PROJECT BLUE BOOK

I
PROJECT 10073 RECORD
1. DATC TIME.GROUP 2 LOCATION
23 Jul 67 24/03402 Colorado Springs, Colorado (2 Witnesses)
3. SOURCE 3 0. CONCLUSION **
Civilian AIRCRAFT Pr0. V
4. NUMBER OF OBJECTS
1 1 No data No data presented to indicated object could not hata been an A/C presented to indicated object could not hata been an A/(
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
.
2 Minutes, 30 seconds Object had a red light on one side. green ,green light on the light on the other
6. TYPE OF OBSERVATION and an unidentified object connecting tbe and an unidentified object connecting tbe two lights. two lights. Bright
ball like object which appeared ball like object which appeared above the other object the other object simils
Ground-Visual to a flare, smoke appeared to be discharged frcm it an to a flare, smoke appeared to be discharged from it an was
7. COURSE drifting off in a horizontal direction. Object with two
lights on it started to move south, then changed direction tr lights on it started to move south, then changed direction tc
NNE NNE east and upward, disappeared in about 6 seconds. The other
8. PHOTOS object just faded away. ob ject just faded away.
Yes
(X90
9. PHYSICA IDENCE
Yes
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form may be used.
3 .

Then Itight mn 7200 v 2liglthy Ea88
15. Did the obiect mova bahind samething at any time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell whar
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes 0 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 _ Nome.
1
x2*
2ifhte:af.e
his Sigd. 2ten 7hainEn
Draw a picture that will show the shape of the object or objects. Label and includa 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.
___
, .

Page 4
20.Do you think you can astimate the speed of the object?
(Circle One) Yos No
IF you answered YEs, then what spead would you estimate?
(Circle Ona) Yos No
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 b. In the residential section of a city?
b.In a car c. In open countryside?
c. Oufdoors 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.
hiths gtuaninn
20212n00
Ohir an Yateond Red. 166t it I. lA78.
4
A

show how high the objoct 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 thie object.
900 75
NW NU
30
15
A. f  fa y i
mulb bet
i
lillor Bad t fren lights.
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.
on. dtony. ma.
1
S
.

TThe
.Please give the following information about yourself
NAME
33. When and to whom did you report tha; you 33.When and to whom did you report they you had seen the object? had seen the object?
23M4. 2914. Dul 67 9.50PM 950PM
Doy Yoar
I

lok Dini
(
in The
2 apfrof
ts

the Da.. tn lie he g l
i.hea  th . i.he a  th . 1
H
Call or me'if - )
Nae is at gon t ispacl!
MA

22 August 1967 1st Ind
SUBJECT: UFO Observation, 23 July 1967
HEADQUARTERS, 5TH INFANTRY DIVISION (MECHANIZED) & FORT CARSON, DEPUTY
INSTALLAT son, 3(29 1967)
TO: Department of the Air Force, lleadquarters Foreign Technology Division
(AFSC), ATTN: TDET/UFO, Wright-Patterson ce Base, io 45433
No night operations f the nature mentioned in the basic correspondence
were conducted at Fort Carson, Colorado, between 2300 hours 23 July
1967.
RAKMOND R. CARLSON RAKMOND R. CARLSON
Major, Artillery Major, Artillery
Deputy Installation Aviation Officer Deputy Installation Aviation Officer
14:

:
22 August 1967 1st Ind
SUBJECT: UFO Observation, 23 July 1967
HEADQUARTERS, 5TH INFANTRY DIVISION & FORT CARSON, DEPUTY
INSTALLA August 1967)
TO: Department of the Air Force, lleadquarters Foreign Techn Division
(AFSC), ATTN: TDET/U e B 1o 45433
No night operations of the nature mentioned in the basic correspondence
were conducted at Fort Carscn, Colorado, between 2l00 -
1957.
RAYMCND R. CARLSON RAYMCND R. CARISON
Major, Artillery
Deputy Installation Aviation Officer
.

::
Memo for the Record: 16 Aug 67
There
person who took the report estimated the reliability of the individ-
ual as poor but this was changed to reliable. Major Brown indicated
that the object was probably an aircraft. le suggested that we contact
Ft. Carson because they are often ingaged in night time operations
involving the dropping of flares.
-
I
.
1

NO CASE INFO only 0
0
CA X.
0 BI0
..
135
TTU -AMLA0617 1330557-000J--RUEDF1A.
ZNK W0. .
P D2054- JUL 67
FM COMMESTSEAFRON 0
TO RUNPS/CTF THREE FIVE
RUAMERA/ ESTERN NORAD RUAMERA/ ESTERN NORAD .. ;.
INFO RLENMAA/CNO INFO RLENAAA/CNO ! 0
1.
RUWRNLE/CINCNORAD N
RUCSAAA/CINCSAC RUCSAAN/CINCSAC .
RUAHBRA/CI.CPACFLT .
RUECHSA/CASAF USAF RASHDC
ACCEA/CANAIRDEF O TREAL
RCEOC/CANCOMARPAC
AUNJHIA/COMFIRSTFLT
.
NUWNHIA/COMMESTAREA COGARO
RUHHABA/PACAF HICRAM .
UHHASA/COMAS.FORPAC
L ,
RUEDFIA/ARIGHT P-TTERSON AFE OHIO
0201012 J0L 67 0201812 J0L 67 - .
AM SS JUEEAS VICTCAY MERINT PM SS JUEEAS VICTCRY MERINT
TO AOAL 7COASESTSEAFRON NAVY SFRANCISCO TO AOAU /COAMESTSEAFRON NAVY SFRANCISCO
O
.
LHCLASSIFIE PRIORITY
144
,

UrO Observation, 23 July 1967
AUG 22 1967
Base Operations
Butts Airfield
Fort Carson
Colorado Springs, Colorado 80913
The Aerial Phenomena Branch has received a report of an unidentified
flying object in the vicinity of Colorado Springs. The dercription
of the Uro is similar to that of an aircraft dropping flares.
Request information on any night operations involving flare drops
or similar activities on 23 July l967, between 2loo - 2300 hours,
local time. The information which you provide will be helpful in
making our final evaluation.
FOR THE COMMANDER
DO PP BE O/A
MES C. MANATT, COlOneL, USAF
Wirector of Technology and Subsystems

/ UNCLASSIFIED PRIORITY 0
BT
UNCLAS
MERINT KOSU THREE UFO 0 2D-1AN 121-13E O11SOOZ ASOVE CIRRUS CLOUDS
IN FONMATION KIDELY SPACED SHAPED LIKE LARGE FLYING BOAT WITH
LIGHTS DOMN EITHER SILE. NO NOISE. ONE ALTERED COURSE SOUTH LieT- SVy EAiEk SILt. No NoiSE. ONe TERED COURSE SOUTH
FOLLOMED BY OTMER TWO LEAVING SHORY TRAIL OF LIGHT. THEN
APPEARILE SSE FROM VESSEL 15 DES TO 2O DEG ALTITUDE APPEARLG SSE FRCM VESSEL 15 DES TO 20 DEG ALTITUDE IN VERTICAL
FORMATION THEN MANEOVERING INTO VARIOUS FORMATIONS LIGHTS FROM
OBJECTS. COLOR AND INTENSITY OF MARS OR ANTARES. SIGHTINS BY OBUECTS. COLOR AND INTENSITY OF MARS ANTARES. SIGHTINS BY O
SECOND OFFICER AND SEAMAL. AEOUT 20 MINUTES SURATION
MASTER
BT
NNKNE
.
0
LCLASSIFIE PRIORITY
'
1

NO CASE INFO ONLY
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, we may contact you for further details.
1.When did you see the object? 2. Time ofdy:
Hours' Minutes
i (Circle One): A.M. or P.M.
Day Month Year
Nearest,Postal Address City or Town State or County
5. How long was object in sight? (Total Duration)
Hours Minutes Seconds
a. Certain C. Not very sure
b. Fcirly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? No
i
What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright
b. Cloudy 5. Cloudy
.IF you saw the object during DAYLiGHT, where was the SUN located as you looked at the object? 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 d. To your left
b. In back of you e. Overhead I
c. To your right c. To your right f. Don'tremember f. Don't remember
a
FTD FORM
OCT62 164 This form supersedes FTD 164. jul 61, which is obsolete.
1

