PROJECT BLUE BOOK

PROJECT ::73 RECORD
GROUP LOCATION
LOS ANGELES, CALIFOXNIA
10. CONCLUSION
INSUFFICIENT DATA FOR EVALUATION
UPBER OF GOJECTS FTD Form 164 forwarded to witness; not returned af ter thi
days. Will re-evaluate if received
: ENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
LS ALIS 'Informati on phoned into Duty Officer is sketchy. Need additio..
al information br evaluation. See Case file.
1YPE OF OBSERVATION
around visual
.COURSE
ast ast
. PACTOS PHCTOS
7 Yas 7 Yes
"1e
. ANYSICAL EVIDENCE VIDENCE
* Yee
i No No
FORM
PTD SEP63 0-329 Previous editions of thls form may be used.
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8
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19 Man67
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 4S433
REPLY TO TDET/UFO 14 April 1967
ATTN OF:
SUBJECT:
TO:
Avenue
Los California 90024
Reference your unidentified observation. The information which Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form l64 and return it in
the envelope provided. the envelope provided. Thank you for reporting your observation Thank you for reporting your observation
PR F BY to the Air Force. to the Air Force.
AMES C. MANATT, ColOnel, USAF AMES C. MANATT, Colonel, USAF 1 Atch 1 Atch
Director irector of Technology and Subsystems havstems FTD Form 164 w/envelope
,
,
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EW
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 pe ncerning the unidentified aerial phenoinenon that you have olserveri.
Please try to an ny questlons as you possibly can. The information that ycu give will
be used for resee rposes. Your name will not be used in connection with any statemenis,
conclusions, or publications without your permission. We request this personal Information sc
that if it is deomed necessary, we may contact you for further details.
.When did you see the object? Time of day:. -NIGHT
Hour Minutna
19 MAR 67 67
(Circle One): A.M. or P.M.
Doy Month Your Your
. Time Zone: . Time Zone:
(Circle One): a. Eastern (Circla Une): a. Doylight Soving Daylight So.ing
b. b. Contral Central b. Standard
c. Mountain
Pacific
o. Other
Where were you when you sa obloct?
aVE LOS ANGELES
Neerest Pontal Address City or Town Srate or County
5. How long was objoct in slght? (Total Duration) 15
Hours Minutes Soconds
Cortain c. Not very sure
b. Fairly certain d. , Just a guess
5.2 Was objoct in sight continuously? Yos No_---
6. What was the condition of the sky?
DAY NIGHT
a. a. Bright Brighn
b. Cloudy b. . Cloudy Cloudy
7. IF you sow the object during DAYLIGHT, whore was the SUN located as you locked at the objest? 7. IF you sow the object during DAYLIGHT, where was the SUN located as you locked at the objest?
(Circle One): a. In front of you (Circle One): a. In front of you d. To your left d. To your left culs
b. In bock of you e. Overheod N/A
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thle form supereedee PTD 164, Jul 61, which ie obsolete.
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Page 2
8. IF you saw the object al NIGliT, what did you nolice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
1
a. None 1 a. Bright moonlight
b. A fow . 7 b. Dull moonlight
c. Many C. No moanlight - pitch dark
d. Don't romember d. Don't remember
9.What were the weather conditions at the time you saw object?
CLOUDS (Circl One): WEATHER (Circl One):
Cloar sky Dry
Hazy b. Fog, mist, or light rain
c. Scatternd clouds Moderate or heavy rain
d. d. Thick on houvy clouds Thick n houvy clouds Snow Snow
•. Don't remember Don't remember
10. The object appeared: (Circle One).
a. Solid a. Solid As a light As a light /
b, Transpoiont Don't romember
c. Vapor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter About the same
b. Dimmer .Don't know
11.1 Compar bri thess to some comme object:
12. The edges o: the object were: a
(Cinclo(na) a. F Fuzzy or blurred 7 e. Other
b. Like a bright stor
c. Shorply outlined 1
d. Don't remember
Did the object: Did the object: (Circle One for each question) (Circle One for each question) ".
o. Appear to stond still at any time? Appear to stond still at any time? Yes No Don't know Don't know
b. Suddanly speed up ond rush away at any time? Suddanly speed up and rush away at any time? Yes No No Don't know Don'Iknow
c. Break up into parts or explode? Yes No Don't know Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes No Don't know BE1
. f. Change shape? Don't know
g. Flash or flicker? e1 Don't know
h. Disappear and reappear? Yes Don't know
:

Pugn 3
14. Did the object disappear while you werc ratching it? If so, how?
Uas thures objects
sxact's munte unterials gettung b brighter then
.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:
1.Did the objoet move in front of something at any time, particularly a cloud?
(Circle One): Yos No Don't Know. IF you answered YES, theu h! wist
17.  Toll in a few words the following things about the object:
a. Sound.. NoNe
sighting, how much of the objoct would have been covered by the match head?
1. Draw a picture that will show the shape of the objoct or objects. Label and include in your sketch any dotails
of the object that you saw such as wings, protrusions, etc., and sspecially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving. j
0 THREE THREE COBJECTS OBJECTS
0 0 G MOUING MOUING IN FORMATION IN FORMATION
FORMATION PATT (FORMATION PA TO JNKNOO
.

(Circle One) Yes No
(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. the business section of a city?
Q. Inside a building In tha residential suction oi a city?
b. In a car PARKED c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) Flying over a city?
e. At sea f. Flying over open country?
1. g.
2. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the followirg questions:
(Circio One) Yos No
25. Did you obsorve th 7
. Eyogiasses Yos . Binoculars Yes No
b. Sun glasses No f. Telescope Yes No
c. Windshiold Yos No g. Theodolite 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 w
objoct or objects which, whon placad up in the sky, would give the same appearance as the obj you sow DU sOW
Three bright Three bright movnig stars.
√
11
.
1

show how high the objoct was above the horizon (skyline) when you last suw it. Place an ''A compass
75°
60°
AB
20
B B
Draw a picture that will show the motion that the object or objects mado. Place an t the beginning the beginning ot the
path, a  at the ond of the path, and show any changes in direction during the course.
SOUTN WEST
2 HORIZON
3
Draw a picture oi how they were arranged, and put an arrow to show the direction that they were traveling.
uuknown
/
**. F*.
0
491
.
11

Jago 6
30.Heve you over seen I this, or a similar object before. If so give date or detes and location.
no not reported.
No
31.1 IF you answorod YES, did they seo the object too? (Circle One) No
wifz
32. Please give the following Infermatlon about yourself: 32. Please give the following Infermation about yourself:
NAME NAME 1
Lest Neme First Name Name Middle Nome Middle Nome
ADDRESS LOS ANGELES
Streo City State
TELEPHONE NUMB AGE 36 SEX M
A.F.
an architect
,
.When and to whem did you repert that you had seen the object? CAPT SummiT
19Mar672130 19Mar67 2130
Day Month Month Yeur
EDWARDS AFB
11
M
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Poge 7
34. Date you comploted this questionnaire: 19 Man 67 7
Dey Month Yeur
Infrati whichyu  pertintn whichisequatey cov spec pont
questionnaire or a narrative explonation of your sighting.
1
:
cadia
11
she