DECLASSIFIEDUSAF PROJECT BLUE BOOK · NARA T-1206
UNITED STATES AIR FORCE

PROJECT BLUE BOOK

UNIDENTIFIED FLYING OBJECT CASE FILES · 1947 – 1969
CASE REFERENCE—
DATE OF SIGHTINGDate not recorded
REPORTED LOCATIONLocation not recorded
FRAMES52

Machine transcription · mean legibility 86.5/100 · engines: paddle-gpu-200dpi, tesseract-200dpi

Transcribed Frames

FRAME 001 / 052paddle-gpu-200dpi
PROJ2C
Ricaland Center, Wise.
10.SION
FPTCZENT DATA
NMBAR OF OBJECTS
Observer did not return Fomm lé4. Esservial dat such as cour
Cn0 and czmuth nos given.
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
2 Hours The cbserver was urable to saseribe ces she cbes
6. TYPE OF OBSERVATION o. TYPE OF OBSERVATION changed colors between red, white anà rees. ho re or
azimuth given for the cbject. azimuth given for the cbjeet.
Ground-Visual
7. COURSE
Not Reporte:
8. PHOTOS
Yes Yes
250 No 25CNo
9. PHYSICAL EVIDENCE
Yos
NO
FORM
PTD SEP 43 0-329 (725
FRAME 002 / 052paddle-gpu-200dpi
Official U.S. Air Forc
Page 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object
was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was
above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the com-
pass when you last saw the object.
90 75°
B N
45°
NE
30°
W E
15° SW SE
A
S
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" at
the-end of the path, and show any changes in direction during the course.
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.
5
FRAME 003 / 052paddle-gpu-200dpi
e UFO form continued
Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
abant four yeass ayo
Springdale eam
31. Wes enyone eise with you at the time you saw the object? (Circle One) (Yes No
31.1 F you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addr
Staporol ca
32. Please give the following information about yourself:
NA
First Nome First Name Middle Name Middle Name
ADDRESS ADDRESS se Stamfard ousor Lom. Stampardousor Lonn.
City City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE 6.6 AGE 66 sEx femalc sEx femalc
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.
33. When ane to wom did you report that you had seen the object? Pig C a/ le ire cz
20 ang 1967 wome3talemyson
Day Month Year and he hal thns forn
to file it ont.
FRAME 004 / 052paddle-gpu-200dpi
Official U.S. Air Force
Page 7
34. Date you completed this questionnaire: 21 8 1917
Day Month Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
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UFO form continued
Page 8
FRAME 006 / 052paddle-gpu-200dpi
ax ciet
prob. atPatnch
DEPARTMENT OF THE AIRFORCE
HEADQUÀRTERS AIR FORGE EASTERN TESTRANGE (AFSC)
PATRICK AIR FORCEBASEELORIDA32925
REPLY TO 494-6825
ATTN OF:
SUBJECT: Unidentified Flying Objects of 2l August 1967 23 August 1967
3 FTD (TDETR)
TO:
Wright-Patterson AFB
Ohio45433
1. In accordance with reference AFR 80-17, para 7a, attach-
ments l and 2 are forwarded for your information.
2. The source of the newspaper article is not known since
neither informant gave any indication that they had been
contacted by a newspaper at the time of the personal interview
by
FOR THE COMMANDER FOR THE COMMANDER
Mannng
ERNEST R. MANIERRE, Colonel, USAF ERNEST R.TMANIERRE, Colonel, USAF 2 Atch
Director of Foreign Technology 1. Memorandum for Record, 22 Aug 67
2. Newspaper clipping,22 Aug 67 2. Newspaper clipping, 22 Aug 67
FRAME 007 / 052paddle-gpu-200dpi
MEMORANDUM FOR RECORD 22 August 1967
SUBJECT: UFO - Brevard County Sheriff's Department, 21 August 1967
1. Received a call from the Brevard County Sheriff's Department,
Titusville, Fla. at approximately 2310 EDT, 21 August 1967. A deputy
had spotted a bright light while crossing the Titusville bridge
headed west. While trying to determine any activity from the Cape
Range Control Office and Cape Weather, the Command Post got another
cali concerning two more sightings by Sheriff's Department in Rockledge,
Florida. I requested transportation and departed for Titusville.