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't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER(Circl One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
lulh
.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
13.Did the object: 1.Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Sucidenly speed up and rush away at any time? .Sucidenly speed up and rush away at any time? Ye Yes No No Don't know
c. Break up into parts or explode? c. Break up into parts or explode? Yes No No Don't know
d. Give off smoke? Yes (No No Don't know
e. Change brightness? Change brightness? N No Don't know
f. Change shape? No Don't know
9. 9 Flash or flicker? No Don'tknow I
h. Disappear and reappear? No Don't know
1
1

A
Official U.S. Air Force UFO forn
Page 3
1. Did the object disappear while you were watching it? If so, how? 20. Do you think you can
(Cirtle One
NO IF you onswered YES
21. Do you think you con
15. Did the object move behind something at any time, particularly a cloud?
(Circle One
(Circle One): Yes No Don't know. IF you answered YES, then tell what
IF you answered YES.
it moved behind:
2.Where were you loco
(Circle One): (Circle One):
Did the object move in front of something at any time, particularly a cloud? 16. Did the object move in front of something at any time, particularly a cloud? aInside a building Inside a building
(Circle One): Yes \N0 (N0 Don't know. IF you answered YES, then tell what IF you answered YES, then tell what b. In a car b. In a car
in front of: t. t. Outdoors
d. In an airplane (typ d. In an airplane (typ
e. Atsea e. Afsea
f. Other. f. Other.
17. Tell in a few words the following things about the object:
0.Sound N/JO UND TAND 24. IF you were MOVING 24. IF vou were MOViNG
b. Color POLER AF LIGHT 24.1 What direction
0. North
b. Northeast
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 24.2 How fost were you
the object would have been covered by the match head? 24.3 Did you stop ot on
(Circle One)
kNoW
Did you observe the ob
o. Eyeglasses
9. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object b. Sun glasses
that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing C. Windshield
to show the direction the object was moving. d. Window glass
26.In order that you can g
jects which, when placed
5A
.

. Air Force UFO form continued clb
Page 4
Pag+ 2
Do you think you can estimate the speed of the object?
(Circie One) Yes No
71. Do yeu think you can estimate how far away from you the object was?
(Circle One) Yes No
then tell he
Where were you located when you saw the object? 23. Were you (Circle One)
(Coce One): Cocle Onek
a. In the business section of a city? a.In the business section of a city?
a. Inside a building b. In the b. In the residential section residential section of a city? of a city?
then tell hg then tell whg b inacar In a car c. In open countryside? In open countryside?
Outdoors dNear an airfield? d. .Near an airfield?
d. in on airplane (type) in an airplane (type) e. Flying over a city?
Al sea F. f. Flying over open country?
i. Other i. Other. g. Other. Other.
you were MOVING IN AN AUTOMOsILE or other vehicle at the time, then complete the following questions: Is ou were MOViNG IN AN AUTOMOBILE or other vehicle at the time, then compiete the following auestions: 5.
24.1 What direction were you moving? (Circle One)
0. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
and nore No mo s th
the sightang Aom that a 2.2 How fast were you moving?_ miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
Did you observe the object through any of the following?
a. Eyeglosses Yes No e. Binoculars
Ony detg : of ehe eue b. Sun glasses Yes f. Telescope Yes No
arro beide ohe dog Windshield Yes No g. Theodolite Yes
d. Window glass Yes No h. Other_
n which, when placed up in the sky, would give the same appearance as the object which you saw.
JATALITE
)

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 objec!
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°
Bw E
BRAAs
15o SE SE
s S
0°
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 28 Drow
the end of the path, and show any changes in direction during the course.
3
29. IF there was MORE THAN ONE object, then how many were there?. TWO
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
[—
$\frac}$
I

JFO form continued - SS
Page 6
yo everseen th or asimilar bj bef I  gi date r dates and locatin
N0
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:
57
SEATTLE
WA5#
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAM
First Name Middie Name Middie Name
ADDRESS EAST SEATICE WASH
Street City Zone State
TELEPHONE NUME GE. SEX7
Indicate any additional information about yourself, including any special experience, which might be pertinent.
NONE
When and to wham did you report that you had seen the object? 33. When and to wham did you report that you had seen the object?
NOB3DY N0B2DY
Day Month Month Year
S
'

Official U.S. Air Force L
Page 7
34. Dote you completed this questionnaire: bo1om Month 67 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.
MI9HT HAVE SOME PICTUREJ_
CAN17 TELL YET
"
1

1 oNLY
NO CASE INFO
-
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, we may contact you for further details.
1. When did you see the object? Time of day: (6 23
Hours Minutes
ED12 JuLy607 (Circle One): (Circle One): A.M. or P.M
Month Month Year
3. Time Zone:
(Circle One): a. Eastern Circle One): . Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
5.
4. Where were you when you saw the object?
MARSHRLL MO.
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) O ?
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? RPPROXON MATION
5.2 Was object in sight continuously? Yes No-—
What was the condition of the sky? 6.What was the condition of the sky?
DAY DAY NIGHT
a. Bright
b. b. Cloudy b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? 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. Iavourleft, d. Iovourleft,
b. In back of you e. Overhead
c. To your right f. Don'tremember f. Don'tremember
I
FORM
FTD OCT62 164 This form supersedes FTD 164. jul 61, which is obsolete.

Page 2
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't remember d. Don't remember
?. 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
c. Scattered clouds. c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
b. Transparent e. Don'tremember
c. Vapor
it appeared as a light, was it brighter than the brightest stars?(Circle One):
a. Brighter c. About the same
b. Dimmer d. Don'tknow
11.1 Compare brightness to some common object:
SAMEWIHET TO R LIGHT BULB
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 Don'tremember
i Did the object: (Circle One for ecch question) (Circle One for each question)
a. Appear to stand still at any time? Yes Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don't know
dGive off smake? Yes 21222 Don't know Don'tknow
e. Change brightness? Yes 1222 Don't know
F. Change shape? Change shape? Yes Don'tknow Don't know
S. S. Flash or flicker? Flash or flicker? Don'tknow
h. Disappear and reappear? Disappag dregapegr? Ye Don't know Don't know

23 Duily! 1967
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AF3C)
WRIGHT-PATTERBON AIR FORCE BASE. OHIO 4S433
REPLY TO TDET/UFO AUG 1 1967
ATTN OF:
SUSJECT UFO Observation, 23 July 1967
TO: Mr and Mrs
Colorado Springs, Colorado 80901
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 report your observation
to the Air Force. orce.
AMES C. MANATT, COlOneL, USAF 1 Atch
Director of Technology and Subsystems irector of Technology and Subsystems FTD Form 164 w/envelope
^.
tipe o 7 eleenage elenage
Some type Some

Official U.S. Air Forc
Fege 3
NO
CaME FROM Ths
ERST going NORTHWest
1. 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 Ne Don'tknow. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
0.SoundR DULL ROFR 0.SoundF DU2. ROAR
b. Color R BLUEISK LIOKT
18. We wish to know the angulor 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 o
the object would have been covered by the match head?
RBOUT 1/3
. Draw o 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 exhoust trails or vapor trails. Ploce an arrow beside the drawing
to show the direction the object was moving.
EXEMRUST
FRONT

Air Force UFO form continued
Pege 4
Poge 3
ROM THE De you think you can estimate the speed of the object?
(Circle One) Yes No
95 M.P.H.
F you onswered YES, then what speed would you estimate?.
Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
en tell wha!
Where were you located when you sow the object? 2.Were you (Circle One) 23. Were you (Circle One)
Cirde One): (Cirdle One):
a. In the business section of a city? a.In the business section of a city?
a. Inside a building Imside a building b. In the residential section of o citv?
en tell what en tell what b Ina car c. In open countryside?
c Outdoors c Outdoors d. Near on girfield? d. Near an oirfield?
din an oirplane (type) din an airplane (type) e. Flying over a city?
A!sea . Alsea f. Flying over open country?
1. Other. g. 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)
. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest
nd note how much of the
be sighting. how much o 24.2 How fost were you moving?_ miles per hour.
2.3 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?
o. Eyeglasses Yes No e. Binoculars Yes
any detais of the objest b. Sun glasses Yes No f. Telescope Yes No
rrow beside the drawing C. Windshield Yes g. Theodolite No
d. Window glass Yes No h. Other_
ain order that you can give as clear a picture as possible of what you saw, describe in your own words a common object or ab-
ets which, when placed up in the sky, would give the some appeorance os the object which you saw. ets which, when placed up in the sky, would givethe same appeorance os the object which you saw.
ST SAUCER SaUCER SKEPEO SKRPEO IECT giring
giring
OFF OFF

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
NE
B
30
W E
15° SW SE
S
S.E
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
AN
&
5
.

