PROJECT BLUE BOOK

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:
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TIME GROP COCATION
6 NV G7 06/22.52
3. SOUNCE 10. CONCLUSION
Civiliai
4. N.IMBER OF CBJECTS
ENGTH OF .FNGTH OF OBSE OBSERVATION TION 11. BRIEF SUMMARY AND ANALYSIS BRIEF SUMMARY AND ANALYSIS
C An object eircled t.e observers baek yard and landed. La.:
OF OBSERVATION OF OBSERVATION the observer was about five feet frem the objeos it coon ort the observer was about five feet frem the objeot it toon ort
and went behind a tree. Just then two bright red objects
Goound-Visuel Goound-Visusl passed overnead at about i/? mile high. The observer listed
7. COUNSE 7. COUNSE one witness. Ths witness was contaeted but stated that he t. one witness. Ths witness was contaeted but stated that he kt.
not seen any Urc's on the date thentioned.
"-E
PROTOS
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HYSICAL EVIDENCE
CNo
FORM
CEP6L 0-329 (TDE) Previous uditions of this fora may  "sud.
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Page 7
. Date you co stionnaire: Day 2iL7 Month Yeer
35. 1 Information which you feel pertinent and which is not adoquataly covered in the spocific points of the questionnaire or a norrative explanation of your sighting.
M_
anol
canid ntower :
/ to it
1. L.
i 12 2 2
bwont hihind a
tho
1
4.
20
1

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
BASE. OHIO 45433
RXPLY TO ATTN OP: TDPT/UFO
SUBJECT: UFO Observation, 6 November 1967 ROVREDST
TO:
Garwood, New Jersey 07027
Your name has been given to the Aerial Phenomena Branch (Project Your name has been given to the Aerial Phenomena I Branch (Project
Blue Book) as being a witness to an unidentified flying object. Blue Book) as being a witness to an unidentified flying object.
would you please complete the attached AF Form ll7 and return it
in the envelope provided. in the envelope proviâed. If you were not a witness to this sighting,
would you please make a statement to this effect on the attached form.
The information which you provide will be used in evaluating this The information which you provide will be used in evaluating this
observation. Thank you for your assistance in this matter.
1 Atch
Director of I Production AF Form 117
N0.251767
Lear Sin
10o Nocee
a U.EC. 1te
1v6,917
4

6nri6
Fniding
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON BASE.OHIO 45433
REPLY TO ATTN OP: TDPI/UFO
NOV231967
SUBJECT: UFO Observation, 6 November 1967 I
TO:
Garvood, New Jersey 07027
Your name has been given to the Aerial Phenomena name has been given to the Aerial Phenomena I Branch (Project (Project
Blue Book) as being a witness to an unidentified flying Book) as being a witness to an unidentified flying object.
If you were a tness to an UFo sighting on 6November 1967
would you please complete the attached AF Form ll7 and return it
in the envelope provided. If you were not a witness to this sighting,
would you please make a statement to this effect on the attached form. would you please make a statement to this effect on the attached form.
The information which you provide will be used in evaluating The information which you provide will be used in evaluating this this
observation. Thank you for your assistance in this matter.
MES C. MANATT, COlOnel, USAF 1 Atch
Pector roduction AF Form 117