Tnterview in Titusville, Florida, 0045, 22 August 1967: Informant,
Deputy Sheriff, 2nd Division, Titusville, age - late 20's,
had been a policeman in Milwaukee before joining the Brevard County
force. Informant reported seeing a bright light ahead of him and
to his left while headed southwest over the Titusville bridge at
about 2300 EDT. He reported over the radio that the light was moving
from side to side and then started moving to the northeast. (See attach-
ment #5 of UF0 report dated 25 May 1967 for bridge location). Upon
questioning in person, it appeared that the light was moving in more
of a northerly or north-northwesterly direction. Light was reported
to be white, very bright, and about 6 inches in diameter, one-half
mile high. Light was observed for about ten minutes and seemed to
gain altitude as it moved. It disappeared into the clouds; no other
phenemena was noted; brightness was compared to a street light.
3. Interview in Rockledge, Florida, approximately 0200, 22 August 1967:
Informant, Informant, Captain, Brevard Sheriff's Department, is a
long time Brevard County resident and experienced pilot; age - late 30's. long time Brevard County resident and experienced pilot; age - late 30's.
Informant heard the Titusville UF0 report over sheriff's radio 21 Aug 67 at
23l0 and went to the river behind the Rockledge Sheriff's Office to
investigate. He reported using his binoculars and observingtwo
lights up in the clouds about one-half mile apart. One was moving
northwest and the other was moving northerly. Size was compared to
being about ten times bigger than a star. Both objects did not appear
to move very fast (about the speed of a Piper P-3) and disappeared in
the clouds. Lights had bright white centers with red, blue and green light
rotating counter clockwise around the edges. The objects' altitude was
estimated to be 10,000 feet and 5 to 7,000 feet. Objects were seen for
about 20 minutes and then disappeared into the clouds. Informant was
sure that objects were not UFO's, but something was up there.
4. It was determined from the PAFB Command Post and the Cape Kennedy
Range Control Office that no activity was taking place that would cause
these reports. The local rescue squadron had been conducting exercises, but
they ceased activity at 1300. Negative reports were also received from
the Air Defense Radar and the PAFB Weather Radar. Clouds at that time
were 1/10 cumulus at 2400 feet, 3/10 alto cumulus at 8000 feet, and 5/10
cirus; one hour later the report was 2000 feet scattered, 7000 broken.
Winds were between 10 and 20 knots, from between 140 and 160 degrees
from the surface up to 40,000 feet.
FRAME 008 / 052paddle-gpu-200dpi
5. It has been tentatively concluded that the objects were probably
balloons drifting with the wind. Illumination was either internal or
external. In accordance with paragraph 7a of AFR 80-17, a formal report
willnot be prepared.
S. J. O'SHAUGHNESSY, GS-12
Electronic Engineer (Electro-Magnetic)
TechnicalSupport Division
Directorate of Foreign Technology
2
1
FRAME 009 / 052paddle-gpu-200dpi
NEWSPAPER ARTICLE
"ToDAY" Brevard County Florida 22 August 1967
page i c
2 Deputies
Spot UFOs
North Brevard and the other in Two sheriff deputies, one in
ing unidentified flying objects Central Brevard, reported see-
late Monday night. Deputy Jim Schmidt reported
moving very fast toward New seeing a huge star-like object
it over SR 402. Smyrna Beach. He said he saw
Capt. Dick Granger who three The other sighting came from
starlike objects moving very starlike objects moving very minutes later saw two black minutes later saw two black
the Banana River. the Banana River. fast toward the northwest over
Both sightings lasted two He was on SR 520.
portedly watched the two UFOs minutes. Capt. Granger re-
through binnoculars. through binnoculars.
FRAME 010 / 052paddle-gpu-200dpi
se icle si (6) 5x7" ase incdude sis (6) 5x7 and one()36"x3h"photosagh and and one()3%"x3h"phatsagh and
one(1) 4"xs"gho mesatie. oue(1) 4"xs"ho mesatire.
FRAME 011 / 052paddle-gpu-200dpi
August 28, 1967
Dear Sir,
tn the photograph,
you will see a picture
of a flying saucer in
the middle of the picture,
At is a picture of a fake
Y.F, O. It is made of two
paper plater stapled
tagether. Bilow t will
give you the hoight distance
ktc. Ctc,
Neight - 35 feet Height - 35 feet
Distance-25 feet
Taken with cx-127 film
would also appreciat
if you would sind me
more informatiox about
U.F.O.S over
FRAME 012 / 052paddle-gpu-200dpi
039
A
“
2SEP67 04 31z
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C
1
WPA213 WPA713
1.
RTTUZYUW RUCIFVA31S0 2442057-0000--RU30FIF.
ZNR DUUUU
A 7121522 322 57 R 7120522 337 57
FM BRTY AIR DIV TRUAX FLD VIS FM BRTY AIR DIV TRUAX FLD MIS
TO RUWAPVA/ADC
RUEOFIF/FIJ WPAFE OHIU 11
RUEFHOA/C3AF
(
RULFHOA/0SA7 MASH DC
RUCTEMA/1LAF AICHARDS GISAUR AFB NO
ZEN/UNIVEASITY 3F COLU BUULDIR CULO
ET
UNCLAS 2551. 22521 35P 57. F0R F1D (1-21A);
SBAF (AFADD): ARD DSAR (SAF-UI). SJEJ: UFO RIPORT.