Page 6
4
ve you ever seen thi, or a similar object bufore. If o give date or dates and location.
NO
Was anyone else with you at the time you saw the object? (Circle One) Yes Ne
31.1 IF you answered YES, did they see the object too? (Circle One) Yes N2
31.2 Please list their names and addresses:
32. Please give the? jlowing information about yourself: 32. Please give the? jlowing information about yourself:
NAM
Middle Name
ADD MO.
Citv Zone State
TELEPHO 12 sex MAL2
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 obiect? 33. When and to whom did you report that you had seen the obiect?
WED, 12 uny =D12/ L2 4?
Month Year Year
I
.
.
-

Official U.S. Air Force
Page 7
Date you completed this questionnaire: 6 WED12, JY 1
Information which you feel pertinent and which is not adequately covered in the questionnaire or a narrative explanation of your sighting.
I'm NOT saying THATI
ROTUALLY Saw A "FLyiNgSaUcER"
IT MIgHT HRVE BEEN AN AIRPIANE
BUT I.AM REPORTING THIS BECAUSE
I'n INTE IN U.F.O.'s.
a
I
,
,
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 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.
When did you see the object? 2. Time of day: 55
Hours Minutes
1/2 1967 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
ICicclo
C. Mountain
d. Pacific
e. Other_
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) abont 310
Hours Minutes Seconds
a Certain c. Not very sure
b. Fairly certain d.Just a guess
5.1 How was time in sight determined? uentto bel at ias oftirI
1
5.2 Was object in sight continuously? No__
6.What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT NIGHT
o. 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 af you d. To your left d. To your left
b. In back of you b: In back of you : e. Overhead
c. To your right f. Don't remember f. Don'tremember
I
FORM
FTD OCT 62 164 This form supersedes FTD 154. jul 61, which is obsolete.
.
1

:
Page 2
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. 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):
a. Clear sky . Dry /
b. Hazy . Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don'tremember
10. The object appeared: (Circle One):
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
the 1pC1 h +
3 ais plane flying close range.
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other.
b. Like a brighrstar
c.Sharply outlined
d. Don'tremember
.Did the object: .Did the object: (Circle One for each question)
a.Appear to stand still at any time? Yes Yes No Don'tknow Don't know
b.Suddenly speed up and rush away at any time? Yes No. No. Don't know I
c. Break up into parts or explode? Yes No Don'tknow Don'tknow
d. Give off smoke? Yes No No Don't know Don't know
e. Change brightness? Yes No Don'tknow
f. f. Change shape? Yes Yes No Don't know
g. Flash or flicker? Flash or flicker? Yes Yes No Don'tknow
h. h. Disappear and reappear? Disappear and reappear? Yes No Don'tknow I
-
.

FX
Official U.S. Air Force U
Page 3
14. 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? 16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No 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  few words the following things about the obiect:
a.Soundn
b. Color nescentredwit aluhit
18. We wish to know the angular size. Hold a motch 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 mctch. If you had performed this experiment at the time of the sighting, how much c
the obiect would have been covered by the match head?
3ofi+
. Draw a picture thot will show the shape of the object or objects. Label and include in your sketch any details of the bje
that you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drow
to show the direction the object was moving.
like D layers with
red one
one lotight flashing lighti bofight flashing lighti
back
.
5
,

Air Force UFO form continued
Pup3 Page 4
Do you think you con estimate the speed of the object?
(Circle One) Yes No
IfF you answered YES, then what speed would you estimate?
Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
then teli what
"f you answered YEs, then how far away would you say it was?
2 Where were you located when you saw the object? Where were you located when you saw the object? Were you (Circle One) 2. Were you (Circle One)
(Circle One): In the business section of a city?
a.In the business section of a city? .
a. o. inside a building inside a building 6. 6. In the residential section of cis In the residential section oftits
then tell what then rell wha" b. in a car c. In open countryside?
c c. Outdoors Outdoors d. Neor an airfield? Near an airfield?
d. In an oirplane (type) d. In an oirplane (type) e. e. Flying over a city?
e. Al sea f. Fiying over open country?
f. Other. I 9. Other_ Other_
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)
α. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
and note how muth
the sighting ho- wee 24.2 How fast were you moving?_ miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes
h any detach of the obre Sun giasses Yes f. Telescope Yes No
arrow besde the drow 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- er that you can give as clear a picture as possible of what you saw, describe in your own words a common object or ob-
ShY ects which, when placed up in the sky, would give the same appearance as the object which you saw.
ets which, when placed up in the sky, would give the same appearance as the object which you saw.
held a+armslenrh) Cheldat ss 1ensh
9 dimeshonee 9 dimesione ep afthe ather af7he othe
tut the toponeis tutthe ioponeis slighty slighty
ht
witha flashing white light at ts tis
+al +a1l
-
.

Official U.S. Air Forc
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.
A 6is
90° 75 2oint)
Point
N
45
NW NE
30°
w E
15° sw SE
S
28. hiect. oinningofthe pg
cp+down+ ckanyhed
shape then pathsnlymoredistant
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.
1
&
I

SAFOI
UNCLASSIFED 67
2guly
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AFIN : 67096 (27 Jul 67) B/jja Pglo4
ACTION: RDC-4 INFO: XOP-1, XC
SMB A153RTTUZYUW FHOA
ZAR UUUUU
R 271649Z JUL 67
FM 4 600ABWG ENT AFB COLO
TO R UE FHQA/OSAF WASH DC
RUEFHOA/CSAF
RUEDFIF/FTD WPAFB OHIO
RUWTEMA/10AF GEBAUR AFB MO
UNCLAS WG00T-B 02052 JUL 67.
D C CADOCP) ANO (ADCIO-P OL OR ADO
UFO UNIDENTIFIED RE FOLLOWS ARA 119
AFR 80-17.
A (1 A. RED LIGHT ON ONE SIDE; GREEN LIGHT A(D) A.RED LIGHT T ON ONE SIDE; GREENLIGHT T ON THE OTHER AND AN ON THE OTHER AMD AN
IGHT BALLAIKE
OBJECT WHICH OBJECT A PPE AR ED APPE ARED ABOVE ABOVE T HE OT HER OT HER T . TO A FLARES
AFHO JAM " "ORM 0-30sc
UNCLASSIFIED
1

had a radio anncunoemedt
about sightingot K i2
windson
HFkio
32. Please give the following information about yourself: or 0e7
NAME
Last Name First Name Middle Name
ADDRESS .ClainShares Mich
her i5 theinmevenent
2 5 these diseppoared
0 ©
fur bcnt 5 ininutegthd
i+ toe cisappeured
33. When and to whom did you report that you had seen the object?
+  continued
Day Month Year going lower while
the other Dwere the other D were
I sae +hoses I sae +hoset
dinection: NNE dinection:NNE
cebout ahoi t 55
4

In+he
I will- 2 contiuing
dircctionof aFO
B.object
6 stopped Changed
here dines
Changes in shape sideways, but i+ did
E E 1QIC(B. DCB. Acken Acken 1C
$j changed change first first device Ihave
phea, bcfore bcfore 1n 1n sightell
d.sappt d.sapp shupe t biight whiteligh+ biight whiteligh+
6
seght
looked
like very bright -
ster ".
11
.

