy.

Official U.S. Air Forc
Page 3
Did the obect disappear while you were watchng it If s, how? I+ R eaRed +
fade ou+of$ vle $I+$als. ent far
KWMM and dissapeamd in tkc distaNe
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then teli what
it moved behind:
16. 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:
17. Tell in a few words the following things about the object: Tellin a few words the following things about the object:
a. Sound_ NONE
b. Color b. Color white white
8. 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 1. 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? the obiect would have been covered by the match head?
(All of i+)
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 on arrow beside the drawing
to show the direction the object was moving.
→
weRE four objects)
(+heRe
2
i.
.

Official U.S. Air Force
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 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°
N
NW NE
30°
W E
15° SV SE
s S
2. Draw a picture that will show the motion that the object or objects made. Place an "A" a ginning of the path, a "B" at g of the path, a "B" at
the end of the path, and show any changes in direction during the course. ANothe be Nhe b Movement Novernent
29. IF there was MORE THAN ONE object, then how many were there?. 3
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
0
O 0
&

4.
UFO form continued
Page 6
.Have you ever seen this, or a similar object before. If so give date or dates and location. NO
31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
Yes No
31.2 Please list their names and addresses:
Arouldo 11 Rudd Ct Glen
Ru
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME First Name Middle Name Middle
07016 Name
ADDRESS ADDRESS Glen Rge 6len Bdge - N.J N.5
Street City -2 2 State
TELEPHONE NUMBE 12 SEX. MAl MAl
Indicate any additional information about yourself, including any special experience, which might be pertinent. Indicate any additianal 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?
30 MaRch 1467
Day Month Year )

Official U.S. Air Force UFO for
Page 7
34. Date you completed this questionnaire: 30 MARch 1467
Day Month Year 71
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.
IT cAme 6mAll with colors
and then it got laRger ANd
bluaRed
"

.'
Fage 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 d aerial phenomenon that you have observed.
Please try to answer as questions as 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 yourpermission. We request this s personal information so
that if it is deemed necessary, w may contact yo for further details.
2.1 Time of day: 7 5
.When did you see the object?
Hours Hours Minutes
.30 30 March 1967 March 1967
(Circle One): (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
Eastern. Eastern (Circle One): Daylight Saving
b. Central b. Standard
C. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
C Glen ig N.O
Nearest Postal Address City or Town State ar Cunty
5. How long was object in sight? (Total Duration) 18 08
Hours Minutes Seconds
a. Certain c. Not very sure
bFairly certain d. Just a guess
5.1 How was time in sight determined? Clk
5.2 Was object in sight continuously? Yes. No_
6. What was the condition of the sky?
DAY NIGHT
a. Bright 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
c.To your right f. Don'tremember
FORM This form supersedes FTD 164, jul 61, which is obsolete.
FTD OCT 62 164

9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a.Ciear sky Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain .
d. Thick or heavy clouds d. Snow
e. Don'tremember
10. The object appeared: (Circle One):
a. Solid dAs a light At FiR6t
b. Transparent .Don'tremember
cVopor
1If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? es No Don'tknow
f. Change shape? es No Don'tknow
g. Flash or flicker? es No Don'tknow
h. Disappear and reappear? Yes No Don't know

Air Force UFO form continued
Page3 Page 4
Do you think you can estimate the speed of the object?
(Circle One) Yes No
1F you answered YES, then what speed would you estimate? No Move ment
7:. Do you think you can estimate how far away from you the object was? T
(Circle One) Yes No
then tell what
If you answered YES, then how far away would you say it was?
2.Where were you located when you saw the object? 2. Were you (Circle One)
(Circle One):
a. In the business section of o city?
inside a building B. In the residential section of a city?
then tell what then tell what b. In a car b. in acar c. c. In open countryside? In open countryside?
cOuidoors cOudoors dNear an airfield? d.Near an airfield?
d in an airpiane (type) e. Flying over a city? e. Flying over a city?
.Atsea . Atsea f. Flying over open country? Flying over open country?
f. Other. g. Other.
4. 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 corplete the following questions:
24.1 What direction were you moving? (Circle One)
c. North c. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest h. Northwest
and note how muth o'g. and note how muth o'
the sighting. hon mut 24.2 How fast were you moving?_ _miles per hour. miles per hour
inderstand 24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
s. Did you observe the object through any of the following?
Eyeglosses Yes No e. Binoculars
h ony deta: of tve tt t Sun glasses Yes f. Telescope Yes 999
arrow besiird- c Windshield Yes g. Theodolite
d Window glass Yes h. Other.
een norder that you can give as clear a picture as possible of what you sow, describe in your own words a common object or ob-
which, when placed up in the sky, would givethe same appearance as the object which you saw.
Fireworks
- '..