TYE FCLLO LT IO MFO ASPORI OF 4 CISmTLNE SnIOn
MCDUNRL) C. 1 CEP S7 AT/NLAR RISHLAND CLNI N, LTSCUNSIA.
337 AFR 31:17, SEND 164
(
A. CPBORIPTIO. OF UBJECT: (1) SNABLS 1O 1ELL (2)
FRAME 013 / 052POOR LEGIBILITY — PENDING RE-EXAMINATION
a
FRAME 014 / 052paddle-gpu-200dpi
A. 20 ang 1967
_
_
FRAME 015 / 052paddle-gpu-200dpi
ang25,1967
Fake picture of
A UFo. Govea
Son 1ngs PuaPores
by
addiss unh. add .
FRAME 016 / 052POOR LEGIBILITY — PENDING RE-EXAMINATION
: Gee a dial Wig gee 2 oe ae
FRAME 017 / 052paddle-gpu-200dpi
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FRAME 019 / 052POOR LEGIBILITY — PENDING RE-EXAMINATION
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FRAME 020 / 052POOR LEGIBILITY — PENDING RE-EXAMINATION
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1 1
FRAME 022 / 052paddle-gpu-200dpi
1
FRAME 023 / 052paddle-gpu-200dpi
161
( (3) DPANGES FROW RED, HITE AND GRELN (4) ONT () NOR
(6) NDNS (7) NONE (3) NONE () MOV2 2ASK A FORTH
LIKE A VEATPER BALLUN.
3. DESORIPTION OF GOURSE OF UBJECT: (1) FAIANDD SAT II. (2) JL3RSLO (
AROVE HORIZAN. (3) SIILL IN IS AI (4) WUNE (P) UESERVER LCFA
( C
(
(
PAGE E RUCIFVA11ST UNDLAS
(S) 2 HOURS PLUS. 3. MLIMOO OF OBSSRVATION: (1) GROUAD VISUAL
(2) H0NE. 3. 11  & DAT2 0F SIGH1N: (1) 1/13Z  57.
1
(2) NISMT. C. LOCATION OF OBSCRVAR: (1) RICALAND SAIER
( MISSONSI. (2) NONT. F. ISENTIFYINS IAPORWATION ON OSS ERVER: MISSONSI (2) NONT. F. IJENIIFYINS IRPORMATION ON OSS ERVER:
(1) CIVILIALN (A) (1)CIVILIA、(A) ( 三) 2) ( 0) (三) 2) ( 0)
( RIOVLAND CENTER, WIS. (E) DNIVERSIIY OF WISCONSIN - RIDHLAND RIDHLAND CENTER, WIS. (E) DHIVERSIIY OF WISCONSIN - RIDHLAND
C CENTER CAMPUS PHYSICS TLASHER, PHUNE CENTER CAMPUS PHYSICS TLASHER, PHUNE (D) RELIAELE (ED) RELIAELE
3. VEATVER: (1) SLEAR (2) AYS REPORI OF VIRD LIRTSITON & 3. VEATVER: (1) SLEAR (2) ANS REPORI OF VIND LIRTSITON &
( 1
VELC01TY T: (A) 3/) (5) 133-5 (0) 33:-13 (D) 333-2 VELCC1TY T: (A) 3/) (5) 133-5 (0) 33:-13 (D) 333-23
(5) 333-5 (F) 333-33 (3) 313-2> (n) 393-5 (3) CE1LJNG
NONP. (A) VISIBILITY UNLIMIIED. (5) CLOUD COVER NONI: (S)
THUNDERSTORNS IN AREA NONE. (7) VERIICAL TEMPERAIURE
GRADIENT -S. H UNUSUAL ACLIVIIY IN AREA: (I) PAICHES OF 1
GROUND FO3 (2) NONES (3) NONE. I INIEROEPIION OR
(
IDENTIFICATECN ACTIOA TAPRN: NONE. J LOCATION & ALITIVDS
11
( OF AIRSRAFT/BALLOONE IN AREA AI IINL: NONE KNOLA. Y. PRSPARIND
OFFISER: (1) INTELLISENCE OFFIDER. (2) RICHARD L PINXARION
1
(3) SAPTAIN (4) MO 2SIH AIR DIVESIO., (2JUIN) 1RUAX PLO WYS.