.
ir Force UFO form continued
Page 7 Unrelated informe. Page 8
Where can I get aco, "Project Blne book
Issued by the air force eachyear?
ew
ining ining 3
k
ect
ageed aged
ection
cnWNW
F scuth
was
thene
sighted
tunted
cand
i+ did
n airplune
ther
rseen. rs
5
,
1

No CASE 10E0 ONY
Page1
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 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, be used for research purposes. Your name will not be used in nection with any statements,
conclusions, or publications without your permission. We request this personal information so conclusions, or publications without your permission. We request thi personal information so
that if it is deemed necessary, we may contact you for further details. that if it is deemed necessary. we may contact you for further details.
When did you see the object? 1. When did you see the object? 2. Time of day: .Time of day: 10
Hours Hours Minutes Minutes
THURSDAY Juny 1967 (Circle One): A.M. A.M. P.M.
or
Day Month Year
$13$ 1.--1
3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving
5. Central b. Standard
C. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
DIXON ILL.
-aress 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
b. Fairly certain o Just a guess
5.1 How was time in sight determined? JUST FINISHED A LAJE DINNER
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? Yes Yes No__ No
.What was the condition of the sky? What was the condition of the sky?
DAY NIGHT
a. Bright o. Bright a. Bright
b. Cloudy 5. Cloudy Cloudy
7. IF you saw the abject during DAYLIGHT, where was the SUN located as you looked at the object?
Circle One): a. In front of you Circle One): a. In front of you d. To your leit
b. In back of you b. In back of you e. Overhead e. Overhead I
c. To your right f. Don'tremember
FORM
FTD 0CT 02 164 This form supersedes FTD 164, jul 61, which is obsolete.
4
,

ORCE UFO FORM
Page 2
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'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 Ca. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared:(Circle One): 10. The object appeared:(Circle One):
.Solid Solid d. As a light
b. Transparent e. Don'tremember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter <C. About the same
b. Dimmer d. Don'tknow
11.1 Compare brightness to some common object:
>
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other. Too feR AWAy
.Like a bright star
c.Sharply outlined
d. Don't remember
3.Did the object: 13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Yes No Don't know
b.Suddenly speed up and rush away at any time? b. Suddenly speed up and rush away at any time? Yes NO Don'tknow
c. Break up into parts or explode? c. Break up into parts or explode? Yes Don't know
d. Give off smoke? dGive off smoke? Yes Don't know
e. Change brightness? Yes E999999 3999909 Don't know
. Change shape? f. Change shape? Yes Don't know Don't know
Flash or flicker? g.Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know
I
5
I

Official U.S. Air Force UFO
Poge 3
wh ? 20. Do yo
FLEW of SIGHT BEHIND A CLOUD
IF you
.
15. Did the object move behind something at any time, porticularly a cloud? 21. Doye
(Circle One): Yes No Don'tknow. IF you answered YES, then tell what
IF you
it moved behind: it moved behind:_ ACLOUD A ChOUD
22. Where 2. Where
(Circle
Did the object move in front of something at any time, particularly a cloud? 16. Did the object move in front of something at any time, particularly a cloud? o.Ios o.Ios
(Circle One): Yes No Don'tknow. Don't know. IF you answered YES, then tell what IF you answered YES, then tell what b.in h.in
in front of: c. Ou
d.In .In
e. A1 e. AI:
f.O
7. Tell in a few words the following things about the object:
a. Sound._. NONE 24. IF you
b. Color BRIGHT WHITE LIGHT 24.1
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 24.2
the object would have been covered by the match head? . 24.3
THE OBJECT LOOKED JUST LIKE
MOUED ADSD STOPPED
25. Did yo
0.E
19. Drow a picture that will s show the shape of the object or objects. Label and include in your sketch any details of the object b.5
that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing c.M
to show the direction the object was moving. to show the direction the object was moving. d.v
26. In ord 26.In ord
jects
;
14
I

Air Force UFO form continued
Pag+) Poge 4
20. Do you think you can estimate the speed of the object?
Circle One) Yes No
A CLOUD
F you answered YES, then what speed would you estimate?.
Do you think you can estimate how for away from you the object was?
(CircleOne) Yes No
en tell wha
you onswered YEs, then how far away would you say it was?.
. Where were you located when you saw the object? 2. Where were you located when you saw the object? 3Were.you (Circle One). Were. you (Circle One).
(Circle One):
aIn the business section of a city? a. In the business section of a city?
aInside a building Inside a building b. In the residential section of a city?
hen tell whas hen tell whas inacar .in a car C. In open countryside? In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
. Alsea e. Al sea f. Flying over open country? f. Flying over open country?
f. Other. f. Other 9. a Other Other..
2. If you were MOViNG IN AN AUTONOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. Eost e. South g. West
. Northeast d. Southeast f. Southwest Northwest
and note how muek of he 50
the sighting ho- vet d 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?
LIKE (Circle One) Yes No
ADID STOPPED
. Did you observe the object through ony of the following?
.Eyeglasses No e. Binoculars Yes
any detal: of the ooed b. Sun glasses No f. Telescope Yes
arrow benide the perowng c. Windshield No g. Theodolite Yes
d. Window glass Yes No h. Other_
26.
s which, when placed up in the sky, would give the same appearonce as the object which you saw. cts which, when placed up in the sky, would give the same appearonce as the object which you saw.
QUESTION QUESTION * 18
SEE
7

Official U.s. Air Force
Pege 5
In the following sketch, imagine that you are at the point shown. Place on "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 cbject 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°
B A N
2
NW NE
30
W E
Bs
15° 15° sw S1 SE
RB RB 0 c s
.Draw a picture that willshow the motion that the object or objects made. Place an "A" at the beginning of the path, a "B at .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.
B-< -A---
29. IF there was MORE THAN ONE object, then how many were there?.
Draw a picture of how they were orranged, and put an arrow to show the direction that they were traveling.
Sal

Air Force UFO form continued
Fage 5 Poge 6
show haw high the object
how high the object was PEKIN, ILL. - SUMMER dA 1965-
Place a "E on the com. WINTER oF 1961
Was anyone else with you ot 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
VE 3.2 Please list their names and addresses:
WIFE
E
DIXON, ILL. DIXON, 1L2
SE
32. Please give the following information about yourself:
NAME
Last Name Middle Name
ing o! the poth, a "E"a! ing ol the path, e "E"a! DIXON ILL.
ADDRESS
Street City City Zone Zone State
TELEPHONE NUMBER AGE 33 SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
ASST. PROF of SOCIAL SCIENcE
oveling.
SAUK VALLEY
When and to whom did you report that you had seen the object? THIS 1S FIRST FIRST
TH15 15
Day Day Month Year Year REPORT REPORT
*14
,
I

Official U.S. Air Force UFO form
Page 7
34. Date you completed this questionnaire: 19 Doy J42y Month 1967 Year innst
Information which you feel pertinent and which is not adequately covered in the specific points of the a cbou
questionnaire or a narrative explanation of your sighting. When
am a member of NICAP.and
so I alway keep an eye out for see if
Ran
Jhir Jhir obgiet loske guat liko any obgiet loske guat Liks any moviing movig
star ,eyeept thut it moved. thut it moved derection
bught aten, ejeept bught seconal
end then stopel. It Them
The same derection a light
reteerned m It wan
that it hae Come. bntil -
my wife and Id kad gont fenniked recond
late denier at Grand Detoun, efeest.
eating eat Oipon, del.
a emall foun between
We were in our car halp way
There there stopred the
I sum 4h "jit I sen 4h " "lighit.
cr and we wateld it for a f car andt we wathd it for a f
I

. UNCLASSIFED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN : 67096 2of
MOR IZ ONT AL D IRE CT ION.
PAGE 2 RUWMFVA3086 UNCLAS
(A. BASKETBALL B. DIME
(3) TOO DARK (3) TOO DARK TO SEE'A COLOR COL OR
(4) TWO
5OO FT. (BR IGHT BALL
TYPE OBJECT WAS AT HE HIGHE UDE)
(6) NONE
(7) SMOKE BEING DISCHARGED FR OM HIGHEST OBJECT
(8)NONE
(9) NONE
B.(1)MRS
0BJ ER.
(2) 60 DEgREeS At 500 FEET
(3) OBJECT WITH TWO LIGHT S ON IT STARTED TO MOVE SOUTH, THEN CHANGED
DIRECT ION TO EASY ANO UPWARD D ING IN ABOUT SECONDS. THE OTHER -
OBJECY JUST FADED AWAY. OBJECY JUST FADED AWAY.
(4) MAINY JUST STATIONARY. (4) MAINY JUST STATIONAR Y.
(5) JUST MOVED (5) JUST MOVED AWAY OUT AWAY SIGHT SIG HT
AFHQ JAM 0-309C FORM
UNCLASSIFIED
,

could Re
another n light
fanieg slow, Lin moith-wertul
Jle only
hgiet wn that it lad that it dad
reelalik Colo,
sght for a few muniter
lat Trach 2hi
a star too,
#
1

si
NOCASE INFO ONLY
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 wil!
be used for research purposes. Your name will not be used in nection 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.
.When did you see the object? 1. When did you see the object? 2. Time of day: Time of day: 30 30
Hours Minutes Minutes
144 144 Dulr Dulr 1967
(Circle One): A.M. or C.M.) CP.M.
Day Month Month Year
3. Time Zone:
(Circle One)a. Eastern (Circle One): . Daylight Soving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other_
4. Where were you when you saw the object?
ave soutbatitebrs
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 30
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes
What was the condition of the sky? 6.What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright motadl motael
b. Cloudy b. Cloudy
IF you sow the cbject during DAYLIGHT, where was the SUN located os you looked at the object? 7IF you sow the object during DAYLIGHT, where was the SUN locoted os you looked at the object?
(Circle One): a. In front of you (Circle One): a. In front of you d. To your left d. To your left
b. In back of you b. In back of you e. Overhead
c. To your right f. Don'tremember f. Don'tremember
I
FORM
FTD OCT 621 164 This form supersedes FTD 164, jul 61, which is cbsolete.
,

