PROJECT BLUE BOOK

PROJECT I0073 RECORD
1. DATE TIME GROUP 2. LOCATION
7 Oct'6 08/0336Z Omaha, Nebraska
3. SOURCE 10. CONCLUSION
Civilian Sighting: Probable AIRCRAFT
4. NUMBER OF OBJECTS 4. NUMBER OF OBJECTS Thigase: INSUFFI Cmanirt) LARITY)
1
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. . BRIEF SUMMARY AND ANALYSIS
3-4 minutes Observer sighted a white object Observer sighted a white object that that looked looked like a cigar with
a dome toward the front toward the front. The object passed passed in front of and
6. TYPE OF OBSERVATION 6. TYPE OF OBSERVATION behind clouds and made no Hoise. clouds and made no Boise.
.I
Ground Visual Comments: The local investigating officer local investigating officer felt that felt that there
7. COURSE 7. COURSE was a question was a question to the reliability of the witness. A dome to the reliability of the witness. dome
on a cylinderical body, as on a cylinderical body, as reported by the observer could not reported by the observer could not
E -W T be seen on the photograph. Three aircraft were in the area
8. PHOTOS at the time of the sighting. In particular a Cessra 411
was obscending fram Co0o to 2l0o ft arriving at Omaha at
Yos e340Z. This would place the aircraft below the 4oooft broken
57-No OIORNER to overcast condition that existed in the area.
9. PHYSICAL EVIDENCE
Yos
No
FORM
FTD SEP 63 0-329 (TDE) Previous editions of thls form may be uaed.
..
3
*

the
-
aut.
the loonest time Pasille.
the A

Page 3
14. Did the obiect disdppear while you were watching it? If so, how?
15. Did the obiect move bahind somethina at any time, particularly a cloud?
(Circle One): Yes (№o) 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. Tall in a few words the following things about the obiect;
a. Sound oond
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how
muchof thoohiost in

Page 4
20. Do you think you can astimate the speed of the object?
(Circle One) (Yes) No
venent
21. Do you think you can astimate how far away from you the object was?
(Circle One) Yes No
22. Where were you located when you saw the object? 2 Were you (Circle One)
(Circle One):
a. In the business section of a city?
a.Insida a building b. in the residential section of a city?
b. In a car c. In opan countryside?
c. Outdoors d. Near an airfield?
d.1 In an airplane (type) e. Flying over a city?
. At saa f. Flying over open country?
f. Other g. Other
24. IF you ware MOViNG IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? ircle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast wore you moving? miles per hour.
sav

POaAP
12=ga5
27. In the following sketch, imagine that ycu are at the point shown. Place ar "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 objoct was obove 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° 73"
A
60°
NW N3
AQ
15 35
Uraw 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. path, a "B" at the end of the path, and show any changes in direction during the course.
Tome
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.
?Honsoremlatntall

Paga 6
30. Have you aver sean this, or d similer objuct before. if se give dute or dates cnd locuilss.
No
31. Was anyone alse with you at the time you saw ths objact? (Circla One) Y0 No
31.1 IF you answered YES, did they sea the object roo? (Circla Ona) ez
31.2 Please list their names and addrasses:
mr
77n Ridgewood 2.Y.112 37
i iche some ths tithhe ehhre hii
32. Please give the following information about yourself: 3691
NAME NAME
Name Firat Name Firat Name Middia Mame
ADDRES ADDRE New York New York 37 N.Y N.Y
Strent City City Zone Zone Stot0 Stota
TELEPHONE NUMBER TELEPHONE NUMBER — ACE 14 AGE 14 SEX Male
Indicate any additional information about yoursel, including any special axpariance, which might be pertinent.
33. When and to whom did you report that you had sean the abjeat?
Getabe 1961
Day Month Yoar

e feat thoughtw udigiehat t
some mighlors tild es thy ciawit. smmighlo tid th t I hew me avind home
—

BOB Nr 2l-R258
SIGHTING OF UNIDENTIFIED PHENOMENA OUESTIONNAIRE
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U S AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OF THE QUESTIONS. INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
TION HITH NV OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
BASE INVESTIGATOR FOR FORWARDING TO FTD (TDEIR), WRIGHT.
PATTERSON AFB, OHIO 4S433, IAW 80-17 (IF ADDITIONAL SREETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DIO YOU SEE THE PHENOMENON?
DAY ? MONTH
2. WHAT TIME DID YOU FIRST THE PHENOMENON?
HOUR MINUTES. 1 A.M. XP.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR MINUTESS .A.M. Z P.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENGE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Jr2MiEcliiatAdlddCd nolfzoivnGeiLctleaN feet
auetideGover.Cleveland k on Slenhape outide Gover Cleveland Fk on Slanhape
Le. Lo.
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, FLACZ AN *A*ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOHENON WAS ABOVE THE HORIZON, OR SKYLINE, WHEN FIRST SEEN. PLACE A "B" ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WMEN LAST SEEN.
$$
8APB
1
1
1
1
1
ce w we 15
OBSERVER
AF FORM 117
AL 237

SA, NOW IUAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN *A ON THE COHPASS TO INOICATE TNE
DIRECTIDN TO THE PHENOMENON HHEN FIRST SEEN. PLACE A *B* ON THE CONPASS TO IMDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
ApB N
NNW NNE .
NW NE
WNW ENE
WSW ESE
SW SE
sSW SSE
7. IN THE SKETCH BELOW, PLACE AN *A° AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A *3° AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE ·A° AND *B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A° AND *B, THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEAREO TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO CONPLETE
THE LARGER SKETCH.
PAGE2OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAECK GPPDPRATe bOCKA.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING X IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES N0
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW HOW MUCH MUCH OTHSR O IER TRAF TRAFFIC FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES 17 YES NO. IF YES, DESCRISE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME IF YES,  DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE AND WHERE THEY WERE IN THE SXY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE WAS THE PHENOMENON IN SIGHT? PH ENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
aboit FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
da
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY?  YES  NO. IF NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE SEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SXETCHES.
PAGE 3 9 PAGES

O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
APRANGED. DID THIS ARRANGEMENT CHANGE DUPING THE SIGHTING?
Thew che 3 abpiald
1 3
2
11. CONDiTiONs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS(LOW fluffy) FOG OR MIST
TWILIGHT CIRRUS CLOuDS (High fleecy or Herring- HEAVY RAIN
X bone)
X NIGHT LIGHT RAIN OR DRIZZLE
X CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SHOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG X NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT X NO MOONLIGHT
X A FEW MOON WITH HALO UNKNOWN
MANY 7k MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF "YES." WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeW nooN)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
but fugy on theedge
PAGE 4 OF 9 PAGES

FLUTTER OR WESBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
rimarto mp
A. HOW DID IT FINALLY DISAPPEAR?
Itjut Itjut
Cersns
awsys
3. DID THEF PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIXE A CLOUD, TREE, OR BUILOING AT ANY TIME?
YES ]NO.IF *YES," DESCRIBE.
PAGE 5OF9 PAGES

UNCLASSIFIED 80ct67
DEPARTMENT OF THE AIR FORCE Cche Met
STAFF MESSASE BRANCH
INCOMING MESSAGE
AF IN: 64312 (10 0ct 67) L/udl Pgl of 5
(13) ADV CY DIA
ACTION: RDC-4
SMB E 298PTTUZYUW RUC SAAA 4489 -UUUU--RUEF HQA.
ZNR UUUUU
P R 102048Z OCT 67
FM 3902ABWG 0 OFFUTT AFB NEB
TO RUWMF VA/ADC
RUC ISKA/30AD SIOUX CITY MUNI APRT IOWA RUCISKA/3OAD SIOUX CITY MUNI APRT IOWA
RUEDF IF/FTD WPAFB OHIO
RUEF HQA/C SAF
RUEFHQA/OSAF
BT BT .
FOR FTD (TDETR) CSAF (AFRDC); OSAF (SAF-OID. SUBECT: UFO REPORT.
1. THE FOLLOWING REPORT IS SUBMITTED IN ACCORDANCE W 11 80-17.
A. SHAPE: CIGAR WITH DOME ON TOP.
B. SIZE COMPARED TO A KNON OBJECT: PEA, OR ABOUT THE SIZE OF
The gloM oF astret LIght tWO BlOckS AWay.
C. COLOR: WHITE e with very SLIGHT TINT.
D.NUMBER: ONE (D).
E. DIScErNIBlE TURE S OR DETAILS: APPEARANCE OF A CIGAR
AFHQ JAN OS FORM 0-309C
UNCLASSIFIED

I5. DRAW A PCTURE THAT WILL SHOW THE SHAPE OF THE PHEHOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
OIRECTION THE PHENOMENON WAS MOVING.
4
S iall ljid
P lighe ange citw
geodully lightes yllo
djit wt il f ie
1S. WHAT WAS THE ANGULAR SIZET HOLD A MATCH AT ARM'S LEHGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OJECT IS COVERED BY THE HEAD OF THE MA CH. NO* IF YOU HAD
SEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTIOM OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
2 litty about 'Dr
eny
O  U
PAGE SOF9PAGES

17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICAALE OATA.
EYEGLASSES CAMERA VIEWER
SUNGLASES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDDNPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YESN B. DO YOU USE READING GLASSES? YSNO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENONT GIVE ESTIMATE OF SPEED PHENOMENONT GIVE ESTIMATE OF DISTANCE.
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WMICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON,
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
Ehe sun beas con
natmglt.
.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFF YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF YES,"DESCRIBE.
A. DID THE PHENOMENON YES HO.
1F "YES," DESCRISE.
PAGE 7 O 9 PAGES

LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? NO.IF YES,DID THEY SEE IT TOO?
XIYES CNO.
A. LIST THEIRNAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADDrEss (Street, City, State and Zip Code)
N.Y. 11237
TELEPHO AGE
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME Ain Force DAYMONTH YEAR1EE
25. CATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY F MONTH
PAGES OF 9 PAGES

The ritmess had also seen this excparinent on 1o/3/67 earliar in
the evening at 7ils PM DT. I "The Darium elouds had dseipated by
the time ot this signting. Mme, direetian and alevaticn are
not compatibla. The deceription ot the Uro is strikingly faudliar
wch n the lo/2/67 sdghting at Ipgwdch, Hassachusotts botween 6t30-
9:15 PMTT.
i chock xitt nlara
t
Thas was seen
over Trindade
mowm by ir. Gold. tra. June Anmaian is his
oumitted,"

1. Name June Annaian Place of Employmant Anthony's House
Bea
Address 146 Robbins Road Occupation
Hairdresser
Watertown, Mass. Education .
Telephans WA-4-7423 Special Training
Milltary Service
2. Data of Cbrarvation October 3, 1967 Tim8:40 AM PM Time Zona ED'
3. Locality of Observation Water Pond
4. How long did you see the object? Hours Minutes3 Seconds
5. Please describe weather conditions and the L.e., bright doylight, nighitine, disk, ete. L.e., bright daylight, nighitine, disk, ete.
nighttime nighttime
6. 6. moon
7.
8. Were there more than one chject? No IFf so, ploese tall how mony, and draw a sketch of what you sow, Indlcotin If so, ploase tell how nony, and draw a sketch of what you saw, Indlcotin
direction of movemant, If any. direction of movemant, if any.
a 9. Please describe the object(s) in detall. For instance, did it (thay) appear sol was it revolving
etc? Please use additional sheats of paper, if necessary. etc? Please use additional sheets of paper, if necessary.
10. Wes the object(e) brighter than the background of the sky? yes
11. If so, compare tho brightness with the Sun, Moon, headlighis, etc. Moon
12. Did the object(s) -- (Please elaborata, if you can give details
Xa. Appear to stand still at cny time?
b. Suddenly spead up and rush away at any time?
c. Braak up into parts or explode?
d. Give off smoke?
e. Leave any vislble trail?
f. Drop onything?
g. Change brightnass?
h. Change shape?
i. Change color?
13.
14. Was there any wind? did not If so, please give diractlon and speed.
Did you abserve the notice
15. ets? through an optical insiruant  other al, windhield windowpanstor windosereen What?
16. Did the object(s) have any sound? No What kind?
How loud?
17. Pluuse tell if the object() was (were) -

23.
21.
25. ofterwurds? li so, pleas elcborate. No
26. Please estilmate the distance of the object(). 1/2 mile
27. What was the elavatlon of the object(e) in the sky? Pleote mork on this hemlsphere sketch:
Nomos end eddrasses of ether witnesses, if cny. Mary Stepanian, 146 Lockland Ave.,
23. Framingham, Massachusetts.
29. Please draw a mop of the locality of tha obsarvation showing Northy your porltion; the directlon from whleh the objaci
appearnd and disdppeared from vlew; the diractlon of iis course over the ashey roada, fowns, villuges, rellroeds, and othe appearnd ond disoppeared from view; the diractlon of iis course over tha anhey roads, ns, villuges, railroeds, and oths
londmarks within a mile. londmarks within a mile.
MAP ATTACHED
30.
31.
32. Pleate enclose photographs, motion pletures, news clippings, notes of radio or televislon programs (includs tins, statien en
33. took place. No
Were you asked or told not to reveal or disevss the Ineldent? If so, were any reosons or official orders mentio ved? Pess
eleborite carefully. No
34. Wa should like parmisslon to quste your nume In connectien with this repord. This eetion will encourega other responsill
citizens to report slmllar observations to NiCAP. Howaver, if you prefer, wa will kesp your name confidantial. Please not
your cholce by checking tho praper statenont below. In ainy cuse, pleate fill in all puris of the form, for our own confidantl
files. Thank you for your cooperation.
You moay use my nome. Pleosa keop my nama confidential.

glod. ad it was a cicle og hyete. When we foie
it, w cn goy
aond it. Cwe chvion
gota cffnt angle one
The The tipyt top of the the eentu eentiu was luninate 1
Gd the anth nim
w lokd lie a itgeed lie of
liglt Liew
1 View
Lumincus #2
1
r-Lights Limindvs AmborColor
anti 13,7

.
THA
ROM
CiNaeD
TTHE RT TThE RT. 12
S41 Sa1 .
CONOON
ARROWS 9 SHOW DIRECTIONS
GICHTING5.

I checked the area during the daytime to see if
there were any s high poles or other things that
may have given the described.when illuminated
at night. There was nothing that even remotely fitted
the description of the object seen.
I have known Mrs. Annaian for almost three I have known Mrs. Annaian for almost three years
(she's my mother in law). She is not an excitable person, person,
and I can vouch for her reliability in general. her
NathanGold
Nathan Gold Nathan Gold
-.

Holan
Sin Clond
Poge 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: 7 24
Hoursos Minutes
0t 26
3 1967 (Circle One): A.M.
or E.N.J
Day Month Year
3. Time Zone:
(Circle One): g. Eastern (Circle One): a. Daylight Saving
b. Central b. Standord
c. Mountain
d. Facific
e. Other
11
4. Where were you when you saw 4. Where were you when you saw the obiect? the
NEw York BRook
City or Town Stoate or  County
5. How long was object in sight? (Total Duration) 2 35
Hours Minutes Seconds
a.Certain c. Not very sure
b/Fairly certain d. Just a guess
5.1 How was fime in sight determined? By a  Wath
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
7. IF you sow the object during DAYLiGHT, where was the SUN located os 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 161. jul 61. which is obsolete.
..
.

