PROJECT BLUE BOOK

GROUP ". PROJECT :0O73 R3CORD
Sopiember LOGATION
67
3. SOORCE Favettev
10. CONCLUSION Carelim
Civilian Withonses)
4. NUMBER OF OEJECTS LNSUFPIOLINT
STA
5. No dato, time or 16c1on
LENGTH OF OBSERVATION riight given on rormn
BRIEF SUAVIARY AND ANALYSIS 154 when
4 Minutes
6..TYPE OF OBSERVATION Object wus like a house
Ground-Visual state how object disappeared. but a dull yellow. Observer dad nct
7 COURSE
Not Reported
. PHOTOS
b Yes
XANo
PHYCICAL EVIDENCE
XL D Yus
No
FORM
FTD SEP(3 0-329 (TDE)

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34. Date you compl his questionnaire:
Day Month Year
Information which you feel pertinent and which is not adequately covered in
questionnaire or a narrative explanation of your sighting.

R
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR OHIO 45433
REPLY TO NOV 1 1967
ATTN OF: TDET/UFO
A
SUSJECT: UFO Observation
E
Payetteri .N.C. 28302
Reference your unidentified observation. The information which R
we have received is not sufficient for a scientific investigation.
Request you complete the attached FTD Form l64 and return it in
the envelope provided. Thank you for reporting your observation
to the Air Force.
MES C. MANATT, COlOnel, USAF 1 Atch
FTD Form 164 w/envelope
/

Dear Sir,
were dirne alsnd a rood juet
aJnide of Jon we Jar
Ofin wataling is for a couple
Snd 144

.
.
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 pos ole concerning the unidentified aerial phenomenon that you have observed.
Please try to ans questions as you possibly can formation that you give will
be used for research p urposes 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 necess may contact you for further details.
.When did you see the object? . Time of day:
Hour Minutes
Sept. 1967 (Circle One): A.M. on or P.M.
Day Mohth Year CIA 1
3.Time Zone: .Time Zone:
(Circle One): (Circle One): a. Eastern Estern (Circle One): a. Daylight Saving) a. Daylight Saving
Centrat b. b. Standard
c. c. Mountain
d. Pacific
e. e. Other
4. Where were you when you saw the object?
Faye Meville  Northcarolina
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
.Fairly certain d. Just a guess
5.1 How was time in sight determined?Ju quess
5.2 Was object in sight continuously? Yes-— NoL
What was the condition of the sky?
DAY NIGHT te
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 Thie form supersedes FTD 164, Jul 61, which is obsolete.

Paga ?
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):
None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark ilemih
d. Don't remember d.'
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
Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow 4
e. Don't remember
1. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a.Solid a. Solid d. As a light
1 .Transparent b.Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): 1If 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. Dimmec d.Don't know
11.1 Compare brightness to some common object:
.The edges of the object were:
(Circle One):a. Fuzzy or blurred Other
b. Like a bright star
.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 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

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 .In the residential section of a city?
In a car c. In open countryside?
c. Outdoors d.Near an airfield?
dIn an airplane (type) Flying over a city?
. At sea f. Flying over open country?
f. Other_
IF you were MOVING IN AN AUTOMOBILE or other vehicl at the tim then complet the following questions:
24.1 What direction were you moving? (Circle One)
c. East .South g. West
b.Northeast. d.Southeast Southwest h.Northwest
_miles per hour.
(Circle One) Yes
25. Did you observe the object through any of the following?
a. Eyeglasses Y .Binoculars Yes No
.Sun glasses fabo Yes No f. Telescope No
c. Windshield Yes No g. Theodolite No
d. Window glass 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 objocts which, when placed up in the sky, would give the same appearance as the object which you saw.
skey ii might loake libe it.

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14. Did the object disappear while you were watching it? If so, how?
no
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: hee
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 shere wsa m Deuned
b. color a dule agellaw
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 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? sighting, how much of the object would have been covered by the match head?
about half
. 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.

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.
no
No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list thoir names and addresses:
address ment senown
32. Please give the following information about yourself: 32. Please give the e tollowing intormation about yourself:
NAME
Last Name First Name Middle Name Middle Name
ADDRESS e Fayelteville e Eayelteville - N.Caroling N.Carolina
City Zone Zone State
TELEPHONE NUMBER AGE 1 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.
Omeof my hebfies sckende
When and to whom did you report that you had seen the object?
Day Month Year

90 75
60
30• *
-15 ss
raw a picture that will show the motion that the object or objects made.Place an Aat the beginning of the raw a picture that will show the motion that the object or objects made. Place an Aat the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
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.