NUMBER OF OBJECTS CONCLUSION J t her(Ccnf; icting j4A.t~) ; 5. LENGTH OF OBSERVATION i 11. BRIEF SUMMARY AND ANALYSIS I 6. TYPE OF OBSERVATION Ground Vieu~l 9. PHYSICAL EVIDENCE side th~ir !1ouse. They rushed outside ;..nd obs~rved n f ooj ~ct. trvelinB s l o .;ly -...-est to east on ;4 very sli~ht , scutri.~o.st courf:e. :he obj ~ct ,..;s reported to have h~C.: 1 v;,.rious colo~s. One wi.tner;s saic t h4lt the obj ::ct loo.-.. .d ! like :a. sL~ :c :lf'jd \':as movinG v e=-y fast. Anoth-:;r s--.:.c. :. ... t : t hey s&~w w. ur-~n;~t: b~ll of fire. Still w.notr.~r sa~d "L:~ object w f~yin: 'b.!ty low ~nd h;.d red and blue liGh~:.,. The rt~d l i eht .;as b:ink:i.ng off and on T'ne object was de3cribed as bein~ l~r~er th~n a shooting st~r in one c~s~ and a s a st~r like object in ~nether. The d:;.ta is i nco!'1sistent i n sever~l -..;.~ys; p.:lrticul;.rl:r in color of the object and the description of the object. FTD SEP 6 3 0-329 (TOE) J'revloue edltlon or thll form "'"Y be uud. 8. IF yov tow the ob1ect ot Nlliltl, what did you notece concerning the STARS oncl MOON? 8.1 S 1 Ak~, cc rrcle One): 8.2 MOON (C.:ircle 0,.): BriW.t moonleghJ; DUJI moOiilight No moonli~t - pitch darlc Don't remember . 9. What w.ere tne other conditions at the time you aaw the object? CLOUDS (C,de One): Clear lk.J_ j Scatter~ c louJ s d. T~e< ~ ue he\l~y cf\)Ud 10. The obiftct oppe11red; b. T ronapur ent c. Vop .. v WEATHER (Circle One); b. F-og, mist, Of leght ralu Moderate or heavy rain Don't remember If it appeared oa a light, waa it brighter than the brighte1t 1tar s? (Circle One): ~...:.. Bright!( ~. About the aame b. Demmer d. Don't lcnow 11.1 Compare brightne to aome common obJect: 12. 'The edae oi the object were: o . F uJ zy Ot blurred b. Lilce o. brlyht 1tar .~-Sharp-ly outHnecf- d. oonrr.m.n;l);, 13. Did the obaect: o. Appear to stand atilt at ony tim1? b. Suddenly speed up and ru1h away at any time? c. Break up into parte or explode? d. Geve off amoke? Change bris#1tnea1? f. Change ahape? g. Floh or fliclcer? h. Oiaappear and reappear? . (Circle One for each qu~stion) Don't know Don't ~now Don't know Don't know Don't lcnow Don't know Don't know U.S. AIR FORCE TECHNICAL IHFORMATIOa~ Thia questionnaire hat been prepared 10 that you can yive the U.S. Air Fore~ 01 much information as poasible concerning the unidentified aerial phenonenon that you hravo oLfterv,i. Please try to onawer as many question a1 you possibly con. The Information that yCJu iive wiU be uaed for re1eorch purpo Your name will not be used in connec:tion with any st'ltenten11, conclusions, or publications without your permission. We request this personal Information 1c that if It is deemed necessary, we may contact you few further details. 1. When did you the obiect? 3. Time Zone: b. Central c. Mountain Hout Minuhea ( C1rcle One}: A.M . or (Circlt' t)ne}; ~ ~Day I i~i't So': it1f1 1 b. Sto'lcfara 4. Whar were you when you sow the obiect? Neoret Poatol Acfdr S. How long WOI object in sight? (Totol Ourotlon) 5.2 Wa1 obiect in sight continuously? 6. What waa the condition of the alcy? b. Cloudy City or Town ~.Bright. Stota w Co'J"'t; 7. IF you aow the obj~ct during DAYLIGHT, where was the SUN located as you looke-d at the o~i~r.t? (Circ/() One): a. In front of you b. In back of yf:Aj c. To your ridlt d. To your left e. Overhead f. Don't remember F TO OCT 6 2 16~ Thl~ fotm upereed .. PTD 164, Jul 61, wwhlch Ia obnlete Do you thinlc you can estimate the speed of the object? (Circle One) Yes Nc}\, IF you answered YES, then what speed would you eatirr.ote 'f ------.. Do you think you can estimate how for awoy from you the object was? A ,. .. IF you answered YES, then how far away would you say it was? ---- I j'"r.'. (\- Where were you located when 'IOU aaw the ob{ect? (Circle One): o. Ins ide a building b. In a car .c.