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 64312 Pg 2 of 5
WITH A DOME ON THE FRONT END-DORSAL SIDE.
PAGE 2 RUC SAAA4489 UNCLAS
F. TAIL, TRAIL, OR EXAUST, INCLUDING SIZE ; OF SAME COMPARED TO
SIZE OF OBECT: NONE.
G. SOUND: NONE.
2DESCRIPTION OF 2• DESCRIPTTaN Ur" COORS: GF OSJECT: RALSTON, NEBRASkA. MOV ING COURSE OBJECT: RALST ON, NEBRASKA. MOV ING
EAST TO WEST.
A. WHAT FIRST CALLED ATTENTION TO OBjECT: PUT THE CAT A. WHAT FIRST CALLED ATTENTION TO OBJECT: PUT THE CAT OUT S IDE
AT NIgHT AND HAPPENED tO SEE OBJECT.
B.ANGLE OF ELEVATION WHEN FIRST OBSERVED: 6D DEGREES EAST. B.ANGLE OF ELEVATION WHEN FIRST OBSERVED: 6O DEGREES EAST.
C. ANGLE OF ELEVATION ON DISAPPEARANCE: 50 DEGREES WEST. C ANGLE OF ELEVATION
D. DESCRIPtION OF FLIghT PATH AND MANEUVERS oF OBECt: MOVEd
ON a SLIgHtLY ASCEND ING FLI PA hovering In
ONE POSITION.
E. HON DID THE OBECT DISAPPEAR: DISAPPEARED WHILE OBSERVER
imside house remov ing film fro' canera.
F. HOM LONG WERE tHE OBJECT(S) VISI IBLE: THREE (3) MINUTES.
3. MANNER OF OBSERVATION: NONE. -
A. STATEMENT AS TO OPTICAL AIDS: NONE.
B: IF THE SIGHT iNg OCCURED While AIRboRNE, GIVE TypE OF AIRCRAFT
AFHQ JAN 63 FOMM 0-309C
UNCLASSIFIED

21. Do you think you can estimate how far away fram you the object was?
(Circle One) YesNo
9078 100
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 af a city?
a. inside a building b. In the residential section of a city?
b. In a car b. Ina car c. 1 c. In open countryside? In open countryside?
c. Outdoors Outdeors dNear an airfield? d. Near an airfield?
d. In an airplane (type) d. In an dirplane (type) e. Flying over a city?
e. At sea e. At sea stoop f. f. Flying over open country?
f. Other.N OtherN ThiE 9. ther
24. IF you wers MOVING IN AN AUTOMOBILE or ather vehicle at the time, then complete the following questions: 24. IF you wers MOViNG IN AN AUTOMOBILE or ather vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One) 24.1 What directian were you maving? (Circle One)
a. North a. North c. East c. East e. South a. South 9. West
b. Northeast d. Southeast F. Southwest f. Southwest n. n. Northwest
24.2 How fast were you moving?_ miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the abject through any of the following?
a. Eyeglasses Yes No e. Binoculars
b. Sun glasses e No f. Telescope Yes
c. Windshield No 9. Theodolite Yes
d. Window glass Yes No h. Other
26in order that you can give as clear a picture as possible of what you saw, describe in your own words a comman abject or ob-
jects which, when placed up in the sky, wouid givethe same appearance as the object which you saw.
Beth cbiscts wRe - like a antoue
Pate

Official U.S. Air Force
Page 3
4. Did the cbject disappear while you were watching it? If so, how? YS. It facdded
AWAy stowlsy
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:
. Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes Yes No Don't know. Don't know. IF you answered YES, then tell what IF you answered YES, then tell what
in front of:_
17. Tell in a few words the following things about the object: 17. Tellin a few words the following things about the object:
a.Sognd5 0.Soond
b. Colar RED ED :Blus BLUE
white
18, We wish to know the angular size. Hoid 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?
h0o0
1. 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.
②
L

Poo* Page 2
IF you sow the object at NIGHT, what did you notice concerning the STARS ond MOON?
8.1 STARS (Circle One): 8.2 MOON(Circle One):
as much a. Bright moonlight
obverved. C6. Afew b. Dull moonlight
pive will C. Many c. No moonlight-pitch dark
tatements. d. Don't remember
mation s0
9. What were the weather conditions at the time you sow the object?
24 CLOUDS(Circie One): WEATHER(Circle One):
Clearskyl a. Dry)
MNU b. Hazy 6. Fog, mist, or light rain
26 c. Scattered clouds c. Moderate or heavy rain
or d. Thick or heavy clouds d. Snow
e. Don'tremember
The abject appeared: (Circle One): 10. The abject appeared: (Circle One):
a. Solid a. Solid d. As a light
b. Transparent b. Transparent e. Don'tremember
c. Vopor Vapor
1. I it appeared as a light, was it brighter than the brightest stars? (Circle One): 1 H it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter c. About the same
ock b. Dimmer d. Don'tknow
tate  Couen 11.1 Compare brightness to some common object:
1t 4 COlDRS, ANd was
RPI
12 The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other.
Like a bright stor
c. Sharply outlined
d. Dontremember
13 Did the object: (Circle One for each question)
a. Appearto stand still ot cny time? Yes No Don'tknow
5. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don'tknow
d Give oft smoke? Yes 122}$ Don'tknow
e Change brightness? Yes Don't know
. Change shope? Yes No Don't know
s Flash or flicker? Yes Don'tknow
to Disoppear and reoppear? Yes TND D Don'tknow
-

Official U.S. Air Force
in
Paga 7
34. Date you completed this questionnaire: 3 OOT 1967
Dby Manth Year
35. Information which you feel pertinent and which is nat adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.

Air Force UFO form continued
Page 5 Page 6
show how high the obied n
how high the abject as
Ploce o "B on the com
3. Was anyone else with you ot the time you saw the object? (Circle One) Kes No
31.1 IF you cnswered YES, did they see the object too? (Circle One) Yes No
31.2 Pleose list their names and addresses:
NE
BO0Kl40
BROC. 11zZ0
1/2t0 11Z20
SE
32. Please give the following information about yourself: 32. Piease give the following information about yourself:
NAME NAME
Lost Name Last Name Firs Nome Middie Name Middle Name
ung ot the po a e whg oi the po a Brockl40 W N
ADDRESS 112c0 120
Street City City Zone /Sicte /Sicte
TELEPHONE NUMBER TELEPHONE NUMSER_ NONE AGE 15 sEx Boy
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.
R When and to whom did you report that you had seen the abject?
Doy Month Year
E
.

Official U.S. Air Force O to
Page 5
2.in the following sketch, imogine that you are at the point shown. Piace an "A" on the curved line to show how high the object 30. Hove you evet
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 lost saw it. Place an "A" on the compass when you first sow it. Ploce a "B" on the com-
pass when you lost saw the object.
90 75 c
N 31. Was anycreel
31.1 IF you ans
NE 31.2 Pleose list
30 o =
W E
15° SE
32. Pleose givao 32. Pieose givo 10
ER 00 o s S
NAME NAME:
28. Draw a picture that will show the motion that the object or objects made. Place an "A" ot the beginning of the path., a "B" ot 28. Draw a picture that will show the motion that the object or objects made. Place on "A" ot the beginning of the path, a "B" at
the end of the path, and show any changes in direction during the course. ADDRESS
AO B AoB TELEPHONE NUM TELEPHONE NUW
AB Indicate any ado Indicate any adom
2. IF there was MORE THAN ONE object, then how many were there? 2
Drow a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
SKD
33. When and to whon
Day
5
&

A
Official U.S. Air Forc
Page 3
Frled
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:
Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don'tknow. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
a. Sound_ a. Sound Mesand Msand
b. Color Dktedined
13. We wish to know the angular size. Hoid 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? veri Small prton.
1. Draw a picture that will show the shape of the abject 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.
No Mveneat

No loa Dp Orly Page 1
U.S. AIR FORCE TECHNICAL INFORMATION
Cardion Clon
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified oerial phenomenon that you hove observed.
Piease try to answer as mony 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 persona! informction so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? Time of day:
Frodly Otobe Hours Minutes
3 10 1267 (Circle One): A.M. or P.M.
Doy Month Year
3. Time Zone:
(Circle One): is Eastern (Circle One): @. Daylight Saving
Central E. Stondard
G- Mountain
Pocific OEastern
e. Other
4. Where were you when you saw the object?
Franisham MassachuseTts
Address City or Town State or County
5. How long was object in sight? (Total Duration) 10 3
Hours Minutes Seconds
sure
FTD FORM This form suporsedes FTD 164, jul 61, which is obsolete.
OCT 62 164

1
UFO 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
IF you answered YEs, then how far away would you say it was?? a mil and
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?
alaside a building b. In the residential section of a city?
b In a car c. In open countryside?
.Outdoors dNear an airfield?
d. In an airplane (type) e. Flying over a city?
e Atsea Flying over open country?
Other g. ScbeebGerall
C7o
4. IF yu were MOVING iN AN AUTOMOBILE or ather vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)

O. Clearsky C. Dry
b. Hazy b. Fog, mist, or light rain
c. Scottered clouds c. Moderate or heovy rain
d.Thick or heavy clouds d. Snow
Don'tremember
10. The object appeared: (Circle One): The objeet appcnred as a
wtsh bright vapr that
a. Solid d. As c light
b. Transparent e. Don'tremember stouly dininishel a brillince.
C. Vopor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter E. About the same
b. Dimmer d. Don'tknow
11.1 Compare brightness to some common object:
12.The edges of the object were:
(Circle One): a. Fuzzy or blurred
. Like a bright star
c. Sharply outlined mt
d. Don'tremember
13.Did the object: (Circle One for each question)
Break up into parts or explode? Yes No) Don't know
d. Give off smoke? Yes No Don't know
. Change brightness? Yes Don'tknow
f. Change shape? Yes 2 Don'tknow
g. Flash or flicker? Yes Don'tknow
h. Disappear and reappear? Yes Don'tknow

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 64312 Pg3 of 5
denT IF ICaTIoN NUmbEr, AlTITUDE, HEAdiNG, SPEED, AnD HONE stATIOn, Noie.
4, time and data of sighting:
PAGE 3 RUCSAAA4489 UNCLAS
A. ZULU TIME-DATE GROUP OF SIGHT ING: 08/03:36 ZULU TO 03:40 Z.
B. LIGHT CONDITIONS: NIGHT.
5. LCATION OF OBSERVER: FRONT PORCH OF HOME. PORCH FACES EAST.
6IDENTifyiNG InF oRmATiOn 6IDENTIFYING INF ORMAT ION ON OBSERVER:
A.CIVILIAN:S A.CIVILIAN: OMAHA, QMAHA,
Speculation caN bE MADE aS to thE I A BOY BOY CF F
, SEEMED SLIGHTLY UNSURE OF HIS STORY. STORY DOES APPEAR TO HAVE 14, SEEMED SLIGHTLY UN SURE IS STORY. STORI D
IncoNSIStENC iEs WiTH RegARD tO tHE SpEEd of THE ObjECT AND tHE DuRATioN oF AAID DUDATIONL 3
time it was within viewing range, the boy also, ment ioned that he had
been reading about ufo's with great interest and had just finished a
Bock about them, after viewing the photographs and review img his
story, i feel there is a questionas to his rel iability.
-
7. WEaTHER AND WINDS: N/A.
AOBSERVER(S) ACC OUNT OF WEATHER CONDIT IONS: OVERCAST WITH SOME
AFHQ JAN 65 FORM 0-309C UNCLASSIFIED

Page 7
34. Date you comnpleted this questionnaire: 3 10 1967
Day Month Year
Information which you feel pertnent and which is not adequately covered in the specific points of the
quastionnaire or a narrative explanation of your sighting.

cbove the horizon (skyline) when you lost saw it. Place on "A' on the compass when you first saw it, Place a "B" on the con-
prse when you last saw the object.
90 75c
60 N
45
30
W E
15° SV SE
S
0
28. Draw a picture that will show the motion that the object or objects mode. Ploce an "A" at the beginning of the path, o "B
the end of the poth, and show any changes in direction during the course.
No PIoTruM
2. IF there was MORE THAN ONE object, then how many were there? 29. IF there was MORE THAN ONE object, then how many were there?.
Drow a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
&

TELEPHONE NUMBER AGE15 SEX
Indicate ony additional information obout yourself, including any special experience, which might be pertinent.
Shy al the mest miliy a aadio inniuer Sad thet
he wice willil hude 4Se the Sene
did.. did.
33 When and to whom did you report that you had seen the object? Maga Peet Dut f
L Q 14&7
Day Month Year (vàlMil)

onthesubgeofoflfl mah
toig
CdnolferdSeadonale
824 7

Bariu ClodK l 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 ds 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? When did you see the object? 2Time of day:. Time of day: 30 30
Hours Minutes
3 Oct. 1947 (Circle One): A.M. P.M. P.M.
or
Day Day Month Year
3. Time Zone:
(Circle One)a. Eastern (Cirele One):a. Daylight Saving (Cirele One):a. Daylight Saving
5. Central b. Standard
c. Mountain
d. Pacific
e. Other_
4. Where were you when you saw the object?
E/zaboth Elizabeth NuJorsey
Nearest Postal Address Cily or Town State ar County
5. How long was object in sight? (Tatal Duration) 10
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain 8 d. just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? resX No_
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy
7. IF you saw the object during DaYLiGHT, where was the SUN located as you looked at the object?
Circle Oneh: a. In front of you d. To your left
b. In back of you e. Overhead
c. To yourright f. Don'tremember

Official U.S. Air Ford
Pace 3
14. Did the object disappear while you were watching it? if so, how?
tthesnd Ganly
ahod
Did the object move behind something at any time, particularly a cloud?
(Circie One): Yes (N0 Don't know. IF you answered YES, then tell what
it moved behind:
Did the cbject move in front of something at any time, porticularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then teil what
in front of:
17. Tell in a few words the following things about the object:
0.50und242
6. Coo Pikah
ormsJenotn in
19. Draw a picture thot will show the shape of the object or objects. Label and include in your sketch any details of the chject
that you saw such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the draw iag
to show the direction the object was moving.
GrEC i7
Redish areen
porple
Bright

Page 2
doject at NIGHT, what did you notice concerning the STARS and MOON?
8. IF you s e One): 3.2 MOON (Circle One):
8.1 STARS a. Bright moonlight
c1 b. Dull moonlight
Cb A c. No mooniight-pitch dark
C. cemember d. Don'tremember
d.O
eather conditians at the time you saw the abject?
. What were .What were WEATHER (Circle One): WEATHER(Circle Oneit
2ne)s
CLOUDS/CIC CLOUDSICIC 0. Dry a. Dry
a. Clearsky a. Clearsy 5. 5. Fog, mist, or light rain
b. Hazy Cs c. Moderate ar heavy rain Moderate or heavy rain
c. c. Scattered Scattered- clouds couds d. Snow d. Snow
d. Thick or ha e. Don'tremember
d (Circle One): Circle One):
10. The object appe 10. The object apper d.As a light d.As a light
a. Solid . Don'tremember e. Don'tremember
b. Transparent . Transparent
c. Vapor c. Vapor
was it brighter than the brighrest stars?(Cirel ne):
11. If it appeared as c. About the same
a. Brigh'gr d. Don'tknow
5. Dimmar
ress to some common abject:
11.1 Compare brigt adarkrm
ware: 1
12. The edges si tre object or blurred e. Other
(Circle Ora). a bright star
b ply outlined
C. remember
4
(Circle One for each question)
13.Did the onj uny time? Yes No Don'tknow
a Appte lond rush away at any time? Yes No Don't know
b. Suddeowed (alade? Yes (No Don'tknow
c. Breaks are Mat Yes No Don'tknow
d Gire g noxel Yes No Don'tknow
4. Change agrieen Yes No Don't know
Chonge crode Yes (No Don't know
g Flash c Yes N Don'tknow
4. Dhorsemandeon

21. Do you think you can estimate how far cway from you the abject was?
(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? 23 Were you (Circle One)
(Circle One):
c. in the business section of a city?
a. Inside a building 5. In the residential section of o city?
b. In a car C. in open countryside?
t. Outdoors d. Near an airfield?
d. In on airplane (type) e.Flying over a city?
0. At sea f. Flying over open country?
f. Other 8 Other
24. IF you were MOViNG IN AN AUTOMOBlLE 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. Northeost d. Southeast t. Southwest h. Northwest
24.2 How fost were you moving? _miles per hour.
24.3 Did you stop ot any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
o. Eyeglasses Yes) No e. Binoculars Yes
Sun glasses f. Telescope Yes No
C. Windshield No 8. Theodelife Yes .No
d. Windowglass Yes No h. Other
then
2. In order that you can give as clear a picture as possible of what you sow, describe in your cwn words a common object or ob.
jects which, when placed up in the sky, would givethe same appearance as the object which you saw.
asanamecm
ale
E8
-

Page 5
In the following skerch, imagine that you are at the paint shown. Pace an "A"on the curved ine to show how high the object
was above the horizon (skyline) when you first saw it. Plate a B on the same curved line to shaw how high the object was
above the horizon (skyline) when you fast :aw 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 N
NW NE
Bw E
AA
15 SE
O 5
28. Draw a picture that will show the motion that the cbiect or r objects made. Place an "A" at the beginning of the path, a "Bat
the end of the path, and show any changes in direction during the caurse.
A
B
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.
O

7oo i nleh
Jran
ier
.