(5) 577 () 249-2311/1 3-72. (7) 235-135 (3) 13L
MELICOPTOR AND WARNINC LISHTS.
1
-
FRAME 024 / 052paddle-gpu-200dpi
NO CASE NFO ONLY
OFFICIAL U.S.AIR
Page 1
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
2. Time of day: 50
1. When did you see the object?
Hours Minutes
29867
(Circle One): A.M. or P.M.
Day Day Month Month Year Year
3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
1. Where were you when you sow the object? 1. Where were you when you sow the object?
Phiha Phcha PA. PA.
City or Town State or County State or County
5. How long was object in sight? (Total Duration) 10若20mioTos
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Justa guess
W+iTing For
5.1 How was time in sight determined?
5.2 Was object in sight continuously? resX No. A bus.
6. What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy
7. iF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f.Don't remember
FORM.
FTD CCT 62 164 This form supersedes FTD 164. jul 61, which is obsolete.
FRAME 025 / 052paddle-gpu-200dpi
FORCE UFO FORM
Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS(Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight.
Many c. No moonlight-pitch dar
d. Don't remember d. Don'tremember
9. What were the weather conditions at the time you saw the object?
CLOUDS(Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
br Hasy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One): 10. The cbject appeared:(Circle One):
a. Solid d. As a light d. As a light
b.Transparent e. Don'tremember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
c. Brighter Brighter c. About the same
b. Dimmer b. Dimmer d. Don't know
11.1 Compare brighfhess to some common object: 11.1 Compare brighfhess to some common object:
to ighT Bl0b ouT OF A FLash lig hT
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. tikeca bright stor
c. Sharply outlined
d. Don'tremember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Ye Don't know.
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Breck uo into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes 222 Don't know
f. Changeshape? Yes Don't know
g. Fiash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know
FRAME 026 / 052paddle-gpu-200dpi
44
Official U.S. Air Force
Page 3
14. Did the object disappear while you were watching it? If so, how?
No
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(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. Tell in a few words the following things about the object:
0. Sound o. Sound NONE
b. color Flash Red b. Color Flosh Red To A keight 8/oe color To n keight8/oRcoloR
18: We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how much of the
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of
the object would have been covered by the match head?
The whole Thing WAS
COOERd By
ThemaTen
19. Drow 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.
Bright LiKE STAR Flashed Pod
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: UFO form continued
Page 4
20. Do you think you can estimate the speed of the object? IT STood STilL
(Circle One) Yes No
iF you answered YES, then what speed would you estimate?
21. Do you think you can estimate how for away from you the object was?
(Circle One) Yes No
thodisTANT OFA STAR
F 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 of a city?
a. Inside a building b li the residential section of a city
b. In a car c. In open countryside? Aboot hwo milas
c. Outdoors dNear an airfield?
d.In an airplane (type) d. In an airplane (type) e. Flying over a city? e. Flying overa city?
e. A' sea f. Flying over open country?
f. Other. f. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. 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) (Circle One) Yes Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses (Yes) e. Binoculars Yes No
b. Sun glasses f. Telescope Yes No
c. Windshield Yes No g. Theodolite No
d. Window glass Yes No h. Other
26. in arder hat you can give as clear a picture as possible of what you saw, describe in your own words a common object or ob-
jects which, when placed up in the sky, would givethe same appearance as the object which you saw.
a bALlHALF Red +HaLF whit
-Spining
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Official U.S. Air Force
Page 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object
was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was
above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the com-
pass when you last saw the object.
90° 75°
60° N
45°
NW NE
30°
w E
15° SW SE
S
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" at 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" at
the end of the path, and show any changes in direction during the course.
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? TheeE—1)AsOoLy heRt W)AS OOLy ONE 0a
Drow a picture of how they were arranged, and put an arrow to show the direction that they were traveling
55
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UFO form continued
Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
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 see the object too? (Circle One) Yes No
31.2 Plecse list their names and addre
Philr. Pt. 19145
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME NAME
ADDRESS ADDRESS PhilA PhiLA. 42 Pa
City Zone Zone State
TELEPHONE N TELEPHONE N AGE 18 SEX M.LE AGE18 SExM.L
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object? NO ONE
Day Month Year
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Official U.S. Air Force
Page 7
34. Date you completed this questionnaire: Doy Month 67 Year
35. inormation which you feel perinent and which is no adequately covered in the specic points of the questionnaire or a narrative explanation of your sighting.
FEEL LikE iT was watching LikE it was watching
ME. Ma. IT JosT STood Thore FoR IT JosT sTood Thare For
ON The Bos.
