I. DA.TE TIME .GROUP,~ . NUMBER 011 OBJECTS LENGTH 011 OBSERVATION 20 Seconds 6. TYPE 011 OISERVAnON 9. PHYSICAL EVIDENCE PROJECT 10073 RECORD 2. LOCATION. , New York 10. CONCLUSION Aetro(METF1JR) 11. IRIEII SUMMARY AND ANALYSIS Object was a very-brt 1 1 i ant wh1 te. light JDO'Ying '817. :raat ... . ObJect "to be longer than it waa wide. l-1aa seen tor aboUt 20 Secmda. blt the o&aernr wae age 12 and probabJ.T overe ted the duraticm. April 8, l9ob Hector Quint5nilla, Jr., ~ajor, USkF Chief, Project Biue Book Fro ( TDE.W) Wright-Patterson ~B, Ohio 45433 Recent..Ly 1 bec&me &.Wk.I'e o your reque~t for UFO inform- ation. Please be advised l was unaware that~ son haa written to the Air Force. 1 do not be.Lieve that .it's a very valuable ; howev~.tr, attached hereto is the questionaire which he had in his possession. Verj sinccrel7 yours, FrD (TDEW) wright-Patterson AFB, Ohio 45433 17 Februar.Y 1966 Reference your unidentified observation of September. The inforusation which we received was not sufficient for evalu- ation. Request you complete the attached FTD Form 164 and retuzn it in the envelope provided. We vish to thank you for reporting your observation to Air Force. Chiet, ject Blue Book U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prep~red 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 wi II not be used in connection with any state~t!lnts, conclusions, or pultlications without your permission. We request 'this personal information so that if it is deemecl necessary, w. contact you for further cletails . ot -...; ~ . ~ , . , 1. When did you see the obiect? 2. Time of day: Minutes-, . 3. T hue Zone: (Circle One): faJ fa stem '-6'~ Central c. Mountain d. Pacific 4. Whete were you whn you saw the obiect? 5. How long was obiect in sight? (Total Owoticwt) (Circle One): (Circle One): a. Daylight Saving @ Standard City Town State County Minutes .... a. Ceatain @ Fairly caa lain 5.1 How was tiiM in siFt 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? c. Not very sure Just a gtJess rc::J Bright 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circl On,): a. In front of you b. In baclc of you c. To your ri~t d. To yayr left e. Overhead f. Don't remember FTO OCT 62 164 Thla for auperaedea F Tn 164, Jul 61, which &. obaolete. 8. IF you SOW the obiect at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): a. Bright moonlight b. Dull moon I ight /c:; No moonlight -pitch dark Lcr. Don't remember 9. What were the weather conditions at the time you saw the obiect? WEATHER (Circle One): CLOUDS (Circle One): (;)clear. slcy b. Fog, mist, or I ight rain c. Moderate or heavy rain c. Scattered clouds d. Thiele or heavy clouds @ Don't rentember 10. The obiect appeared: (Circle One): (a!) Solid D. Transparent d. As a light e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c. About the same d. Don't know 11.1 Compaae brightness to some common object: 12. The .dges of tne ob,ect were: (Circle One): a. Fuzzy 01t blurred b. L ilce a bright star {l> Sharply outlinetf d. Don't remeonM.. 13. Did the obiect: a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? c. Break up into parts or eJCp lode? d. Give off smoke? e. Change brightness? f. Change shape? .g. F !ash o r f l icl<ftr? h. Disappear and raoopear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know v.;~u-r-tfrne-if-c.v"C<s.tJft t : l~oiedb~ck ~rwu-:;!J<?n~. Did the obiect move behif'd something at any time, particularly a cloud? (Cirele OneJ: Y~ l N Don't Know. IF you answered YES, then tell what 16. Did the obiect move in front of sot~ething at any tin:e, particularly a cloud? (C irele One): Yes Don't Know. IF you answered YES, then tell what 17. Tell in a few words the following things about the obiect: . ~. Sound b. Color W hI 1 t~ t/ e Yt./ l? r 1 ~ Itt vz--J- 18. We wish to kno the angular size. Hold a match stick at arm's length in line with a known obiect ancl note how of the abiect is eowtred by the head of the mateh. If you had performed this experiment at the thw:e of the sighting, how much of the ol:tject would haYJe been covered by the ittatch head? Draw a picture that .-ill show the shape of the obiect or obiects. Label ancl include in your sWtch Gft)' 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. 20. Do you think you can estimate the speed of the object? (Circle One) Yes /N~"' IF you answered YES, then what speed would you estimate?-------- 21. Do you think you can estimate how far away from you the obiect was? (Circle One) Yes . . (''"No) Ove.,-a {!pt.lf'le IF you answered YES, then how far away would you say it was? ---------- 22. 'Where were you located when you saw the obiect? (C ire le One): Q Inside a building b. In a car c. Outdoors d. In an airplane (type) 23. Were you (Circle One) a. In the business section of a city? ~In the residential section of a city? . c. In open countryside? d. Near on airfield? e. Flying over a city? f. Flying over country? 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) e. South g. West b. Northeast d. South&ast f. Southwest h. Northwest 24.2 How fost were you moving? .miles per hour. 24.3 Did you stop at <ty tim wh;le you were looking at the obiect? (Circle One) 25. Dicl you obserYe th obiect through any of the following? a, Eyeglasses . Y e. Binoculcrs b. Sun glasses Yes ~ N f. Telescope c. Windshield Yes ~ g. Theodolite d. Window glass Yes ~ 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 objects which, when placed up in the sky, would give the some appearance as the object which you saw. In the following slcetch, imagine that you are at the point shown. Place an "A" on the curved I in to show how high the obiect was above the horizon (slcyline) when you lirst saw it. Place a "8" on the san:e curved line to show how high the object was above the horizon (slcyline) when you last saw it. Place an "A .. on the compass when you First saw it. Place a "8,. on the compass where you last saw the obiect. Draw a picture that will show the motion that the obiect or obiects made. Place an "A" at the -.inning of the path, a "8 at the end of the path, and shu'-wny changes in direction during the course. 29. IF there was MORE THAN ONE object, then how ntany were there?----------- Draw a picture of how they were arrangecl, and put an carow to show the direction that they were traveling. 30. Have you ever seen this, or a similar obiect before. If so give dote or dates and location. 31. Was anyone else with you at the time you saw the obiect? (Circle One) Yes I I I ' 31.1 IF you YES, did they s .. the obiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following infortnation about yourself: Lost ....... First Nome TELEPHONE NUMBER~ Indicate any additional informotian about yourself, including any special experience, which might be pertinent. 33. When and t, who~ did you r ooe.t that you hod seen the object? U. Date you completed this questionnaire: 35. on which you feel peatinent ancl which is not adequately coverect in the specific points of the questionnaire or a narrative explanation of your sighting. --1-ti a r o y-ct Y1 se-e YJ e..d tr~ he t-his s-frech~t}.o vi-a.-f f/,_c i" ,)J ..