SIFIED
THE AIR FORCE
E BRANCH
IESSAGE
AF IN: 64312 Pg 4 of 5
BREAKS IN CLOUD COVER.
B. Report from nearest aws or ER BUREAU OFF ICE OF WEATHER
CoNDITIONS: THE VELOCITY IN DEGRE S AT E
PAGE 4 RUC SAAA 4489 UNCLAS
10,000' 260/15 16,000 290/15: 20. : 30,000' 199/50: 59,990'
250/30, 80,000' NOT AVAILABLE. 250730, 80,900' N01 AVAILABLE,
C. CEILING: E49010 4, 000 FOOT C. CEILING: E49070 4, 000 FOOT 12G16 ALSTG 2988. 12 G16 ALSTG 2988.
D. VISIBILITY: GOOD
E. AMOUNT OF CLOUD COVER: OVERC SOME BROKEN AREAS.
F. THUNDerst oRmS F. tHUNderst orMS AREA AND QU area and QL WhIch LOc ST ORMS
iN VICINITY. AN VICINITY.
3. ANY OTHER R UNUSAL ACTIVITY OR CO ETEOROLOGICAL, ASTRONOMICAL,
OR otherwise, which might account IGHT ING: NONE.
9. INTERCEPTION OR IDENTIFICATION KEN: TOWER SAW NOTHING.
HEATHER BUREAU BALLOONS, NONE IN T
10. LOCATION, APPRoX IMATE ALT ITUDE ErAL DireCTION oF FLight
CF ANY AIR trAFFIC OR BallOON ReLE NE A area which might POSSIBLY
ACCOuNT fOrR thE Sight inG: t-29 258 ED AT 0442Z.
11. REPORT PREPARED BY OFFICER, BA ATION DIVISION, 3902 AIR BASE
WING, oFF 113, TELEP
AFHQ JAN 99 FORM 0-309C SIFIED

ug
tody

Page6
4
3. Was anyone else with you at the time you saw the object? (Circle One) No
8
31.1 IF you answered YES, did they see the object too? (Circle One) No
31.2 Please list their names anda
7208
chs
07208
32. Please give the fallowing information about yourself:
NA 7
them thendran
jofxsutthe iaICauldsce
33Whan and to wham did you report that you had seen the abjeat?
Day Month Year

UNCLASSIFIED
2
DEPARTMENT OF THE AIR FORCE
STAFF MESSABE BRANCH
DMCOMING MESSAGE
AF IN: 63774 (10 Cot 67) B/clw Pg lof 2
ACTION: RDC-4
INFO : XOP-2, XOX-2,SAFOS-3 DIA-l (13)
iS RUQC 68 2831583
ZMR UUDUU
P 101309Z CY 67
FH TUSLOG DET 118 CIGLI AB TURKEY
TO RUMTIFVA/AIR DEFENSE COMMAND ENT AFB COLO
RUEDF LA/URIGHY PATTERSON "AFB QHIO RUEDF IA/URIGHY PATTERSON "AFB QHIO
RUEFHQA/CHIEF OF STAFF US AIR FORCE 1) .
Capy Capy IR FORCE
ST ST
LICLAS 80 003206 01 67. 80 093226
FOR LPAFB-FTO-YDETR, CSAF-AFROCD OSAN-SAF-OI,
AC1) CONICAL (2) DIME (3) SILVER (4) QNE (5) N/A
(6) NONE (7) NONE (8) NONE (9) EXTREMELY BRIGHT
(T) OIRECTLY OVERHEAD (2 - ) DIRECTLY OVERHEAD 0 (3) APPROX 48
LEGREES, NEG THECOOLITE-CQIPASS (4) STATIONARY, VERY SLOY NOVEMENT
PABAR 1TE. (6) 1415Z -1GRYPZ. C. (1) GROLND -VISUAL L (2) NONE
C. M CSN - 28 CAKMAKLI RADAR SITE - M WEST IST ANBUL
AFHQ JAN SH FORM 0-309C
UNCLASSIFIED

ONAUIUWAINAULLIABCANUN N
.
. UNCLASSIFIED
DEPARTNENT OF THE AIR FORCE
STAFF MESXAGE BRANCH
INCOMINS MESSAGE
AFIN: 63774 Pg 2of 2
SIGHTEE AND OTHERS AT SITE. YESILKOY A IRPORT,
ISTAN BUL -AMERI REPRESENTAYIVE, F. (1
PAGE 2 RUQGC 69 LICLAS
(3) NOPIE (4) 7 MILES
1
SURFACE 9210 SONr MCE B2 10
6,909-249/18 6,903-249/18
19,099-229/18 19,099-220/10
16,090-280/10 16,090-280/10
20,888-278/18 29,088-278/18
39,009-329/10 39,069-320/10 e
O 59,999-259/10
*
89, B50-NOF GBTA INABLE
) 3,808 SCATTERED (6) NONE (7) TURKISH WX DOES NOT TAKE
SOLNDINGS H, NOVE I NOVE i NOVE (, CHIEF OPERATIC'S a
TRAiN iNG TUSLOG DET 11B CIG I AB TURKEHX
BT
NNNN
AFHQ JAN d 10M2 0-309C
UNCLASSIFIED

Fage 1
U.S. AIR FORCE TECHNICAL INFORMATION
This questionncire has been prepared so thct you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon thal you have observed.
Please try to answer as mony questions as you possibly can. The information thct 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: _
Hours Minutes
DUCATON HGUE 8 1EUE
$4 (Circle One): A.M. or P.M.
Dcy Month Year
3. Time Zone:
(Circle One). 0. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
C. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
HcCRLEOO0 Oiteo
Nearest Postal Address City or Town State or County
S. How long was object in sight? (Total Duration) 10
Hours Minutes Seconds
c. Certain c. Not very sure
b. fairly certoin d. Just a guess
5.1 How was time in sight determined? _
5.2 Was object in sight continuously? res No.
What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN locoted as you looked at the object?
(Circle One): o. In front of you d. To your left
b. In back of you e. Overhead
c. To yourright f. Don'tremember
FORM
FTD OCT62 164 This form supersedes FTD i6t jul 6l. which is ohrolete.

Foge 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 (Circie One):
c. None c. Bright moonlight
b. A few b. Dyllmoonlight
Many c.No moonlightpitciedark
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):
c. Clearsky a. (Dry)
bHazy 1 CA17 b. 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):
c. Solid d.Asolight
b. Transpaient e. Don'tremember
c. Vapor 5
1 If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. (About the some c. About the same
b. Dimmer b. Dimmer d. Don'itknow d. Don'tknow
11.1 Compare brightness to some common object:
Compurcta tneNeathSta
12.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other_
.Like a bright stan
c. Shorply outlined
d. Don'tremember
.Did 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'tknow
c. Break up into parts or explode? Yes No Don'tknow
d. Give off smoke? Yes No Don'tknow T—
e. Change brightness? Yes No Don'tknow
f. Change shape? Yes No Don'tknow
Flash or flicker? Yes No Don'tknow
h. Disoppear and reappear? Yes No Don'tknow

64
Official U.S. Air Force UFO form
Page 3
14. Did the object disappear while you were watching it? if so, how? ves, it faded out,
CniaOal
eswred YES.
15. Did the object move behind something at any time, particularly a cloud? mvoucane
(Circle One): Yes No Don'tknow. IF you answered YES, then tell what
tu gryaered YES. 1
it moved behind:.
:2 Where were yov loca'e
CO
16. Did the object move in front of something at any time, particularly a cloud? FURLT ON
a Inndeabuiding
(Circle Ona): Yes No No Don't know. Don'tknow. IF you answered YES, then tell what IF you answered YES, then tell what 5 jeator
Dudoun Dudour
in front of an girpiane (tyoe)
Han gxrpiane (tyoe)
ArteD ArIeD
3e 27410
17. Tell in a few wards the following things about the object: 17. Tell in a few words the foilowing things about the object:
c.Sound c.Sound E -EEMOVINGI "MOVING
A3A woat deecfion wut woat deection wut
b.ColorS b.Color
a Nors
Vortheast Vortheas
18. We wish to know the angular size. Hald a match stick at arm's length in line with a known object and nate how much of the
bject is covered by the head of the match. If yau had performed this experiment at the time of the sighting, how much of 42 e 'os were you
the object would have been covered by the match head? AUOSit. 24 3 D-d you stop a any
Circle One)
25 o rOU O1ete the object
Eyngioses
Sunglosses
Wiedthield
that you saw such as wings, protrusions, ete, and especially exhaust trails or vapor trails. Place an arrow beside the drawing w-dewgaws
to show the direction the object was moving.
74 in order thg' yoy can give
H EAST ech an ch, when pieted L
AOCIGHT
THIS AT AGOOT ON-Y
FOR A LUSTANE
.

Page 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 AS FAK JP -3 THE
IF you onswered YEs, then how far away would you say it was? STAR
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
FAST JU THE PATIO 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 Outdoors d Near an airfield?
d. In an airplane (type) e. Flying aver a city?
. Atsea f. Flying over open country? Flying over open country?
1.OtherS7ANDINGIN YAQD 1.Other_S7ANDING IN YA2D 9. g. Other Other J4 TawN Taww
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) 13 N3
a. North c. East e. South g. West g. West
. Northeast d. Southeast Southwest h. Northwest
.
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you abserve the object through any of the following?
. Eyegiasses ND e. Binoculars Yes No)
b. Sun glasses No f. Telescope Yes N5
c. Windshield No g. Theodalite Yes (NO
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 ab-
jects which, when placed up in the sky, would givethe same appearance as the abject which you saw.
ABCIGHT STAR

Official U.S. Air Force UFO form
Page 5
in the fallowing sketch, imagine that you are at the point shown. Place an A"on the curved line to show how high the object 30. Hasayau everseenthi
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 latt 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 o 75
N Was anyone else with
31.1 IF you answered
NW NE 31.2 Please list their nc
Raedt
30° A Ma p
W E
ARAA
15 SW SE
32. Please give the followir 32. Please give the followir
s S h
NAME NAME
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" 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"ct
the end of the path, and show any changes in direction during the course. ADORESS
NORTH
A 13 TELEPHONE NUMBER. TELEPHONE ENUMBER
T JER - . DATH PTTH ROSS "Ss THS SIY
SOUTy SOUTH Indicate any additiona
FIST FT
29. IF there was MORE THAN ONE abject, then how many were there?. NC
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
33. When and to whom dic
Day
95
3650
-

Force lFO form continued
5 Page 6
the object 30. Have you ever seen this, or a similar object before. If so give date or dates and location.
bject was U
the com-
31. Was anyone else with you at the time you saw the object? (Circle One) Yes 3MgSE
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses: po
32. Please give the following information about yourself:
NAME a (SR) (SR
Last Name last Name First Name Middle Name
a "3"at HONLETAS HDNLETAJ ONY1D ON1D 45042
ADDRESS Zona.
City State
TELEPHONE AGE 3 SEX. SEX
Indicate any additional informatian about yourseif, including any special experience, which might be pertinent. Indicate any additional information about yourseif, including any special experience, which might be pertinent.
FIRT TiME F32 S1G471U6
/
33. When and to wham did you repart that you had seen the object? 2502
Dacy Manth Year
N

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSASE BRANCH
INCOMING MESSAGE
AF IN: 64312 Pg 5 of 5
BOY WAS NOT TOO INTERESTED IN TALK ING ABOUT IT,HiS Mother Sort Of diD
ALL THE TALK ING.
12. EXISTENCE OF F PHYSICAL EVIDENCE, SUCH AS MATERIALS, AND PHOT OGRAPHS:
THREE PICTURES TAKEN BY POLAROID CAMERA,
PAGE 5 RUCSAAA4489 UNCLAS
Camera inF ormatioN: CAMeRa inF ormaT ION:
TYPE: POLAROID LAND CAMERA J-33.
Film: Black and White type 3 FiLm: BlACk AND WHITE tYPE 000 000 SPEED. SPEED
SHUTTER: SET NORMAL SHUTTER: SET NORMAL
FILTERS: NONE
TRIPOD OR STAND: NOT TRIPOO STAND: NOT USED. T USED.
PANN ING: NOT USED.
CAMERA-DIRECTION: 30 0 dEgrees EAST of truE NOrth
60 DEGREES ANGLE ABOVE GROUND.
@ ICtUREs reTAiNEd aT oFFUTT afB, NEB In INFORMATION DIVISION/BCXI)
BT
NNINN
AFHQ JAN 55 FORM 0-309C
UNCLASSIFIED

Pag= 7
34. Date you complered this questionnaire: OCT Month 1967
Day Year
Information which you feel pertinent and which is not adequately covered in the specific points of the
questionngire or a narrative explanation of your sighting.
CLEAR 13121 STARS SLI6+1 HAZ
1N EAS7 V.
DEY AIR TEMD 67
!7 STALTLED ME A BETTER
Positeon PosiTeoN (OPEN 79RD) (OPEN 1ARD)
CALLEO CALlEO PAT BOYs To COME Bors To 0015102
1

CRODWUONPNPAINN 008000L*R0644L4U85010000
NteO
nOot t
2 Sie at  0S)
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE OHIO 43433
RIPLY TO
ATTN OF: TDPT/UFO
SUBJRCY
1Cct 1967
TO:
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached AF Form ll7 end return it in the self-
addressed envelope. addressed envelope. Thank you for reporting your observation to reporting ou observation to
the Air Force. the Ai rce.
GAMES C. MANATT, ColOnel, USAF 1 Atch
Pirector oduction AF Form 117

70ct
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON FORCE BASE. OHIO 4S433
RZPLY TO
ATTN OF TDPT/UFO
SURJxCT: UFO Observation, 7 stober 1967
TO:
ancisco 96610
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached AF Form ll7 and return it in the self- you complete in the SeIf-
addressed envelope. Thank you for reporting your observation to addressec envelc observation to
the Air Force. the Air Force.
AMES C. MANATT, ColOnel, USAF 1 Atch 1 Atch
Eirector luction uction AF Form 117

767
NAVAL,MESSAGE NCIO NAVY DEPARTMENT
PRIOPITY AF IN : 59660 (6 00t 61) 35N
P 0722347 0CT 67 TT DIST: RDC-4, XOP-2, KOX 74E2)
FM URS CHARA
TO ANDERSON AFR, NORTH GUAM
INFO ONO 810
GINGPACFLT
DIA
u5n
COMEIRSTELT
PACAF
HICKAM AFB
ONF THREE AF
CIE THREF FOUR
GOVSELNTHELT Cole
Cspy st 4
UNCLAS T 0
UFO REPORT
CINCPACFLTINST 3820,3
THRFE (3) ROUND YELLOW-LIGHTED OBJECTS, SIZE OF IMES. IN A
OMTAI T OF LIGHT (1/3) SIZE
ORJFCTS, CENTER ORJECT ARGEST
IOTED
ENTION TO OR BY RAPID MOVEMENT DF MOVEMENT BRIGHT LIGHT,
ALE OF ELEVATION WAS REARING 290 DEG. TRUE, ALTITUDE APPROX
SETAT NCE OF
EVATION AND ALTITUDE REM FARANCE. FLIGHT
PATL MAS ON HOEIZONTAL PLA ITH NO MANEUVERS, OPEARED
SECONDS,
GROUND-VISUAL WITH AID OF BIN
LAT. 25 DEG. 55 MIN. NOPTH. LONG. 174 DEG. OQ4IN EAST
32/27 COG 085210
RN(4) 00(2) 09(1) 098(1) 33(8) 34(2) 35(2) 05(7) 07(1) 76(4)
041:4 BEPIL
DEA1) JCS(1) (1) OPA(LI + 095
4n
-- o- PIGE TIME OF RECSIPY DATE TIVE GPOUP
0009883/3/NG 08/0737Z 072234Z OCT 67
2

NAVAL MESSAGE EF10 NAVY DEPARTMENT
00D, RELIABLE.
ST8D LOOKOUT, UNRFLIARL
7 CLOUDS. 5/1O COVER. 15OO FT. CU. WITH WINDS FPOM O9O DEG. T. AT
BKTS, 3O,07 INCH: TEMP, 78.8 0FG. DEG ISIRILITY
15 MI. NO TH IN AREA.
3. AL ACTIV NOTED
of NONE
10. NONE
L1s POSITION TITLE OF PREPARING OFFICER IS OFFIGSP OF THE DECK,
FIRS BEL1EVOD ORJECTE TO 95 LOW FLYING ATRPLANE BINOCULARS RE
SALED THAI DISTINCT OBJECTS, EQUALLY SRACED, MOVING
RAPIDLY ON HORIZONTAL PLANE, ORJFCTS NOT FALLING STAR.
NOME NONE
!
RATIOLNS 9A0E OF BAGE TIME OR RECEIPT DATE TIME GROUR
C00383/3/MG 2 . 2 08/07377 072234Z OCT o