PI
U.S. AIR FORCE INFORMATION
1
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning tho unidontified 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 pormission. We request this personal information so
that if it is doemed necessary, we may contact you for further dotails.
1. When did you see the object? Time of day: -5 H15
Hour Minutes
2M2 1907 (Circle One): (Circle One): A.M. or P.M. P.M.
Day Month Month Yoar
3. Timo Zone: 3. Time Zone:
(Circle One): a. Eastern Eastern (Circle Ona): a. Daylight Saving (Circle Ona):a. Daylight Saving
b. Central b.Standard
c. C. Mountain
d. Pacific Pacific
e. o. Otr Other
4. Whore were you when you saw ths object?
Neorest Postal Address City or Town State or County
.How long was object in sight (Total Duration) O 10 7
Hours Minutes Soconds
Certain c. Not very sure
6 Fairly cortain d. Just a guass
v?
5.2 Was objsc: in sight continuously? No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b. Cloudy b.
7.IF you saw the object during DAYLIGHT, whare was the SUN located as you looked at the object? 7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circlo One): a. in front of you (Circlo Ono): : a. In front of you d. To your loft
b. in bock of you e. Overhead
c. To your right c. To your right f. Don't ramember Don't ramember
D FORM Reproduced by Library of Congress, Legislative Reference Service
OCT 62 164 May 1966
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8.1 STARS (Circle Ore): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b, A few b. Duli moonlight
c. Many c. No moanlight - pitch dark
Don't ramember d. Don't remember
. What were the weather conditions at the time you saw the object?
CLOUDS (Ciale On): WEATHER (Cicle One):
-
a$Clear skyy Dry
b. Hazy b. Fog, mist, or light rain
Scattered cloud- c. Moderate or heavy rain
d. Thick or heavy c'louds d. Snow
. Don't romember
10. The object apceared: (Circle One): !
a. Solid As a light 1
.
b. Tronsparent e. Don't remember
c. Vapor
1. If it appeared as a light, was it brighter thon the brightest stors? (Circle One):
.Brighter c. About the same
b. Dimmer d. Don't know
11.1 Comoare brightnnss to, some common object:
12. The edges of the obiect were:
(Circle One): a. Fuzzy or blurred c. Other
b. Like r bright star
c. Sharply outlined
Don' remember
. Did the object: 13. Did the object: (Circle One for eoch question) Cirel e One for eoch question)
:
a. Appear to stend still at any time? Appear to stend still at any time? Yes No Don't know
b. Suddanly speed up and rush away at any time? Yes No Don't know
c. c. Break up into sarts or exolode? Yrs No Don't know
d. Give off smoin? Yas No Dan't know Don't know
e. Change brightness? Change brightness? Yes No Don't know
f. Change shope? Yes No Don't know Don't know
g. Flash or flicker? Flash or flicker? Yes) No Don't know
h. Disappear and r-appecr? Disappear and reappecr? Yes No No Don't know
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Poge 3
14. Did the object disappear while you were watching it? If so, how?
Re
15. Did the objec: move behind something at any time, particularly a cloud?
(Circle One): Don't Know. IF you answered YES, then tell what
it moved behind: -
. Did the object move in front of something at any time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front at:. in front af: _
17. Tell in a few words the following things about the object:
1 0. SoundnY a. Sound
b. Color 0rrindt
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
! much of the object is covered by the head of the match. If you had performed this experiment ot the time of the
sighting, how much of the object would hove been covered by the match head?
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 the: you saw such as wings, protrusions, etc., and espocially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving. C
T 1 rcl :
→ :
↓
0
then
,
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Do you think you can estimate the speed of the object?
(Circle One) Yes C 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?.
22. Where were you located when you saw the object? 2Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building Inside  building b. In the residential section of a city? b. In the residential section of a city?
b. In a car b. In a car c. In open countryside?
c. Outdoors c. Outdoors dNear an airfield?
d. In an airplone (rype) d. In an airplone (rype) . Flying over a city?
e. At sea f. Flying over open country? Flying over open country?
f.Other _ f.Other _ g. Other Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, than complete the following qusstions:
24.1 What direction were you moving? (Circls One)
a. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fost were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the objoct?
(Circle One) Yes No
25. Did you observe the objoct through any of the fallowing?
a. Eyeglasses Yes No e. Binoculors. Yes
b. Sun glasses Yes f. Telescope Yos No
c. Windshield Yos No g. Theodolite Yes
d. Window glass Yes No h. Other
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
1
)

ougas
30. Have you ever seen this, or a similar object before. if so give date or dates and location.
/
Saune1s
31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
31.1 IF you answered YEs, did they seo tho object too? (Circla One) Yes. No
31.2 addresses:
7vit
6Nov67 6 Nov67
32. Please give the following information about yourself:
TNOms Middla Nams Middls Nama
1
ADC
Street City State
TELEPHONE NUMBER AGE SEX
Indicate any additional information about yourself, including any special experience, which might bo portinent.
33. When and to whom did you report that you had sean the object? 33. When and to whom did you report that you had seen the object?
Day Doy Month Month Yoar Your
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27. In the following sketch, imagine that you are at tho point shown. Place an "A"" on the curved line to show how
high the objoct was above the horizon (skyline) whan 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
90°13 75-
60
NW NG
30*
15•A 15°A
W SC
2. Draw a picture that will show the motion that the object or objects made. Place an "A" at the boginning of the
path, a "B" at the end of the path, and sliun uny changes in direction during tha course.
A eA
C
ard tim
Drow a picture of how they ware arranged, and put an arrow to show the direction that they were traveling.
1
hat