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OFFICIAL U U.S.AIR
Page 1
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
2 2 30 30
1. When did you see the object? 2. Time of day:
Hours Hours Minutes
31 8 67 67
(Circle One): (Circle One): A.M. or A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One) a. Eastern (Circle OneX a. Daylight Saving (Circle OneXa.Daylight Saving
b. Central b. Siandard
c. Mountain
d. Pacitic d. Pacific
e. Other
Where were you when you sow the object?
Amoron Morrissn Sch Hohaman nc.28347
Nearest Postal Address Utity or Town State or County
5. How long was object in sight? (Totai Duration) 0 20 0
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1How was time in sight determined? WATCH
5.2 Was goject in sight continuously? res No.
6. What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy
7. iF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, jul 61, which is obsolete.
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FORCE UFO FORM
Page 2
6. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS(Circle One): 8.2 MOON(Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight-pitch dark
d. Don'tremember d. Don'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. Clear sky ca. Dry a1. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Scattered clouds c. Moderate or heavy rain c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don'tremember
10. The_object appeared: (Circle One): 10. The_obiect appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don'tremember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don'tknow
11.1 Compare brightness to some common object:
12. The adges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
a. Don't remember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddeniy speed up and rush away at any time? Yes No Don't know
c. Breck up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? No Don't know
g. Flash or flicker? No Don't know
h. Disappear and reappear? No Don't know
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44
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 a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
it moved behind:
16. Did the object move in front of something gt 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: 17. Tell in a few words the following things about the object:
a. Sound a. Sound Quiet Quit
b. Color Plifish QRmge Phifish QRmge
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
the obiect would bave heen covered by the match head? the object would have been covered by the match head?
or
19. 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.
##甲
FRAME 034 / 052paddle-gpu-200dpi
G.WEATHER: (1) CLEAR (2) ARS REPORT OF VIND DIH CIIUN
(
VELCCITY AT: (A) 3/ (6) 033-5 (3) 35:-1 (3) 331-2) 一
(E) 333-5 (F) 333-37 (3) 31-22 (n) 392-> (3) C1L13
NONE. (4) VISIEILIIY UNLINIIED. (D) CLOUD SOVTA RONE: (S)
THUNDERSTORMS IN AREA NONE. (7) VEATICAL TEMPERATURE (
1 GRADIENT -S. 4 UNUSUAL ACTIVILY IN AREA: (I) PAICHES OF
GROUNG FOS (2) NONE (3) NONE. I INTEKOEPIION OR
(
i', IDENTIFIDATION ACTION TAKEN: NONE. J LUCATION & ALTIIVOE 一
OF AIRORAFT/BALLOUNS IN AREA AI TIME: NONE KNOVN. K. PREPARING (
CFFICER: (I) INIELLISENCE OFFICER. (2) RICHARD L PINKARION
(3) CAPTAIN (4) H2 23IM AIR DIVISION (2JUIN) 1RUAX FLO W1S. (
(5) 73 (5) 249-311/1 3-72. (7) 333-15 (5) P1L (
HELICOPTOR AND MARNING LISHIS. HELICOPTOR AND MARNING LISHIS.
一
(. (.
11
C
(
PAGE 3 RUCIFVAS1SO UNCLAS PASE 3 RUCIFVAS160 UNCLAS 一
( ADDITIONAL INFORNATION: (I) PHYSICAL EVIDENCE AVAILAELE: NONE:
( 一
(2) PEPORT REOEIVED BY: SHERMAN OF OFSTMUN, MSGI: SUI, PHON?
(
2-741. TIME REP0RT RECEIVED 31/3333Z SEP 37. (3) AC1ION 一
( TAVEN BY RECIPIENT: NONE.
(
ST 5358
(
(
C
( (
111 1!1
( th0
(
(
(
(
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Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No 1875mplt
IF you answered YES, then what speed would you estimate?
21. Do you think you can estimate how faraway from you the object was?
(Circle One) Yes No
6 (06
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)
(Circie One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. lnacar c. In open countryside?
c. Outdoors d. Near an airfield?
d. in an airplane (type) e. Flying over a city?
.e. At sea f. Flying over open country? f. Flying over open country?
f. Other f. Other. g. Other.
24. IF you were MOVING IN AN AUTOMCBILE or other vehicle at the time, then complete the following questions: 24. IF you were MOVING IN AN AUTOMCBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
o. North c. East c. East e. South e. South g. West g. West
b. Northeast d. Southeast d. Southeast f. Southwest h. Northwest 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? 24.3 Did you stop at any time while vou were looking at the obiect?
(Circle One) Yes No
25. Did you observe the object through any of the following?
c. Eyeglasses No e. Binoculars Yes No
b. Sun glasses Yes f. Telescope No
c. Windshield Yes No g. Theodolite
d. Window glass Yes No h. Other_
26. In order hat vou can give as clear a picture as possible of what you saw, describe in your own words a common object or ob-
jects which, when placed up in the sky, would givethe same appearance as the object which you saw.