.
Merry-Go-Round 9
By United Press International
Theodore O. Elsner of Addison said today he got on a
"merry-go-round" last July when a sonie boom created by
a jet plane broke his mother's vase.
After learning from so do I."
newspaper stories that all Rep. John N. Erlenborn, (R
claims from sonic boom - Wheaton), got on what he
damage in Illinois must be called "one of those govern-
sent to Chanute Air Force ment merry - go - rounds
Base at Rantoul. Elsner which come straight out of
notified the Air Force. never - never land" later that
Ofticials at Chanute simply month when Elsner com-
sent Elsner routine forms to plained in a letter to his con-
fill out, "required by regula- gressman.
tion." according to Col. John
W. Miller of the Office of
Information at the base.
Elsner said he received 18 Elsner said he received I8
pages of government forms. pages of government forms.
Miller said the Air Force sent
only 5 forms, cach of which
had one, two or three copies.
9009 II 'odsoud unog along with a letter of in-
ododsmaN auo structions on how to fill out
the forms. ner . J
IN THE official letter, the IN THE official letter, the
o ao o 0 II and Rnon IS u 'S LI1 Air Force said it would reim-
burse Elsner for the vase burse Elsner for the vase --
$595 - if it found a sonic $595 - if it found a sonic
IS boom caused the damage. boom caused the damage.
Elsner refused to fill out the
forms: "He thought it was
ridiculous to fill out 18
forms." his mother said, "And
Sees UFD... With Propeller?
The sighting of an uniden- girl home, returned to the hailed Burtis, who was cruis-
tified flying object has been field in time to see the craft. ing nearby in a squad car.
reported in Mount Prospect "as big as a one-car garage." When Burtis arrived at the
by a Rolling Meadows youth. slowly descending. field he found no trace of the
Fred Thoma, 19. of 2313 Thoma left the scene and mysterious object.
Eastman in Rolling Meadows,
told police officer William
Burtis that he saw a strange
craft hovering over a field late
Saturday night.
Thoma said he first noticed
it as he was driving west with Oct7
1961'6  o his girlfriend on Central Rd.
near Busse Rd.
Thoma described the object
as having a saucer-shaped
body topped by a spinning
propeller. He said that there
was a white light between the
propeller and the craft's body.
THOMA SAID he toOk his

B
DEPARTMENT OF THE AIR FORCE
OFFICE OF THE SECRETARY
MEMORANDUM
10 Jct o7
COL SPRINGER:
Surely this must be some sort of a
new 1 record, two pet bug-a-boos on
the front page of my "hometown" newspaper
the same day.....
La
.
.
-

ALL AL NCIO 7bct6i 7bot6i
Britsk Colinbia enbin ,
landa

is still golng on. I even read an
article in a -undal magaz ne in london--
"What is The Truth "U'S--ete"
I've stopped sending you everything
I fund on thesubject 'cause i it's so
redundant. Seems, however, that ; we
should share the "double-header" that
appeared in the paper that's left on
my door at home each day.

Jou ale enclod
DO
4
beon 30 Secondse
The elin andth
Itars wents th obgot bylabliy
Coto Sig

1 de.twred ma Pragut dColnn
" C Couclield Bnee I E 1
.0 Fullerry 16 o Malmo
Ferwn Darryk 18 Cushing SeDe Silver Cronk David Cay (15 flaah
tihe 12 SI4 11 POLK m K is c Aape 92 Mead
Cay Waym Ar Rising Ciy tthara IweBoon
Mas thy o Falmer Cpks Oserala 1? O fraindd Be Aire
2as Ashas Poui Saedchome Swededurg o
M Say 17 Geour Lame Touby Mery UFO SIGHTED IN
1 1i o 04 81 Fae
dlnaues so Dythrog Arther 10 Suomsturg Sueprisn Maxpta L
Rorkuits Central City 6En les Folk 76.2 71 Owight Valotraion PlaitsmorTh RALSTON AT
Reeirs 10 1000 U (315)
Harand 0 Werns 10 30 + Ulysses . 16 08/03:36 - 03:40Z
2 St. Lidery 1 grew Locsville
Sarrwr 1chann Atorvilte 70 9sham a Bet Greenwond
Caire o Bavey 11 hin Maniey Murray
Fusit R A 1 Mordutza Kronbrig Benedics Stapletunt o Waverly
A S Micheet O Theyr Rryroed J-" O
a0 Grahd island Uricas Semard Malcino 13 o 1 Vatei
Mlin Reamaliona Prulips Hampton mn o
Rutiitbain 0 Alda o 13 2 York Waco 1202 Eoile Cewo DMo Shenand oah
C16 14 3
A Wold River Maply Autors The
15 Gasat Lincoln
20o00 Sheitce 1 Henderson o A cestee Ainbraska City Ma
Pak Giltmar Basige Millad Ore
IF G.abon Denighan 11 12 NerEd lDunte
21 5 Strecikam A Canduv 2 o Crossn t B Eaauile
KCOnn7 Earses Ocrcffesson 1 Hrlmn RUA 63
02 binutal Eldorado Bim 3 2e2 o is ma
Prosser Frirnd o Cr Citx h Wayn boad a B
Lowall o gsCel 101 Harvard % toser Plasrmii-a OVt
KeTessa Juta Hastings Sutton Grafton
Hesrtan OR a o G
HotPal inglends 41 DC-6 flew from Omaha to Lincoln passed over Omaha
1 Minden Assumnptiong Gikenal Cizy Comter Geneva
27 Agelt Horman Rnseland at 12,000 ft descending to 6,000 ft, at 08/03:19Z.
feer hage o Frutieid Shickity
ofeene Holsizin o 70 o
Notdroge Ayt Suang
T012 10 Dewcess oldger
Atlenty 44 Wilcas te dr
o Blue Hll Seden Cerietan 1
0010 Bladen o
Hildrth 20 Daveppon 3 5 d Seilla Shufert Berada
6 Asgan 4 Rosemont Lavrence Betviderg . FRis Aoiford tina AS Table Mock Hpbi Verd E
Mascet 22 Campbelt NUc Jaosen
Buer a Nomereed Puschard
Odfort II 6Macan Nalans it Seciel Poarce Drason 03
S - (99 Pulo
Cneaa 10r8 iteity o Am
Stam Du Der Falls City
Ploeu United Airlines Boeing-727 flying from Denver, Colorado Krider
" Barfoston fis) WI
Omaha at 08/03:27Z. (A)
Le Omaha at Fl 2l0, passed over O Soheths
. ab
BY " Hrarhs Us
Beamle 35
isnd E5 Enitviea A
13 mate Frowe Carthy
1 (7) . Marysville Stare Pa G3 A*1 03 SueFock
A Betlevill- 0 W7 A
Lebtion Maskn 50 Weshingron Akere Spring
hira 18 13 INGTON Bernes Franklort 83 Hortoe
Smith Center JeatPerty Pepe Courta Corming
hen Athal
Philipthor N SPeA 20 H Watmilt
N1 Npa METH A 91mn Rlee
Cadar Jentll Hapids
31 Thith
J02oa o DT IAC x
13 R Hovenmille 1
R Plaine Holtsn
Pats Dowm NEPRASKA FectenamisCo
Randolcph A Soste Puct #1 F
Wertmernland C Valfey Talls
0 01203 Dante 25,000-50,000 Grand Island Ciay Center Tathe Crepl Fatpmpnie
E73 Siere Fut bne
0 1000-5,000 Valentine 0 60,000-100.000 Sioux City 0 WATOMIE RE8
0 3.00025.000 Chadion
100.000 AND OVER Omaha #2
Tigine F1
Fas cornct ropulation For map syrbols sen legend 71 Marhatten
gtoven of towns ses index
02 eIT
5 10 15 30 25 1 75 O 15
ta Gne Inch Equais Approuimatalv 24 Miles Rn Fet
177 9 Re
Copyright F7a7 by Diversilied Map Cerp. St. Louls, Mo. Alle
Lutay 14 Alma Topeka
ID Lincoln Printelt in the U.S.A. A Jrnetion Chty O
H
0D
Aso Vinsty
Ithr
City.
Solina 1-807
Brockvita A LEFT
1

a EL..
smallen ther the dome.
ihes
in af 1 Uisiach
Tuly Tuly
Y

Description: I Disc shape with dome. Lower section glowed irey red
similiar to a star. I Dome pulsated with a bright blue light.
Path of Flight: W West to East on direct course.
S
Speed: From skyline to skyline in approximately 1 minute.
Flight Description: U Fiigde Description: U. F. O. appeared on cne skyiine above cne U. F. O. appeared on the skyline above the
mountains on the West moving rapidly East on a straight line across mountains on the West moving rapidly East on a straight line across
the valley. the valley. About l0 seconds after sighting;the object expelled a About l0 seconds after sighting,the object expelled a
The
fire ball hovered in mid air and two seperate small fire b ball hovered in mid air and two seperate small 1 particles particles s were were
seen to Glow and then burn out. I Directly
valley, the blue pulsating dome became visible and remained so
until the object disappeared on the skyline to the East. The
above information and sketch is the best
of our ability.
Signed: C.
=3 C
B. C.

PATH OF FLIGHT
7 7
-× ,
TGHTED FIRE BLUG PULSATING
HEME BALL DOME
VISIBLE
HERE
EAST
WEST
UALLEY
HUNTING CAmp Camp
X4 X
RINLET
CREER CREEK
-
AA
11

PRANKLIN
Tark SL PKS.
Swugh
C.R ST.
7
LUMBER 1
St. 4596 414
'SL 120
163D 112 St
119
K
1181
31
57
ONS 41 Fne har
Lomun
Fairmont 64
Hot Springs T T
36 relap

51 4596 144
120
1ea! G
11
21 S1 SL.
n 1a7 A R
51 R
73
St
57
Gibralars
Fairmont Roai
L:1. Hot Springs
St T
0
G Z
291
54 St 18595
127
Amatung
7U Bo
O R
O 5t
C
16 m
x0
n
Mr PK

MT
CONNOR
rn

sa
54
T
Nipukoo
Lake
EI J
O'NEIL

FIRST STATUS EDITION 15th. Fcbrury, 1965.
SHEET 82 J/SW AND PART OF 82 SE
To Canmore S2 males Fa Necte Stlmles
115°∞ 45
1144
82)/sw/82J/sE 50
0402 I
8481 OULUM Odlum
-
-650 GHWOOD
G.( -380-
WIDERSKI 3480
CADORNA ME
RIVERGIDE
TY MTN MTLOOMIG
8713
Alrss 78'
B T 6
5 RANGE
10717AURUZZ1 M7 I
Ba70 MT
M
MT 8471 19951 1998 AN
NCASTER 6 hxil
MT.
CONNOR
8472 996 197
MC PHAIL M2
2411 in 0165 ARIN
BLEASOLLL MT MT
8199 MT. ARMSTRONG
SHANKLAND
C384
G
6300
VE.YS MT
6624 I BOLTN
FOHDING
YONEIL

8476 iset 7022*
bjes
MY 'MT.
BLEASDELL ATIMSTONG, ARMSTRONG p0os
8192 M1
SHANKLAND
0200 6200 26 #26 C9CO C9CO
G
MT
VF MT N
6825 54124 I I COLTON COLTON
RIVER
FORDING PASS
ONEIL ONEIL RDCE
PA. PK
401 637 L623 6832
ABAV
ME.
Fall INGRAM PK
637 6564 £821 CORNWELL MT:
TUXFORD MT COURCELETTV
PK
Δ.9987
00 6053
6820
MINT
9489 OILD PROVINCIAL
050 0627 6919 6028 PK. MT
600 ETHERINGTON.
HORNGKEL ME
10810 60p1 06.0 6929
780 6647 K6721 6722.
U N N S (70)
15
604% C0a5 ,MT
5-03 2 C 6030 6972 SCRIMGER
10d01
(h) waag
MT. HOLCROFT
Naar cr
2
9482 fones 6340 16379
C140
FOREST
68)7

1 116
106 St. (145A
II 510d
2
7155
11
S7
SL
Winderme SL 145
508
PASH
21 T
SL
M.a.
5116 2t26' (SL MT. 58
h124 O AENCAS
Lake 74
Madias
Min 1 R RJ
MaCahe MasCathy 2620 Y
Lakes Lakes IR. IR.
13 SL M.T. MT
3 3 131 St STUART CIIART
INDIAN HEAD
MTN MT
PEDLE
931
95
E
MIN
Z
Tuthy
Slough
SL
3545
LUMBER 4596
SL St.
'5t. 120
1630 112 SL 5L
11D IRMONT
BK SL 77
D. n 51 R
101 Cold 109 <1
4001 404 38 R.
TAS A
Fairmont 17
0 He Sprp Hot Springs
St.
Art 36. ehduh 9 0
The "r Z
Hoodng 9
G 21 m
A.H596

jaBuca tilis
SCorsice 44 Paiker 63
Parkston E7 Tem
Azodomy Platts nwold 73
Lennox Canton O/SCt Fotora
Fron Armoar CHISON LR flurley Car
I Delmont 37 12
Ofivet Davis Bcyrlen -13 Spancer
Ke Geddns Menno Sanbom
CHARLES LINCOIIN Perkint 11 RIEN Sug
ONBCOHY 31 Viborg 13
MEX 12
Buks Lie Andes Corservilte Beresferd Siatix Center Pringhar CLAY
Scetland Maylie'd D 65 IOU A$ To avo
NON HOMME Drange City Pet Seete Pu2
x o Wagner T0 irene A batter
Sonerteel Howarten a
Carloci Omes Pickstown A ICLAY NION Mrutice
Avon alyadall 71 month
ANKT
oflabur 1 149 Singa Rogids 10 ped v
12 Ancka Gross Chatownth? Latrahen
MIsSoU (37 Yankion g Remten tell y
Batte OUTH Seney
o Mills Ru Sonnglield La Tars ③
Buran Spenear Senteg Airen hatter
seich Mamaingn Virmittion Cherakee
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your two sightings
The first happened so long ago, and so many details neces-
sary to positive identirication of a sighting are missing, that
identification woulá be virtually impossible at this point in
time. Perhaps the inclosed Project Blue Book report will help
you to identify it.
The second sighting was recent;however, necessary
details are Therefore,i: Therefore you would you would care to complete care to complete
the attached questionnaire, and f the attached estionnair L it in the postage-free it in the postage-free
envelope we ar inclosing, to th closin idress given on the envelope, pe,
we shall served.
In the future, should you sight another Uro, please contact another UFO, please contact
the UFo investigator at your nearest Air Force base immediately.
By so doing, you will have a much greater chance of having your
sighting identified. sighting zidentified.
Sincerely,
DAVED L. STTLES
Major, USAF
- Acting Chief, Civil Branch
Community Relations Division
3 Attachments
1, Pennsylvania 18436 cC: WPAFB
Coord Cy - SAF-OIC
Cmbk Cy -SAF-OIC
Activity Cy.- SAF-OIC
Reader Cy - SAF-OIC
SAF-OIC Stayback
Inoen
the

my fhashtight
e Me2 stte cov. Whente started
te labe,

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rocbet ichanld hane shanged iho clar to w dlue
Cr caw tte reahet onk

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what ite chearge
of "Rrajiat Blue f 8 "Projict eople hahe
reciered copics copies
thanld Lhands you
Bok 120
Fakw ariel, Penna.
18H36
B.1 f there is a onlhng
tll pnt what the chage is- (Thonbgt
0