Official U.S. Air Forc
Fage 3
Did the object disappear while you were watching it? If so, how? No
15. Did the object 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:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes (2N Don't know. IF you answered YES, then tell what
in front of:. in front of:
17. Tell in a few words the following things about the object:
a. Sound_ a. Sound. None
b. Color Orange Orange 6Reen 6Reen Red
1. 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
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of object is covered by the head of th e 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? Don't underotamd
. Draw a picture that will show the shape of the object or objects. Lobel and include in your sketch any details of the objec
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.
Corange
After
1 .

M
UNCLASSIFIED
30 MAKE 7
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH YOKOTA
INCOMING MESSAGE
AF IN: 37449 (31 Mar 67) T/jjp Page l of 3 JAPAN
ACTION: RDC-4
INFO: XOP-1, XOPX-2, SAFOS-3, NIN-7, DIA-1 (19) . ADV CY DIA
SMB D 184 VA108
PFTE JAW RUWMTGG0538 0901330-EEEE--RUEDHQA.
DE RUABGK 2502 0900733
ZNY EEEEE
P 310705YMAR 67
FM HQ 51ST FTRINTCPWG NAHA AB OKINAWA FM HQ 51ST FTRINTCPWG NAHA AB OKINAWA V V
TO RUWMFVA/ADC
RUABAB/313 AD IV KADEA AB OKINAWA
RUEDFIF/FTD WPAFB
RUED HQA/CSAF RUEDHQA/CSAE
RUEDHQA/OSAF
BT
UNCLAS E F T 0 51BOI 58017 MAR 67 QFINAL SECTION TWO OF TWO
A CIVIL AIRLINYUK
K REMARKS OF PREPARING OFFICER: WHEN THE INITIAL REPORT
OF A UFO WAS PASSED TO ME I DIRECTD ALL RADAR SPOTLIGHT
BOTH SIGH IMATELY 1 HOUR
AFHQ JAN 6S FORM 0-309C UNCLASSIFIED

:x →
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 37449 Page 2 of 3
AFTER THE OBSERVAT IONS. HE SEEMED VERY CONVINCED THAT HE HAD SEEN
SOMET HING OF AN UNUSUAL NATURE WHICH WAS COMPETELY DISSIMILAR
THE SAME THING; HOWEVER;MNLY THE PILOHSTATD THAT HE HAD SEEN A
SECOND OBJECT PREC RZPG THE STEADY LIGHT OBJECT OF 1 SECOND OBJECT PREC RZPG THE STEADY LIGHT OBJECT OF THE SECMD THE SECMD
PAGE 2CUABGK 2502 UNCLAS E F T O PAGE 2CUABGK 2502 UNCLAS E F T 0
SIGHT ING. HE SAID THAT IT APPEARED TO BE SIMILAR TMTHE FIRST SIGHT ING. HE SAID THAT IT APPEARED TO BE SIMILAR TMTHE FIRST
SIGHT ING IN THAT IT WAS FLASHING ERRATICALLY ALSO. THE EWO SWTED SIGHT ING IN THAT IT WAS FLASHING ERRATICALLY ALSO. THE EWO SWTED
THAT HE ONLY SAW ONE OBJECT IN THE SECOND SIGHTING. BOTH
INDIVIDUALS WERE IMPRESSED BY THE CLOSURE RATE OF THE OBJECT WHEN IND IVIDUALS WERE IMPRESSED BY THE CLOSURE RATE OF THE OBJECT WHEN
SIGHTED. HEY STATD THAT THE CLOSURE RATE WAS SO HIGH THAT THEY
HAD DIFFICULTY FOLLOWING THE OBJECTS AND THA WHEN THE SECOND
CBJHEAGASSED DIRECTLY OVERHEAD THEY KNEW THE SPEED MUST HAVE BEEN
BEYOND THE CAPABILITIES OF ANY EXISTING AIRCRAFT BECAUSE OFTHE
EXTREMA ALTITUDE AND DISTANC
DAPPARENTLY COVJAD.
THE DATA AVAILABLE WITH PARTICULAR ATTENT ION TO THE
SMALL UPPER ATMXPHERE WHICH
AFHQ JAN SS FORW 0-309C
UNCLASSIFIED

90°
60•
45 NW NE
30 O E B
-15° SW S5
(anfinst (anfins
s:ghting)
Draw a picture that will show the motion that the object or objects made. Place an "A" at 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 "" at 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.
1 ~ 8
IA A
entbackinepposite direction 5 AVB
$2A=fa 3A→084
2. 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.