Coffe SALECERS Inverted one
on top the Other.
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Official U.S. Air Force
Page 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object
was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was
above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the com-
pass when you last saw the object.
90° 75°
60° N
45°
NE
30°
w E
A
15° SW SE
5
23. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at 23. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at
the end of the path, and show any changes in direction during,the course. the end of the path, and show any changes in direction during the course.
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?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
5
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Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
NO
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 see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
N
First Name Middle Name
ADDRESS ADDRESS 21o4mm28347m.C. Hoffmm28347m.c.
Zone Zone State
TELEPHONE NUM TELEPHONE NUM AGE440sExM
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.
UFOs-ID- Expert UFOs-ID-ExpeRt
33. When and to whom did you report that you had seen the qbject?
9 67
Dey Month Year
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Official U.S. Air Force
Page 7
34. Date you completed this questionnaire: 67
Day Month Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
nohe
ORal Comments Ouly
o,
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NO CASE INFO ONLY
OFFICIAL U.S.AIR
Page 1
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: 1145
Hours Minutes
31867 31 8 67 (Circle One): A.M. or P.M. P.M.
Day Month Year Year
3. Time Zone: 3. Time Zone:
(Circle One): Eastern (Circle One):  Eastern (Circle One): a Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other e. Other.
AWheg aw the object?
UTICA n.Y.
City or Town State or County
5. How long was object in sight? (Totai Duration) 25
Hours Minutes Seconds
Certain c. Not very sure
5. Fairly certain d. Just a guess
5.7 How was time in sight determined? WRIST UATCH
5.2 Was object in sight continuously? Yes NoX
6. What was ihe condition of the sky?
DAY NIGHT
a. Bright Bright
b. Cloudy b. Cloudy
7. IF you'saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don'tremember
FORM
FTD OCT 62 164 This torm supersedes FTD 164. jul 61, which is obsolete.
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FORCE UFO FORM
Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
S.1 STARS(Circle One): 8.2 MOON(Circle One):
c. None a. Bright moonlight
5. A few b. Dull moonlight
Many c. No moonlight-pitch dark
d. Don't remember
9. Whar were the weather conditions at the time you saw the object?
CLOUDS Circle One): WEATHER (Circle One):
Clear sky @Dry
b. Hozy b. Fog, mist, or light rain
c. Scattered clouds c. Scattered clouds c. Moderate or heavy rain c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don'tremember
10. The object appeared: (Circle One):
a. Solid @ As a light
b. Transparent e. Don'tremember
c. Vapor c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter About the same
b. Dimmer b. Dimmer d. Don'tknow
11.1 Compare brightness to some common object:
THE BRIGHTNESSOF A STAR
12. The edges of the object were:
(Ciicle One): a. Fuzzy or blurred e. Other
Like a bright star
c. Sharply outlined
d. Don'tremember
13. Did the abject: (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 Don't know
d. Give offsmake? Yes Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? (Yes No Don't know
h. Disappear and reappear? Yes No Don't know
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44
Official U.S. Air Force
Page 3
A BRIGHT RED FLASH AND THEN IT
DISAPPEARED ,BUT ALSO REAPPEARED.
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
imovedbehind: R PPEARED TO MOUE BEHIND A
STAR.
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:
a. Sound20N a. Sound0N
b. Color WHITISH-YELLOU b. Color WHITISH-YELLOLU
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how much of the
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of
the object would have been covered by the match head? the object would have been covered by the match head?
THE ENTIRE OBLECT WOULP BE COUSRED. THE ENTIRE OBLECT WOALA BE COUSRED.
19. 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.
APPEARED AS A STAR AND MOVED
FROM THE WESTERN HORIZON TOWARDS
US AND THEN BACK TOWARDS HORIZON.
IT'S mOVEMENT WAS ERRATIC.
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Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes
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? 23. Were you (Circle One)
(Circle One):
a.In the business section of a city?
a. Inside a building In the residential section of a city?
b. In a car c. In open countryside?
Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city? e. Flying over a city?
e. At sea f. Flying over open country?
f. Other f. Other_ g. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24. What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
a. North c. East c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving?_ 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? 24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
3. Eyeglasses Yes e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes
c. Windshield Yes g. Theodolite No
d. Window glass Yes No h. Other C.AMSRA
26. in order that you can give as clear a picture as possible of what you saw, describe in your own words a common object or ob-
jects which, when placed up in the sky, would give the same appearance as the object which you saw.
LOO RED EXACTLY LIRE A WHITISH-YELLOW
STAR EXCEPTFUR AN OCCAisJonAL
YELLOW-ORANGEGLOW.