8 - 20 OCTOBER 1967 SICHTINGS
DATE LOCATION OBSERVER EVALUATION
9 Denver, Colorado Other (BIRDS)
9 Tucson, Arizona Other (HOAX)
10 Davezport, Demoine, Iowa Astro (STAR/PLANET)
10 Lahawood, Colorado Other (UNRELIABLE REPORT)
10 Oelwein, Iowa AIRCRAFT
11 Rocky Mountain Natl Park, ColoJ INSUFFICIENT DATA
11 Islip Terrace, New York INSUFFICIENT DATA
11 Lubbock, Texas AIRCRAFT
12 Fr. Walton Beach, Florida AIRCRAFT
12 Joliet, Illinois AIRCRAFT
13 Laks Charles, Louisiana BALLOON
15 Tripoli, Iowa INSUFFICIENT DATA
15-20 Thibodaux, Louisiana INSUFFICIENT DATA
17 Gult Breeze, Florida BALLOON
18 10 Oelwein, Iowa JeIw3 owa 1. Astro (SATURN) 1. Astro (SATURN)
2. AIRCRAFT
18 Lake Charles, Louisiana UNIDENTIFIED
18 Corpus Corpus Christi, Texas INSUFFIC IENT INSUFFICIENT DATA
18-19 Corpus Corpus Christi-Robstom, Christi-Robstowm, Texas Other (UNRELIABLE Other (UNREI LIABLE REPORT)
20 Parkersburg, West Virginia Perkersburg, West Virginia INSUFFICIENT DATA INSUFFICIENT DATA
20 Fairborn, Ohio Other (CONFLICTING DATA)
20 Brooklyn, N. Y. (PHOTOS) (PHOTOS) Photo: FOREIC FORE MATTER ON FILM
20-21 Marblehead, Ohio BALLOON
ADDITIONAL REPORTED SIGHTINGS (NOT CASES) (NOT CASES)
DATE LOCATION SOURCE EVALUATION
9 Plainfield, I diana
12 East Meadow, New York a
13 Paoific Grove, California
13 Orivay, Colorado Insulators on Guy Wire
20 Cookerille, Tennessee

i
TDET/UrO (Maj. Quintanilla/70916/jaf/1l Oct 67) OCT 171967
UFO
UFO Investigating Office
Ease Info. Div.
3902 Air Ease Wing
Offutt A B, Nebraska 68113
1. Reference your unclassified message EcxI 10823 Oct 67,
Subject: UFO Report.
2. Request you forward photos of Uro to this office so that photo-
analysis can performed
3. You stated that at O442z a T-29 landed but the sighting occurred
at 0336 to 0340Z. Please clarify. lease crarlry.
4. We would also like to say that you submitted a very good report.
AO TILE TIOTO ON/U Keep up the good work.
TIOTO 0EN/LU
MES C. MANATT, COlOnel, USAF
Pirector Virectorc Technology and Subsystems
Sad Owena a/64

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS 3DO2O AIR BASE WING (SAC)
OFFUTT AIR FORCE BASE, NEBRASKA, 58113
REPLY TO BCXI(Capt. Cunningham/402-294-4050) 1 November 1967
ATTN OF:
SUBJECT:
TDET/UFO
TO: Hq, Foreign Technology Div (AFSC)
Wright-Patters son AFB, Ohio 45433
1. Reference letter of 17 October l967 in regard to the UFO
report, I am enclosing the photos of the UFO so that photo analysis
can be performed.
2. I stated in the itial message that a T-29 landed at O442Z
approximately fter the sighting, "I mentioned it since it
would be possible e T-29 t near the area if he had
been flying approad prior to The act runway was
30 and an instrument missed approach wo ould place the aircraft near
the location of the sighting. I have o details on the flight of the
from the 490O ABW, Kirtland AFB and was piloted oy Captain Dale N.
Amend, FR54039 and the copilot was Captain James A. Malek, FV30o4637.
I have sent a letter to Captain Amend to inquire about his flight in
order to determine if he could have been in the area. I will forward
the information concerning the T-29 when I receive it.
Mr. t1s thwos
.ight path approximately miles
United Airlines Boeing 7 7 flying Colorado at Fl 2l0
miles north.
5. The DC-6 and the Boeing 727 appear to both have passed the
area too early and at too high an altitude to be a factor, but I
mention them in case this is of any importance to you. I have
enclosed a map showing th ight paths.
any other as please know.
ROY'R. CUNNINGHAM, CaPt., USAF 1 Atch pic(3 cys)
Deputy Chief, Information Division
Peace.... is our Profession

Pi 7 RT P
NR 68-6
DATE REPORT 26 Janparr
SUBJECT UNIDENTIFIED FLYING OBJECT
LOCATION Omaha, Nebraska DATE 7 October 1967
PHOTOGRAPHY
AF. IR QUALITY.
PNRS
Three 2 inch by 3k inch Polaroid Black and White Prints
1. PURPOSE: This report n reply to Work Order 68-4 submitted by Major H. Quintanilla,
three prints to determine the
appea ese prints.
2. ANALYSIS: Examination of the prints produced the following results: An image is
prasent on each of the photographs. piess.ro The images le lmages appear as a appear as a white streak on a black backgrou acA beCkgroL
The lack of definitive detail precluded The lack of definitive detail oreclude precise determination as to image identity. A don precise determination as to image identity. A don
on a cylindrical body, as reported i on a cylir observer, could not be seen on observer the photograph. photograph.
PHOTO ANALYSIS BY: APPROVED BY:
Harald I. Dusto Harald I.Dusto
HAROLD G. DUSKO WILLIAM L. TURNER WILLIAM L. TURNER
Intelligence Research Specialist Intelligence Research Specialist Major, USAF
Chief, Photo Analysis Branch Chief, Photo nalysis Branch
WILBER PRICE, JR.
Chief, Photo Exploitation Division
C
P . 2779 132

TDPT (urO) Maj Guintanilla/70916/mhs/8 Jan 68
Drive
Omaha, Nebraska 68128
Reference our letter of December 26, 1967 regarding your
inclose your photograph, therefore, it is now attached to
this letter.
ECTOR GUINTANILLA, Jr, MajOr, USAF 1 Atch
Chief, Aerial Phenomena Office Print1)
tO TIL TVIOLA3O (ONO) LAC Aerospace Technologies Division
Production Directorate

7Gax67
TDPT/uFo Maj H Quintanilla, Jr/709l6/lsb/22 Dec 67 DEC 26 1967
Onana ebraska 68128
l. This replies to your request for information on your unidentified
flying object (uFo) observation and photograph. Your photograph is
presently being forwarded photo experts at Wright-Patterson AFB for
analysis. It is quite likely that analysis will take several
months, since our photo experts must also devote their time to other
Air Force projects. Upon completion analysis we will return your
print, however, in the meantime we are forwarding you a copy of your
photograph.
ID AI TOO (n) Ja
HECTOR QUINTANILLA, Jr, Major, USAF 1 Atch
Chief, Aerial Phenomena Office One Print
Aerospace Technologies Division
Production Directorate

This case contains 3
5×7 photos and ', 4×5
negative.
3

R o 7 80607.
:
Dhot
O0T 171967
Omaha,Nebraska 88100
1. Thank you reporting your sighting of 8 Oct l967 to the
Air Force. However, additional information is needed. If you
would complete the inclosed FlD Form l64, it would be helpful
in our analysis.
2. Thank you for your ssaistance in this matter.
MES C. MANATT, COlOnel, USAF 1 Atch
Arector of echnology and Subsystems FTD Form 164
4

FORLIGN TECHNOLOGY DEVISION AFSC UMCLASSIFIED
UNCLASSIIED

.1
OFFCIALUS AIR FOR
Page 1
U.S. AIR FORCE TECHNICAL INFORMATION a F you sow the oble
8.1 STAS CreleC
This questionnaire has been prepared so that you can give the U.S. Air Force as much C
information as passible concerning the unidentified aerial phenomenon that you have observed. Ain-
Please try to answer as many questions as you possibly can. The information that you give will MaTY
be used for research purposes. Your name will not be used in connection with any statements, Dontrem
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.
what were the wae
CiOuDs.CreeOn
. When did you see the object? 2.Time of day: 15 (0
Hours Minutes b. HOtY
Satered tlouds
Thes. Cat 1967 A.M. P.M. d Thaveheavyc Thek oe heavy el
(Circle One): or
Day Day Month Year
10. 10 The obect apocare The cbect apoeare
3. Time Zone:
(Circle One): a a. Eastern (Circle One): a. Daylight Saving a. Soind
b. Cantral b.Slandard) b.(Slandard) 5 Tromcarent
C. Mountain Mountain Vopor Vopor
d. Pacific d. Pacific
. Other e. Other
11. a gpoeared ct a 11. a croeared at a
4. Where were you when you saw the object? Where were you when you saw the object? Brighter Beighter
N.4 Qieens Dmmer Dmmer
N.4. Queens
Address City or Town State or County 1t 1 Comparn brg
and
5. How long was abject in sight? (Total Duration) 10-15
Hours Minutes Seconds
a. Certain 12 The edges of the ab
uv Not very sure
b.Fairly certain Just a guess (Cirtle Onen a
5.1 How was time in sight determined? Cloch 5
C.
5.2 Was object in sight continucusly? Yes NoV
6. What was the condition of the sky? 3 Did the atech
DAY NIGHT Appear to ston
Bright a. Sucdeniyicee
b. Cloudy b. Cloudy Breck vo into p
4 Gveoflimcke
7. IF you saw the object during DAYLiGHT, where was the SUN located as you loaked at the object? Change bright
. Chongeshope
(Circle One): a. In front of you d. To your left G Fase or flicker
b. In back of you Overhead Dioppear and
c. To your right f. Don'tremember
FORM
FTD OCT62 164 This form superredes FTD 164. jul 61. which is obsolete.

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) 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(Cirele One):
aClearsky a. Dry
b. Hazy .Fog, mist, or light rain Cool
c. Scattered clouds c. Moderare or heavy rain
d.Thick or heavy clouds d. Thick or heavy clouds d. Snow
e. Don'tremember e. Don't remember
10. The object appeared: (Circle One): The object appeared: (Circle One):
a. Solid d As a light
b. Transparent b. Transparent e. e. Don'tremember
C. Vapor
1If 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):
Brighter Brighter c. About the same c. About the same
b. Dimmer d. Don'tknow
US
11.1 Compare brightness to some common object:
as brightas thma lulte
The edges of the object were:
.or th er leght
(Circle One): a. Fuzzy or blurred
Like a bright star ae
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'tknow
f. Change shape? Yes No Dontknow
g. Flash or flicker? Yes No Don'tknow
h. Disappear and reappear? Yes No Don'tknow
1

Page 4
2.Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answared 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
2 Where were you located when you saw the object? 23. Were you (Circle One)
(Circle ne):
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?
Outdeors d.Near an airfield?
d. In an airplane (type) Flying over a city?
e. Atsea f. Flying over apen country?
f. Other Other LLu
24;
24.1 Whar direction were you moving? (Circle One)
a. North c. East e. South 9. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
goit arpent
O
I knat a Phend wten I see on

Official U.S. Air Force
Page 3
14. Did the object disappear while you were watching it? If so, how?
15. Did the object move behind something at any time, particularly asloud?
(Circle One): Yes) 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:y
a. Sound Mn sonetheny lhia ike
b. Color
13. 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
this satlook liki
i

7 67
FEB 13 1963
TDPT (UFO) MAJ QUINTAMI LLA/70916/mhs/12 Feb 68
UFO
Omaha, Nebraska 68128
1. Reference your unidentified observation of October 7, 1967
and subsequent photographs. Your photographs were submitted to
cur photo experts for analysis. Examination of the prints pro-
duced the following results:
a. An image is present on n each of the photographs. The images
appear as a white streak on a black background. The lack of defini-
tive detail precluded precise determination as to image identity.
A dome on a clyindrical body, as reported by the observer, co culd not
be seen on the pho raph.
O EULA VTOTO (ONO)
2. Thank you for your observation to the Air Force; your
ECTOR QUINTANILLA, Jr, Ma jOr, USAF 1 Atch
45 Chief, Aerial Phenomena Office Three Polaroid B&W Prints
Aerospace Technologies Division

197
Was nyone ele with you t 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 Piease list their names and addresses:
SE
3. Piease give the foliowing information about yourself:
First Name Middle Nome
tore o!e QueeNs Uilpg 11429
F ADDRESS .4
Street City Zone
nalene TELEPHONE NUMBEROT AGE 16 SEX P/E
ndPak (561045)(204582)
inicate any additional informotion obod: yoursel including any speciexperience, which might be pertinent.
thregh thi Copr
Dey Month Year
onghiy

above the horizon (skyline) when you lost saw it. Place an "A" on the compass when you first saw it. Place a "B on the cor.
pass when you last sow the object.
90 o 75 o
60 N
45°
NE
30°
E
SE
S
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"t 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"t
the end of the path, ond show any chonges in direction during the course.
to te I fool fikeJwas de tfoollikeJuas
Plan in Aley fond Pal Plan in Aly fond Pacl,
29. IF there was MORE THAN ONE object, then how many were there?. 29. IF there was MORE THAN ONE object, then how many were there?
Drow a picture of how they were arranged, and put an orrow to show the direction that they were treveling.

Kentucky
l.  The Aerial Phenomena Branch (Project Blue Bcok) is in receipt of
an envelope containing eight negatives. The envelope was addressed
to Wright Air Force Base, Layton, Chio the return address.
Project Blue Rook had been written corer of
the envelope and then erased. There was no correspondence with the
negatives nor was a name given on the envelope. If these negatives
belong to you and you wish to report an unidentified flying object
sighting, please complete the inclosed FTD Form 164 and photographic
data sheet. Your name will not be released without your permission.
2. If the negatives are to go to a different office here at Wright-
Patterson AFB, would you please state wnat crganization you would
like them forwarded to and we will see that the negatives are given
to that office.
B E BIIII OI/I
3. Thank you for your assistance in this matter.
AMES C. MANATT, COlOneL, USAF 2 Atchs
7

wish report an unidentified flying object
sighting, please complete the inclosed FTD Form l64 and photographic
data sheet. Your name wi
2. If the negatives are to go to a different office here at Wright-
Patterson AFB, would you please state what organizatic you would
like them forwarded to and we will see are given
to that office.
3. Thank assistance in this matter.
2 Atchs
Director of Technology and Subsystems 1. FTD Form 164 w/envelope
2. Phote a Sheet
Your litter orived here at
oldabbeen
1
in hivell
4

1
This case contains 81
2x2" regatives.
T -
.

1 LWA2L
Hurt sith the Silferent rileratgation
Cromit
CR
at lt
Use
AsO0Vy
m1 . CALAS RACAR OR RAcLAROR
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN "A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A 3° ON THE SAME CURVED LINE TO PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A 3°ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90
L
1
1
1
| 30
|
1
1 15
MAN
OBSERVER )
AF AUG 47 FORM 117

6A, NOW MAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE PLACE AN ATON THE COMPASS TO INDICATE THE
OIRECTION TO THE PRENOMENON WHEN FIRST SEEN PLACE A B*ON THE COMPASS TO INDICATE THE OIPECTION TO
THE PHENOMENON WHEN LAST SEEN.
m
N
NNW NNE
NW NE
WNW ENE
wSw ESE
SW SE
SSW SSE
7. IN THE SKETCH BELOW, PLACE AN *A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A "B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A" AND B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN "A" AND "B. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
3
-
PAGE 2 OF 9 PAGES

8 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAECK approprinte blocks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SEGTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
INE BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYINGOVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES No
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN IT EMS
DESCRIBE TYPE OF VEHICLE YOU WEREIN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLS TOP WERE UP OR DOWN.
HOW HOW MUCH OTHER TRAFFIC WAS THERE? MUCH OTHER TRAFFIC WAS THERE?
.
DID YOU NOTICE ANY AIRPLANES? YES 0 NO. IF *YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. 9. HOW LONG HOW LONG WAS THE PHENOMENON THE PHENOMENON IN SIGHT?
LENGTH OF TIME LENGTH OF TIME OR2 CERTAIN OF TIME OF TIME NOT VERY SURE
7NATO FAIRLY 5 ALD CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
2
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO IF NO. INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
SOF FLashed 3
No.eMeNTs
METALPHENOMEREN UP)CiOsE STRAISHT UP
WTHLIIHTS FRem
SPARLISHT 7 2
Lower
THE VERY NiGNEST iN
SISHTCRLSIBLITY
EYES
PAGE 3OF9 PAGES

AR
1O IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THEREY DRAW A PICTURE O SHOW HOW THEY WERE
ARRANGED. DIO THIS ARRANGEMENT CHANGE DURING THE SIGHTING) 2
UP 3TMES
Same MErAL CPEPTIONDLASHed
Yeiny up
11. CONDITiONs (Check appropriate blocks.)
A. SKY 9. WEATHER
DAY CUMULUS CLOUDS (Lou fluffy) FOG OR MIST
TWILIGHT CIRRUs CLOuDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOuDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D.IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF YES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeC nOOn)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN. HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
STARLIGNT ONLY ONLY
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INOICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
SELF LUMiNCOS 22947
LJ9HT AS STEek WITH
LIGHTS CHANGEd FRCM LRed Te Yellew
SELF LUMINUS
CHIS
CHANGEI BOLER NOR OR THe
Te Fney
STARLIGNT STARS
dIFFERENT
SPACE
PAGE 4OF 9 PAGES

U.S. AIR FORCE TECHNICAL INFORMATION
A This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possil concerning the unidentified aerial phenomenon that you have obsarved.
Please try to y questions as you possibly can. The information that you give will
be used for raseare 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, , we may contact you for further details.
1. When did you see the object? 2. Time of day: 10 36
Hour Minutes
7 Ostaber 1967
(Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): a. Eastern
b. b.CCentran Central b. b. Standard Standord
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
p Drive Omala Drive Omata Nbraska Nbrarka
Necrest Po Nearest Post adress City or Town State or County
5. How long was object in sight? (Total Duration) 4
Hours Minutes Seconds
a. Certain Not very sure
b.Fairly certain
5.2 Was object in sight continuously? Yes NoX
6. What was the condition of the sky?
DAY NIGHT
a. Bright a.
b. (6 Cloudy
Circle One): a. In front of you d. To your left
NA b. In back of you e. Overhead
c. To your right f. Don't remember
164 This form supersedes FTD 164. jul 61, which is obsolete.

MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Julk
tiil
Lirast eucd te a man on Eurth fera daie u Criadion
and i sea of the fne and i se of the foe
in ofice
A HOW DID IT FINALLY DISAPPEAR?
flded and and went ont f liit sti rent ant af liit stid
8. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD. TREE, OR BUILDING AT ANY TIME?
0 YES P NO. IF *YES." DESCRIBE.
/
PAGE 5 OF 9 PAGES

1S. DRAW A PICTURE THAT WILL SHON THE SHAPE OF THE PHENOMENON. INCLUDE ANO LAREL ANY DETAILS THAT MIGHT HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDI TE EAHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
Ned YEACS AIC FRCM
7LAs soMewrenes
YeLL
CoMe Fhosi someuureres
9 YEARS AGO FROM NHER
7LASHEd 7 JHiS FMiNG WAS LAUNeNEd
YuLCOw
? Or SENT UP FREM
AMBeR Sime A FiELd OR
SOMeTHiNgSiMALARbeOGeS
FLnSHed
REd 1T is mAde oF MeTAL
15. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ASLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
Ve}y1i9r SMALL d.se 12ATd dcviee
NTH LARSE Luminces
PAGE 6 OF 9 PAGES

duscrife
Frdept one thar
Bathiw me strys rp thir Eo wlli the time
catt satiin Gous nsedidat
Latalits
itto
nyLy
hirring was.
A. DID THE PHENOMENON A
IF "YES," DESCRIBE. And WAS
NeNeI AT ALL EFFECT
guiPped So THE HUMAN FLESH iS ALL iT
PAGE 9 PAGES
-
E

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF YES." GIVE DATE AND
LOCATION. GreeNLigA AIANOALL
5
in Av 1 aEdict DiEhILiKTHSOn
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES NO. IF *YES." DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
MRiL ME ANd NessiT4
ADDREsS (Street, City, Stateapa)
UNLY NESSiTY TO STOP THIS THiNG
TEL. EPHONE (Area code and number) AGE MAN
Ncive 362 2 MALE FEMALE
Norked Norked AT AT MOWTYOME2Y LOARdSANd.
Keppens Keppens SEALEd JETS SO THEY WOOLdNT SEALEd JErS SO THEY WOOLdNT
Sound soond IN CARS i SAL SAW
TRALLEd TRALLEd
MANY MANY diFFEniNT ObJeCTS iN SPaCE iN SPAce
25. WHEN AND TO WHOM DID YOU REPORT THAT SIGHTED THIS PHENOMENON?
MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
9139
PAGE 8OF 9 PAGES

PUSSiA. BUT
Hunn FOINTEL
ReATEd 7 7
ANd These peorle
A 6 T
ANd NEF God
FRim
LiST. Reond
Fueled
OF
CERTAN IBIAN LIGHTS
Fpers SMALL & LARSE
BALTIUdE
COMPASS
METAL
RAdiO EguiP
FAR SUCH
Anew EguPmerr EGCIUELANT TORACAR
WITH
-
PAGE 9 OF9 PAGES
72

ALitlde
COMPASS
RAdic Eguirmen T wiTH EguiPed
MATErIAL MATZFIALIZA) SUCH AS RADAR SUCH AS RAdAR
A NeL E8oipi A NeL FgorpmeNt NT E8UIUUE E8U.UULE LANTTERADAR NTTERADAR -
THAT CAN THAT CAN TELL NNAT
RAAAR RAdAR) A A AN is doing doiNG
A

SAN ELOS Te Hundreds OF UFes
AnA SUCH A tU SATiLiTe 5 AN
STATIONS MSTRING AURECARS AN
SATILIT t S And mene ANd AINT
FASiNATEd or disTUrLEd
BUT THiS is HOrriblt
UP JOST STAYING
THErE And MESSiNG
Life Lik 2 M4
COngres ORdeREd iT.THAT
IUAY ; ASR FAR ALL THE NELp
CAN OFFCR C
Wetente some
31964 C
6 5
31961

reporter had ioterviewed the witnesses. Later, Iavestigator Jackson
arrived at my home with prelininary data on the sighting. It was
decided that the sighting was significant and further investigation
SIGHTING ACCOUNTS: (TYPEd frOm
GROOP #1 Mr. and Mrs. Frank Dineen Mrs, Thomas Quintiliani
Diieen Went into the house ar.
Mco, Thomas Quintiliani, who L Tived a few moaents later, The three
wonen and a aan named
as this tine, on le.right sile of house (50 Teet 2 right and north of
thoir flrst bosition), and obierved object between two trees at

bright red dis moving 7 his line-of-sight at a
moving NW at an .
elevation of 65°. 1 He yatched the objec this position for about
30 seconds and then got into the car with his daughter (Miss Norcross
view the OPO
frow there. I When he arrived the objeet was noving away to the NW
apparent size which subtended a court 2°.
GROUP # 3 Patrolman B-ian Lombard
8 Capeview Road,
Ipswich, Ma3s, 356-3328
By the time Lombard arrived all that could be seen was a light -
sourse changing colors moving away in the distance. He said that
it could have been a anythirs and that one could not tell whether
it were an airerart or not, He did note that it was changing from

movement of Ithe same Morthward direetion as
nee that to objeot travelled from it
glrst Nw position. "Therefor the object very likely was eloser than
500 feet. (see sketeh and aguiation). Mrs, Dineen told me that Oh
had not understood the question coneerning the distance of the objeet
estimate of 2°.' He felt he was mch closer at his and wished he
had stayed there instead of joining the others.
ANIMAL REACTION:
Everyo membered distinetly that they heard dogs barking throughout
the area dardng the sighting. No one Pememogrs hearing than beforo
the sighting or do they renamber if thsy stopped barking aroee the
sightiig, Hona of the witnesses evar bothered to check aud see whose
Aeom do soae Cascsa5 Oi thds aspess ot the

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None Bright moonlight
b. A few Dull moonlight
c. Many No moonlight - pitch dark
D Don't romember 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 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
1. The object appeared: (Circle One):
a. Solid As a light
b. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. a. Brighter c. About the same c. About the same
o. Dimmer d. Don't know
11.1 Compare brightness to some common object:
stect light
.The edges of the object were:
(Circle One): a.F 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 brightness? Yes Don't know
f. Change shape? Yes ^ Don't know
9. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know

oure conjecture.
is most interesting that many dogs were heard arking during the sighti
This and other aspects of the sighting blatce to othar UFO
sightings.
ADDITIONAL DATA:
The trees which about 150 feet from the
WEATHR: (U.S, Weathar, Logan Airport, Boston, Mass.)
RXME: 8:30 PM TEMP: 55° VISIBILITT: : Glear CETLING: Unliaited
characteristics were "It'is felt that the r
sigaificant and resl an Unidatified Flying Gojecs.
NOTE: I phoned Several Respectfully,sujmitted,
the path the object moved ot: bue with Sarerd . Fodid 1
negative results. (on 10/2/67.1ate PM) Raymond E, Fowldr
Chairman: NICAP MASS SUBCO

IPSWICH, MASS. SIGHTING
Robert M. Jackson Jr.
-NICAP--
NORCROSS MILL
.(HIRAY NORCROSS)
2I0°-SW-
K 65 ELEV.
/ NORC ROSS
1 T NORCROSS'S
HOUSE
/
OBVECT APPROK.
K 300 FT,
x
—
K-
- - —
—
K- K OBJECT
- 320° NW
45 450 ELEV.
1 2ND
3600 N 360° N POS.
(DIN
- OBJECT DATA - 11 quint
Nor
Dia.-- Appro1. I5-25 Ft. DIRECT. \fra 1 }$ Lom
Alt,- 77-I20 Pt. OF
Distancs of Object from TRAVEL DIN
observers at Dineen's 1 1 HOU
house-Apprex. 200 Ft,(closest point)
NOTE: Apparently object was tilted ↑
forward toward the obavrs. at OBJECT
Dinaen's house appearing ell-
iptical, exposing the top pert-
ions. This may explaln why Mr, IST
Norcross only saw red disc 315° NW_ POS. (Dinsea, Miss Nc
600 ELEV.

SEEN
5MIN.DURATION
UP PDOWN NOTION
60°eley. 1
Fon7
DINEEN'S, HOUSE
VC
320NW. LASTSEL
OBSERVERS 45 ELE,
ERST POS.
FRS 200

Phenomena you Thank observed. The data will I in this matter. used for research
purposes.
Return to: NICAP MASSACHUSETTS Raymond owler. CHAIRMAN SUBCOM. Tel. 468-4815
SS.
UFO SIGHTING REPORT
In your own words, Please describe I PERSONAL ACCOUNT
be sure they are nunibered.)
WeNT CuT iNTO MY KACK YAR TO Ge
MyCAR, my CAR, A + I SAW whA
ArpeAked T o kBe A A U.F.0. U.F.O 1 reco reco
Nized it Recause 7 AGd e 2
AniTheK one two YEARS Previcns.
1 Sum my wire t othek weighk
the object WAS FLAY-OUAL-SOME
LikE A FCOTBALL. u with thrte Lish7
red, white (promiwent). hover.
IMOU6 1 SLUNL sihe WAYS BACK
Forth 1 it Tn ART
Minnte LEfT 1e G d ont

2. What was h date? /6/)/67
3. How long did you observe the object(s)? Hours: _Minutes:_Seconds
From __A.M._
To
4.
Hours: Minutes Seconds:
How did you first happen to notice the object(s)?
(ce =xy
6. What had you just been doing?
wAtehii +.V.
7. A. In what direction did you FiRsT see the Object (s)? (indicate this in the diagram by drawing an arrow In what direction did you FiRsT see the Object(s)? (indicate this in the diagram by drawing an arrow
from the center of the circle observer's position) to the point on edge representing the object's position.
Label this point No. 1.
B. artow
North
NW NE
West East
SW SE
South
8. Estimate the MINfMUM distance and altitude of the object(s) from you and how you determined this measurement.
a. distance: 5U0 FT.
9.
If elevation of object changed, please m CH highest position and lowest position.
(point directly overhead)
90
450
→

13. Was there any wind? speed as accurately as you can.
14. What was the position of the sun and/or the moon in relation to object(s) and to you? (Please explain.)
15. Briefly describe the type of terrain in the area.
W0o Hile
16. Did you see any conventional aircraft in the area immediately before, during, or aiter the incident?
17. Please list any airport, military, governmental, or research installation(s) in the area. Are there any other
unique features or landmarks (either natural or manmade) in the vicinity? If so, please describe.
NiRi S,'te in DArcfkS
SAGAMCRe HicC FSuiCH
18. Sketch or includs a map of the area, labeling north, your position, the apparent course or position(s) of object(s)
and any other i.mportant landmarks. (Please use separate piece of paper for sketch and attach to this report.)
20. Did you see more than one object?__If so, how many?____ Make a sketch showing formation and
position changes mcced uhre SISEWAYSISACKFCrYG
C ACSG CloSEK +
0 ReN
ou
21. Did the objects all appear to be similar to one another? If not, describe the differences in question #22.
22.
Sketch the object(s) in detail according to your description.
LGAYS SKAE Ai
BLINKiNG
FTBALL

-1
23. Nel; ng ware seen, did they seem to maiitain fised positions relative to one another? In other words, could
they have i-ien attached to a solid objece? Please oxplain. 1
Did bjeatt) laavd my plysical evidence of its prosence (r.e, burns, radionctivity, disturbed ground, wreckage,
other)? rianse deseribe. ni
Were any samples taken? Yes □No
By Whom? Where to?
Was any andlysis done? Yes □No By Whom?
Please summarize resuits if knowa. If report is available, please attach copy.
20. Was object(s): (circie one) a. fuzzy or biurred? Was object(): (circle one) a. fuzzy or biutred? b. like a bright star? c. c. sharply outlined
30. I How would you describe the brightness of the object (s)? (Circle one) (Circle one)
a. brighter than the sun? brighater than the sun? e. e. same brightness as the background? same brightness as the background?
5. Brihieer than the moon? Bilieer than the moon? f. darker than the background?
70. 7C. ter than any star (or planet)? g. other (explain)?
d. tightor than the background? 4. taghtor than the background?
31. Was the objoet(s): Was the objeet(s):(circle one) (circle one)
K-luminow? b. dall finlih? c. reflecting? a. transparent?
32. (Circle the Ttems Whle -pply and Dasckst as clearly as you can.) Did the object(s):
sppeus leave any visible trail?
change shape? g. drop anything?
i. h.nge color? h. separate into parts of explode?
e.ange brightness? disappear and resppear?
3. j. appear to affect any anisnals?
Pess Dots
CA
aat. T.V., -ppliances, clocks, witches, ete.)?_A_If so, planse explain in detall. (include make,
mor -, tansmission type if automobile, ete.) ,

than e. Cime at arm's length
han i. nickel at arm's length
than g. quarter at arm's length
than h. half-dollar at arm's length
than i. an orange at arm's length
than j. other object at arm's length: PLEASE SPECIFY (
37. What would you cstimate the ACTUAL size of the object (s) to be (measured in feet along its greatest dimension)?
III. MOVEMENT OF OBJECT(S)
38. In what direction s the object(s) traveling? ?North-riryhwesT
39. Describe the movement of the object(s), including the path(s) and nature of motion (i.e. steady, wobbling, waving,
jerky, ete.). Did it (they) move significantly with respect to background of stars or landscape? Sketch path(s) showin
orientation of object (in sky. orientation of object (s) in sky.
MiStLY M.S7LY STAYIVNE
F BACK-rCTATINE
elisek ther elisek thev BACK-rOTATL
40. Did object pass in front of or behind any fixed physical objocts such as trees, clouds, mountains, buildings, ete.
Describe any notable relationships to such objects if observed.
e rekinl ches
41. How was this determined?
42. 2
-
I
A 6

F0..
.  give ms and ida.se. of oter wit , I any. Indicate relatiodip of w.anas to you., of it exists,
ai wiethe thsir sig higp oeemred before, during or after yours.
ve yor eisofn mnideiidnat? YeS _I so, td a piate fean or attach al poges to
desenne Alese sighings.
45. Please enelose photograpls, mnotion pictures, news clippings, notes of radio or television programs (inclnde time.
station and date, if possible) regarding this or siailar obsorvations or any other background material. If PHotO-
GRAPHS OR MOTION PICTURES ARE ENCLOSED, BE SURE TO INCLUDE ALL INFORMATION ON CAMERA TYPE,
FILM TYMB, FILTERS, CAMERA SETTINGS, WHERE DEVELOPED, ETC, ORIGINAL NEGATIVES ARE NECESSARY
FOR PHOTOGRAPINC ANALYSIS . If you wish to have items returned to you, please indicate.
46. Have any other groups or individuals interviewed you? If so, please give names and date of interview.
ChICNICE
Please give the following information about yourself:
FULLNAME: FRAVSS DiN'eer AGB: 29SEXM
ADDRESSES ADDRESSES
BUSINESS: 256-512.1
PLACE MENT: FKANKS VOKSUAGEN CCiS FKANKS VUKSUAGEN CCS
16 LiNekok n. I6 LiNekok n.
p2sui51.
OCCUPATION: MechAnie
EDUCATION: Hich schoul GRAInAYe VOCATIOA
MILITARY SERMVICH MiNK
vOIKSLAGCL re PAIK schcel
Auti L Hion seheol
You may was my name in comnection with this report: ts
Pralur any name kopt confidential:
Dute ot filing out of this report: i0/2/67
Signature: Di