2
FORCE UFO FORM
Poge 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'fremember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky 2a. Dry
b. Hazy .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. Brighter
b. Dimmer d. Don'tknow dkeer werent any
tard
11.1 Compare brightness to some common object:
The edges of the object were:
Other
b.Like a bright star
. Shorply outlined
d. Don'tremember
.Did the object: 13.Did the object: (Circle One for each question)
a. Appear to stand still at any time? a.Appear to stand still at any time? Yes Yes No No Don't know
b.Suddenly speed up and rush away at any time? Yes Yes No No Don'tknow Don't know
c.Breck up into parts or explode? c. Breck up into parts or explode? Yes No Don'tknow
d. Give off smoke? Yes No Don'tknow
e. Change brightness? Yes No Don'tknow
f. Change shape? Yes Yes No No Don'tknow Don'tknow
g. Flash or flicker? Yes No No Don'tknow Don't know
h. Disappear and reappear? Yes Yes No No Don't know

in 0
CirtieOne
20 F you arswered YES.
1 Did the object move behind something at any time, particularly a cloud? ". Do you think you can
Yes No (Cirtle m)
(Circle One): Don't know. IF you answered YES, then tell what
I you answered YES,
it moved behind:.
Where were youloca!
Citle One
1. Did the abject move in front of something at any time, particularly a cloud? Did the abject move in front of something at any time, particularly a cloud? G mude a building Imde a building
(Circle One): Yes No Don't know. Don't know. IF you answered YES, then tell what n Inaco
in front of: in front of: Ouldoons Ouldoors
1 Is an avplone I an orplone (ryp (yp
a. Al Lea Al 1ea
I Other
17. Tell in a few words the following things about the object:
a. Sourd a. Sourd_ 1 4 IF you Nere MOVING It YOu Nere MOVING
b. Color 7rat 24 ) What direchion w
a. Nowth
D Northeast
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.
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much 222 now fost were yo
the object would have been covered by the match head? 241 Ded you stop at a
Circie One)
23 Dod you abverve the ab
Evegiasn
b Sun giones
exhaust trails or vapor trails. Place an arrow beside the drowing Wiadihld
that you saw such as wings, protrusions, etc., and especially 2 Windewglow
to show the direction the object was moving. time 2t hanged.
and 2 dort no e2as tra
"seder mot you con g
och ahich, when plact
A hoany
ut
2a2

CeUFO form continued
Page 4
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
Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One,:
a. In the business section of a city?
G. Inside a building b. In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors d.Near an airfield?
d. In an airplane (type) e. Flying over a city?
. Arsea f. Flying over open country?
f. Other g. Other
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars
. Sun glasses No f. Telescope Yes
c. Windshield Yes No g. Theodolite
a. 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 appearance as the object which you saw.
L820020 Lt200808 liko zh
butonly

Official U.S. Air Forfor
Poge 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 obj
was above the horizon (skyline) when you first saw it. Piace a "B" on the some curved line to show how high the chject w
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 co
pass when you last saw the object.
90° 75°
as onyone
N
1.1hFyou
7 Please
NE
30°
E E
BE 15~4 15 SE
Please give
BE 0° 0 S
NAME. NAME
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 sct 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 Bt
the end of the path, and show any changes in direction curing the course. ADDRESS
TELEPHO
Indicate
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.
. Whe 33.

Page 6
the turved line to show ho.
urved line to show how hag
en you fir sowPlase e
7
styone else with you at the time you saw the object? (Circle One) Yes No
you answered YES, did they see the object too? (Circle One) Yes No
3y Pleose list their names and addresses:
ar
E
SE
s Please give the following information cbout yourseif: Please give the following information about yourseif:
the beginning of the path, a Last Name First Name First Name Middle Name Middle Name
ll Btbora Ethboia maei max
ADDRESS
Street City Zone Zone Staie Staie
TELEPHONE SEX male
Indicate any additional information about yourself, including any special experience, which might be pertinent.
were traveling.
33. When and to whom did you report that you had seen the object? nodody
nodtdy
Day Month Year
.

Page 7
34. Date you completed this questionnaire: 16 Ily 186
Day Month Year
questionnaire or a narrative explanation of your sighting.
srosed mer t litth d02 abou
the fit then changed
cveree and dirapp cared
)
25seondi.
1
2
1

INFORMATION DNLY
"oadble DECAY
tt
21 JoL 1 20 167 im
3?2
lY
JAW RU0-X4453 2-0D0O-1-L---12F1r.
e 17 IEEEE 18
DE RJFP3A 51 2121534
2NY THEEC
NRARPPZ JUL 67
3 FM SO3D ABW SZMBACH A3 GERMANY FM SO3D ASW SZMBACH AB GERMANY fm fm
IJ RUEDHDA/CSAF 1J RUEDHDA/CSAF SE
RJEDHGA/OSAF RJEDHQA/OSAF
ns n RJWIFVA/ADC RJWIFVA/ADC
RUEDFIF/FTD WPAFB OHIO
RJFPBW/CINCUSAFE
RUFPSD/I7IH AF RAMSTEIN AS GIRI-NY
ZEN/UNIVERSITY OF COLORADO 3OULDLT 3ULORAOO G030Z
D RUFPSD/36 AIR DIV RAMSTEIN AS GERYANY
of
JNOLas E A F 1 J DCO 0751 JUL 67.
IFO. CSAF FOR AFRDC; OSAF FUR SAF-1; FTS FOR 1DETA.
1
A (1) 4 (1) ROJND ROUND
0 0
(E) SIZE OF A HELIDOPTER
(3) LUE
(4) ONE (4) ONE
4
()N/A
C. (S) THREZ INCH 2 ZREAK BETWEEN THE BLUE OBJECT SIHTED AND A7.
'

C
PAGE Z RUFPBG 6I ONCLAS E F T O
2 TO 3 FEET IN LLNGIH, NARADW ( ONE AALF INCA  OLODL IO IAE DLWL
INE TAIL.
() NONE
(9) NONE 0
B
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-003-436 -0049/.-90)6 4 KM AWAY. SLO. MOVING AND EST I..HTE 1200
FEST ADVE GROUND LEVEL. C
(2) 30 DEGRE HA
ELEPATION ELEPATION c
(4) 30 DEGREDS ELEPALION CONSTANT- MOVED FAOI 4D DEGRIES TO AFP-
ROXIMATELY 3O DEGRIES AZIMUTA. ROXIMATELY SO DEGREES AZIMUTH. O
(S) INSTANTANEOIGLY- OBSA
(6) 45 SECONDS 10 1 MINJTE.
C (1) BROUND-VISUAL
(2) NS OPTICAL AIDS
(3) 9/A
) (1) 16/0015Z 011L
(2) NIGHT
E
PAE S RUFPBG SI UNOLAS C F I O PAE 3 RJFPBG 6I UNOLAS C F I O e C
(1) 43 DE3RE3S 1 4IS DEGA-L 2 11NS (1) ) 43 DE3RE3S 1 MIS DEGn-L 02 111S -J-anriLe -J- AA iLe
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6
J5 AX9Y-1 )-A4 (. H0310N, RA1-7-4-9, 26, 10/ .00. 11. AP-
,

UNCLASSIFED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AFIN 67096 Pg3 of 4
(6)ABOUY 2 1/2 MINUTES
C (DGROUND VISUAL
(2)NO NE
PAGE 3 R UWMFVA3086 UNCLAS
(3) N/A
. (1) 24 JU 67 034 0Z
(2) NIGHT TIME
E. (1) ON CIMARRON STREET BETWEEN INTERSTATE HIG HWAY AND
AGE 43, BOTH
OF BOU
MR HAVE HIGH SCHOOL
EDUCATIONS. R NOWN.
(2)N/A A
- 20,000
2719; 30,000'272 0,000* UNK.
(3) 80
(4) 95
(510/10 (5)10/10
(6NONE
AFHQ JAM 0-309C POAM UNCLASSIFIED
14
'

