PROJECT BLUE BOOK

PROJECT1S73RECORD
DAIP TIE'OROUP 2. LOCATION
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8 Fot 09/01300 Mnrosota
.. 10. CONCLUSIO)
INSUEPICIA.T D.T. FOR EVLUKPT.M
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At this late date, a dotailkd inve sintion is not roua.
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.. LENOTH OF OSSERVATION 71. BRIEF SUMMARY AND ANALYSIS
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TYPE SP ONSEPVATION
SL O135 713
COURIE
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n1 Yes
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PAYSICAL EVIDENCE
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DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTIRSON AIR FORCI BABL. OH10 43433
REPLY TO ATTN OF TDET/UFO
JUN 1 3 1967
SUBJECT UFO Observation
TO Mr
Elboy nesota 56531
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific eveluation.
Request you complete the attached FTD Form 164 and return it in
the envelope provided. Thank you for reporting your observation
to the Air Force
nnd pomfo
JAMES C. MANATT, Colonel, USAF 1 Atch
Director and Subsystems FTD Form 164 w/envelope
030120! D301130!
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SIEHTINt, 30 933
U.S. AIR INFORMATION NAs
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concarning the unidentified aerial phenomenon that you have observed.
many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
7
1. When did you see the object? 2. Time of day:
Hour Minutes
8th
1967 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: Daylight Saving
(Circle One): a. Fastern (Circle One): a.
6. Central b.(5randard)
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Det Mn Dat Mn
Nearest Postal Address City or Town City or Town State or County
40 30
5. How long was object in sight? 5. How long was object in sight (Total Duration)
Hours Hours Minutes Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess Just a guess
5.1 How was time in sight determined? 5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHI
a. Bright a. Bright
b. Cloudy b. Cloudy
7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you Overhead
c. To your right Don't remember
FORM
FTD OCT 62 164

toge 2
8. IF you saw the object at NiGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
Many C. No moonlight - pitch dark
d. Don't remamber Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow COn
F e. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light
b. Tronsparent e. Don't remember
c. Vapor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know d. Don't know
11.1 Compare brightness to some common object:
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other e. Other
b. Like a bright star
c. Sharaly outlined Sharnly outlined
d Don'tremember
.Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes 2 2222 Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Ye Don't know
h. Disappear and reappear? Yes Don't know

Page 3
14. Did the object disappeor while you ware watching it? If so, how?
15. Did the object move bahind somnthing at any time, particularly a cloud?
(Circle One): Yes No) Don't Know. IF you answarad 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:
0.soundN0 5040d a7 q11
ye llaw
. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how . We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
much of the object is covered by the head of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head? sighting, how much of the object would have been covered by the match head?
1. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details . 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. Place an arrow beside the drawing to show the direction the object was moving.
Maycolors-roe
yellow,gre
blue,

22 Where were you located when you saw the object? 2Were you (Circle One)
(Circle One):
o. In the business section of a city?
a. Inside a building b. In the residential s section of a city?
b. In a car fc. In open countryside?
(c. Outdoors d. Near an airrield?
d. In an airplans (ype) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other _ g. Other
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. g. West
b. Northeast d. Southeast f. Southwest Southwest h. Northwest
24.2 How fast were you moving? - miles per hour. _.miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) (Circle One) Yos No
25. Did you observe the object through any of the following? 25. Did you obsarve the object through any of the following?
a. Eyeglasses a. Eyeglasses Yes Yes No e. Binoculars Yes No
b. Sun glasses b. Sun glasses f. Telescope Telescope Yes Yes No
c. Windshield Yes No g. Theodolite
d. Window glass Yes No h. Other
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objocts which, when placad up in the sky, would give the same appearance as the object which you saw
None
IL

Pag-5
27. In the following sketch, imagine that you are ot the point shown. Place or "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 sow the obiect.
90 75"
60
45° NW MR
30-B
-15 3W
no B
LoA
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.
B
R ↑
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?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
At urQ tarling
D-D
CS

Paga 6
30. Have you ever saen this, or a similar object before. If so give date or dates ond location.
31. Was anyone alse with you at the time you saw the objact? (Circle One) Yas No
31.1 IF you answarad YES, did they sea the object too? (Circla One) Yos No
31.2 Please list their names and addresses:
2 oeby a xeputhe
othing aiit twn
Please give the following information about yourself:
NAA
Nah arsNams Middia Name
ADDRESS Elbow kake 56531/innes0/2
Strest Strest --/t Stete
City Zone
TELEPHONE TELEPHONE AGE AGE 11 11 sex Male sex Male
Indicate any additional Indicate any additional information about yourself, including any special experience, which might be partinent.
33. When and to whom did you report that you had seen the object?
Frrends, FegeheryDdy
Day Month Yoar Mobody

quastionnaire or a narrative explanation of your sighting.
About one Week later ancl
1
field, Ar five to ten Tues day night,
c
it woldi't be abid as a Ue ot on
drnthatfsowl drnthatIsow l. Wa a
//
.

DEPARTMENT OF THE AIR FORCE
HEADQUARTIRS FOREIGN TECHNOLOGY DIVISION (APSC) O
WRIGHT-PATTZRSON AIN FORCE DA3X. OH10 43433
REPLY TO TDET/UFO
ATTN OF
JUN 1 3 1967
SUBJECT UFO Observation
TO MT
Elbow Lake, Minnesota 56531
Reference your unidentiried observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return it in
the envelope provided. Thank you for reporting your observation
to the
JAMES C. MANATT, COlOnel, USAF 1 Atch
Director of Techn and Subsystems FTD Form 164 w/envelope