UNCLASSIFIED
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 37449 Page 3 of 3
WOULD ACCOUNT FOR THE RADAR SITES' INABILITY TO DETECT ANYTHING
NATURE OF THE OBJECTS, PINPOINT OF LIGHT ONLY, IS ALSO WITHIN
KEEPING OF THIS ANALYSIS. THE SY NZI FLASHING OF THE FIRST
SIGHTING WAS PROBABLY THE METEORITE SKIPPING ALONG THE FRINGE OF
THE ATMSPHERE WHEREAS THE SECOND METEORITSHAD A GREATJ ANGLE
OF ATTACK AND CONSEQUENTLY PENHNR NERLON A STRAIGHT COURSE OF ATTACK AND CONSEQUENTLY PENHNR NERLON A STRAIGHT COURSE
CAUSING A CONSTANT RATE OF BURNING AND LIGHT CAUSING A CONSTANT RATE OF BURNING AND LIGHT OPAGATION
PAGE 3 RUABGK 2502 UNCLAS E F T O PAGE 3 RUABGK 2502 UNCLAS E F T O
AIR DEFENSE CONTRG AIR DEFENSE CONTRG CENTJ(ADCC) HQ, 623AC&W CENTJ(ADCC) HQ,623AC&W SQ, NAHA AIR SQ, NAHA AIR
BASE, OKINAWA. DUTY PHONE WA3144
BT NOTE: SECTION 1 NOT RECEIVED. WILL BE FORWARDED ON RECEIPT.
NNNN
AFHQ JA O-309C YORM UNCLASSIFIED

.. Info only
To Case
Dutil 30 Manch67
U.S.AIR FORCE TECHNICAL INFORMATION
This questionnai us been prepared so that you can give the U.S. Air Force as much
information as p ncerning the unidentified aerial phenomenon t you have observed.
Please try to ans any questions as you possibly can. The information that you give will
be used for res ses our 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? 2. Tirne of day:.
Hour Minutes
March 191.7 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): a. a. Eastern Eastern a Daylight Saving
b. Centrat b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Kitchener Kitchener Ontario Ontario
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 20-30
Hours Minutes Seconds
a. Certain c. Not very sure
.Fairly certain Just a guess
5.2 Was object in sight continuously? Yesx No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. 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
c. To your right f. Don't remember
FTD FORM
OCT 62 164 This form supersedes FTD 164, Ju! 61, which is obsolete.

Pog-?
8IF you sow 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 a. Bright moonlight
b. A few b. Dull moonlight
Many C. No moonlight - pitch dark
d. Don't remember d. Don't remember
9. What were the weather conditions at the time you saw th object?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky @ Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember Don't remember
1. The object appeared: (Circle One):
As a light As a light /
a. Solid
.Transparent . Don't remember e. Don't remember
c. c. Vapor Vapor
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): !
a. Brighter c. About the same c. About the same
Dimmer d. Don't know J
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
Sharply outlined
d. Don't remember
Did the object: (Circle One for eoch 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 YY2
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
S. Flash or flicker? Yes No Don't know
h, Disappear and reappear? Yes No Don't know

teet suen
15. Did the object 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:
16. 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: .
17. Tell in a few words the following things about the object:
a.Soundone.
b. color a dull uhite atall times
8. 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?
The matchhead -
olject
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.
C0
112

uld 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?
a.Inside a building In the residantial section of a city?
b.In a car In open countryside?
Outdoors d.Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other _ g.
time, then complete the following questions:
24.1 What direction were you moving? ircle One)
a. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 ..
a dasdall
-

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 compass where you last saw the object.
90° 75°
60°
NW N$
30°
O
15 3W
35
raw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 2Uraw 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 B << 1 E O ← 4 4 A ∠-A
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.

ng
Yes No
Yos No
31.2 ses
Kitchener,Ont.
Canado
32. Please givs the following information about yourself: 3. Please give the following information about yourself:
NAME NAME
Last Name First Name Middla Name Middla Name
ADDRESS Kitchener Kitchener. Ontarie Ontario
Ciry Zone State State
TELEPHONE NUMBER TELEPHONE NUMBER AGE14 AGE -14 sEx Male SEX Male
Indicate any additional information about ycurself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen tha object?
Day Month Yoar

Page 7
34. Date you complete I this questionnaire: ._IY... April. 1LL
Day Month Yoor
.Information which you feel pertinent and which is not adequately covared in the specific points of the
questionnaire or a narrative explanation of your sighting.

sent for