J. AAY 71 49754 E. LI11L-, A420652100, 5P -1 Jn0. 60. 50
. 19627.
(D CLEAA AND JNDSSINICIED VI-ISTLITY
(3)1:)3-4
.. (4) UNRESTAICTED
() NONE
(S) NONE
(7) ONE AND ONE HALF 77 SNE ANS JNE OREr DEJR-- FET TUJ 7-21 DEGREE PEX 1OO F-ET
. . HNONE H NONE
. 6 IN/A I N/A
JNONE JNONE
O K ASST BASE OPS OFFICER, RICHARD V.
K ASST BASE OPS OFFICER, RICHARD V. MOGILL, AAUOR, WYPEAD ASW HOGILL, AAJOR, WYPEAD AOW
O (OCO-13) AP0 C9130, 71S1, HOME PHONE NOMDEE WE3O1, NOVE
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MINGTES
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INCEYA TO ATWESS, SREECE (ODITZ): BOTEL AV:. ISRAEL: TS THE IYT INCYE TO ATWESS, BREECE CODIZ): BOTEL OU:. ISRAEL: 7S THE I
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0 FISPACE DEFENSE CEVTER ENT AFS COLO FISPASE DEFENSE CENTER DNT ARS COLO
1301 2EM/NA3HDC
2EM/NA3HDO
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,
1

. NO CASF 1NFO ON-Y Page 1
U.S. AIR FORCE TECHNICAL INFORMATION
8.1
This que slonnalre has been prepared to thet you can give tho U.S. Air Foree as much
infermcign as possilale cencerning the unldentified coriel phenomenon thot you heve ebserved.
be used for rescurch purpoies. Yeur name will net be wsed in connectlen with any staloments,
concluslors, or publieations without your perimisslen, We request this personal Infermatien so
that if it is dsomed recestory, we may contect you for further dotails.
9. wI
1. When did you tus the chjeet? 9 15 CI
2. Time of day: O.
Hours Minutes
18 July 1967
(Circle One): A.M. or or P.M.
Day Month Year
3. Timo Zone:
(Chcle Onoh 6, Sostern (Chcle Oneh e, Sostern V (Cirele Ono): o. Dayliy'tSaving (Cirele Ono): d. Doyliy't Saving L.
b. Contral b. Central b. Standut b. Standa d
6. Moentuln 6. Mountula
d. Pucific d. Pucific
e. Other- 0. Other-
A, Whore wcre yeu whanyoy sow the ehjest?
TACONIC P'KWaY Briarcliff NEW YOrK
NeePast City or Town State or Counly
S. Hew fong was oli;st in sight? (fotal Duration) 2
Hours Minutes Soconds
d. Codaln c. Not vary sure 12.
1. Fetly contein d. Just e guess
5.2 Wos obfed in dig'tecatlouously? YOs No
A Whet sthet aof hed,?
DAY NICHT
a. drahy 6. Bright
b. Cloody b. Cody
L. P yas se v dhe al eatrleg Darud aL, whore wes the SuN tngtedes you locked ol tho ebjeo? L. F yes se v tdhe sljedtr eg Darukc aL, whore wes the SuN tngotedes you locked ol tho ebjoo?
Cade Ocof taF you Cade Ocok o lEt dyou d.Tn d.Toh
h lnkdyou h, inh... dfyou .O a. O
cYay cYaymi 6. Do 6. Du ,wher wher
0c102 164 1 T FID i id n, wluh Wite Frp lidii, wlu-h ote

1
Phga2
IF you sow the dbjedt of NGlt, what did you notile deacerning the STARs ond MOON?
8.1 STAkS(Chce Onc): 8.2 (OON(Cirde Onc):
- a. None o. Cright moonlig ht
b. A lew b. Dull moonlight
c. Many I a No noonlight-pitch dark
d. Don'tremember d. Don'tremember
What were the weasther condliont d ha lae you stnk the ohject?
CLOUDS(Cin() WATHER(CircleQno)
a. Clearsy a. Dry
6. Hozy Hozy b. Fog, mist, or lightrain I b. Fog, mist, or light rain
c. Scallered clouds c. Scailered clouds c. Moderate or heavy rain c. Moderate or heovy rain
1.Thick er hoary clouds 1.Thick or hoary clouds d. Snow d. Snow
e. Don'tremember e. Don'tremember
The objecteppaored:(CledaOnah: The object egpzored (Cinda (no):
a. Solid d. As o light d. As a Hight
b. Transpuent Tramspuent o. Don'trdmen'r o. Don'trdmentr
c. Vapor e. Vapor
If it eppeured os a light, was it biylohter thon the byig" ast stars? (Ciide Onak
vo. te c. 1'
Cimor d. D
S
11.1 Cony ore bdichlnoss to , ae common cbjech
sunset.
The edges of the objadt were:
(Circle One): a. Fuzey or blurred e. Oher..
h. Like a bright star
-e. Shorplyouilined
d. Don'tremenber
.
Did the object: (C.deCn
a. Appeor to sland still ot ony tlme? I Y.s No
b. Suddenly spred up and rush aray at ony time? eoiyieedop dndroshdey drcoy mme? Yes Yes Mo No
c. Breck vp into purts or explode? c. Breck vp into purts orexplode? Ys Yes No
d. Cive offmoke? d. Civeoffmoko? Y.s No
e. Chonge hrighlaess? e. Chonge hrighiaes? Yes No + +
6. Change shope? Yes N
g. fosh orilidor? g. flush orilidor? Yes Yas
h. Diserpearand recyghor? h. Diserpedr ond reeyghor? 2i 2: - .
Yes 7
14.
1

OmoialBMrNereotne
Page 3
14. Od the abjoct disoppanr while you were watching hi? li a, how? 70.Dayouthink yo
(Cirdho
IF you answornd
15. O' I the ebjeet move behlnd samothing of any fine, pa leulurly a doud? 21. Do you think you
(Cirdle Ono): Yes No Dantknow. W you anaed Yes, fon hall wA (Cirele
it moved behind:. IF you answered
22. Whera werey ou 22. Whera wereyou
(Chela One)
13. Did the object move in front ef something at any time, partleularly a dloud?
(Cirele One) Yes No Don'tknow. Don't know. a. bdbsa buld a. Iudbsa buld
IF you gnrvered Yes, thou toll what b lacar lacar
to front of. to frontof 6 Oundaors
d. In en cirplond d. In en eirplond
e. Afted e. Atsed
FOI FO1
17. Tell in a fow words the following things about the abjuct: 17. Tall in a fow words the fellowing things about the abjuct:
a. Sound 24. If you wore MO
6.colorOranqered 24.1 Whot di-ad
a. North
13. We wish to know the angular sike. Hold a mnatch etide id erm's langth ln Hine with a known ofjeet and note how wrch of the b. North
objart is covered by the hood of tho malch. if you had parformed thls orp arlinont of the flae of the slighting. how much of 24.2 How fast wo
the object would have been covered by the match hee i? about
%4 24.3 Did you stot
(Cirele(
25. Drd youobserred
o. Eyoglasses
19. Draw a picture that will show the shape of the objod or dbjects. tabct ond indude in your katch any deteils of the ebject 6. Sun glastus
thot you saw sudh os wings, protrudlons, etc., and otp xelally exhoust hrails or voper trails. Ploed on awow beside the drawlng — e. Windshleld
to shew the direction the object was moving. d Win low gle
1 >
^
26. In arder that you
Ics which, when
Lookec
- FOG
- in the
V