Name of Observer:
UNIDENTIFIED FLYING OBJECTS PROJECT
DATA SHEET - UNIDENTIFIED FLYING OBJECT(s)
Please answer the following quest concerning the Aerial
Phenomena you observed.
purp es. Thank you f pera
Return to: Raymond CHAIRMAN Tel. 458-4815
NIC ON.
Mass.
UFO SIGHTING REPORT
I. PERSONAL ACCOUNT PERSONAL ACCOUNT
In your own words, Please describe the incident as it happened. (If additionai pages are needed, In your own words, Please describe the incident as it happened. (If additional pages are needed,
be sure thcy are numbered.) be sure thoy are numbered.)
nnd H 1G 1
C M
1 7 L.
LTT 1
3 Thooisteh
LiSnT:
1 .' 70i
607h0x
L 671
1 , E

2 cloud /
15. Did the object mova behind something at any time, particularly a cloud?
(Circle One): es 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 onswered YES, then tell wha:
in front of:
17. Tell in a faw words the following things about the object:
a. Sound _ It lolno cund
b. Color _ ws ishitedject
. We wish to know the angular size. Hold a match stick at arm's length in line with a known objoct 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
13
Place an arrow beside the drawing to show the direction the object was moving.

to yont tighng or may be in uavailable to yon. in stch cases, please inhcate.
M. ENVIRONMENTAL SITUATION
2. What was your exaet loeation when you observed the UFO (s)? (Inclnde the name of the city or town you were in.
or the distance to the nearest city or town.)I 5 (
2. What was the date?____ f
3. How long did you observe the bbject(s)? Hours: _Minutes:/___Seconds:
From ZONE (When FIRST seen)
To A.M._L_P.M. ZONE (When LAST seen)
i
Hours: _Minutes__/_Seconds:
5. How did you first happen to notice the object(s)?
Husbund Spred hOVeKiAG 11,x2
6. What had you just been doing?
Tlesre
7. A. A.. In what direction did you FiRsT see the Object(s)? (indicate this in the diagram by drawing an arrow
from the center of the circle (observer' r's position) to the point on edge representing the representing object's position. ject's position.
Label this point No. 1. Label this point No. 1.
B. In what direction did you LAST see the object (s)? In what direction did you LAsT see the object(s)? . (Indicate by drawing a second RTOW labeled No. 2.)
Norch
W
R
West East
SW SE
South
8. Estimate the MINIMUMi distance and altitude of the object (s) from you and how you determined this measurement.
a. distance: 500 f+ b. altitude:
9. Estimate the clavation (in degress) of the object(s) in the sky. Mark position on the dotted line in the diagram.
If elevation of object changed, please mark BOTh highest position and lowest position.
(point direetly overhead)
900
↑ 450 !
X L

14. What was the position of the sun and/or the moon in relation to object(s) and to you? (Please explain.)
rie 77 < 01
15. Briefly describe the type of terrain in the area,
hiLL/
16.
17. Please list any airport, military, governmental, or research installation(s) in the area. Are there any other
unique features or landmarks (either natural or manmade) in the vicinity?  _If so. please describe.
UIA! 2A! 71 7 1 70)
: L 5.7) 5.7)
18. Sketch or includs a map of the area, labeling north, your position, the apparent course or position(s) of object(s) Sketch or include a map of the area, labeling north, your position, the apparent course or position(s) of object(s)
157
DESCRIPTION OF OBJECT (S)
19. Were you able to see the object(s) clearly? Please describe any limiting factors.
A GisiNC
20. Make a sketch showing formation and
position changes vil
ili
C
4
21. Did te objccts all appear to be similar to one another? _- -- _If not, describe the differences in question #22.
22. Please give a etailed description of the object(s), including shape, color, lights, surface features (if any), ete.
Sketch the object(s) in detail according to your deseription.
11010 L.oht
L AGA7.
t

…
-y mveimattchod toasolid objec? Pisae explain.
. Did ohjectg) la.ve any plysical evidonce of its presence (i.e, burns, radioacdivicy, disturbed ground, wreckage,
othory? Plense doseribe.
^
Were any samples taken? Yes No
By Whom?_ Where to?
Was any anaiysis done? Yes No By Whom?
Please summarize results if known. If report is avaiiable, please attach copy.
26.
27. D 27. Did object() produce an odor?_L.__If so, please describe it.
28. 1 28. Did object() appear to be solid or gascous? _L_L Ld_
20. 29. Was object(s): (circle one) a. fuzzy or biurred? Was object(s): (circie onc) a. fuzzy or blurred? b. like a bright star? b. like a bright star? c. sharply outlined
30. How would you describe the brightness of the object(s)? (Circle one)
a. baighiter than the sun? baighter than the sun? i ui e. same brightness as the hackground? sate brightness as the background?
b. Bri, her dhon the moon? Bri her thon the moon? f. dariker than the background? daiker than the background?
c. c. or than aay star (or planet)?) er than aay star (or planet)? ) g. g. other (explain)? other (explain)?
d.  sighter than the background? c. hter than the background?
31. Was the objest(): (eirele one)
-laminous? b. dill fim? c. reflecting? d. transparent?
32. Did the object (s):
a. 6ppotr ts rotate (as a whole or in part)? f. leave any visible tall?
wis
. siige shape? g. drop anything?
.5475 separate into pars or explude?
2. ge color? 7-7 11.
Shange brightes? 1.
.. give off smoke or vay appedr to affeet any anlmals?
a . T.V., appliances, clocks, watches, ote.)? _iLt._If so, please explain in detal. (include make,
mo -, transmission type if automobile, ete.)

than c. object half as large as the moon
than d. the moon
than e. dime at arm's length
chan f. nickel at arm's length
than g. quarter at arm's length
than h. half-dollar at arrn's length
than i. an orange at arm's length :
than i. than j. other object at arm's length: PLEASE SPECIFY ( ) )
37. V 37. What would you estimate the ACTUAL size of the object(s) to be (measured in feet along its greatest dimension)?
BJECT(S) BJECT(S)
38.
39. 39. Describe the movement of the object(s), including the path(s) and nature of motion (i.e. steady, wobbling, waving.
jerky, ete.). Did it (they) move significantly with respect to background of stars or landscape? Sketch path(s) showi
orientation of object (s) in sky.
M 6 airth 2:1 alhesThoue is
ThE FANANAY LLi
1 - - 1077 6 7 6 111
40. Did object pass in front of or behind any fixed physicai objects such as trees, clouds, mountains, buildings, ete.
Describe any notable relationships to such objects if observed.
,i tv a$
41. Can you estimate the speed of the object (s) How was this determined?
i
If so, how?
t SSTA

4 Plones givs manns and addreutos of other withueses, If any. Indleate relatlonahip of wataeses to you, if it exLts,
and whether tlhair sightings occurred before, dnring or after youra.
44. Have you seon ether ohjects of an unidentifled nature? I' so, use separate formns or attached p pages to
desetis these sightings.
45. Please eneloss photograpls, motion pictures, nows clippings, notes of radio or relevision prograins (inclnde tine,
station and date, if possible) regarding this or similar obscrvations or any other background material. IF PHotO-
FILM TYPE, FILTERS, CAMERA SETTINGS, WHERE DEVBLOPED, ETC, ONIGINAL NEGATIVES ARE NECESSARY
FOR PHOTOGRAPHC ANALYSIS. If you wish to have iten returned to you, please indicate.
46. Have any othor groups or individuals interviewed you? please give names and date of interview.
.I {1 1/ :7
Please give the following information abous yourself:
FULL NAME: FoLE NAME:LTA Tt AGE: +:SEX AGE:_.S
ADDRESSES ADDRESSES
BUSINESS: BUSINESS:
PLACE O PLACE OF LOYMENT: LOYMENT:
OCCUPATION:
EDUCATION: ; CrCdANTe
MILITARY SERVICH:
SPECIAL TR- ING OR EXPERGENCS: -
13146
You may as my hame in conneetion witn this report:
Prolor my name kopt confidential:
Date of filing out of this report:
Sighatce:

+
T. X
0
1 C
w co

NATIONAL INVE IONSCOMMITTEE ON AERIAL PHENOMENA
W.
NOTh V414 Washigton b, D. C.
REPORT ON UNIDENIIIE YING OBJECI(S)
possible. Should you need additional room,
please use another sheet of paper. Please print or typewrite. Your assistance is of great value and is genuinely appreciated. Thank you.
1. Name Place of Fmployment
Address 7 Occupation
Education
Special Training
Telephone Military Service
2. Date of Observation Time. AMA PM Time Zone
3. Locality of Observation
4. How long did you see the object? E.n.., Hours Minutes Seconds
5. i.e., bright daylight, nighttime, dusk, etc.
6.
7. If seen at night, twilight, or dawn, were stars or moon visible?
∞ Were there more than one object? if so, please tell how many, and draw a sketch of what you saw, indicating ketch of what you saw, indicating
direction of movement, if any.
9. 9. Please describe the object(s) in detail. For instance, did it they) appear solid, or only as a source of light; was it revolving,
etc? Please use additional sheets of paper, if necessary.
10. 10
11. If so, compare the brightn
12. Did the object(s) - (Please elaborate, if you can give details.)
a. Appear to stand still at any time?
)- b. Suddenly speed up and rush away at any time?
c. Break up into parts or explode?
J. Give off smoke?
e. Leave any visible trail?
f. Drop anything?
g. Change brightness?
h. Change shape?
i. Change color?
13. Did the object(s) at any time pass front of, or behind of, anything? If so, please elaborate giving distance, size, etc, if possible.
14. Was there any wind? if so, pleese give direction and speed.
15. Did you observe the object(s) through an optical instrument or othier aid, windshield, windowpane, storm window, screening,
etc? What?
16. Did the object(s) have any sound? What kind? How loud?
17. Please tell if the object(s) was (were)-
a. Fuzzy or blurred.
b. Like a bright stor.
c. Sherpiy ourlined.

18. Was the object -
L. Self-luminous?
b. Dull finish?
c. Reflecting?
d. Transparent?
19.
20.
a. Pinhead d. Nickel g. Orange
b. Pea e. Half dollar h. Grapefruit
LCp Dime f. Silver dollar i. Larger
25
21.
22.
23. How dld the object(s) disappear from view?
24.
25. Immediately
:(c.
26. Please estimate the distance of the object(s).
27. What was the elevation of the object(s) In the sky? Please mark on this hemisphere sketch:
28.
29. Please draw a map of the locality of the observation showing North; your position; the direction from which the object(
area; roads, towns, villages, railroods, and oth-
landmarks within a mile.
2 3 j=
31. Have youseen other objects of an unidentified nature? If so, please describ
NO
32. , station an
date, if possible) regarding this or simil mg terial to you
33. Were you interrogated by Air Forca investigators? By any other federal, state, county, or local officials? If s, please stat
the name and rank or title of the agent, his office, and details as to where and when took place.
Lie-l 1
elaborate carefully. NO
34. We should like permission to quote your name in connection with this report. This action will encourage other responsibl
citizans to report similar observations to NiCAp. However, if you prefer, we will keep your name confidential. Plecse not
your choice by checking the proper statement below. In any case, please fill in all parts of the form, for our own confidenti
files. Thank you for your cooperation.
You may use my name. ) confidential. ( )
35. Date of filling out this report: Signature: .

moT. Luintilani

ni *
2 is * $\fra{}$
4 2 A A
*
) 4
-
4
-
trus
mauy
might ranght

b. In the residential section of a city?
b. In a car c. In open countryside? fRutt
Outdoors AF.B.
d. In an airplane (rype) e. Flying over a city?
e. At sea Flying gver ppen country?
f. Other aa
24. IF you Wer MOVING IN AN UTOMOBILE or other vehicle at the time, then complete the following quastions:
24.1 What direction were you moving Circle One)
a. North c. East e. South 9. West
NA b. Northeast d. Southeast f. Southwest h. Northwest
the obect

DATA SHEET - UNI ING OBJECT(s)
Please answer the following questions concerning the Aerial
Phenomena you observed. The data wil e used for research
purpe Thank you for this matter.
Return to: Raymond FOWler, CHAIRMAN Tel. 468-4815
INICAR-MS SSMCHUSETTS SUBCOM.
13 Friend Court, Wenham, Mass.
1. When did you see the cbject? Time of doy: S8.M2 30
montAy Hour Minutas
Octa Oct 1967 (Circle One): A.M.
or (P.M.)
Day Month Yoor
3. Tima Zona:
(Circle One): Ecstern (Circle One): a. a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
c. Other - Other
4. Whoro wore you when you saw the object? 4. Whoro wore you when you sow the object?
Les/ie Tit. Leslie T2t Fpswich Ipswich Essex
Necrost Postal Address City or Town Stato er County
How long was abject in sight? - (Toral Duration) 45
Hours Minutes Suconds
a. Ceriain c. Not very sure
b. Foirly cortain d. Just a guess
5.2 Was abjoct in sighr continuously? YosK No
6. What was the condition of the sky?
DAY NICHT
o. Bright Bright
Cloudy b. Cloudy
7. IF you sow tho ebject during DAYLIGHT, the SUN located as you looked at the object?
(Circle Ons): o. In front of you d. To your luft
b. In back of you c. Ovorhaod
c. To your right f. Don't ramember

8.1 STARS (Circle Gre): 8.2 MOON(Circie O-e):
o. None o. Bright moanlight
b. A few b. Dull moonlight
i Many c. No monnlight - pitch dark
Don't remembor d. Don't ramembor
ject?
CLOUDS (Circle Onn): WEATHER(Circle One):
0 Clear sky Dry
b. Hazy Fog, is, or light rain
c. Scattered clouds c. Modernt- or heavy rain
d. Thick or heavy c'ouds Snow
e. Don': romember
10. The object aopecred: (Circla Ona):
a. Solid a. Solid (d.)As a light
b. Transparent e. Don't remember Don't ramember
c. Vapor
11. If it oppeared as a ligh", was it brighter than the brightest stors? (Circle One): 11. If it oppeared as a ligh, was it brighter than the brightest stors? (Circle One):
Brighter .Brighter c. Abour the some
b. Dimmer b. Dimmer Don't know
11.1 Compare brighinass to sotha comon cbject:, 1l.1 Compare brighinnss to sothe common dbjact: cji
1.The edgas of the obicet ware:
(Circle One): a. Fuzry o blurred c. Other
b. Likm bright star
Shorely outlined w
d. Dor'cumamber
-
.Did the object: (Circle One for eoch question)
a. Appear to stand still nt any time? Yrs Don't know
b. Suddenly speed up ond rush awoy at any timo? Yes Don't know
c. Break un into parts or exolode? Yrs Don't know
d. Give off smoin? Yns Don't know
o. Change brightn-ss? Yes Don't know
f. Change shope? Yes Don't know
9. Flash or flicke:? Yes Don't know
h. Disappear ond r-apoear? Yes Don't know

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 wha
in front of: -
HRRS
17. Tell in a few words the following things about the object:
0.Sound sxDseeeniticrll
b. coo it cuenled chenge white to red te preer
-
13. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note
much of the object is covered by the head of the match. If you had performed this experiment at the time ot
:
19. of the object that you sow such as wings, protrusions, ete., and especially exhaust trails or vapor trails.
Piace an crrow beside the drowing to show the direction the object was moving.
K whut flights
red
en →D
Evest tnorih cst

22. dhere were you locared when you sow the cbject? 23. Were you (Circle One)
(Circle Onel o. In the business section of a city?
b. in the residential secrion of o city?
0. Inside o building CDin cpen sountryside?
b. In o cor d. Neor on siritela?
=.Y Curdoors e. Flying over a city?
d. In an airplone (yoe) f.
c. At 300 9. Other
i 6. Orher _
I
Bi1 Wict directien wesyrnoving? (Cirele One)
c. Bast 8. South West
c. Na 6. Socmees Notot
b. Makea d. Sodsnst
20 milss sor hour.
nnI
hike a Relicopter
E
place with
going any

show how high the object was above the horizon (skylino) whon you last saw it. Place an "A"" on the composs
whon you first saw it. Place a "B' the compass whore you last saw the object.
90° 75
60
5 Nat$
-- 15 SW se
.-- S
28.
path, o "B" ot the end of the path, and shuw any chenges in direction during the ccurse. poth, o '"B" ot the end of the path, and shon any chenges in direction during the ccurse.
A
-B
:
: .
..
29. IF there was MORE THAN ONE object, then how many wer thoro?justo12e
Draw a picture of ho they were orronged, and put an orrow t show the diraction that thay were traveling.
AA

Mrs. Lee 1: 11
11
mr Hen 11 11 11
mo H.R. Norcross 11
32. Ploasa gi formation cbout yourself:
NAME Noreress Mario! Marion Frances Frances
Lost Namo First Nane First Nance Middlo Noma Middlo Numa
ADDRESs Les/ie ADDRESS Les/ie Rd Ipswich Rl Ipswvick Mass.. Mass..
Sreet Street City City Zore Zore S010 Sot0
TLPOEER887-2805 AGE 20 AGE 20 SEX female
I F indivate ony eddirlowel loformation otout yourssM, including any apoclal exparlonss, which aighe be pattner
.
-
4
.
33. Whan and to ahom did you report that you had r ron ths ebject?
Menday2 oct. .1967
Day Hionth Yoar

Then thin walked doen t neighlos walked bae
thin Eno
ree. amcmmiee Nere
seurit 1 then vent went
tnch uach with ather niighhor with ather nighbor 6o to Ms. Hiricens Ms Hircens
and stee stteecd untilit left. untilit left.
.
.