---OUiCiOOri' J:' 1~ a; airplane (tv.pe) 23. Were you (Citclo Ontt) a. lr1 the business section of a city? .C Ira t - sidential s~ct;~,, ~; ; c~?') c. 'In opc.n country~i~? d. Near an airfield? e. Flying over a city? Fly;n{i over opert country? 2-i. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the followig queationa: 2.-.1 What direction were you '"oving? (Circle One) 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 loolclng at the object? (Circle One) 25. Did vou observe the objct through any of the following? Eyegloasea e. Binocular Yes No Sun glasses f. Telescope c. WindahieJd Theodolite Yes No Window glaas 26. In order that you can give 01 clear a picture a1 possible of what you sow, de!Scribe in your own words o cOtnmOI' object or objech which, when placed up In the slcy, would give the same appearance as the object ~hlch ) 'OU no\)f Did the obiect disappear while you wr.rc 1otching t? tl so, how? 15. Did the obiect move behind ~tomething at any time, particul\lrly a cloud'! (Circle One); Don't Know. it moved behind: 16. Did the obi move in front of GQmething at any teme, particularly a cloud? (Circle One): Yes Don't Know. Tell in o few words the following things about rho object: -r-J ' v -I ' . } ; j We wish to know the angular size. Hold a match stick at arm' $ length in l intt with o lc~aown ~bio:t one' '-' j~t much of the obiect is covered by the head of the match. If you had purforrned this exJJ~riment r;t ther tk-...: .i : ~ sightinQ, how much of the ob;ect would hove been covered by the match head? 19. Dtow a picture that will show the shope of the obiect or objects. Lobel and include in yvva sketch any det()il:a of the obiect that you sow such OJI wings, protru&ions, etc., and especially exhaust troilc cr vapor trails. Place an arrow beside the drawing to show t.~e direc!ion the object was moving. M. Hove r ev n thia, or a aimilar obict before. If 10 giv date or dote ond locotlon 31. Wo1 anyone el1e with you at tile time you aow the oliect? (Circle One) 31.1 IF you an1werecl YES, cllcl they the oblect too? (Citcle One) 31.2 PIN llat their name encl addrt11e1: . 32. Pleo give the fell lnfernatlon about youraelf: ltret Clty z.,.. TE LE JIHOHE NUMBE AGE I ::to a lrutlcoN any eclcUtional lnf lon about yourself, lnelucllng any 1p.clal "serlenc~, lfl,leh tttig~t be pertinenf. w ... n and te whom dlcJ you ,.,.,, that you hacf n the olJect? In the followln1 a ketch, I M that you are 8t the point ahown. Ploc o" J.." on , .... r:urvf: lin to a how ho..,. high t}:te oltlect waa aloe the horlaon (kyllne) when yw ''"' aow lt. Ploc:e IJ "8 .. ora the 1:1me cur~d Une t<"- how how high the oblect was al.ove the horizon (alcyltne) when ynu last "uw it. Place un ~.' on the comptJaf when you llrat aaw lt. Place o "B" on the compaat where you la1t 10w the ohieet. 28 . Draw a picture that will 1how the motion that the obiect or objects mcdo. Place an "A" or tha beglmsi:19 ot 1he path, a .. 8" at the end of the path, and show any ehange1 in direction during tho ~our&tl. 29. IF thre waa MORE THAN ONE ableet, then how n.any were there? -_ Draw _, picture of how they were arranged, and put on arrow to ahow tha dire~tion that they wortt travulin~ U. Date you coMpleted thie .,eetlonnalre: I which you fl pertinent and which I not adequately covered In the apeclflc polntl of th. queatlonnolre 01 a narrative explanation of your elghtlng. tJ eo \ s E c " T s L 4 c . r -fll a w Lit-(t 1 s l I V {1 t--c c v T 1-JS t~,vH/ ftD ( TDPU1t) It/ Wrisbt-Patteraon AFB, 31 October 1966 lvania 1938o Befeieace YrJUr tmidentified observation of October 1966. The 1nf01' Btion which ve have received is not stif'ficient tor eval,t1on.-Request you complete the attached FTD Foim 164 and return it in the envelope provided. We wish to thank you tar reporting your observation t o the Air Force. Sincerely, BEx:TOR QUD Jr~ MaJor, USAF Chie:f, Project Blue Book