rooUPOomen
Poge
o. Do you think you con estinate the spet d of the object?
(Circle One) Yes V No
21. Do you think you con estimate how for away from you the obiect was?s
(Circle Ona) Yes very dlose to hugh
tension
IF you answered Yes, then how for away would you soy it wos?. monnoa Ter away wsuld you soy it wos wires
, Whore wern you located whan you saw the cbjoct? Whore were you located whan you saw the object? 23. Were you (Cirdle One) 23. Were you (Cirde One)
(Cirele One):
a. laside a huilding a. In the bu inest sectlon of u dity? o. In the bulnest sectlon of u dty?
bbnacar - b.lnacar 5. In the rasldantd sedllon of a city? 5. In the raildantid seclen of a clty?
6. Ouddion 6. Ousdion Lc. inopen countryslite? Lc. inopeacountryalide?
d. In an airplane (lype) d. In an airplane (type) d. Nogroneflield? d. Noaronetflold?
e. Alsea e. Alsea e. Flylng avara clty? e. Flylang averaclly?
F Ohr F Oih E. Flying over aped country? F. Flying over apee country?
1 Other,
24., If you were MOViNG IN AN AUTOMOalE or other vehidle of the time, then corplotg the follewling queslons
24.1 Whot dihrection wore you moving? (Cirele One)
a. North c. East V e. South
h of the b. Northeust d. Southenst g. West
wch of F. Southwest h. Northwest
21.2 How fost were you moving?. 3O_to_1_miles per hour.
24.3 Did you slop at any tline while you ware leoking at the objoct?
(Cirdle One) Yos N\o}
25. Did you abserve the objoct through any of the following? --
o. Eyeglasses Yes No e. Biculors
alject b. Sun glasses Yes No Yes No
drawing L e. Windshield f. Telescope Yes No
Yes No g. Theodotite Yes
d. Window gloss Yes No No
h. Oher alse window rolled down
?4. In order that you cou glve as dlear a plelure as possible of what you saw, descrihe in your owa word e cormon dfjast erol-
judh which, whe: plaeed up in the sky, would give the samte appeararee os the ehjad which you sow.
Looked
a beantiful sunset but
in the place.
wrong
'

.
tithe fet ae,i
wicboute hoon(y i. Pla a'beatyong
ebovedhotei(,F
pessvhoayoulilsewtied;.n
75
A
15
28. Draw a pltlure thal will show the niotlon thet the pbioct or objests merde Plosn er a 28. Draw a pltlure thal will show the niotlon thet the pbjodt or objests mede Plosser al
the end of the poth, ond show ony changes in diietlon during the coune. the end of the poth, ond show oiny changes in diieflon during thecouns.
27. IF there wos Mote THAN ONE objost, then how many were there?.
Draw o plcture c'how they were arronged, ond put oin arrow to shew the directlen ther bey
E
1
1

164
Haveyoueresaatiser usimiloretee. Hhogl.do
11
31, Wos anyone el awlli you ot the fie you t he tbjhef? (Cia/ ti ) Yes
31.1 IF yovemwesd Yis, did they sethe ebjedt too? (Chele O) Yes No
31.2 Pleuse list thoienomes and eddrowes
32. Plense glve the follo dng infermotion obout younc. 32. Pense glvs the follording infermotion obout youn.'.
NAME NAMe MRS MRS) (HVA) (HVA)
Last Nome Laut Nome
AEss srss_ CHAPPAQUA RD. BRIARCLIFEN.Y. BRIARCLIFE N.Y.
Cty Zone Stote
TOLEPHONE NUMD AGEL_56 _SX F
Indicoteydiioal inforolen bou yueluding y prlnc, whch h b pi
.
33. When and to whom did you report that you had soan the abjeat? FAMILY
18 July 1967
Day Mont Yeor

irFore
27 Doy 1Juy Mowh 1967
35. Iolotiotion whlch you I qyestlontoire ore adequately t e in thesgetie pols
There are hrigh tension wires along
that
area ofthe parkway.
Saw Saw this this object object for for about 2 minutes about 2 minutzs
while approaching the area all the time area all the time
trying to figure out what it what it was was
Looked back Looked back after passing it passing it ani
and i+
seemed to be farther in the sky
then H lost sight of it in the
N.r. Times reported that on July 18
firy flying objects 1
in various parts of Europe.
'

I
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN : 67096 Pg 4 of 4
(7) UNK
HN/A$
INO NE
J. N/A J. N/A
PAGE 4 RUWMFVA3086 UNCLAS PAGE 4 RUWMFVA3086 UNCLAS
-
J. W. BROWN NO OT HER REPORTS J.W.BROWNNO OTHER E CE IVED THROUG H MILITARY
OR CIVIL CONTACT S. OR CIVIL CONTACT S.
BT
NNNN
AFHO JAN" 0-309C FORM
UNCLASSIFIED
'

JOURNAL Aeald
19 July 67
WORLD
NEWS
Z N
n
S
Thousands See
UFOs Flashing
1
- 1 Over Europe Over Europe
-
: WIESBADEN, Germany -
(UFI)-Cigar-shaped uniden.
- tified flying objects (UFOs),
traliing brilliant light and look.
- ing like "fireworks." 'startled
tens of thousands of northern
. Europeans yesterday.
n. The UFOs flashed across
the skies. over Germany,
, France, Belgium, Switzerland,
Italy and Luxembourg.
{ The U.S. Air Force said the
brilliant heavenly phenomiena
were sighted by its personnel
at three air bases in Ger-
mony. None of the objects
wa~ picked up on Air Force
radar screens.
A spokesman at U.S. Air
I Force Europe (USAFE) head.
- quarters in Wieshaden said
*- the UFOs the UFOs were spotted spotted
1 shortly after shortly after midnight a n d midnight a nd
; 5 "they looked like they had "they looked like t hey had
flames coming out of them." flames coming out of them."
The pilot of a chartered air-
liner said he sa w "a very liner said he sa w "a very
brisliant object" at a,oon feet briliant object" at 2.000 feet
while he was approaching
Zarich airport for a landing. Zurich airport for a landing.
He said he could not identify
the luminous object.
,

" No CASE INFO CNLV
MEMO FOR THE RECORD: 19 July 67
Contact with SPADATS revealed that object number 2879
decayed somewhere over the Atlantic Ocean at approximately
0610Z. There was one un-confirmed visual report from
someone in the Atlantic. Object number 2880 decayed over
Europe and was responsible for many reports. SPADATS is
completing its final decay message.

VCTO
OFFICIALU.S. AIR FORC
cco 3.80 67 Page 1
U.S. AIR FORCE TECHNICAL INFORMATION 8. IF you saw the object at N
8.1 STARS(Circie One):
This questionnaire has been prepared so that you can give the U.S. Air Force as much o. None
information as possible concerning the unidentified aerial phenomenon that you have observed. b. Afew
Please try to answer as many questions as you possibly can. The information that you give will c. Many
be used for research purpases. Your name will not be used in connection with any statements, d. Don'tremember
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.
9. What were the weother co
CLOUDSCircle One): CLOUDS(Circle One):
1. When did you see the object? 2. Time of day: 2. Time of day: 3 . Clear sky
Hours Minutes b. b. Hozy
c. c. Scattered clouds
2A 21 1967 (Circle One): A.M. A.M. P.M. P.M. d. Thick or heavy clouds
Julag Junlagt or
Day Year
3. Time Zone: 10. The object appeared: (Circl. 10. The object appeared: (Cirel
(Circle Oneia. Eastern. Circle Oneia. Eastern) (Circle One): a. Daylight Saving a. Solid a Solid
b Centra b. Standard b.Standard b. Transparent
C. Mountain c. Vapor
d. Pacific
e. Other
11. If it appeared as a light, wc
Where were you when you saw the object? a. Brighter
Mamille 0Rio D. Dimmer
Nearest Postal Address City or Town State ar County 11.1 Campare brightness to
5. How long was object in sight? (Total Duration) O 5
Hours Minutes Seconds
a. Certain c. Not very sure The edges of the cbiect were
b. Fairly certain d. Just a guess (Circle One): a. Fuzzy
5.1 How was time in sight determined? b likeab
c. Shorply
5.2 Was object in sight continuously? res a Dontre
What was the condition of the sky? .Did the object
DAY NIGHT a. Appear to stand shil at c o. Appear to stand shi at o
a. Bright b. Suddeniy speed up and b. Suddeniy speed up and
b. Cloudy b. Cloudy Break upinto parts or ex
c. C.
d. Give off smoke? Give off smoke?
you saw the object during DAYliGHT, where was the SUN located as you looked at the object? I you saw the object during DAYliGHT, where was the SUN located as you looked at the object? e. Change brightness?
f. Change shape?
Circle One): a. In front of you d. To your left g. Flash or flicker?
b. In back of you e. Overhead h. Disappear and reapceal Disappear and reappeal
c. To your right f. Don't remember
FORM FORM
OCT 62 164 This form supersedes FTD 164. jul 61. which is obsolete.
1
,
I