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Official U.S. Air Force
Page 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object
was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was
above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the com-
pass when you last saw the object. (IT FOLLOWED THIS PATH
90° 75° ERRATICALY 3 TimES)
60° N
A
45°
NW NE
30°
E
15° SW SE
B
S
0°
23. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at 23. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at
the end of the path, and show any changes in direction during the course.
I7 FOLLOWEO THI'S I7 FOLLOWED THI'S
PATH 3 TimES PATH 3 TImES
WiTH VARiATiON. WiTH VARIATiON.
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.
5
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Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location. Yes.
mARCH,1967
1716 ONEIDA ST. UT1CA, N.Y.
31. Was anvone else with you at the time you saw the object? (Circle One) Yes No
311 f you answered YES, did they see the object too? (Circle One) Yes No
31 2 Please list their names and add
(AGE 17)
N.Y. 13501
32. Please give the following information about yourself:
NAME
First Name MiddleName
ADDR ADDR UTICA N. Y.
City City Zone Zone State
HONE AGE /4 SEXMALE AGE /4 SExMALE
Indicate any additional information about yourself, including any special experience, which might be pertinent.
BEFORETHIS TIME
Day Month Year
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DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO45433
REPLY TO TDET/UFO SEP 1 3 1957
ATTN OF
SUBJECT UFO Observation 1 Sept 67
TO
Richland Center, Wisconsin 53581
Reference your unidentified 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 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.
MES C. MANATT, Colonel, USAF MES C. MANATT, Colonel, USAF 1 Atch 1 Atch
Arector of Technology and Subsystems FTD Form 164 w/envelope
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Official U.S. Air Force
Page 7
34. Date you completed this questionnaire: 31 Day Month 67 Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting.
IT APPEARED IN THEWESTERN
SHORT JERKING MOVEMENTS. WHEN IT
REACHED A NORTHWEST POSITION IT
TURNED AND RETRACED IT'S PATHAT
A HIGHER LEUEL. IT DID THIS TWICE. A HIGHER LEUEL. IT DID THIS TWICE.
WHEN IT TURNED THE FIRST TIME IT
DIS APPEARED AFTER GLOWING RED,AND DIS APPEARED AFTER GLOWING RED,AND
THEN REAPPEAREDIN A MATER OF THEN REAPPEAREDIN A MATER OF
SECONDS.(DIAGRAM BELOW)
yed glow and nodoiow
reappearance disappearance
(NORTH COEST)
10-Tunn
(sest) PATH Noto: (it followed this path
STARTING poiNT(First almost exactly the 2nd
aighted) time but without the
xx disappeanance.)
OUR POSITION LOOKING LWEST
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UFO form continued
Page 8
THE 3od time it moved TouArDs us
MAKING AN ARC LIKE PATTERN OVER US.
ITTHEN TURNED AND RETRACED IT'S
PATH. (SEE DIAGRAM BELOW).
2
THis isA
sine viEw.
TruS. LoOKinGWEST
ANEUEN BETTER DIAGRAM IS BELOW.
ARCED TOWARDS US ARCED TOWARDS US
3257 TURNED
RRETRACEP ITISPATH
XX.
(WE FILLED THIS FORM OUT IMMEDIATELY. (WE FiLLED THIS FORM OUT iMMEDIATELY.
EVEONAS WE FILLED IT OUT THE ORJECT FUENAS WE FILLED IT OUT THE OBJECT
WAS STILL In SIGHT MOUING EASTWARD
AND WESTWARD.)
We first sighted it at 1: 45. e.m.
was still in sight at l:00 A.m.