.
A
D eer
: ill
white Jan 5
*
. travele
1 Y
& f tees rees now no UI
Seen See D
Manio Morroun

Name of Observer: thiram Nareross
UNIDENTIFIED FLYING OBJECTS PROJECT
T
Please answer the following cning the Aerial
Phenomena you observed. The data will
purposes. Thank you for
Return to: Raymond owler, CHAIRMAN Tel. 468-4815
NICAP MA CHUSETTS SUBCOM.
Friend ourt, we Mass.
UFO REPORT
I. PERSONAL ACCOUNT I. PERSONAL ACCOUNT
In your own words, Please describe the incident as it happened. (If additional pages are necded, In your own words, Please describe the incident as it happened. (If additional pages are necded,
be sure they are numbered.)

4. the UFO (s)?
Hours:_ 10 Minutes Seconds:
5.
6. What had you just been doing?
welding in my shop
7. A. In what direction did you FiRsT see the Object (s)? (Indicate this in the diagram by drawing an arrow
from the center of the circle (observer's position)to t the point on edge representing the object's position.
Label this point No. 1.
B. In what direction did
North
NE
Arom Dineen's
West East
1) first positon a+ shop
SW SE
As watched South
House
from mill
8. Estimate the MINIMUM distance and altitude of the object(s) from you and how you determined this measurement.
a. distance: nO b. altitude: no
9.
If elevation of object changed, please mark BOTH highest position and lowest position. watehed
(point directly overhead) fv
900 wghes his shop
Dineens house

Paga 5
27. In the following sketch, imagine that you are at the point shown. Place ar "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 compass where you last saw the object.
90° 75B
60°
45 A NW N
-15 35
28. (raw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 2. (raw 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
B
25
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of hoy were arranged, and put an crrow to show the direction that they were traveling.
NA

14. What was the position of the sun and/or the moon in relation to object(s) and to you? (Please explain.)
none
15. Briefly describe the type of terrain in the area.
16. Did you see any conventional aircraft in the area immediately before, during. or after the incident? _
17. . e there any other
unique features or landmarks (either naturai or manpnade) is n the vicinity? If so, please des
Sagam Sagan de Hill,H0/t0n Hill, H/t0 so
18. Sketch or include a r Sketch or include a p of the area, labeling north, your position, the apparent urse or position(s) of object(s) r position(s) of object (s)
and any other important landm (Please use separate piece of paper for ske nd attach n to this report.)
DESCRIPTIO OBJECT(S)
19. Were you able cie se describe any limiting factors. yes
20. Make a sketch showing formation and
position changes
21. Did the objects all appear to be similar to one another? _If not, describe the differences in question #22.
22. Please give a etailed description of the object(s), including shape, color, lights, surface features (if any), etc.
Sketch the object(s) in detail according to your description.
sketch
See

/PUYUA0R
- HN
.. .#.
2. 1'any dighis were aeh, did they sean to naintain fixed posidions relative to one another? In other word, could
thy hve hren atiched to a solid ohjcct? "lense explaln.
on!y lunineus red object
24. Did ohject(s) leve any plysieal evidence of is presence (i.e, burns, radioactivity, disturbed ground, wreckage.
other)? Please deseribe. none
Were any samples taken? Yes ENo
By Whom?_ Where to?
Was any analysis done? Yes No By Whom?
Please summarize results if known. If repert is available, please attach copy.
25Did object(s) make any sound?___if so, what kind?
26.b
27. I
28. Solid
29. Was object(s): (circle one) a. fuzzy or blurred? Was object(s): (circle one) fuzzy or blurred? b. like a bright star? b. like a bright star? c. sharply outlined sharply outlined
30. How would you describe the brightness of the object (s)? How would you describe the brightness of the object (s)? (Circle one)
a. brightor than the sun? e. same brightness as the background?
hrer than the moon? bter than the moon? f. darker than the background?
c. be_huter than any star (or planet)? be_iitar than any star (or planet)? g. other (explain)?
d. brighter than the background? biioieter dhan thle background?
31. Was the object(s): (circle one)
a. se.i-luminous? b. dull finish? c. reflecting? d. transpatent?
32. Did the object(s):
a. appesr to rotate (as a whole or in part)? no i. leave any visible taill?
. change shape? no g. drop anything? nO
cnnge color? spaate into pp
. change brightness? no i. disappear and reappear? 79 0
c. no j. appear to affect any animals?
dogs bariting
33. Dic t.d object() appear to affeet any mnechanieal or electrical dovices (i.e, automobile engine, headlights,
rads, T.V., appllances, clocks, watches, ete.)? _If so, please explain in detall. (include make,
mo-sr, transmission type if automobile, ete.)

THE OBJECT WAS THAN
smaller same size larger familiar objects
than a. faint star
than b. bright star
than c. object half as large as the moon
than d. the moon
than e. dime at arm's length
than f. nickel at arm's length
L than g. quarter at arm's length
than h. half-dollar at arm's length
than i. an orange at arm's length an orange at arm's length
than j. other object at arm's length: other object at arm's length: PLEASE SPECIFY( PLEASE SPECIFY( )
37. What would you estimate the ACTUAL size of the object(s) to be (measured in feet along its greatest dimansion)? 37. Wnat would you estimate the ACTUAL size of the object(s) to be (measured i I in feet along its greatest dimension)?
none none
II. MOVEMENT OF OBJECT(S) III. MOVEMENT OF OBJECT(S)
38. In what directions the object(s) traveling? S,140  320^N,
39. Describe the movement of the object(s), including the path (s) and nature of motion (i.e. steady, wobbling, waving. Describe the movement of the object(s), including the path(s) and nature of motion (i.e. steady, wobbling, waving.
orientation of object () in sky.
40. Did object pass in front of or behind any fixed physical objects such as trees, clouds, mountains, buildings, ete. 7
Deseribe any notable ationships to such objects if observed. above trees
41, Can you estimate the speed of the t(s) How was this determined?
42.
still visible when I 1ett Dineen's House t
90 back and finish welding

station and date, if possible) regarding this or similar observations or any other background material. IF PHoTO-
GRAPHS OR MOTION PICT ENCLOSED, BE SUR TO INCLUDE ALL INFORMATION ON CAMERA TYPE,
FILM TYPE, FILTERS, CAM TINGS, WHERE DEVELOPED, ETC. ONIGINAL NEGATIVES ARE NECESSARY
FOR PHOTOGRAPHIC ANAI . If you wish to have items returned to you, please indicate.
46. Have any other groups or individuals interviewed you? If so, please give names and date of interview.
NICiy
n0-o0lig
Please give the following information about yoursel:
FULL NAME:HIVaM R. NORCROSS _AGE:67_SEXM
ADDRESSES ADDRESSES Les/e Rd., Rowlery Les/ie Rd., Rowiey TELEMHONE - HOME &7-28 TELEMIONE - HOME 7-2
te lephone: under Topsfield exch. BUSINESS: BUSINESS:
mailing address: Ipsined
PLACE OF EMPLOYMENT: PLACE OF EMPLOYMENT:
OCCUPATION:
EDUCATION: Hy5ct001(2y)
MILITARY SERVICE: Navy wwI
SPECIAL TRA ING OR EXPERIENCE:
You may use my name in connection with this report:
Prefer my name kept confidential:
Signature: Oxivon R.Mnon

: -
THE OLJEST
Observers 1st position: Obserers 1st positon seen seen traveling from 140 from !i 0 do 32 te 32
objec-t object as as
from from shop deerwan, deerwa when frs te noticel
pos. at 210°
Hna R. Moross

,
,$$
AED
O6gECT
APPEFRED
TOBE FLICKERING
Ofniam 8. s
47 Dineen's house moung qu44
Observers, ohiect seen
second N.s 320
posrtion

-3C6K7
Oetober 17, 1967
Dear
as most gratirying to get your letter
yesterday, and to know that you had found out
what you seen.
No, now that you have identified your UFO,
you will not need to send the questionnaire to
AFB; we will let them
are not send it.
And incidentally, we do not think you are a
great big idiot; just remember that the only people
who do not make mistakes are 200 do not make mistakes are those who lack intel-
ligence and the ability to cbserve the world ligence and the ability to cbser ve the world around
them. It takes a really big perscn to admit them. It takes a really big rson to admit that
he has made a mistake. he has made a mistake.'
Thank you for saw.
Sincerely,
Civil Branch Ciydl Branch
Comunity Relations Div.
Office of Information.
Bay Shcre, New York 11706
2

pillow,I heard that N.A.S.A. was making
penning was that
er,you

to my question here it is: Should I fill out
because I ,Now, know what I saw and certainly
S is on the bot-
tem,and tha listening om-
plaints.
Yours Truly
Mye

..
October 10, 1967
Dear
Reference your letter of October 3
8
we have
more information.
on the envelope, it is quite possible that you that you
Sincerely, Sincerely,
Civil Branch
Community Relations Div. Commni+y Relations Di
Office of Information
2 Attachments
Bay Shore, New York ll706

t
times n earhy dayrof Anguat in Colifonia
Yos N
31.1 IF you answerad YES, did they see the object too? (Circle One) Yes No
31.2 Please list thair nainas and addresses:
N.A
32. Please give the following information about yourself 32. Please give the following information about yourself
NAME A
Name First Name Middis Norma Middis Nama
ADDRESS HEF HLF Onaha Omaha 6828 Rebrska 682p Pebroska
Ciry Zon Srate
TELE NUN AGE 13 sex male
nA
33. When and to whom did you repart that you had seen the sbject?
7 Octaber 1967
Day Month Yoar

what
won+ ostonia ware
While I was observing this
phenomena (I Dream of
(The T.V. P
smallest and the
7:40.. The two of twenty minutes af-

thank you for your time and patience in reading this letter
piled down n with
like to
know about it. My address is below. I Thanks again
yours truly,
clouds
York
1/706
staying in mov-
7:35 730 ing.
740 7.45 750
mngnilule olooty started used
fuins deincte ex GHIKED
OO V Smallest Alsohos Shape Cosims
mngnluk
O C O 01D
Shape
Sulude Gone
3

2 ..
14
Bay Shore,New York
October 12,1967
Dear Mr.
I fell like a dumay after writing to
sky on October 3,but usually when I write.
a letter or something to be mailed it has
the tendancy to hang around my desk for
about 12 years(I'm 17).Well with your let-
ter I mailed it that night.I went to bed
that night at about ll:30,and while listening
pillow,I heard that N.A.S.A. pillow,I heard tha N.A.S.A. was making
the sky turn weird color's. What was hap-
E
what was on the front page of the two most
.
AND GREEN STRIPED CREATURE'S APPEAR". No it
didnt say that ,but did say,and explain,
+

that N.A.S.A. was experimenting with the at-
.
enough it aid and I felt like an idiot,and
big one at that(I'm 6 foot 3 inches).
Well now that you have read the introduction
to my question here it is: Should I fill out
the questionnairo on the you-ef-owws (U.F.o.'s)
on the bot-
tem,and thanks tem,and thanks egain LO listening stening
plaints.
Truly ruly
=
BAY SHORE , NEW YORK
11706
V

No, now that you have identified your UFO,
you will not need to send the questicnnaire to
Wright-Patterson AFB; we will let them you
are not going to send it.
And incidentally, we do not think you are a
great big idiot; just remember that the only people
who do not make mistakes are those who lack intel-
ligence and the ability to observe the world ligence and the world around
them. It takes a really them. It take really big person to admit that that
he has made a mistake. he has made stake.
for ing us know w ing us know what J saw.
Sincerely, Sincerely,
Civil Branch
Community Relations Div.
Office of Information
Pay Shcre, New York 11706
.1PAFR

- B
.
If the letter is still in your hands,and not in the
e to
I wrote and want to were
(The T.V. Dgren
-
7:40. The two twenty minutes af-

thank you for your time and - patience in reading this letter
,
8 them
any explaination what this thing was I would
know about it. My a sure like to
address belcw. Thanks again
yours
- P.S. I know these'objects were not
clouds 0
Bay Shore , New York
11706
dont disapear
staying in without mov-
735 7.30
74) T/
, started
Fusin ( deincte St
AlsoLos Shape
At 7 mga
C O 0,010
Genk Sigpe

O 67
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT PATTERSON AIR FORCE BASE. OHIO AS433
ARPLY TO
ATTN OP: TDPT/UFO
DEO 13 1967
BUBJICT: UFO Observation, October 1967
TO: Mr. & Mrs.
Ridgewood 11237
Your name has been given to the Aerial Phenomena Branch (Froject
Blue Bookas object.
If you were a witness to an UFO sighting on October, 1967
would you please complete the attached AF Form 1l7 and return it
in the envelope provided. If you
would you please make a statement would you please ma to this effect on the attached form. con ane
The information which you provide The information which yo will be used in evaluating this be used in evaluating this
observation. obser Thank you Thank yo your assistance in this matter. nce in this matter.
JAMES C. MANATT, COlOneL, USAF JAMES C. MANATT, COlOnel, USAF 1 Atch
Director Production Production AF Form 117
-
OIY

U.S. AIR FORCE TECHNICAL INFORMATION
whe e This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified derial 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 parsonal 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: 7 15
Hour Minutes
mlen Octabin 1967 (Circle One): A.M. P.M.
or
Day Month Year
3. Time Zone: 3. Tire Zone:
(Circle One): (a. Eastern a. Daylight Saving
b. Central Central Standard
c. Mountain
d. Pacific
e. e. Other
4. Where were you when you saw the object?
GoerChehodlake MiwYot De orke
Nearest Postal Address City or Town State or County
How long was object in sight? (Total Duration)
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?ddly wetsannite ty wath home
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
Bright a.
b. Cloudy 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. Overheod
c. To your right f. Don't remember
FORM ef not
FTD OCT 62 164 This form supersedes FTD 154. [ul 61. which is obsolete.

lage ?
8. IF you saw the object at NIGHT, what did you notice concerning the STAkS and MOON?
8.1 STARs (Circle One): 8.2 MOON(Circle One):
a. None a. Bright moonlight
(b. Afew) b. Dull moonlight
C. Many No moonlight - pitch dark
d. Don't remember d. Don't remember
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky 0. Dry
5. Hazy b. Fog, mist, or light rain
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 d. As a light
b. Transparent e. Don't remember e. Don't remember
C. c. Vapor
11. 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 d. Don't know .
11.1 Compare brightness to some common object:
1.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 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? es 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? es No Don't know
g. Flash or flicker? No Don't know
h. Disappear and reappear? No Don't know