AIR FORCE UFO FORM
Page 1 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):
as much a. None d. Bright moonlight
:bsorved. b. A few b. Duill moonlight
give will c. Many Noeentightpitcietark.
rements, d. Don'tremember d. Don'fremember
ation so
9. What were the weather conditions at the time you saw the object? 9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): CLOUDS.(Circle One): WEATHER (Circle One):
a. Clearsky a. Dry
Minutes b. Hazy b. Fog, mist, or light rain Fog, mist, or light rain
c. Scattered clouds c. Scattered clouds c. Moderate or heavy rain
P.M. d. Thick or heavy clouds d. Snow
. Don'tremember
10. The object appeared: (Circle One):
a. Solid dAs a light
b. Transparent e. Don'tremember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c.About the same
5. Dimmer dDon'tknow
County 11.1 Compare brightness to some common object:
abt ine thanani0on Bui
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
Like a bright star
. Sharply outlined
d. Don'tremember
Did the object: Did the object: (Circle One for each question)
aAppear to stand still at any time? Appear to stand still at any time? Yes No Don't know
b.Suddenly speed up and rush away at any time? b. Suddenly speed up and rush away at any time? Yes Yes (No) (No) Don't know
c.Break up into parts or explode? c.Break up into parts or explode? Yes Yes No Don't know
d. Give off smoke? Yes No. Don'tknow
e. Change brightness? Yes No Don'tknow
f. Change shape? Yes No Don't know
g. Flash or flicker? 9. Flash or flicker? Yes No Don'tknow
h. Disappear and reappear? Yes No No Don't know I

8
Official U.S. Air Force UFC
Page 3
14. Did the object disappear while you were watching it? If so, how? 20. Do
If
21. Do
15. Did the object move behind something at any time, porticularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
IF
it moved behind:
22. W
'C 'C
1. Did the object move in front of something at any time, particularly a cloud? 16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes No Don't know. IF you answered YES, then tel! what b
in front of:.. in front of:. C
17. Tell in a few words the foilowing things about the object: 17. Tell in a few words the foilowing things about the obiect:
a. Sound 24.
b. Color DE lDt
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 24
the object wouid have been covered by the match head?
about 18'X10 A
25
1. Draw a picture that will show the shape of the object or objects. Labe! and include in your sketch any details of the obiect
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. or sdetik
OLETE REO
26
LiCnTs LionTs
18

J.S. 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? 00 ft drifing
. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
ed YES, then tell what
22. Where were you located when you sow the object? 22. Where were you located when you sow the object? 23 Were you (Circle One) 2Were you (Circle One)
(Circle One): (Circle One):
a. In the business section of a city?
Inside a building b.In the residential section of a city?
ed YES, then tell what ed YES, then tell what b. Ina car c. In open countryside? c. In open countryside?
C. C. Outdoors Outdoors dNear an airfield? Near an airfield?
d. In on airplane (type) d. In on airplane (type) e. Flying over a city? e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g. g. 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)
o. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest
n object and note how much of the
time of the sighting, how much of 24.2 How fast were you moving?. __miles per hour.
24.3 Did you stop at ony 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
our sketch any details of the object b. Sun glasses Yes f. Telescope No
Place an arrow beside the drawing c. Windshield 9. Theodolite Yes No
astck 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 common object
1CiT3 173 jects which, when placed up in the sky, would give the same appearance as the object which you saw. jects which, when placed up in the sky, would give the same appearance as the object which you saw.
Cisrre Cahred
IL
- 3
11
1

1 '
Official U.S. Air Force
Page 5
7. 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 EA
W
15°AA SW SE
S
O
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.
21l
1
65
W
.

UFO form continued
Page 6
Hav yo ever seen this, r a smilar bject before. I giv da or dates and location.
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:
Manevll 39 0hi
32Please give the following information about yourself:
NAME
Last Name Fst Name Middle Nome
ADDRESS MADVEViiLE 32 OHIO
City Zone State
When and to whom did you repart that you had seen the object? Nea diad repot
itatl I itwtI I
Day Month Year Year
Thie fam Thie f

Official U.S. Air Force UF
Page 7
Date you completed this questionnaire: 28 Doy NOK i967 Month Year
information which you feel pertinent and which is not adequately covered in the speciic points of the questionnaire or a narrative explanation of your sighting.
lean do anotvit.me,
but you ian
wite for omone granten. The
Juage
o ivlel, I got a serees
bi tho it but
ht it The ren
a loy as that A
nanen dil fe a fon, eme elal Bne
I

24 - 31 July 1967 Sightings
DATE LOCATION
25 Pease AFB, New Hampshire. OBSERVER EVALUATION
Madison, Indiana b Insufficient Data
NNN Manchester, New Hampshire Aircraft
Gates Mills, Ohio Aircraft w/advertising
25 St Louis, Missouri Insufficient Data
Westmont, linois Aircraft
26 PHOTO) Case: Insufficient Data
27 Pittsburgh, Pennsylvania Photo: Insufficient Data
Newcomerstown, Ohio Astro (Venus)
Wayzata, Minnesota Aircraft .
Durand, Michigan Astro (Arcturus)
Anaheim, California Multiple Insufficient Data
Brandon, Vermont Aircraft w/advertising
Springfield, Missouri Insufficient Data
30-31 Euclid, Ohio Aircraft
31 Kernville, California Kernville, California Astro (Venus)
Indianapolis, Indiana Indianapolis, Indiana Other (Conflicting Data)
Meadow Vista, Californis Other (Conflicting Other (Conflicting Data) .
Dayton, Ohio Multiole Multtole Satellite
31 Dayton, Ohio Balloon
31-1 Aug Toledo, Ohio Aircraft
Waldwick, New Jersey Waldwick, New Jersey Balloon
Insufficient Data
ADDITIONAL INFORMATION ON SIGHTINGS (NOT CASES)
DATE LOCATION
SOURCE REMARKS
24 Atlantic
25 Grand Island, New York Amer Meteor Soc Rpt Fireball
25 Baytown, Texas
26-27 Newton, New Hampshire
MLS
#
4
1

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair has been prepared so that you can give the U.S. Air Force as much
information as possil ncerning the unidentified aerial phenomenon that you have observed.
Please try to answe any questions as you possibly can. The information that you give will
be used for research rposes. 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? Time of day: 2140
Hour Minutes
23 23 July. July 1967 1767 (Circle One): P.M.
A.M. or
Day Month Year
3. Time Zone:
(Circle One): a. (Circle One): a. Eastern Eastern Doylight Saving
b. Central b. Central o. Standard
c.< Mountain c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Collfringe Cl.
Neapest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 2 30 Ofpprnt.
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain
Teine
5.1 How was time in sight determined?
5.2 Was object in sight continuously? No Dight. greent Red.
.What was the condition of the sky? 6. What was the condition of the sky? Fuer Co tyt Fer Chouss tye -
DAY NIGHT a2
a. Bright a.
b. Cloudy Cloudy
IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left Ar
1
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
1

pngn 2
IF you saw the object ot NIGHT, what did you notice concerning the STARS and MOON?
I Mthon
8.1 STARS (Circle One): 8.2 MOON (Circle One):
motild.
a. None a. Bright moonlight
b. A few b. Dull moonlight
Many c. No moonlight - pitch dork
d. Don't remember .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 Dry
b. Hazy b. Fog, mist, or light rain
c Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
e. Don't remember
10. The object appeared: (Circle One): Red.Falling ofjet. 8.fiet
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
ettem.
a. Brighter c. About the same 2econd.
b. Dimmer d. Don't know The light
11.1 Compare brightness to some common object:
her Dodiog pinto dane.
12. The edges of the object were:
(Circle One): a.F Fuzzy or blurred oter Only af glak sjit
b. Like a bright star Cmnead in 2al Hanin
c. Sharply outlined 00
d. Don't remember d. Don't remember
Did the object: (Circle One for eoch question)
a. a. Appear to stand still at any time? Appear to stand still at any time? No Don't know
b. Suddenly speed up and rush away at any time? es No Don't know Don't know
c. c. Break up into parts or explode? Yes No No Don't know
d. Give off smoke? Give off smoke? Yes Yes No Don't know
e. Change brightness? Change brightness? Yes Yes Don't know Don't know
f. Change shape? Don't know
g. Flash or flicker? Reg  Creem Don't know
h. Disappear and reap Yes Don't know
,