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1 - 10 SEPTEMBER 1967 SIGHTINGS
DATE LOCATION OBSERVER EVALUATION
Sep Los Angeles, California (PHYS SPEC) Other 1. SLAG
2. UNALLOYED IRON
Sep Baytown, Texas INSUFFICIENT DATA
Sep Fayetteville, North Carolina Multiple INSUFFICIENT DATA
Sep Houtzdale, Pennsylvania SATELLITE
1 Cowlesville, New York INSUFFICIENT DATA
1 Dayton, Ohio INSUFFICIENT DATA
2 Detroit,Michigan Multiple AIRCRAFT
2 Boulder, Colorado Astro (SATURN)
3 Plaquemine, Louisiana (PHOTOS) Case: Other (HOAX)
Photos: PROCESSING BLEMISH
Centerville, Ohio INSUFFICIENT DATA
34 Hunter, New York SATELLITE
5 Lafayette, California INSUFFICIENT DATA
Brainerd, Minnesota Multiple INSUFFIC IENT DATA
566 Indianapolis, Indiana AIRCRAFT
6 Cincinnati, Ohio INSUFFICIENT DATA INSUFFICIENT DATA
7 Lorain, Ohio INSUFFIC IENT DATA
7 7 Wakarusa, Indiama Wakarusa, Indiama SATELLITE (PAGEOS A)
7 New York, New York New York, New York Other (CONFLICTING DATA) Other (CONFLICTING DATA)
8 New York, New York New York, New York AIRCRAFT
9 Corpus Christi, Texas Astro (METEOR) Astro (METEOR)
9 Corpus Christi, Texas Astro (METEOR)
10 Zephyrhills, Florida Zephyrhills, Florida INSUFFICIENT DATA
10 Collingdale; Pennsylvania INSUFFICIENT DATA
10 Henrietta, New York Other (UNRELIABLE REPORT)
10 Ann Arbor, Michigan Other (SATELLITE DECAY)
ADDITIONAL REPORTED SIGHTINGS (NOT CASES)
DATE LOCATION SOURCE EVALUATION
Sep Nutley, New Jersey
Sep Hackettstown,New Jersey
Sep London AP
Sep LTV Aerospace Corp Black Ball (BRUNSWICK DUCK
PIN BALL)
1 Kindley AFB, Bermuda TWX
1 Lorain, Ohio
3 Schenectady, New York
4 Quebec, Canada
5-10 Pittsburgh, Pennsylvania Newspapers
6 Alexandria, Virginia
9 Alamosa, Colorado "Snippy" the horse
10 Ontario, Canada
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No Case Info only
OFFICIAL U.S.AIR
Page 1
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will nof 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.
2. Time of day: —7 —7 45
1. When did you see the object? 1. When did you see the object?
Hours Minutes
20 20 8 1967 1967
(Circle One): A.M. or A.M. or P.M. P.M.
Day Day Month Month Year
3. Time Zone:
(Circle One): a(Eastern (Circle One): a( Eastern (Circle One): a Daylight Saving (Circle One): Daylight Saving
b."Central b. Central b. Standard b."Standard
c. Mountain
d. Pacific
e. Other e. Other.
4. Where were you when you saw the object?
Old Mill Farm Greeniche om
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 6—7
Hours Minutes Seconds
a.(Ceriain) c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? alrant 7.45
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a Bright
b. Cloudy b. Cloudy
7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don'tremember
FORM
FTD OCT62 164 This form supersedes FTD 164. jul 61, which is obsolete.
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FORCE UFO FORM
Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS aind MOON?
8.1 STARS (Circle One): 8.2 MOON(Circle One):
a  None a. Bright moonlight
b. Atew b. Dull moonlight
c. Many c. No moonlight-pitch dark
d. Don't remember d. Don'tremember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a.Clear sky a.(Dry a.(Dry
b. Hazy b. Fög, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow d. Snow
e. Don'tremember
10. The object appeared: (Circle One):
a. Solid d. As a light d. As a light
b. Transparent e. Don'tremember e. Don'tremember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Cirele One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
hease 10 tives brighler as coming donm assoplane
Lights.
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b (Like a bright star
c. Sharply outlined
d. Dan't remember
13. Did the object: (Circle One for each question)
a. Aopear to stand still at any time? Yes No Don't know
b Suddenly speed uo and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know
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44
Official U.S. Air Force
Page 3
4. Did the object disappear while you were watching it? If so, how? To wemt frome sight
To left as letter
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): YesNo Don't know. IF you answered YES, then tell what
it moved behind: thhe
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:
a. Sound
b. color Qs elctlin light b. color Qs elcttrie light
18. We wish to know the arguiar 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 obiect would haxe heen caxered by the match head? the object would have been covered by the match head?
in the sheges
19. Drow a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object
that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing
to show the direction the object was moving.
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UFO form continued
Page 4
20. Do vou think you can estimate the speed of the object?
(Circle One) Yes (No) awery pase
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? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city? 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. In open countryside?
c. Outdoors d. Near an airfield? d. Near an airfield?
d. in an airplane (type) e. Flying over a city?
.on lake mon laked é. Atsea f. Flying over open country?
g. Other.
ibg hear ing hear
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
o. North c. East e. South g. West
b. Northeast bNorthoaot d. Southeast d Southoost f. Southwest 6 Soutbuest h. Northwest b Northont
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 object through any of the following?
a.Eyeglasses Yes No e. Binoculars Yes
b. Sun giasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes
d. Window glass Yes No h. Other
26. In order tmet you can give as clear a picture as possible of what you saw, describe in your own words a common abject or ab-
jects which, when placed up in the sky, would give the same appearance as the object which you saw.
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